Pressure ulcers remain in the top 10 harms in the country. In order to improve the care we deliver it is important to understand what we are improving – knowing the baseline we are working from. In order to support the implementation of the Pressure Ulcer Recommendations published in October 2023, we worked with 2 collaborating organisations (an Integrated Provider and an ICB) to better understand how to implement the recommendations identify areas of good practice and challenges and barriers in practice.