Page E, Allen R, Wensley F, et al. - Researchers investigated how the introduction of innovations in the peri‐operative care pathway influenced outcomes for people with diabetes undergoing elective surgery. They implemented a number of changes in practice following a baseline audit of 185 people with diabetes listed for elective surgery (July to December 2017) with a length of stay > 24 hours. These changes included preoperative dissemination of a ‘diabetes peri‐operative passport’ to participants, formation of a diabetes surgery working group, recruitment of surgical diabetes champions and the roll‐out of surgical diabetes study days. Recruitment of a diabetes peri‐operative nurse was crucial; her role included engaging and educating others and supporting people throughout their peri‐operative diabetes care. Auditing was performed using the same methodology on records of 166 individuals listed for surgery during the implementation period (July to December 2018). Significant increase in the availability of a recent HbA1c measurement was observed (63% vs 92%). Significant decrease in the mean length of hospital stay (4.8 vs 3.3 days) with no increase in 30‐day re-admissions was noted. Postoperative complications including a composite of dysglycaemic complications, poor wound healing, wound infection and other infections decreased significantly. Per these outcomes, people with diabetes undergoing elective surgery showed improvement in important peri‐operative outcomes with the potential for cost savings in correlation with the new pathway.