All the events were extremely useful. I work in a large primary care MSK service, taking all referrals, primarily from GPs. The [training] days have definitely changed my practice on an individual level as an ESP as well as within our wider team of ESPs and physios. Training has been put in place as a result of attendance at the 4 days and will be ongoing. I would like to think there is now an improved awareness throughout our service – it certainly seems to have prompted more discussion amongst colleagues. In addition we are starting an audit of GP spinal referrals with reference to the recent NICE guidance on spondyloarthritis. I hope this will also help to improve awareness amongst GPs too. We are also developing more links with Rheumatology and are lucky to be able to have the opportunity to work alongside as they have recently moved some of their clinics out into primary care. Looking forward to further SpA events and updates very much, its definitely worth the long drive down and a lovely venue. The website will be very useful