The RCR was established more than 40 years ago. Its formal powers and constitution originate from that time. Healthcare in the UK and beyond has changed enormously since – the expectations on the RCR and its Fellows and members are very different and are changing rapidly. Recognising this, Council set up a review of how the RCR can be equipped for the future and interim proposals were brought to Council in July 2019. Council will now focus on formal governance structures and processes, most notably strengthening its role as the trustee board of the RCR, as a registered charity. When proposals for change are formulated, there will be full consultation with all Fellows and members.