A 2-day face to face and online conference. Attendees including rheumatologists, AHPs, GPs, researchers, patients and a leading patient organisation. We went from an historical look at the focus on physical therapy in treating the symptoms of RA to the how to chose from a bewildering array of new treatments to treat the disease itself. Discussion included how we might use these advanced treatments in the future. Conventional drugs were not forgotten and the importance of adherence was dissected as was the difficulties of providing truly effective early inflammatory clinics post covid. All of the discussions included discussions of the patient’s experience. NRAS highlighted the impact of fewer face to face clinic appointments and reduced clinic time. They offered evidence based ways to support health professionals help their patients by signposting them to educational resources, advice lines, self management modules and much more. Excellent speakers and broad coverage of a complex condition.