Against a background of fiscal and regulatory pressure to rationalize and justify health-care interventions, there is an underlying political message that greater cooperation and collaboration would improve health-care for all. This article uses the specialism of lymphoedema to illustrate the developments and improvements in care which can be achieved by harnessing the knowledge and skills of the multi-disciplinary team, and those people with vision, who are prepared to innovate to improve patient care. The article argues that it is the experienced specialist who advances care both by innovation and by working to achieve consensus, which can then guide the less experienced generalist. Using specific examples of published research drawn from other specialities - leg ulcer management, varicose vein treatment and dermatology - the article shows how this supports the practice of lymphoedema practitioners
