The NHS has been working with Royal Colleges to ensure clinical processes to prioritise the waiting list according to clinical need and length of waiting time. Patients should be part of a shared decision-making discussion around their care. In responding to the pandemic, trusts have been working collaboratively to sustain access for patients, and this has been supported by the development of more “hub” working models to support elective recovery. This ‘‘Adopt & Adapt’’ approach uses the following key components: • Workforce: Prioritising workforce capacity to support challenged services, in much the same way that staff were deployed to critical care during Phase 1. • Best IPC Practices: including COVID-19/Non-COVID-19 pathways; self-isolation guidance; testing; PPE; cleaning and building guidelines relevant to the service in question. • Additional Capacity & Facilities: Opportunities to utilise NHS facilities by sharing waiting lists; independent sector capacity and identify temporary facilities. The £1bn allocated through the Spending Review for the 2021/22 financial year will support the NHS in tackling the elective backlog and support hospitals to cut long waits for treatment by carrying up to one million extra checks, scans and additional operations or procedures. Through its COVID-19 recovery and existing planning processes, DHSC and NHSE/I are currently working (with NHS organisations) to agree how this funding will be spent in order to achieve maximum value and ensure the clinical needs of patients are best met.