Wound care is a complex, under-addressed issue in the UK that places significant and unnecessary burden on patients and the healthcare system. Commonly perceived as a nursing issue, recent years have seen national programmes successfully support a shift in the recognition of wound care as a system issue. Partnership working between providers and national teams, such as the National Wound Care Strategy Programme (NWCSP) and Transforming Wound Care (TWC) programme, has generated the evidence and frameworks to support improvements in leg ulcer management (the largest percentage of all wounds in the UK) via dedicated services. Coupled with new evidence regarding the economic impact of leg ulcers, this makes a compelling case for change. Sustainable change in leg ulcer management will require providers, commissioners and policy makers to recognise the need for fundamental adjustments to the underlying service delivery models of care.