In this episode, we discuss the fourth focus of the Surgical Skills project- Lifelong learning - and what we will be working on in the next phase of the project. New consultants and specialists often face the challenge of continuing their surgical skills acquisition in an environment where surgical opportunities may belimited by clinical responsibilities, rota pressures and increasing patient demands. Protected time and support are required for ongoing surgical skills maintenance and development. The next phase of the project will explore the role of fellowships.