Lipid management is a cornerstone of cardiovascular risk reduction, yet services are often fragmented and under-resourced. In this session, I will share my journey of creating a pharmacist-led lipid service in secondary care — from the initial pitch and building a business case, to designing pathways, overcoming implementation hurdles, and delivering measurable patient outcomes. Attendees will gain practical insights into service design, governance, and stakeholder engagement, as well as strategies for sustaining momentum and expanding impact. Whether you’re looking to start a similar service or optimise an existing one, this session will equip you with the tools and lessons to turn vision into reality.

• Describe the key steps in developing a business case and securing stakeholder support for a pharmacist-led lipid service in secondary care.
• Outline the essential components of designing and implementing a safe, effective, and sustainable lipid management pathway.
• Evaluate strategies for overcoming common challenges in service setup, including workforce, governance, and patient engagement, to achieve measurable clinical outcomes.