EWMA documents have addressed and provided recommendations for the organisation of wound care. However, several challenges are currently creating a need for organisational innovation. An important aspect is the integration of pathways for patient care, implementation of guidelines for managing Diabetic Foot Syndrome, and leveling disparities in DF treatment and outcomes, together with establishment of regional patient registries, where lacking. A pilot project, Diabetic Foot Valley Tuscany, has shown very promising results, which, in addition, led to three new clinical trials being initiated in collaboration with industry. Collaboration between the public and private sectors is vital to deliver better and safer solutions in a difficult and complex environment for health care. In July 2023 EWMA thus established the EWMA Innovation Alliance with the aim of establishing a European Wound Management Innovation Ecosystem. EWMA has for years worked intensely on the qualification of health care professionals within wound management. However, the widespread shortage of personnel in Europe affects the wound management area. EWMA is committed to raising awareness of this issue, to foster discussions on how to tackle it and to explore how organisational innovation can assist health care systems in better utilising resources, particularly human resources. EWMA aims to collaborate more closely with health care authorities and policy makers by joining projects targeting public health care systems and to strengthen advocacy via an EWMA State-Of-Affairs Report to be published in 2025.