As the threat posed by Covid largely recedes in most European countries and beyond, the collective attention of those working in healthcare services has returned to the familiar challenges which never went away, but were masked by the more immediate and headline-grabbing threat of the pandemic. Three immediately spring to mind following HBI 2022 this week: 1) Finances, and the threat of recession. 2) Where to find staff, and how to retain them. 3) The rise of the importance of the patient experience.