This article highlights findings and recommendations from a multidisciplinary roundtable organised by the Neurology Academy and held in Sheffield in October 2025. The event, jointly chaired by Martin Wilson and Sue Thomas, discussed how, in line with recommendations in the UK's 10 year health plan, headache and migraine services need to focus on a ‘shift to the left’ (moving services from secondary and tertiary to primary care). The authors explain how this would enable patients to be managed closer to home, prevent headache-related disability where feasible and enable the majority of patients to be managed in primary care, reserving specialist neurology referrals for only the most complex cases.
Ganesalingam et al. (Mon,) studied this question.