This editorial cannot do complete justice to this wider question, but we wish to limit our exploration to the wisdom drawn from a lived-experience of a well-defined cohort of health workers in the United Kingdom who are at the forefront of the COVID-19 pandemic. We have drawn on the experience of a wide range of health professionals through personal contacts, social networks and reported analysis of anonymised surveys from across the health spectrum. 5 The aim of this dialogue is to raise the issues we feel are important in understanding the differential outcomes for health workers and encourage all stakeholders to urgently commission actions which will help to ‘save lives and save (all within) the NHS’.