CVRM care is recognised as a more realistic way to understand and manage chronic disease. CVD, CKD, type 2 diabetes, obesity, and MASLD frequently coexist, share major risk factors, and influence one another biologically and clinically. Yet care delivery across the NHS remains largely organised around separate pathways, disease-specific targets, and professional silos. In this session we will discuss why and how to deliver CVRM care by adopting acvrm mindset.