With reserve levels under pressure and fewer trusts confident about future expansion, many MATs are shifting their focus from growth to short-term resilience. This panel brings together CFOs, COOs and sector experts to explore how trusts can move beyond survival mode and develop sustainable, risk-aware growth strategies in an uncertain landscape. Panellists will discuss which growth drivers matter most in the current climate, how to distinguish tactical responses from long-term strategic priorities, and how finance and operations leaders can build organisational confidence through robust, evidence-led decision-making. The session will also examine governance frameworks that support responsible growth, ensuring expansion plans are financially sound, operationally deliverable, and aligned with trust-wide objectives. It will also touch on the role of technology implementation in supporting better outcomes with limited budget.