The fifth BRITSpA Annual Scientific meeting took place on 25th-26th September 2019 in Birmingham thanks to the generous support from AbbVie, Biogen, Gilead, Novartis, Pfizer and UCB. The scientific programme for this meeting was developed independently by the 2019 chairs Gareth Jones and Jane Martindale and the Executive Committee of BRITSpA. CPD accreditation was awarded to all delegates and speakers. Dr Edwin Lim from the the Norfolk and Norwich University Hospitals NHS Foundation Trust provides us with a summary of the 2019 meeting highlights.