203 The Aspire Initiative: A Strategic Outreach Model to Widen Participation in Surgery

Abstract Introduction In March 2021, the Royal College of Surgeons of England published The Kennedy Report, identifying systemic barriers to equality, diversity, and inclusion in surgery. Chapter 5 highlighted a pivotal issue: aspirations to become surgeons often begin in secondary school, yet students from underrepresented backgrounds frequently face discouragement and lack visible role models. In response, we launched The Aspire Initiative- a grassroots outreach programme designed to inspire, inform, and empower young people from diverse communities. Method Established in June 2023 with support from the RCS England Grassroots in Surgery Scheme and local HPB surgeons, The Aspire Initiative engages students aged 13-17 through in-school assemblies, surgical work experience placements, and an annual hands-on careers workshop. Between Novemeber 2023 and June 2025, 18 assemblies were delivered across state-funded secondary schools, reaching over 1,800 students. A total of 34 students over the age of 16 completed week-long surgical placements within a HPB Unit. In April 2025, 66 students participated in a pioneering surgical taster day, rotating through suturing, laparoscopic, and orthopaedic skills stations. Results Quantitative and qualitative feedback revealed significant increases in students’ confidence, career motivation, and understanding of surgical pathways. Many identified the presence of ethnically and socioeconomically relatable role models as a key source of inspiration. Conclusions These outcomes underscore the power of targeted early intervention. We advocate for surgical outreach to be embedded as a strategic national priority- redefining who gets to imagine themselves as a surgeon and ensuring a more diverse and equitable future for the profession.