Progress in rheumatology has been remarkable in the last 70 years impacting favourably on quality of life for people with rheumatic and musculoskeletal diseases. Therapeutics have advanced from early developments including the introduction of glucocorticoids, the general use of methotrexate and other disease modifying agents, through to the advent of biologic and recently small molecule JAK-inhibitors. Strategic approaches using such agents also transformed outcomes. Similarly, non-pharmacologic management of RMDs including surgery, physical and occupational therapy have contributed greatly to progress delivered within the multi-disciplinary team. Breakthroughs in pathogenesis understanding, diagnostics, and the use of 'big data' continue to drive the field. Critically, and especially going forward, the patient is at the centre of management strategies and the future research agenda.