The HealthPathways Community is an international collective of health and social care organisations that collaborate to deliver locally relevant pathways to clinicians. Community members use the HealthPathways platform which includes starter pathways, pathway development tools, and websites for front line clinicians to refer to at the point of care. This collaboration delivers better patient outcomes by reducing variation in pathways and clinical practice and enabling new health service policy and clinical evidence to flow swiftly into practice. The HealthPathways development and review process asks questions that help reveal unconscious bias and assumptions about patient behaviour and service availability that the pathways can then address. HealthPathways accommodates necessary variation in care processes due to important local differences, while also helping to reveal unnecessary variation in care, which contributes to equity of outcomes.