The COVID-19 pandemic is generating great change and challenge to unparalleled levels across the National Health Service, UK . With insufficient and still emerging evidence on this little known virus, recommendations and guidance are changing continually and still evolving . The authors outline some of the planning through the initial stages of the pandemic within a clinical radiology ultrasound service at one UK tertiary centre . Patient triaging, infection control, equipment, staff mental wellbeing, ongoing training and recovery are all subjects of focus . By sharing our experience and strategies, we anticipate that other similar departments may benefit.