The Royal College of Paediatrics and Child Health – uniquely among the UK’s Medical Royal Colleges – incorporates both leadership in clinical standard-setting and a wider engagement with the health of children, wherever in the world they live. Working globally – through international humanitarian support in some of the world’s poorest countries – is written into RCPCH’s constitution. Since the mid-2010s, RCPCH Global’s portfolio of programmes has expanded significantly. This update provides an overview of where – and how – this is happening.