The North West London Paediatric Surgical network was set up after the re-organisation of children’s services in May 2010. Chelsea and Westminster Hospital was designated the lead centre for neonatal and children’s surgery, working closely with Great Ormond Street Hospital and Evelina Children’s Hospital in the more complex management of children requiring intensive care. Our paediatric surgical service covers a network of busy hospitals in north west London: namely St Mary’s Hospital, Queen Charlotte’s and Chelsea Hospital, the Hammersmith Hospital, Ealing Hospital, the Hillingdon Hospital, North West London Hospitals NHS Trust, the West Middlesex and Watford General Hospitals. We aim to provide the best quality service as close to the patients’ home as possible by providing outreach clinics and day-case surgery. Babies and children requiring more specialised care or complex surgery, on the other hand, are treated in our specialised wards and operating theatres in the new Chelsea Children’s Hospital. As the network lead, Miss Farrugia will be responsible for coordinating this pathway and maintaining a good communication between centres and specialists.