Editor,—We read with interest the personal practice described by Rashid et aldiscussing their model of the regionalised transport service in New South Wales, Australia.1 They rightly stated that the success in the centralisation of resources and expertise in the care of critically ill children is dependent on a reliable and effective transport service.

Systems that work well in other countries may not be appropriate for the UK, but there are lessons to be learned from North America and Australia. The need for adequate and appropriate intensive care services for children in UK has been discussed recently.2Implicit …