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NICE guidelines and the epilepsies: how should practice change? Authors’ reply
  1. Colin Dunkley2,
  2. Helen Cross3
  1. 2Department of Paediatrics, King’s Mill Hospital, Sutton-in-Ashfield, UK
  2. 3Neurosciences Unit, Institute of Child Health and Great Ormond Street Hospital for Children NHS Trust, London, UK
  1. Correspondence to:
    Colin Dunkley
    King’s Mill Hospital, Sutton-in-Ashfield, UK; Colin.Dunkley{at}

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Smith’s letter responding to our paper1 examining the issues around service improvement for children with epilepsies is very welcome. His letter and paper2 provide useful data and insight which is helpful when considering how national recommendations could or should translate into the real world.

Many long-term paediatric conditions benefit from designated services with defined paediatricians and specialist nurses. One difficulty providing such a service for children with epilepsies is not just the need but the greater number of children involved. The reality …

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  • Competing interests: None declared.