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Is there room for community paediatrics on the Ark?
  1. Minoo Irani
  1. Children’s Services, Upton Hospital, Slough SL1 2BJ, UK;

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Professor Stephenson’s perspective on the NHS reforms1 is a welcome stimulus for debate about the future of children’s health services in the UK. The article touches upon waiting lists for children, the tariff system and the “shifting care closer to home” agenda.

If viewed dispassionately, the NHS reforms make perfect sense. Practice-based commissioning2 should allow primary care to use knowledge about the needs of local populations to commission appropriate specialist services. Patient choice is built into the …

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  • Competing interests: None declared.