Our network works to a whole of life approach to care, so our paediatric and adult teams are very closely linked, with joint quality and service development organisation. The specialist nurses work closely as a team and have many joint projects, such as transition, education and service development. We work closely with our adult and paediatric specialist nurses in Milton Keynes, as well as community and primary care services across the region. The teams have monthly MDTs, local clinics and outreach clinics to the network hospitals.