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Much of the recent debate about the adequacy of the NHS has focused on
the high volume specialties such as cardiac services and those, like
routine surgery, that can be monitored via waiting lists. Within the
relevant professional groups, however, there has been much concern that
a shortage of neonatal intensive care beds was causing major problems
for perinatal services. To quantify the situation Parmanum et al
(p 727) performed a three month census among the biggest perinatal
units in the United Kingdom, focusing on how often they cannot cope
with their in house demand. The census confirms that difficulties in
finding a suitable cot are common. There are no national standards for
this service in terms of what the public can expect but if patients
with possible cancer can expect to be seen by a specialist within three
weeks perhaps families whose baby needs neonatal intensive care should
not expect to travel 100 miles for a cot?