PICS recognises the announcement by NHS England today regarding children’s cardiac services in England. This concludes the work arising from the new Congenital Heart Disease Review which has required centres providing cardiac services for children to benchmark themselves against new standards and service specifications. PICS fully supports the Review’s aims in placing the best interests of patients first and foremost. It has been a long journey to this point and PICS would like to acknowledge the excellent care and hard work delivered by colleagues across the country. Undoubtedly, today’s announcement will be extremely distressing for many health care professionals affected by the proposed service changes. PICS commits itself to work collaboratively with NHS England, the Royal College of Surgeons, and other parties in the forthcoming months to bring about a co-ordinated solution.