There was some organisational nervousness about outsourcing reviews, but the quality of services and ability to flex to meet Welsh requirements has been outstanding, with a focus at all times on clinical quality, not finances. The Liaison processes are efficient, comprehensive and well documented with several families taking time to comment on their caring approach in remote reviews to ensure the patient/ family voice is heard and recorded fully. When dealing with complex clinical cases, clinical grey areas are inevitable in a few cases. I have been really pleased and impressed with how individual cases and partnerships working with us have been undertaken to ensure the individual is fairly and equitable at the centre of all decisions.