The last review into the future of children's heart surgery took four years and cost £6m. But all that time, money and effort was wasted when the decision was overturned and a new inquiry announced. Its aim - to create a system where centres of expertise give babies and children the best possible outcomes.
Now, the same arguments are being rehearsed all over again - and there's renewed anguish and uncertainty for parents as units across the country fight for their long term survival. A joint service run by Southampton General Hospital and the John Radcliffe in Oxford was recently found to have the highest survival rates in the country. Yet that doesn't stop question marks remaining over its future, as Christine Alsford reports.
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