Thirty seven children were referred for Paediatric Intensive Care during the study period, of these 29 were retrieved by a specialised transfer team and the telemedicine link was used on 11 occasions to facilitate patient management.  On two occasions inappropriate transfer was prevented.  Staff questionnaires indicate that the equipment was easy to use and helped professionals "fulfil their roles".  Main problems:-  The child was not always where the fixed equipment was and so our ascertainment was less than 50% and this was site dependent.  This has led to the development of "phase two -- a mobile solution"