Great Ormond Street Hospital (GOSH) has a sophisticed telemedicine system with permanently installed facilities in the cardiac catheter lab, cardiac operating theatres and cardiac seminar room (with dual large screens and full duplex audio - seating 30). This is directly linked to the Kennedy Lecture Theatre in the Institute of Child Heath (again, with dual large screens and full duplex audio - seating 250). These facilities are used to broadcast live catheter and surgical procedures around the world. In addition, regular clinical consultations are undertaken with John Radcliffe Hospital in Oxford UK during the Joint Cardiac Conference (held weekly). Educational activities are also broadcast to various institutions, conferences and symposiums around the world. Cardiac Services also offer a seperate Tele-Echo service, established in cooperation with Northampton General Hospital (UK), providing the expertise of the GOSH cardiac team in reviewing echocardiography performed on patients at district general hospitals. Great Ormond Street Hospital has other facilities in addition to Cardiac Services, including a video conferencing suite, featuring multicast capabilities, operated by Medical Illustration. Various other areas of the hospital are also involved in telemedicine activities. 