We run a weekly Friday morning clinic, usually based in the Child Development Centre (CDC). This is a mutli- disciplinary clinic. It aims to improve the respiratory health of children who have complex health needs for example neuromuscular diseases, neurodisability or cerebral palsy. The patients we see are at greater risk of developing respiratory problems such as recurrent chest infections due to a weaker cough, less ability to clear secretions or a decreased ability to protect their airway sufficiently.