The CDS is increasingly dealing with Vulnerable and Special Care patients, taking referrals for these groups of patients from our colleagues in the GDS and the HDS.  Treating healthy children who are cooperative and who have little or no caries reduces the time the CDS can spend with the Vulnerable and Special Care patients and the LDC and CDS management have been discussing for some time a suitable model for movement of child patients between the two services and a means of identifying practices that are able to take on new child patients.  The letter which has been sent out to practices can be accessed via this link and is self-explanatory.