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were going to set this off by asking some of the theme leaders just say a little bit about their theme so this is a taster for whats going to happen over the next Im 90 minutes with a quote from William James mayo who wrote in 1928 the ideal of medicine is to eliminate the need of a physician and we cannot achieve that by sitting in our ivory towers and clinics what we got to do is go out into the community and work with everybody to achieve that and obviously from my perspective as a pediatrician i believe the earlier we get in the better the outcomes long-term and that is the focus of our theme and were concentrating for the moment on three areas on allergy which is immensely common in improving care pathways on sickle cell disease because that is a problem that we see mostly around london and in north-west london to again improve care and to address the problems that the patients have and finally to try and reduce the demand on accident and emergency which of course is very top
