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With a rising number of children living with life-limiting conditions in the UK, 1 paediatricians are managing increasing medical complexity in ward and outpatient environments. Paediatricians should be supported in the identification of those with life-limiting or life-threatened conditions who may benefit from specialist palliative care and early holistic approaches to care, to focus on quality of life alongside active treatment.2 Referral to specialist paediatric palliative care (SPPC) improves quality of life for children and their families, helps medical decision-making, results in fewer hospital admissions, supports choice around place of care and increases symptom control.3 Identifying those who may benefit from a palliative approach and when SPPC may be required are core considerations for the general/community paediatrician.4