Alder Hey Children’s Hospital has a world-class reputation for cutting-edge procedures in treating congenital heart defects. Children from across the north west and Wales are referred to the three heart surgeons who operate in the country’s first hybrid theatre, in a paediatric standalone centre, capable of high-tech imaging and surgical procedures at the same time – within different specialities such as heart, brain and spinal surgery. But when the number of seriously ill children increases across Alder Hey, the hospital’s status escalates to red – when capacity is at a critical level. Intensive Care is full and has to close to new admissions. There are no free paediatric intensive care beds across the whole of the north west.