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I was saddened, but not surprised, to see no mention of primary care in the editorial on transition of care in children with chronic disease.1 In the United Kingdom, young people with chronic diseases are likely to have a general practitioner. Over the course of their life that doctor will have received numerous letters about their care and plans. These can be, and should be, educational. When dedicated paediatric care is no longer needed, adult expert clinics are needed, but so are day to day care and acute management of disease complications. Although the current organisation, after the new contract, of general practitioner care is less easy to navigate for patients, there should be a familiar face of someone who knows this group of patients and their illness.
Competing interests: None declared.