In 12 months, there has been an 184% increase of children having to wait over four years on consultant waiting lists and waits are longer for children needing help with mental health issues, speech and language therapy and autism assessments. The situation is ‘alarming’. Many of the children could be ‘experiencing pain and discomfort’. Parents' hearts are breaking as they watch their children miss out on vital parts of childhood while struggling to manage health conditions. Waiting lists for ear, nose and throat conditions are the longest. 10,000 children are waiting for a consultant-led outpatient appointment and 4,000 for surgery. In order to tackle the problem trusts are asked to provide additional theatre space, and paediatric surgeons from the Royal Belfast Hospital for Sick Children will travel to other hospitals to perform children's surgery. Commissioned paediatric day case procedure theatre lists for general surgery are being re-established as a priority.