through a step -by step process, funding support, and ongoing opportunities within the network. Conclusion We hope that this model can be shared to enable others to access it and help iinform their systems development. Whilst the model is not exhaustive and requires further research,it represents a first step,with lessons learnt from paediatricians with actual experience of creating such networks. Hub and spoke service provision better meets the needs of all children no matter where they live in the world.