Results: 80/92 referrals were analysed. The reasons for referral were: clinical 82.5%, family history 5%, and rhythm disturbances 11%. Acyanotic congenital heart disease (CHD) was diagnosed in 64% (of which 64% left to right, 29.4% obstructive lesions and 8% regurgitant lesions) and 8.75% of cases were diagnosed as cyanotic CHD. All cyanotic CHD were picked up immediately after birth.10% were found to have rhythm disturbances (SVT, WPW).2.5% of cases were classed as life threatening. 20% required interventions and 12.5% of the referral were normal and discharged. Conclusions:Cardiology service provided by PEC with support from tertiary cardiology centre is safe and effective even in the absence of telemedicine. Weekly access to tertiary paediatric cardiology service by PEC provides continuous medical education, constructive feedback and opportunity to discuss non-urgent cases thereby avoiding unnecessary referrals. Background: The management of the paediatric department has required an increase and a consolidation of the quality of nursing in our specialized units in the paediatric ward.