Proudly supported by the Starship Foundation Worldwide, people living in rural or remote areas struggle to access timely, quality speciality medical care. This is primarily because specialists are more likely to be located in areas of concentrated population. Through innovations in computing and telecommunications technology, many elements of medical practice and communication can be accomplished when patients and caregivers are geographically separated. This separation could be across the city, across the country, or even across the world. The Starship Foundation and Paediatric Society of NZ understood the need to make use of new technology for New Zealand’s paediatric community and created the New Zealand TelePaediatric Service (NZTPS). The Starship Foundation canvassed the paediatric community to obtain their views and establish objectives that coincide with their needs. This ultimately created a not-for-profit incorporated society that is owned and directed by New Zealand's paediatric healthcare providers. Initially NZTPS connected 10 District Health Boards with the objective of establishing the service as an important component of paediatric communication. Now that the usage of the service has become more of a core competency, NZTPS is endeavouring to connect as many centres as possible to create a truly national Telemedicine Service. The recommendations contained within the government’s document ‘Through the Eyes of the Child’ established the need for a telemedicine network for paediatric service delivery. Feedback from the paediatric community assisted in the establishment of the following aims for NZTPS: To significantly reduce the time and expense to patients that travelling to specialist healthcare involves. Emotional and physical dislocation from family and friends can also be far more pronounced when children are involved. To draw on expert healthcare services by linking remote sites with key medical centres for long distance evaluation and teaching by appropriate medical specialists, and to allow persons undertaking clinical research to be linked together despite geographical separation. It provides a collegial communications network which reduces isolation and provides access to highly skilled paediatric service providers through Grand Rounds, Paediatric Clinical and Nursing Updates, education, remote conference participation and institutional knowledge sharing. To improve medical education for health care professionals. Where teaching or clinical sessions are linked to several hospitals, the availability of additional expertise may prove invaluable for patients and healthcare professionals alike. Equity of access and availability was identified as a most compelling need and strategy of national paediatric service delivery. NZTPS has been designed to ensure equal access regardless of geographical location. NZTPS endeavours to supply the best possible quality of service to patients and paediatric caregivers with minimal cost or inconvenience. Centres connected to the service are Whangarei, Auckland (Starship, Kidz First, ACH Paediatric Cardiology and Puawaitahi), Hamilton, Tauranga, Whakatane, Palmerston North, Wellington, Christchurch and Dunedin. Hawkes Bay, Rotorua, Taupo and Invercargill are in the process of connecting at present. NZTPS is pleased to have a sponsorship and network services agreement with Telecom New Zealand. These agreements provide beneficial technical and structural support. Dr Michael Sullivan, a Paediatric Oncologist from Christchurch Hospital is the Chairman of the service, Simon Hayden is National Manager, and Murray Silverstone is in charge of education and content, both Murray and Simon are based at Starship.