 This service is run jointly by the world-renowned St Andrew's Centre, Broomfield Hospital, Chelmsford and Great Ormond Street Hospital, London.In 1995, the number of centres in England and Wales offering treatment for clefts was reduced from around fifty to thirteen.This means the specialist teams at the thirteen centres are now treating more patients with clefts per year and as a result are able to offer a better service to their patients and families.