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The protracted and multidisciplinary nature of paediatric cochlear implantation presents particular challenges in addressing issues of clinical governance. The implantation process is one that involves many disciplines in acute and community settings over several years. Reviews the difficulties presented by a protracted, multidisciplinary intervention for addressing issues of clinical governance within the context of paediatric cochlear implantation. Discusses the activities of the Nottingham Paediatric Cochlear Implant Programme in tackling these problems and gives some details of its progress and success in these areas.

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