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The data collected on the database is purely observational - there is absolutely no change to their treatment or clinical course as part of having this data recorded. The database is a centrally held clinical patient management record for children with cerebral palsy in Scotland. Institutional ethical approval would not apply to the data base as it is a country-wide, national level programme, under the auspices of NHS Scotland, rather than a single institution. We do however have Scottish national level approval to collect the data in the form of an:\u201cNHS Scotland Caldicott Guardian Application to use Multiple Boards or Scotland-Wide Personal Health Information for Health Research or Audit\u201d document, with Data Protection Registration No: Z6650266 - this document can be supplied if required. With regard to consent, all parents have given consent for their data to be used in this way and this is recorded in writing in their record.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Publisher\u2019s Note"}}],"article-number":"356"}}