The Secondary/Tertiary Care Council serves the scientific, educational, professional and practice-based interests of secondary/tertiary care paediatrics, including all hospital based paediatrics. It provides representation of secondary/tertiary care to the European Board of Paediatrics, relevant task forces and strategic advisory groups. The chairperson of this Council is a member of the EC. National delegates, paediatric subspecialty societies and related societies, and individual active, affiliated and honorary members with a related interest in specific areas contribute to the ctivities of the Secondary/Tertiary Care Council. The group is responsible for maintaining European Training Requirements documents for the paediatric subspecialties. They are developed with the European paediatric subspecialty societies, are presented and discussed with Secondary/Tertiary Care Council, and after agreement forwarded for approval to the EAP General Assembly. At present 14 different paediatric medical subspecialties are recognized within Europe. Discussion within the group also contributes to shaping a common paediatric training concept – including the relationship of subspecialty training to core paediatric training – the ‘Common Trunk’.