CRANIO - This proposal outlines the activities of ERN CRANIO for the years 2019, 2020 and 2021, which are line with the FPA. ERN CRANIO aims to support specialised centres across Europe to provide care of the highest quality to patients with rare and/or complex craniofacial anomalies and Ear Nose and Throat (ENT) disorders. The network seeks to connect the most highly specialised centres in Europe so that professionals can share their knowledge and best practice. It also seeks to connect patient groups across the continent. It is hoped that the pooling of resources and expert information from both patients and professionals will facilitate access to high quality, multidisciplinary care for all European patients. The focus of the next 3 years will be; Expansion of the network across Europe (both healthcare providers and patient groups), development of disease-specific standards of care, initiation of a quality improvement cycle so that ERN-accepted standards of care can be monitored and refined, data collection and benchmarking via use of a registry, organisation of professional training, collaborative, multi-centre research and full implementation of the Clinical Patient Management System. Disseminating information on the network and its outputs to target groups will be crucial, in addition to evaluating progress.