“…It is worth asking ‘what is the cost of these investigations?’ Curry’s 1997 recommendation for first--line investigations cost approximately £380/patient,2 assuming microarray is performed rather than karyotype, compared with £472.42/patient for McDonald’s 2006 guideline,3 £491.34/patient for Horridge’s 2011 recommendations4 and £567.28 for our local guidelines (table 1). These figures are for first-line investigations and do not include MRI.…”