Elizabeth Bryan was the first paediatrician to specialise in the challenges and problems of twins and higher multiple births in their relations with each other and their parents. She wrote many books and lectured all over the world about them and created the Multiple Births Foundation to foster their study and care. She was also throughout a passionate supporter of a fully comprehensive, publicly owned NHS and a holistic approach to all aspects of care. Before her death from cancer in 2008 she became increasingly concerned about the future of NHS philosophy and practice. Our central focus is on the values she placed highest herself: compassion, empathy, and intelligent kindness – not only between staff and patients but among the staff of the NHS, both clinical and non-clinical.