The Better Life Appeal is part of the Cardiff and Vale Health Charity, registered charity number 1056544. The Better Life Appeal for the All Wales Adult Cystic Fibrosis Centre was established in 2007 by the CF Service. Initially, it was intended to provide all patients within the Adult CF Centre with additional, often expensive equipment not available on the NHS. In addition, as patient numbers continued to increase it was felt the appeal would provide additional facilities to enhance existing patient care and enable expansion of the centre to meet the needs of our growing CF patient population. Between 2007 and 2012 our patients, their families and supporters raised considerable funds for the appeal, which afforded the opportunity for growth and expansion of the service by providing a fully equipped patient gym, specialist nurses rooms with treatment rooms, a physiotherapy room and counselling room, which were all well utilised by our patients. However, whilst this initial expansion