Following consultation with the SA JAFA community and clinicians, in September 2021, JAFA submitted a proposal to SA Health Minister Wade making the case for increasing paediatric rheumatology services. The proposal was supported by Arthritis Australia and SA families and state-based MPs. Although there is as yet no formal response from Minister Wade, as we enter 2022, JAFA is aware that some improvements have been made and looks forward to hearing further details.