In England, the national mortality review programme for people with intellectual disabilities, the LeDeR programme, was established in 2015. The programme supports local areas to review the deaths of all people with intellectual disabilities aged 4 years and over. Each death has an initial review; if indicated, a full multi-agency review takes…

In this opinion piece, the author reflects on some similarities with the National Health Service (NHS) in England, which has a long history of leadership tensions as hospital trusts have tried to wrestle administrative and operational decision-making away from clinicians and consultants.

Children's mental health services have experienced major cuts since 2010. In parallel, our education system has undergone a period of significant transformation. In this paper, I discuss the implications of these developments for the mental health of children and young people. This includes examination of the differing ways in which mental health…

It is well documented that engagement in arts and cultural activities contributes to improving and maintaining the health and well-being of older people. Despite this, many health and social care professionals do not recognize or accept arts and cultural activities as relevant to their care remit. To address this, a team of 17 individuals…

The Health and Social Care Act comes into force in April 2013. It changes the organisation of the health service and accelerates the integration of health and social care. New relationships between primary and secondary healthcare will develop and the culture of clinical and cost effectiveness will expand into social care; work on children in…

This is about research an Oxfordshire Self-Advocacy Organisation did into annual health checks for people with learning disabilities. The self-advocates worked with Oxfordshire's Primary Care Health Facilitator and a Professor to find out why only one in four people in our area had a health check in 2009/10 (Emerson & Glover 2010a,b). The…

Objective: To describe the development of the National Institute for Health and Clinical Excellence (NICE) evidence-based guidance on one-to-one interventions for prevention of STIs and under 18 conceptions, as a focus for an integrated approach to sexual health services. Method: Documentation of the process for developing NICE guidance that is…

Recent comments by Baroness Warnock have reignited controversy over the relative merits of policies designed to promote inclusion and address special educational needs. These debates, conducted mainly between practitioners and parents, do not encourage input from historians but can usefully contextualize earlier models of service delivery. This…

Community learning disability nursing has been faced with considerable changes over recent years. In the early part of the 1990s, some commentators believed that it was a specialism in decline. The aim of the present study was to describe the way in which community nurses, learning disabilities (CNLDs), work within National Health Service (NHS)…

This article presents the outcomes of the Mobile Technologies Pilot Project for the Assessment and Learning in Practice Settings (ALPS) Centre for Excellence in Teaching and Learning (CETL). ALPS is a partnership of five Higher Education Institutions (HEI) that aims to develop and improve assessment, and thereby learning, in practice settings for…

Young people living in rural areas lack opportunities for accessing health advice and care without reference to a parent, carer, or other adult. In this article Jane Harrison and Jane Bullock provide the rationale for the development in 1997 of Bodyzone, a school-based health service to address this problem. Presented here as a case study,…

The first of a series of hearings on child health issues was held in an effort to obtain a better understanding of the causes of the United States' low rank among industrial nations on indices of child health and prosperity and of models other nations use to improve children's health care, access to delivery systems, and cost containment. Contents…

Describes early childhood education reform policies in England based on recent report by the Organisation for Economic Co-operation and Development. Explores implications of these government reform initiatives for early childhood education in the United States. (Contains 39 references.) (PKP)

The focus of this issue is to provide an international perspective on the status of school health in 16 different countries as well as issues and trends in different international settings. The articles describe health care delivery and education systems, and instructional, environmental, and health service activities. (SM)

England's National Health Service is described and the perceived training needs for professional medical and dental staff are outlined. The organization of a typical large medical school and its relationship with two teaching hospitals is outlined. Problems are examined, and the possible impact of proposed government policy changes is discussed.…