Background: Lithium is well described in managing certain mental illnesses including in people with intellectual disabilities (ID). It requires regular monitoring particularly of serum levels and relevant biochemistry. However, existing monitoring protocols do not provide ID-specific guidance leading to increased risk of poor-quality care. This…

A number of current developments in the field potentially provide opportunities for preventative relationship and family interventions to be integrated into primary care. In this context, it is important to understand what family counselling is and how it might differ from family therapy. Thus, this paper investigates how the service of one…

The practice of Social Prescribing as a means of enabling improved quality of life, especially those with long term conditions, is still a 'work in progress'. Using appreciative action research methods, practitioners involved in commissioning or providing social prescription services can learn important lessons from the experience of…

There has been a considerable drive to encourage a wide range of professional groups to incorporate alcohol screening (or identification) and brief advice (IBA) into their everyday practice. This article aims to examine the role of training in promoting IBA delivery in contexts outside primary care and other health settings. The data are drawn…

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…

The relatively poor health of people with learning disability reflects the failure of primary care practitioners to improve the accessibility of the service they offer. This North Essex study involved evaluation of a project to work with three primary care practices to raise staff awareness, improve their training, and adapt their working…

Undergraduate and postgraduate training program for England and Israel are described and assessed for their effect upon career development. Relevant government policy is also reviewed for its impact upon the educational design. Particular attention is directed to evolving medical schools that are attempting innovative approaches to primary care…

This paper describes a collaborative action research approach used to explore peer observation of teaching (POT) within the online environment. Although POT has become familiar in face-to-face teaching contexts, little is understood of its potential role in online settings. We conducted "virtual" focus groups to explore the experience…

A workshop series designed to change attitudes and culture in accident and emergency departments in Britain sought to influence clinical practice by sharing the experience of researchers and practitioners. It was considered an effective way to disseminate research, but real change must also involve other departments in the hospital. (SK)

An important potential contribution to the efficient use of the health workforce, is the possibility of "skill mix" changes. "Skill mix" is a relatively broad term which can refer to the mix of staff in the workforce or the demarcation of roles and activities among different categories of staff. Most of the policy attention on…

This book presents the memories of a group of old people about life in Hackney, England, from the beginning of this century up until today. A particular emphasis is placed on what good and bad health has meant to people over the years and the sort of people and institutions they have turned to when ill health has struck. The contributors are from…

A pilot action learning set was established in late September 2002, with the objective to develop a model of action learning appropriate for R&D managers. This initiative was one of a number of responses to a request for training and support by a small group of R&D managers who were based in non-teaching acute and primary care NHS trusts.…

Objective: The main objective of this study was to explore patients' perceptions of general practitioner (GP) exercise referral (ER) schemes with a view to providing a better service for future patients. Design: A qualitative focus group methodology. Setting: Meeting rooms or communal areas in leisure centres across North Yorkshire. Method: Thirty…

The Fifteenth International Congress on Hygiene and Demography, held in Washington City in the autumn of 1912, was a notable event in the history of sanitation and in the discussion of the conditions of the physical and mental health of the people. The exhibition held in connection with the congress was instructive in many ways, and contained much…