The 1995 Department of Health’s strategy document on the health of the nation for people with learning disability argues strongly that they should have access to the full range of NHS services. Members of the Community Team in Bolton used local experience of primary health care to improve access to such services. Here Duncan Mitchell and Stephanie Pickup explain the team’s findings

IN RECENT years there has been an increase in publications about the use of general health services by people with learning disabilities. The reasons for this are numerous.