Intended for healthcare professionals


More training is needed in health care of people with learning disabilities

BMJ 2000; 321 doi: (Published 05 August 2000) Cite this as: BMJ 2000;321:385
  1. Mhairi Duff, specialist registrar in psychiatry of learning difficulties (,
  2. Matt Hoghton, consultant in physical health of people with learning disability,
  3. Mark Scheepers, specialist registrar in psychiatry of learning disability
  1. University of Bristol, Norah Fry Research Centre, Bristol BS8 1TX
  2. Backwell and Nailsea Research Practice, Brockway Medical Centre, Nailsea, Bristol BS48 1BZ
  3. Severn NHS Trust, Gloucester GL1 3HZ

    EDITOR—Leonard et al's editorial concerns heart and heart-lung transplantation in Down's syndrome.1 Possible bias and discrimination towards people with a learning disability having access to a range of health screening and intervention programmes are increasingly being recognised.2 Rationing or prioritisation should be open. Criteria should be agreed by all stakeholders, with no code of silence among the healthcare professionals and with evidence based decision making.

    We believe that the root of the problem for people with a learning disability lies in …

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