The use of primary care services by three matched groups of people with intellectual disabilities was compared over a period of one year. Differences in the patterns of provision were detected between hospital intellectual disability specialists and general practitioners. The degree of behavioural disturbance and disability of the subjects were found to be the most important predictors of primary care contact.

the patient with the importance of full treatment, and in explaining its details, and that essential ally, the social service department, should be called on to follow up all negligent patients. SUMMARY Syphilis forms a considerable proportion of all cases among persons applying to the general medical dispen¬ sary at least 3 per cent., according to our figures. It usually presents itself at a time when cure or marked improvement, or much in the way of prevention, are still available. The manifestations of the disease in the medical dispensary are often very obscure and mislead¬ ing, and the cases form a group quite distinct from the type ordinarily encountered in the genito-urinarv dis¬ pensaries, or in special dispensaries like the surgical or nervous dispensaries, in which the patients usually pre¬ sent distinct symptom-complexes or localizing phenom¬ ena.

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