Volume 2 Number 3 contents

Editorial

NICE technology appraisals: from Radio 4 to beta-interferon
R Taylor

Original articles

Clinical governance: experience from a health district
R Madhok, T Allison, A Kingdom and D Ross

An evaluation of implementation for evidence-based guidelines for dysphagia screening and assessment following acute stroke: phase 2 of an evidence-based practice project
L Perry and S McLaren

Differences in delivery practice between doctors working on a labour ward at a district general hospital
A Hare

Hospital care given in the event of a miscarriage: views of women and their partners, and an audit of hospital guidelines
S S Sehdev and A Wilson

Inter-rater reliability of cleft palate speech assessment
C Hayden and L Klimacka

Managing mental health in primary care
D Nixon, R P Saunders and D M Tanner

The pilot appraisal system for consultants at the Norfolk and Norwich Health Care NHS Trust
M Stamp and J Sanger

Assessing the surgeon: 10 years experience with the POSSUM system
G P Copeland

Short report

Inappropriate thrombolysis
E Nicolaides and V McHale

Press releases