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The background is that clinical governance is a new mechanism for improving patient care within primary care organisations. The aim is to investigate the ability of practices in a single Primary Care Trust to improve influenza and pneumococcal vaccination uptake in high risk groups as a component of a clinical governance programme. A descriptive before and after study was undertaken at West Lincolnshire Primary Care Trust. Concludes that clinically, important improvements in influenza vaccination uptake occurred in patients over 65 years, and for influenza and pneumococcal vaccination in coronary heart disease and diabetic patients between the two audit cycles demonstrating the ability of participating practices to achieve and exceed national targets for influenza immunisation of these high‐risk groups.

Investigates the differences in protocols between arbitral tribunals and courts, with particular emphasis on US, Greek and English law. Gives examples of each country and its way of using the law in specific circumstances, and shows the variations therein. Sums up that arbitration is much the better way to gok as it avoids delays and expenses, plus the vexation/frustration of normal litigation. Concludes that the US and Greek constitutions and common law tradition in England appear to allow involved parties to choose their own judge, who can thus be an arbitrator. Discusses e‐commerce and speculates on this for the future.