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The general knowledge and skills of staff working with people with learning disabilities have been of interest for a number of years, and Valuing People (DH, 2001) highlighted them as a significant issue. Research has shown that there are further deficits in the knowledge and skills of staff concerning the mental health of people with learning disabilities. This paper gives a general overview of some of the factors involved in the training and knowledge of learning disabilities staff relating to mental health. Early indications from research have shown that training may be effective as a way of addressing these problems, but further research and clear guidance on best practice in implementing staff training are needed in this important area.

This article addresses the need for health checks for people with learning disabilities as a proven route to identifying and tackling health inequalities, what health checks should look like (covering physical and mental health) and how they should be followed up, and how practices and primary care trusts (PCTs) can implement health checks, involving people with learning disabilities and family carers and drawing on the expertise of community learning disability teams. Experience from Wales and England of offering health checks is described, and some key learning points are drawn out. In particular we recommend the appointment of a strategic health facilitator to lead the introduction of health checks and to ensure that the results are used to improve the health and health care of the population of people with learning disabilities.

The purpose of this paper is to describe the first 15 months of operation of an innovative specialist national public health observatory for intellectual disability.

The paper provides a narrative account of aims and achievements of the service.

In the first 15 months of operation the observatory has: made available to those involved in commissioning health and social care services, a wealth of information on the health needs of people with intellectual disabilities; identified specific improvements that could viably be made to increase the quality of future information; and begun working with local agencies to support them in making the best use of the available information.

People with intellectual disabilities experience significant health inequalities. This paper describes an innovative approach to helping local agencies make the best use of available information in order to commission services that may reduce these inequalities.

In 2002, a Review of Mental Health and Learning Disability in Northern Ireland was launched, which reported during 2005‐6 and produced a framework for future learning disability and mental health services. This article will address three broad areas: first, it will provide an overview of the current structure of health and social services within Northern Ireland and summarise how these structures are expected to change within the next few years. Second, it will outline the key policy objectives in relation to the health of people with learning disabilities, giving particular attention to individuals among this population who develop mental health problems. Third, it will consider some key challenges that may lie ahead if the recently stated policy objectives are to be realised.

Service systems for people with learning disabilities in Scotland have developed in the context of the Scottish legal system and devolved policy for health. Scottish organisations are responding to the spectrum of mental health needs by working in partnership to improve quality. This article describes this system and the key organisations, and presents some findings of the National Overview Report of services undertaken by NHS Quality Improvement Scotland.

An overview of the mechanisms for policy implementation in Wales to better meet the mental health needs of people with learning disabilities is given. Commissioning of health services within Wales is at two levels. The complex relationships between commissioners, planners and service providers are described. Reviews of mental health services and secure services are due in 2007. Both include services for people with learning disabilities. The input of the Learning Disability Implementation Advisory Group into initiatives is outlined.

Findings and good practice are reported from a project promoting engagement of PCTs with the health experiences of people with learning disabilities. Project work was most successful where it linked into mainstream NHS priorities, using good information and specialists' expertise to support mainstream practitioners.

Green Light was developed to enable service providers to implement the National Service Framework for Mental Health (NSF MH), and asks how good your mental health services are for people with a learning disability. A multi‐agency user and carer project in Hampshire has evaluated and improved the quality of existing service provision for adults with learning disabilities who also have a mental health problem.

There are high rates of emotional, behavioural and psychiatric problems (Cooper et al, 2007) in the learning disability population. This paper describes the Mental Health in Learning Disabilities (MHiLD) service for adults with learning disabilities in four South London boroughs. This service has been in operation in two South East London boroughs from 1982, and was extended to a third in 1999 and a fourth in 2006.

In the last decade we have witnessed much debate and activity around the provision of mental health services for people with learning disabilities in England. This article looks not only at current initiatives to improve mental health care from around England, but also places them within a policy context. Unfortunately there are areas that still fail to provide a basic care standard, some of which has been reported throughout the media from recent investigations. Where this is the case, we outline the responses and actions that have been put in place to address these issues.To maintain a momentum for positive change for the mental health care of people with learning disabilities, there now needs to be cooperation between services that traditionally have not worked together for the benefit of this client group. Before an equality of mental health service provision, in line with national standards, can be realised the traditional views and values of service providers and commissioners will need to be challenged and tuned to the needs of this group of people.