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Out-patient care for people with learning disability and epilepsy: evaluating the audit process

Ely Hospital, Cowbridge Road East, Cardiff CF5 5XE

Michael Kerr, Lecturer

Welsh Centre for Learning Disabilities, Meridian Court, North Rd, Cardiff

Joseph Joyce, Senior Registrar

Ely Hospital, Cowbridge Road East, Cardiff

^* Correspondence

The notes of 24 individuals attending a clinic for people with learning disability and epilepsy were reviewed for all visits in the year preceding and following the implementation of medical audit standards for out-patient review. There was no deterioration in any standard. A significant improvement was seen in recording of seizure frequency by seizure type, legibility of signatures, regular letters to general practitioners and the recording of seizure type and frequency in these. Medical audit can improve standards in epilepsy care, though its influence on outcome is not known.