Introduction People w ith learning disabilities have a higher than average need for healthcare services. Over 60% of people in this group w ho live in the com m unity have at least one chronic disorder that is sufficient to w arrant ongoing medical in terven tion. People w ith a severe learning disability often have associated physical problems such as epilepsy, sensory im pairm ent, cerebral palsy and difficulties in speech and com m unication. Various studies have shown that up to one-third of children w ith severe learning disability suffer from epilepsy. M ental health problems are three to four times m ore com m on in this group than in the general population.