The health needs of adults with learning disabilities and the Health of the Nation strategy.

Studies of mortality and morbidity relating to people with learning disabilities are reviewed within the context of the five Health of the Nation Key Areas. It is concluded that the Key Areas have become increasingly relevant as a result of increased longevity and changing lifestyles. For example, both cardiovascular disease and cancers appear to be more common than before, and a high proportion of people with learning disabilities carry one or more risk factors associated with morbidity and mortality from these causes. However, there are a range of other health needs in this population which should not be overlooked by an undue focus on the five Key Areas, and these are also discussed. The efficacy of programmes seeking to limit the risk factors of obesity and poor fitness are reviewed. There is a need for further evaluation of such programmes, particularly in community settings. The literature relating to primary health care services suggests that professional training and access to services need to be improved for this group, in order to address health needs both within and without the Health of the Nation priorities.