This article describes the evaluation of the ACE club, a service for younger people with dementia in North Wales. The evaluation was conducted by the ACE club members and conducted through a relationship-centred approach expressed through the Senses Framework (achievement, belonging, continuity, purpose, security, significance) (Nolan et al, 2006). Members of the ACE club found the sense of significance to be the most important and meaningful 'sense' in helping to structure their evaluation and use of the ACE club. The clinical interventions outline is shared within the text to help provide a grounded and inductively generated practice structure. The funding of 'normalising' activities for younger people with dementia is an area of dementia care that needs urgent attention.

These issues have important implications for the strategic development of R&D as well as for individual project application. Moving beyond the rhetoric of evidence-based policy-making is more likely if both policy-makers and researchers openly acknowledge this complexity and give due concern to the issues outlined.

Accessible summary• People with learning disabilities can have mental health problems like anyone else.• People with learning disabilities should be able to use the same mental health services as anyone else. • In this article we say how we have tried to make this happen. SummaryIt is now well recognized that people with learning disabilities experience the full range of psychiatric disorders. Public policy in the United Kingdom advocates that people with learning disabilities should access mainstream mental health services.Here we discuss the challenges this policy presents, and then describe the somewhat tortuous and unpredictable processes we went through to set up a service that properly enabled such access. We describe the service model in some detail, then reflect on overcoming barriers to implementation, and how we maintain the service model. Finally we draw some lessons for future service development initiatives.

Background: The Salford Health Investment for Tomorrow and the Local Improvement Finance Trust proposals for the comprehensive redevelopment of Salford Royal Hospital and the provision of four integrated primary health and social centres in the City of Salford are a response to the challenge of the NHS Plan to modernise delivery and service provision. The scale of the proposed developments will have a major effect on the quality of life in Salford. This health impact assessment was undertaken to determine how these proposals could be amended to ensure that the impacts are optimised so that potential benefits to Salford's communities are realised to maximise their health and wellbeing. Method: This involved a comprehensive prospective health impact assessment and a series of interviews with key stakeholders, community organisations, and local people to identify and prioritise potential positive and negative impacts of the proposals. Results and conclusions:The assessment pointed to a wide range of positive and negative impacts that provided the basis of a set of recommendations, which were linked directly to the themes of the Salford Community Plan. These related to setting employment, education, and training opportunities to maximise health and wellbeing and improve quality of life for all communities in Salford within the framework of the plan. In presenting the findings of the health impact assessment and discussing the recommendations, the paper presents a unique approach in health impact assessment reporting by offering perspectives from the assessor and the project's steering group.

Televised alcohol advertisements in the UK must abide by the BCAP Code, which provides guidelines concerning advertisements not implying, condoning or encouraging immoderate, irresponsible or anti-social drinking. Previously, 75% of 373 general public respondents shown one of seven advertisements rated a breach of at least one guideline. The present study assessed whether experts in marketing (n=25) and alcohol treatment/ public health (n=25) perceived the same seven television alcohol advertisements as complying with the BCAP Code. Overall, 83% of advertisements were rated as breaching at least one guideline. This provides further proof that self-regulatory alcohol guidelines are not fit for purpose.