This innovative community-oriented teaching programme gave students some insight into how health, morbidity and mortality are measured, why these might vary between different communities, and how different community members' perspectives might differ regarding perceived health and social needs.

This article conceptualises the role of mobilities within precarious working and living conditions, drawing on qualitative analysis of interviews (n=52) and a policy seminar (n=50) in NorthEast England. It focuses on refugees, asylum seekers, and Eastern European EU migrants, as policy-constructed groups that have been identified as disproportionately concentrated in precarious work. The article develops three 'dynamics of precarity', defined as 'surplus', 'rooted', and 'hyper-flexible', to conceptualise distinct ways of moving that represent significant variations in the form that precarity takes. The article concludes that understanding precarity through mobilities can identify points of connection among today's increasingly heterogeneous working class.

Introduction Patients receiving musculoskeletal allografts may be at risk of postoperative infection. The General Medical Council guidelines on consent highlight the importance of providing patients with the information they want or need on any proposed investigation or treatment, including any potential adverse outcomes. With the increased cost of defending medicolegal claims, it is paramount that adequate, clear informed patient consent be documented. Methods We retrospectively examined the patterns of informed consent for allograft bone use during elective orthopaedic procedures in a large unit with an onsite bone bank. The initial audit included patients operated over the course of 1 year. Following a feedback session, a re-audit was performed to identify improvements in practice. Results The case mix of both studies was very similar. Revision hip arthroplasty surgery constituted the major subgroup requiring allograft (48%), followed by foot and ankle surgery (16.3%) and revision knee arthroplasty surgery (11.4%) .On the initial audit, 17/45 cases (38%) had either adequate preoperative documentation of the outpatient discussion or an appropriately completed consent form on the planned use of allograft. On the re-audit, 44/78 cases (56%) had adequate pre-operative documentation. There was little correlation between how frequently a surgeon used allograft and the adequacy of consent (Correlation coefficient -0.12). Conclusions Although the risk of disease transmission with allograft may be variable, informed consent for allograft should be a routine part of preoperative discussions in elective orthopaedic surgery. Regular audit and feedback sessions may further improve consent documentation, alongside the targeting of high volume/low compliance surgeons.

served on, the NHS QIS asthma services for children and young people clinical standards group. Hilary Davison is Team Manager of the Standards Development Unit, and a full-time employee of, NHS QIS, with responsibility for the development of clinical standards for asthma services for children and young people. Harpreet Kohli is Medical Advisor to, and a full-time employee of, NHS QIS.