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Primary care cancer lead clinicians (PCCLs) act strategically in primary care trusts (PCTs) in England to improve communication and understanding of cancer across primary and secondary care and provide a link between Cancer Networks and primary care. The aim is to evaluate the first three years of the initiative.

A postal questionnaire was sent to all PCT chief executives in all PCTs in England and some were passed on to other PCT managers for completion. The response rate was 61 per cent. PCT directors of public health were the largest group of respondents (29 per cent). Most (74 per cent) PCCLs were GPs and 22 per cent were nurses.

PCCLs were most likely to focus on palliative care and preventive services. Key achievements were identified as raising awareness of cancer, developing relationships and promoting primary care. The personal skills of the PCCLs were important as was support of colleagues at all levels. Lack of time was a major barrier to achievement, as was a lack of understanding of the role from others. Links with the Cancer Networks were being developed. About 85 per cent of managers wanted the role to continue.

The paper illustrates that PCCLs are at the forefront of improving cancer services in primary care. They are particularly important in view of the priority of reducing premature deaths and promotion of healthy lifestyles.

Contracts and interim local evaluation reports for the 14 first wave PMS pilots in Northern and Yorkshire region were analysed by documentary analysis. Both contracts and reports were found to vary considerably in size and scope. Most contracts contained aims and objectives that were too broad or vague to guide project management and they lacked useful milestones. This made it difficult to identify criteria for measuring success. The local evaluation reports were also of variable quality. It is recommended that contracts should be accompanied by a development plan containing specific objectives, timescale and process for implementation as well as an evaluation strategy. The relative importance of different targets should be agreed and specified at the outset, to allow weighting of partial success, where some objectives, but not others, are achieved. Project milestones would be made explicit and measurable in the development plan. More clarity in contracts and evaluation for future pilots is essential.

THE article which we publish from the pen of Mr. L. Stanley Jast is the first of many which we hope will come from his pen, now that he has release from regular library duties. Anything that Mr. Jast has to say is said with originality even if the subject is not original; his quality has always been to give an independent and novel twist to almost everything he touches. We think our readers will find this to be so when he touches the important question of “The Library and Leisure.”

The purpose of this research is to examine whether generally trusting people are any more likely to be the same people who are also more politically trusting. In particular, the research focuses on the relationship between interpersonal trust and three political trust‐related constructs: trust of government form, political cynicism, and incumbent trust.

The intention was to model the impact of general or interpersonal trust – i.e. Rotter's Interpersonal Trust scale, on three specific dimensions of political trust – i.e. “trust in government form”, “political cynicism”, and “incumbent trust”. This was achieved through a questionnaire, which was mailed to a random sample of 4,000 American households.

The structural aspects of the model reveal a significantly strong path between Rotter's broad‐based interpersonal trust scale and the more specific incumbent trust measure. The model also indicates a modestly strong relationship between interpersonal trust and trust in form of government, and a weak relationship between interpersonal trust and political cynicism.

This research should prove useful to academic research, campaign managers, and political strategists in terms of reinforcing the importance of different aspects or components of trust, as well as their interrelationship, and how they might impact political strategy and campaign development.

NOTWITHSTANDING the fact that there exists a considerable amount of literature published in various forms on the subject of brittle lacquers and their applications to a multitude of diverse problems a brief resume of some of the general principles involved would seem not to be out of place.

IN Part I, some aspects of the technique of stress determination by photo‐elastic analysis were recommended which, it was considered, would overcome certain difficulties. Let us now have a look at the other side, and consider a few applications of the method, and so to examine its usefulness or otherwise to the designer.

Month after month we bring forward additional evidence of the injury resulting from the use of chemical “preservatives” in food, while the Authorities feebly hesitate to give specific legal effect to the recommendations of the Departmental Committee which made such a complete inquiry into this question. The evidence upon which those recommendations were based has been fully corroborated by a number of different observers. FERE and others have shown that, as regards boric acid and borax, even when administered in the smallest medicinal doses, there is always the risk that these drugs may aggravate, or even produce, renal diseases. These observations have been confirmed by the work of Dr. CHARLES HARRINGTON, an account of which has been recently published. Twelve cats were fed on the same food; six were treated with borax, one had no preservative, and five were given a preservative which had no apparent effect. The experiment extended over a period of 133 days, the quantity of borax given averaging about 0.5 grms, per diem. Three of the borated cats soon became ill, and one died at the end of six weeks. On the termination of the experiment the cats were all killed, and upon examination it was found that the organs of the six cats which had not taken borax were in perfectly sound and healthy condition, while the others, with one exception, were all suffering from nephritis. Of course, instances are recorded in which patients have been treated with borax and boracic acid with apparently no injurious result, but as a general rule these experiments have been of too short duration to allow of the desired information being arrived at, and the results must therefore be regarded as inconclusive and unreliable. It is perfectly evident that the kidneys may be for a short time quite capable of eliminating many objectionable substances, but the long‐continued use of such bodies, as Dr. HARRINGTON'S researches clearly indicate, sets up an inflammatory condition of the kidneys which, of course, interferes with the effective performance of their proper functions, and lays the foundations for complications of the most serious nature.

ONE or two questions raised by the writer of “Letters on our Affairs” this month are of some urgency. The first, the physical condition of books, is one that is long over‐due for full discussion with a view to complete revision of our method. The increased book fund of post‐war years, and the unexpected success of the twopenny library, have brought us to the point when we should concentrate upon beautiful and clean editions of good books, and encourage the public to use them. “Euripides” is quite right in his contention that there is too much dependence upon the outcasts of the circulating library for replenishing the stocks of public lending libraries. We say this gravely and advisedly. Many librarians depend almost entirely upon the off‐scourings of commercial libraries for their fiction. The result, of course, is contempt of that stock from all readers who are not without knowledge of books. It is the business of the public library now to scrap all books that are stained, unpleasant to the sight, in bad print, and otherwise unattractive. Of old, it was necessary for us to work hard, and by careful conservation of sometimes quite dirty books, in order to get enough books to serve our readers. To‐day this is no longer the case, except in quite backward areas. The average well‐supported public library—and there are many now in that category—should aim at a reduction of stock to proportions which are really useful, which are good and which are ultimately attractive if not beautiful. The time has arrived when a dirty book, or a poorly printed book, or a book which has no artistic appeal, should be regarded as a reproach to the library preserving it.

Providing a service which reflects community needs requires data collection. The Public Libraries and Museums Act of 1964 requires local authorities to provide a comprehensive library service to those who may wish to make use of it. The Race Relations Act of 1976 requires local authorities to promote equality of opportunity in employment and service delivery. Together, library authorities are bound to ensure that services reflect the composition of their local populations through the provision of services that meet expressed needs.