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Adults with developmental disabilities, e.g. intellectual disability, autism, cerebral palsy or neuromuscular diseases ,have an increased risk of somatic and psychiatric disorders and of premature death. Many are dependent on others to communicate symptoms and access health care, and standard treatments often need to be individually adapted. The services offered these adults vary between regions. Physicians are scarce and of varying medical background. Adults with developmental disabilities should be entitled to equivalent specialized services, regardless of region of residence. Preventable morbidity and mortality should be minimized. To achieve this: Nurses and physicians should be included in the specialized services in all regions A curriculum for physicians in specialized services is needed The knowledge of developmental disabilities and accompanying health conditions needs to be enhanced throughout the health care system.

PSR handles the vast majority of malpractice injuries in Sweden. PSR is a claims handling company which settles claims for malpractice on behalf of the insurance company owned by the Swedish county councils: the County Councils Mutual Insurance Company. A central issue in the law regulating patient injuries in Swedish health care is to define injuries that could have been avoided if a certain therapeutic/diagnostic procedure or a more appropriate method had been utilized. PSR arranged a multiprofessional conference regarding guidelines to decrease the number of malpractice injuries in the treatment of distal radius fractures. Among the most important issues defined were: To improve and standardize diagnostic imaging Patient information Early decision making in surgery and physical/occupational therapy A more well-defined indication for surgery, in which type of trauma, biological age and functional demands are considered in addition to radiographs Less stereotyped thinking in follow-up Controlled randomized trials.