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A district‐wide audit was completed for five different aspects of the care of patients with epilepsy: principally issues for women of child‐bearing age and the offer of annual reviews to patients, possibly conducted by questionnaire. There were improvements in care but less than half the original participants completed the audit, perhaps because it was over‐complicated. Review by questionnaire seemed acceptable to many patients. The authors believe this is the largest audit cycle of this subject in general practice. Although the numbers of people with epilepsy is not large, the care of these patients is easily overlooked. The project has several lessons for all those introducing and developing clinical governance.

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