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Abstract Objective: To develop methods of measuring the validity and utility of electronic patient records in general practice. Design: A survey of the main functional areas of a practice and use of independent criteria to measure the validity of the practice database. Setting: A fully computerised general practice in Skipton, north Yorkshire. Subjects: The records of all registered practice patients. Main outcome measures: Validity of the main functional areas of the practice clinical system. Measures of the completeness, accuracy, validity, and utility of the morbidity data for 15 clinical diagnoses using recognised diagnostic standards to confirm diagnoses and identify further cases. Development of a method and statistical toolkit to validate clinical databases in general practice. Results: The practice electronic patient records were valid, complete, and accurate for prescribed items (99.7%), consultations (98.1%), laboratory tests (100%), hospital episodes (100%), and childhood immunisations (97%). The morbidity data for 15 clinical diagnoses were complete (mean sensitivity=87%) and accurate (mean positive predictive value=96%). The presence of the Read codes for the 15 diagnoses was strongly indicative of the true presence of those conditions (mean likelihood ratio=3917). New interpretations of descriptive statistics are described that can be used to estimate both the number of true cases that are unrecorded and quantify the benefits of validating a clinical database for coded entries. Conclusion: This study has developed a method and toolkit for measuring the validity and utility of general practice electronic patient records. What is already known on this topic Delivering the performance management agenda in the NHS will depend on the availability of high quality information in general practice Record entries in GP systems generally consist of a mixture of text and Read coded entries Sensitivity and positive predictive value have been used to measure the completeness and accuracy of data recording in electronic patient record systems What this study adds This study has developed a standard method and toolkit for measuring the validity and utility of electronic patient record systems The principal innovation in this study is to consider the Read codes in the records as tests for the true presence of the associated diagnoses This study has developed a new approach to the validation of electronic patient record systems.

The Chelsea and Skipton building societies yesterday surprised carpetbaggers by announcing that they will allow two of their resolutions to go forward to their annual meetings in the spring. The societies have taken the opposite route to the similarly targeted Portman Building Society, which last month threw out two carpetbaggers' resolutions as not complying with the society's regulations. The new resolutions call for the societies to consider conversion or takeover and to give a portion of any resulting windfall profits to charity.

The Civil Wars Experienced is an exciting new history of the civil wars, which recounts their effects on the 'common people'. This engaging survey throws new light onto a century of violence and political and social upheaval By looking at personal sources such as diaries, petitions, letters and social sources including the press, The Civil War Experienced clearly sets out the true social and cultural effects of the wars on the peoples of England, Scotland, Wales and Ireland and how common experiences transcended national and regional boundaries. It ranges widely from the Orkneys to Galway and from Radnorshire to Norfolk. The Civil Wars Experienced explores exactly how far-reaching the changes caused by civil wars actually were for both women and men and carefully assesses individual reactions towards them. For most people fear, familial concerns and material priorities dictated their lives, but for others the civil revolutions provided a positive force for their own spiritual and religious development. By placing the military and political developments of the civil wars in a social context, this book portrays a very different interpretation of a century of regicide and republic.

Logos Bible Software, a privately held corporation located in Bellingham, is the publisher of high-end, multilingual Bible software.

Follow the blue waymarker discs that say 'Donnelly Trail' from the trail head, which is located at the western end of the hotel car park. The trail flows in an anti clockwise direction, leading you past the Kennedy-Skipton Coat of Arms and the top pond. Follow the blue waymarkers leading to the left of the top pond. The Gate Lodge, Walled Garden and Stone Arch can be seen from here. Follow the track until the blue waymarker saying 'Donnelly Trail' directs you to the right onto the purpose-built trail. From here it weaves through the peaceful natural woodland until reaching a trail junction where you should bear right following the Donnelly Trail waymarkers. This trail leads past a steep slope, so care should be taken here. From here metal posts that are the remains of the World War II Base One Europe Beech Hill Camp boundary can be seen. Captain [Thomas Skipton] built the present house in 1739 and gave it the name of Beech Hill. Two generations later Thomas Skipton added a wing stretching out towards the brook and made some significant changes to the gardens. When he died the estate passed on to his cousin George Crookshanks Kennedy, who changed his name to Skipton and much improved the layout and appearance of the grounds, which he believed would give people much pleasure. A change in ownership came in 1878 when Beech Hill was bought by the wealthy Nicholsons of Newbuildings.

Follow the blue waymarker disks that say 'Donnelly Trail' from the trail head, which is located at the western end of the Hotel car park. The trail flows in an anticlockwise direction, leading you past the Kennedy-Skipton Coat of arms and the top pond. Follow the blue waymarkers leading to the left of the top pond. The Gate Lodge, Walled Garden and Stone Arch can be seen from here. Continue following the track until the blue waymarker saying 'Donnelly Trail' directs you to the right onto the purpose-built trail. From here the trail weaves through the peaceful natural woodland until reaching a trail junction. From here, bear right, following the Donnelly Trail waymarkers. This trail leads past a steep slope so care should be taken here. From here metal posts that are the remains of the World War II Base One Europe Beech Hill Camp boundary can be seen. Seemingly undeterred by these disasters, in 1661 Captain Skipton put up a new house called Skipton Hall. The family remained there until the siege of 1688 when a retreating army reduced Skipton Hall to ashes. Captain [Thomas Skipton] built the present house in 1739 and gave it the name of Beech Hill.

Champion heifer was fresh-calved Bilsrow Starshine Lavender, selling for 2400gns. The 40kg-yielder came from Messrs D J and S Tomlinson and sold to Steve Miller, Worcestershire. The Miller family also purchased Corfield Geno Arlene, the first prize cow and reserve overall champion for 2000gns.

Follow the blue waymarker disks that say Marine Trail from the trail head, which is located at the western end of the hotel car park. The trail flows in an anti-clockwise direction, leading you past the Kennedy-Skipton coat of arms and the top pond. Follow to the left of the top pond. The Gate Lodge, Walled Garden and Stone Arch can be seen from here. Continue to cross the top pond bridge. The trail then weaves its way through the woodland to emerge onto the Lime and Beech Tree Avenue. Continue following the blue waymarkers. The trail then joins an old vehicle track leading past the car park which contains the old Quonset Huts. Bear left following the Marine Trail waymarkers, before crossing over a vehicle track. Look out for the 'footprints' ' of the other 400 Quonset huts which once made up Beech Hill Camp, before reaching the vehicle track. Weave your way through the woodland, passing the Marine Memory Tree just before rejoining the vehicle track. Seemingly undeterred by these disasters, in 1661 Captain Skipton put up a new house called Skipton Hall. It stood on the opposite side of the brook. The family remained there until the siege of 1688, when a retreating army reduced Skipton Hall to ashes. [Thomas Skipton]'s son and heir, Captain Alex Skipton, continued to live on the estate in an out-house until his death in 1704. Captain Thomas Skipton was the man we have to thank for the present house. It was he who built it in 1739 and, because of the large number of surrounding trees, gave it the name of Beech Hill.

Yorkshire BS 0845 120 0874 3.89% to 30.06.14 75% Pounds 495 Yes Yorkshire BS 0845 120 0874 4.29% to 30.09.16 75% Pounds 495 Yes Yorkshire BS 0845 120 0874 5.49% to 30.06.21 75% Pounds 95 Yes

Yorkshire BS 0845 120 0874 3.89% to 30.06.14 75% Pounds 495 Yes Yorkshire BS 0845 120 0874 4.29% to 30.09.16 75% Pounds 495 Yes Yorkshire BS 0845 120 0874 5.49% to 30.06.21 75% Pounds 95 Yes