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The purpose of this article is to investigate acceptability, dissemination and use of a multidisciplinary audit toolkit to monitor evidence‐based care for acute low back pain and to identify barriers to implementation of the RCGP evidence‐based LBP guideline and associated audit process.

A survey was carried out of 707 clinical governance leads (CGLs) and 336 clinical audit leads in English/Welsh Health Authorities, NHS Trusts, Primary Care Groups and Primary Care Trusts. Subsequently, structured telephone interviews with 50 CGLs and 22 CALs in 72 Primary Care Trusts were qualitatively analysed.

Substantive barriers specific to implementation of the RCGP LBP guideline and associated audit toolkit could not be identified. Issues were raised pertaining to the wider healthcare system, which itself may restrain implementation of evidence‐based health care for LBP sufferers. Qualitative analysis revealed six categories responsible for poor clinical governance. Results suggest that LBP is not a priority area and that without National Service Framework status this is unlikely to change.

Response to the initial survey was only 37 per cent; thus results may not be representative of all relevant UK NHS organisations. It coincided with a particularly busy period of change and ongoing reform, making it difficult to reach relevant personnel. This problem was accentuated by frequent change of persons in the post of clinical governance lead. All of this may have impacted on the response rate. In addition, some organisations/individuals were reluctant to be identified for the purpose of this study.

This study identifies the practical difficulties of delivering the clinical governance agenda, particularly in non‐priority areas, as reported by those responsible for doing so.

This paper adds to a growing body of research which explores the relationship between aggressive police strategies and serious crime. For one month, police enforced disorder crime in a small section of one community. An interrupted time series analysis was utilized to evaluate the effects of this intervention on robbery and aggravated burglary in a target area and a control area. The strategy was found to be unrelated to levels of aggravated burglary and robbery in the target area. There was no spatial displacement of crime. Explanations for the findings are offered.

The purpose of this paper is to generate information about the contours of police responsiveness, focussing on how quickly and precisely police make firearm arrests after a shooting incident.

Using a modified version of the Knox close pair method, a spatio-temporal clustering technique, over 11,000 shooting incidents and firearm arrests between 2004 and 2007 in Philadelphia, PA were analyzed.

Police are responding quickly and in a geographically targeted fashion to shootings. Across Philadelphia elevated patterns of firearm arrests were approximately two and a half times greater than would be expected if shootings and firearm arrests lacked a spatio-temporal association. Greater than expected patterns of firearm arrests persisted for roughly one-fourth of a mile and for about one week from the shooting incident but the strength of these associations waned over space and time. The pattern of police response varied slightly across different police divisions.

The current method uncovered spatio-temporal patterning and determined when these patterns were significantly different from what would be expected if the events were completely independent. Specific events and processes surrounding each event are not known.

Findings can help inform the knowledge about police behavior in terms of how police produce arrests.

The patterns observed here provide more micro-level detail than has been revealed in previous studies regarding police responsiveness to firearm violence while also introducing a more integrated spatially and temporally specific framework.