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Neurosurgery is currently carried out at seven separate centres in the UK. Each centre carries out a very small number of operations annually. Centres use different operations for the same conditions and no standardised criteria are used for assessment, suitability, severity or follow-up. A recent report from Scotland (Clinical Resource and Audit Group, 1996) has addressed some of these issues. Its recommendations are clear and sensible and many of them should be adopted UK-wide.

Neurosurgery for mental disorder in the UK