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• Who assesses health needs?; key perspectives on the assessment of health needs; defining and measuring health; health needs assessment - the approach of central government; inequalities in health and health care; epidemiological approaches to health needs assessment; economics, utilitarianism and health needs assessment; screening - health needs assessment and the evaluation of services; a framework for local health needs assessment; local health needs assessment - reports of the Director of Public Health; health profiling by nurses; conclusions and implications for nurses.