The trust has highlighted staff shortages and recruitment difficulties in maintaining safe services at the unit.
Since then the chatter surrounding a Ryan run has increased, but at the same time a number of writers have highlighted obvious difficulties with his potential candidacy.
The policy actors' perspectives and positions, presented in this and a related paper[ 31] have highlighted several difficulties and dilemmas for the introduction of economic evaluation into health technology coverage decision making processes in Thailand.
Nevertheless, we feel the exercise has highlighted important issues.
It has highlighted variation in counselling and messages.
This has highlighted several common features and some notable differences.
Literature from mental health units has also highlighted difficulties with diagnosing mental health problems in patients from different cultural backgrounds [ 34].
A previous report has also highlighted difficulties in recruiting individuals from minority ethnic communities and suggests that a range of methods may be necessary in order to maximise response rates [ 21].
Recent publications in both the medical and mainstream press have further highlighted difficulties and barriers to undertaking medical research [ 8- 10].
