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Purpose — This chapter considers how transport policy and planning has been developing in Victoria in tandem with the research program described elsewhere in this book. Developments in policy and planning are discussed with particular regard to transport disadvantage and social inclusion.

Methodology — The chapter commences by providing a policy and planning context in terms of the geography and demography of travel needs, the relevant jurisdictional responsibilities in Australia and the policy history. It then describes the evolution of transport policy in the past decade and outlines the way in which the findings of this research are being incorporated into the development of programs and projects to support social inclusion. Additionally, some key policy challenges are outlined, at least some of which may provide fruitful areas for undertaking further research to support the development of future policies and programs.

Findings — The results show that applied research can be a highly successful endeavour, particularly when policy and planning perspectives are integrated into the development of the research design and strong collaboration is an ongoing feature of the research program.

Evaluation of treatment can be seen as part of a wider concern to measure quality of care, as well as about the need to monitor and improve the effectiveness of services. Quality of life issues will be of increasing interest to those involved in the commissioning of health‐care services. Cancer is used to illustrate how the quality of life of patients, both during and after treatment, can be measured and the information used by purchasers to consider the relative effectiveness of different methods of treatment. This in turn can inform the overall purchasing strategy of commissioning agencies.

A series of consultations between patients treated surgically for colorectal cancer and their hospital consultants were examined to establish the main focus of the consultation at various stages in the post‐surgical period. The results showed that follow‐up consultations were predominantly doctor driven. Patients interviewed less than 12 months since the time of surgery (short‐term group) were more likely to receive a longer consultation with a significantly higher number of verbal interactions (questions, responses) than patients more than 12 months since surgery at the time of interview (long‐term group). Furthermore, patients in the short‐term group played a greater participatory role within consultations than patients in the long‐term group. The predominant focus throughout all consultations was biomedical, with little attention afforded to patients’ expressions of post‐operative anxiety. At present, it appears that out‐patient consultations play a minimal role in either detecting or addressing psychosocial morbidity amongst colorectal cancer patients in the post‐surgical period.

The user voice has been diminished by New Labour's increased reliance on regulation and inspection, notably in Best Value. Reflecting on community care implementation, the paper contends that within Best Value users may maximise their influence in an evidence‐based practice frame.

The flu ‘epidemic’ and the ‘shortage’ of beds within the NHS dominated the headlines in the first weeks of the twenty‐first century. That this very twentieth‐century issue should have reared its head so soon is perhaps unsurprising. However, it is disappointing that discussions about health should, yet again, be so focused on the provision of acute care.