In the main, illnesses, such as diabetes or epilepsy, which may or may not give rise to a disability, are generally managed through the General Practitioner and acute hospital services (inpatient and outpatient) with referrals, where appropriate, through these services to generic community based services. A permanent disability arising from conditions such as those mentioned above may give rise to the need for support from the disability specific services. Specialised Health and Personal Social Services are provided on the basis of individual needs assessment.