Patient satisfaction is an integral component of measuring health care quality. Attention to patient complaints is part of a strategy to resolve dissatisfaction and improve care. Our aim was to review patient complaints in a UK fertility centre, and their outcome. Data regarding all complaints made to the fertility services over 3 years, the outcome and actions implemented were collected retrospectively. Between 2008 and 2011, the fertility unit received 27 (6%) complaints from a total of 450 complaints for the entire Trust (NHS hospital). Complaints could be categorised as Primary Care Trust (funding body) (PCT) (n = 7) and non PCT related (n = 20). Most PCT complaints related to funding restrictions imposed by the PCT. The majority of complaints (n = 20) related to the fertility services and most complaints were multifactorial. Of the total, communication errors and administrative delays accounted for 19 out of 27 complaints, the remainder being due to staff attitude and direct clinical care issues. Of the 27, 25 (93%) were satisfied with a written response and only 2 required a further meeting; 67% of complaints were settled with an apology or explanation alone (18/27), while 30% (8/27) required a review of policy. Improved communication with patients, General Practitioners and commissioners should reduce complaints. The resolution of the majority of complaints can be achieved locally and should be used in a positive way to improve patient care.

No abstract

sub-nauseating, expectorant, antispasmodic effects of the squill and valerian, until the symptoms are removed, which commonly happens in ten or twelve hours, and which 1 have never seen protracted beyond eigbt-and-forly. On their subsidence, I have, in

This paper presents the results of a survey conducted by the Royal College of Nursing (RCN) Gynaecology Nursing Forum. In late 1994/early 1995, a questionnaire was used to collect data from qualified nurses providing gynaecology hospital services throughout the UK. The questionnaire gathered information about the extent and impact of service reconfigurations following the 1989 NHS reforms (DoH 1989). The article describes these and recommends how specialist nurses can capitalise on the changes in the best interests of their patients.