British Medical Journal articles from February 2004

British Medical Journal archives from February 2004

Sildenafil is not effective in postmenopausal women with acquired genital sexual arousal disorder.(POEM *)
February 28, 2004... Question Is sildenafil effective treatment for sexual arousal disorder in postmenopausal women? Synopsis Many postmenopausal women and their doctors are asking if sildenafil (Viagra) might be helpful to them to treat sexual arousal...

Nothingness: the role of journals.(Editor's choice)
February 28, 2004... A whole issue of a journal devoted to what doesn't work. An orgy of failure. Isn't this a mad idea? Don't our readers want to hear about medicine's remarkable successes rather than its ignominious defeats? Maybe some do, but many, I suspect,...

What doesn't work and how to show it; ineffectiveness is hard to prove and accept.(Editorials)(Editorial)
February 28, 2004... Archie Cochrane, the British epidemiologist, posed three key questions to ask about a healthcare intervention: "Can it work? "Does it work in practice?" and "Is it worth it?" (1) It would be great if the answers to these were always positive,...

Why do doctors use treatments that do not work? For many reasons--including their inability to stand idle and do nothing.(Editorials)(Editorial)
February 28, 2004... One of the surprising things about James Lind's celebrated trial of citrus fruit for scurvy was not just that he ignored the evidence from his own trial but that in clinical practice he continued to advocate treatments that he himself had...

Well informed uncertainties about the effects of treatments: how should clinicians and patients respond?(Editorials)(Editorial)
February 28, 2004... Uncertainties about the effects of treatments are inevitable. Whatever the basis for judgments about the likely effects of treatments in individual patients, there is no escape from the reality that every such judgment initiates a clinical...

Absence of evidence is not evidence of absence: we need to report uncertain results and do it clearly.(Editorials)
February 28, 2004... The title of this editorial is not new. For example, it was used nearly a decade ago for an article in the BMJ's Statistics Notes series. (1) Altman and Bland considered the dangers of misinterpreting differences that do not reach...

Aspirin resistance: may be a cause of recurrent ischaemic vascular events in patients taking aspirin.(Editorials)(Editorial)
February 28, 2004... Aspirin reduces the odds of serious atherothrombotic vascular events and death in a broad category of high risk patients by about one quarter. (1) The primary antithrombotic mechanism is believed to be inhibition of the biosynthesis of...

Management of anorexia nervosa revisited: early intervention can help--but some cases still need tertiary inpatient care.(Editorials)(Editorial)
February 28, 2004... A recent review of outcome in anorexia nervosa pessimistically stated that the 90th century has seen no apparent improvement (1): half the patients still never fully recover, overall mortality remains at 5%, and 20% of patients stay...

National reporting system for medical errors is launched.(News)(National Patient Safety Agency)
February 28, 2004... The world's first national system for collecting reports of health system failures and any error that compromises patients' safety was launched this week. The national reporting and learning system (NRLS), which aims to improve patients'...

Emergency team phone numbers should be standardised.(News)(Brief Article)
February 28, 2004... The phone numbers used to call a hospital's emergency care team should be standardised across all NHS acute trusts in England and Wales, Lord Hunt, chairman of the National Patient Safety Association, said at the association's conference this...

MPs call for a debate on human cloning.(Brief Article)
February 28, 2004... MPs call for a debate on human cloning: The House of Commons Science and Technology Committee is to inquire into the current laws on human cloning. Cloning babies is banned in Britain under the Human Reproductive Cloning Act 2001, with...

Dengue fever kills 189 people in Indonesia.(Brief Article)
February 28, 2004... Dengue fever kills 189 people in Indonesia: An outbreak of dengue fever across Indonesia has killed at least 189 people and infected 9500, more than twice the infection rate and mortality of the same time last year.

Prescription fraud reduced by 60% over four years.(Brief Article)
February 28, 2004... Prescription fraud reduced by 60% over four years: Figures collected by the NHS Counter Fraud and Security Management Service show that losses from fraud by patients fell by 60%, from 117m [pounds sterling] ($220m; 174m [euro]) a year in...

Doctor arrested in morphine deaths investigation.(Brief Article)
February 28, 2004... Doctor arrested in morphine deaths investigation: Mechthild Bach, from the Paracelsus Hospital, near Hanover, was arrested and detained in custody last week. The police have been investigating her for the negligent homicide of 76 patients...

GMC lowers registration fee for refugee doctors.(General Medical Council)(Brief Article)
February 28, 2004... GMC lowers registration fee for refugee doctors: The General Medical Council has announced it will be reducing its initial registration fee from 390 [pounds sterling] ($728m; 580m [euro]) to 190 [pounds sterling] for refugee doctors and will...

Interferon alpha might be useful in treating SARS.(Brief Article)
February 28, 2004... Interferon alpha might be useful in treating SARS: Interferon alpha, a drug used to treat hepatitis C, has been successfully tested on monkeys infected with severe acute respiratory syndrome (SARS), say researchers at the Netherlands Erasmus...

Infertile couples to be given three shots at IVF.(News)
February 28, 2004... Guidance aimed at raising infertility service provision in England and Wales to the standards enjoyed elsewhere in Europe has been published this week. But concerns have been expressed that the funding and infrastructure needed to...

Fewer care cases to be reopened than originally thought.(News)(Brief Article)
February 28, 2004... Family court cases to be reopened in England and Wales because of concerns that children were taken into care on disputed medical evidence are expected to be in the "low hundreds" rather than thousands, the children's minister, Margaret...

Seven doctors accused of over-prescribing heroin.(News)
February 28, 2004... Seven drug addiction specialists were accused by the General Medical Council this week of excessive prescribing of heroin and other drugs, and inadequate surveillance of patients, in what will be the biggest disciplinary case in the history...

Pressure mounts for inquiry into MMR furore.(News)
February 28, 2004... Pressure was mounting this week for a fill inquiry after the revelation that the lead investigator in a controversial UK study on alleged links between autism, bowel disease, and the measles, mumps, and rubella (MMR) vaccine had failed to...

Bill will set up court of protection for those lacking mental capacity.(news roundup)(Brief Article)
February 28, 2004... The UK government announced improvements this week to a long awaited bill that gives statutory recognition to advance directives or "living wills" and creates a new right for people to appoint friends or relatives to take decisions about...

Human cloning is justified in preventing genetic disease.(news roundup)(Brief Article)
February 28, 2004... Cloning babies would be desirable under certain circumstances, says Ian Wilmut, leader of the team that created Dolly the sheep, the world's first cloned animal. He made his comments in an article published last week in New Scientist...

Cat on a hot tiled wall.(news roundup)(Brief Article)
February 28, 2004... Children at the Gloucestershire Royal Hospital joined children from local schools in helping to design this ceramic the image at the entrance to the new children's centre at the hospital. Ceramic artist Marion Brandis based her images on...

Sweden bans privatisation of hospitals.(news roundup)(Brief Article)
February 28, 2004... The Swedish coalition government has banned the privatisation of hospitals, amid fears that the expansion of private health care could destroy the principle of a fair and free public health service. Health minister Lars Engqvist, a Social...

Trusts are ill prepared for 58 hour week for junior doctors.(news roundup)(Brief Article)
February 28, 2004... Trusts may be ill prepared for new limits on junior doctors' working hours because of a lack of government support and confusion over the legislative details, a parliamentary inquiry has heard. Doctors' leaders have informed the House of...

West Africa polio campaign boycotted by Nigerian states.(news roundup)(Brief Article)
February 28, 2004... A mass poliomyelitis vaccination campaign got under way on Monday to immunise 63 million children across west Africa but was boycotted by four predominantly Muslim states in Nigeria, where leaders claim the oval vaccine causes sterility and...

Only 6% of drug advertising material is supported by evidence.(news roundup)(Brief Article)
February 28, 2004... A new study of the advertising material and marketing brochures sent out by drug companies to GPs in Germany has shown that about 94% of the information in them has no basis in scientific evidence. The study, carried out by the Institute...

Americans are told to reduce sodium and increase potassium intake.(news roundup)(Brief Article)
February 28, 2004... Almost all Americans mad Canadians consume too much salt and not enough potassium, increasing their risk of high blood pressure, stroke, coronary artery disease, and kidney disease, a report from the US Institute of Medicine says. The report...

Netherlands to crack down on complementary medicine.(News)
February 28, 2004... The Netherlands is considering tougher laws on practitioners of complementary medicine after government health inspectors who were investigating the death from breast cancer in 2001 of the actress and comedienne Sylvia Millecam severely...

Australia's contribution to global health fund provokes dismay.(News)
February 28, 2004... The Australian government has announced it will contribute only $A25m (10.4m [pounds sterling]; $19.4m; 15.4m [euro]) over the next three years to the Global Fund to Fight AIDS, Tuberculosis and Malaria. While welcoming the government's...

Framework shows countries' contributions.(News)(Brief Article)
February 28, 2004... A method to determine whether countries are contributing their fair share to the Global Fund to Fight AIDS, Tuberculosis mad Malaria was drawn up in 2002 by experts in development aid. The system, known as the equitable contributions...

World Bank conference debates how to reach the poor.(News)
February 28, 2004... Health services designed to favour the poor do not necessarily reach the most needy in societies. That was the conclusion of a group of World Bank policy makers mad programme officers working in developing mad transitional countries who met...

Adenoidectomy versus chemoprophylaxis and placebo for recurrent acute otitis media in children aged under 2 years: randomised controlled trial.(Papers)
February 28, 2004... Abstract Objective To evaluate the efficacy of adenoidectomy compared with long term chemoprophylaxis and placebo in the prevention of recurrent acute otitis media in children aged between 10 months and 2 years. Design Randomised,...

Randomised controlled trial of effect of hands and knees posturing on incidence of occiput posterior position at birth.(Papers)
February 28, 2004... Abstract Objective To evaluate the efficacy of hands and knees position and pelvic rocking exercises on the incidence of fetal occiput posterior position at birth. Design Multicentre randomised controlled trial. Setting Seven...

Clinicians' roles in management of arsenicosis in Bangladesh: interview study.(Papers)
February 28, 2004... The British Geological Survey in 2001 estimated that 46% of all shallow tube wells in Bangladesh contained arsenic at concentrations exceeding the World Health Organization's guideline concentration of 0.01 mg/litre. An estimated 28-35...

Corrections and clarification.(Correction Notice)
February 28, 2004... British cancer death rates fell by 12% between 1972 and 2002 Cancer Research UK has alerted us to an error in the data for female incidence of cancers that it supplied for the graph in this news article by Zosia Kmietowicz (7 February, p...

Effects of low dose ramipril on cardiovascular and renal outcomes in patients with type 2 diabetes and raised excretion of urinary albumin: randomised, double blind, placebo controlled trial (the DIABHYCAR study).(Primary care)
February 28, 2004... Abstract Objective To investigate whether a low dose of the angiotensin converting enzyme (ACE) inhibitor ramipril lowers cardiovascular and renal events in patients with type 2 diabetes who have microalbuminuria or proteinuria. ...

"Drink plenty of fluids": a systematic review of evidence for this recommendation in acute respiratory infections.(Primary care)
February 28, 2004... Doctors often recommend drinking extra fluids to patients with respiratory infections. Theoretical benefits for this advice are replacing insensible fluid losses from fever and respiratory tract evaporation, correcting dehydration from...

Effect of statin treatment for familial hypercholesterolaemia on life assurance: results of consecutive surveys in 1990 and 2002.
February 28, 2004... One of the concerns often raised about genetic testing is the possibility that a positive result (or even disclosing that the test has been taken) may result in difficulty in obtaining life assurance. Currently the UK insurance industry has...

Length of patient's monologue, rate of completion, and relation to other components of the clinical encounter: observational intervention study in primary care.(Primary care)
February 28, 2004... The patient's opening statement in a consultation (the patient's monologue) is an important part of history taking, and doctors are encouraged not to interrupt the patient--but they often do, (1 2) probably because they think that the...

Treating nausea and vomiting during pregnancy: case outcome.(Interactive case report)
February 28, 2004... Five weeks ago (31 January, p 276) we presented the case of Ms Reynolds, a 25 year old woman who presented to her general practitioner when eight weeks pregnant complaining of nausea and vomiting with light headedness. After an unsuccessful...

69th Annual meeting of the American College of Chest Physicians.(Medscape conference coverage)(Brief Article)
February 28, 2004... * ARDS * Clinical care controversies * Pulmonary embolism * Sarcoidosis * Sepsis management Coverage of these sessions is available, free, on the BMJ's website:...

Paris and London consultants 1815.(Endpiece)(Brief Article)
February 28, 2004... The French physicians and surgeons display a degree of attention and zeal in the execution of their duties truly exemplary. Their public professional duties are ever the primary consideration, for which the trifling salary they receive is a...

Useless and dangerous--fine needle aspiration of hepatic colorectal metastases.(Lesson of the week)
February 28, 2004... Fine needle aspiration cytology (FNAC) is an established tool for diagnosing liver tumours. It has recognised complications, however. Use of the procedure in abdominal tumours is fatal in 0.006 to 0.031% of cases. (1 2) Most deaths occur with...

Understanding statistics--"Is there a significant difference?".(bmjlearning.com)(Brief Article)(Editorial)
February 28, 2004... bmjlearning.com BMJ Learning offers online learning resources to help you with your appraisal and revalidation. These resources train and test your skills in a variety of clinical and non-clinical topics. We aim to publish new modules...

Bupropion and other non-nicotine pharmacotherapies.(ABC of smoking cessation)
February 28, 2004... Although nicotine replacement has been the first line drug treatment for smoking cessation for many years, other drugs of proved efficacy are also now available. Foremost among these is bupropion (marketed as Zyban). Bupropion was developed...

General practice 2035.(Clinical review)(Brief Article)
February 28, 2004... My driver pulled up outside the house. Wearily, I eased myself out of the car, wincing from the pain of my osteoarthritic spine. The patient's husband met me at the door and mumbled something. I turned up my hearing aids and asked him to...

Mentoring to reduce antisocial behaviour in childhood: the effects of social interventions need to be examined in real life situations as well as studies.(Education and debate)
February 28, 2004... Politicians and policy makers are increasingly interested in evidence based decision making. They are under pressure to look to research for solutions to policy problems and justify programmes by reference to the knowledge base. It is...

Where is the evidence that animal research benefits humans? Much animal research into potential treatments for humans is wasted because it is poorly conducted and not evaluated through systematic reviews.(Education and debate)
February 28, 2004... Clinicians and the public often consider it axiomatic that animal research has contributed to the treatment of human disease, yet little evidence is available to support this view. Few methods exist for evaluating the clinical relevance or...

Synthesising licensing data to assess drug safety: small ramdomised trials conducted for licensing purposes should record data on adverse results and be made public.(Education and debate)
February 28, 2004... The safety of drugs is important. For full information we need to assess not only the immediate effects but also unexpected longer term effects on serious disease like coronary heart disease or cancer, especially for drugs that will be widely...

Jaw droppers.
February 28, 2004... It was my first day at work as a house officer in a remote village in rural India. My supervising doctor had finished for the day and had gone home. I was about to leave when I was told that a "regular jaw dropper" had arrived. Curious to see...

Tom Waller: general practitioner who helped put harm reduction on the map of British drugs policy.(Obituaries)(Obituary)
February 28, 2004... Tom Waller was a campaigning general practitioner who worked ceaselessly for a better deal for people with alcohol and drug problems. In his calm, determined, and persistent way he helped put harm reduction on the map of British drugs policy...

Derek Herbert Clarke.(Obituaries)(Brief Article)(Obituary)
February 28, 2004... Former consultant ophthalmologist Gibraltar (b Sittingbourne, Kent, 1926; q Middlesex Hospital, London, 1949), died from a brain haemorrhage on 1 October 2003. After national service in Holland Derek went into general practice in Sunbury...

Anthony William Inglis Hall.(Obituaries)(Brief Article)(Obituary)
February 28, 2004... General practitioner Wakefield 1948-58 and assistant medical officer of health Harrogate 1960-82 (b Lancaster 1921;q Cambridge Middlesex Hospital 1944), died from a brain haemorrhage on 6 December 2003. After qualifying Tony served in...

John Duncan Hay.(Obituaries)(Brief Article)(Obituary)
February 28, 2004... Emeritus professor of child health Liverpool (b 1909; q Liverpool 1933; MD, DCH, FRCP), d 5 December 2003. John Hay was the first professor of child health in Liverpool. He pioneered the use of cardiac catheterisation in children and...

Malcolm McIlroy.(Obituaries)(Brief Article)(Obituary)
February 28, 2004... Former cardiologist and pulmonary physiologist San Francisco, California (b 1921; q Cambridge 1944), d 26 October 2003. During the 1950s Malcolm McIlroy was recruited to join the University of California's fledgling cardiovascular...

David Leslie Palmer.(Obituaries)(Brief Article)(Obituary)
February 28, 2004... Former general practitioner Maidstone, Kent (b Sussex 1924; q St Thomas's Hospital, London, 1947), died from ischaemic heart disease on 15 December 2003. David did his house jobs in Bournemouth and Dorchester. In 1950, after doing...

Barbora Richardson.(Obituaries)(Brief Article)(Obituary)
February 28, 2004... Former consultant old age psychiatrist Essex (b 1964;q Cambridge 1989), died from an overdose on 22 November 2003. When Barbora came to England aged 14 she could speak no English. By age 18 she was studying physiology at Oxford before...

Llewellyn Charles Rutter.(Obituaries)(Brief Article)(Obituary)
February 28, 2004... General practitioner Wolverhampton 1937-63 and regional medical officer Nottingham 1964-72 (b Newcastle 1907; q Birmingham 1930; DObst RCOG), died from prostate cancer on 17 January 2004. Llewellyn turned down the opportunity of a...

Philip Snaith.(Obituaries)(Brief Article)(Obituary)
February 28, 2004... Former senior lecturer in psychiatry Leeds (b 1933; q Guy's Hospital, London, 1957; MD, FRCPsych), d 28 November 2003. Philip Snaith was appointed consultant psychiatrist in Wakefield in 1967. He was appointed senior lecturer in Leeds in...

Editor in the eye of a storm.
February 28, 2004... Is the editor of a medical journal responsible for the way its contents are reported, and the quality of the ensuing debate, as well as the accuracy of the material itself? It is a question that Dr Richard Horton, editor of the Lancet, and...

Effectiveness and Efficiency: Random Reflections on Health Services.(Book Review)
February 28, 2004... A L Cochrane Royal Society of Medicine Press, 12 [pounds sterling], pp 120 1 85315 394 X www.rsmpress.co.uk/bkcochra.htm Rating: **** Archie Cochrane was an epidemiologist with a maverick streak. In 1935, as a lone medical student,...

Visit the US-based http://bms.brown.edu/pedisurg/Brown/IBCategories.html for a nice collection of paediatric surgical images.(Netlines)(Brief Article)
February 28, 2004... Visit the US-based http://bms.brown.edu/pedisurg/Brown/IBCategories.html for a nice collection of paediatric surgical images. There are more than 150 clinical pictures available, covering subjects from abdominal wall defects to trauma....

There is often much good and relevant information to be found on many of the websites run by national ministries of health.(Netlines)(Brief Article)
February 28, 2004... There is often much good and relevant information to be found on many of the websites run by national ministries of health. The problem is usually finding it. Deep within the website of the New Zealand Ministry of Health is a valuable fist of...

Best evidence topics or BETs were developed at Manchester Royal Infirmary's emergency department to provide rapid evidence based answers to clinical questions (www.bestbets.org).(Netlines)(Brief Article)
February 28, 2004... Best evidence topics or BETs were developed at Manchester Royal Infirmary's emergency department to provide rapid evidence based answers to clinical questions (www.bestbets.org). The topics mainly focus on emergency medicine, although the...

The Bradford general practice vocational training scheme has brought together a wide range of educational resources (www.bradfordvts.co.uk/Online%20Resources.htm) that will be useful to GP registrars.(Netlines)(Brief Article)
February 28, 2004... The Bradford general practice vocational training scheme has brought together a wide range of educational resources (www.bradfordvts.co.uk/Online%20Resources.htm) that will be useful to GP registrars. These include documents, tutorials, and...

Battle Hospital: Medics at War.(Product/Service Evaluation)
February 28, 2004... Channel 4, 27 February at 7 30 pm Rating: ** As the conventional phase of the recent Iraq war ended, the padre conducting a service for the personnel of 202 Field Hospital said, "We have stood up against tyranny and won." The rest of...

How PR firms use research to sell products.
February 28, 2004... In the past month we have seen some pretty astonishing research. Studies have proved that moving to the countryside, drinking wine, or discussing your relationship problems in bed can improve sexual problems. Owning a pet helps you recover...

An unfinished trip through uncertainties.(Personal View)(Column)
February 28, 2004... In mid-1997 I went for blood and other tests after an episode of back pain. A monoclonal electrophoretic peak and a spinal lesion of uncertain origin were found. After a few months of further tests I was given a diagnosis of monoclonal...

Weapons of mass destruction.(Soundings)
February 28, 2004... The agricultural revolution was the first quantum leap in manipulating the environment and the industrial revolution was the second. The medical revolution is the third. Domestication, the harnessing of stored energy, and the eradication of...

Minerva.
February 28, 2004... Might chronic inflammation be a factor in the development of breast cancer? That is one explanation for an association between long tem use of antibiotics and breast cancer reported in JAMA (2004;291:827-35). A link was found between breast...

Bupropion and telephone support helps smokers quit.(POEM *)
February 21, 2004... Question How beneficial is the combination of bupropion and telephone support to help smokers quit? Synopsis We know that physician advice and bupropion can each help people quit smoking. This randomised controlled trial (non-blinded) was...

Lessons from medicine's shameful past.(Editor's choice)(Editorial)
February 21, 2004... In a week when we look to the future of human cloning, (pp 415, 421) we also look back at the lessons that medicine should learn from its past. Almost 30 year's ago, in Limits to Medicine, Ivan Illich wrote: "Medicine undermines health...

Human cells from cloned embryos in research and therapy: current methods of cloning are repeatable but remain inefficient.
February 21, 2004... The recent report of the derivation of stem cells from a cloned human embryo takes a small, but significant, step towards revolutionary new opportunities in biology and medicine. (1) By developing these techniques it will become possible to...

Patients' expectations of consultations: patient pressure may be stronger in the doctor's mind than in the patient's.(Editorials)(Editorial)
February 21, 2004... Although patients' expectations of general practice consultations influence outcomes, they are not as influential as doctors' assessments. This may sound obvious except for the fact that doctors' assessments of patients' preferences have more...

Making amends for negligence: current system operates well, but reforms are still needed.(Editorials)(redress scheme)(Editorial)
February 21, 2004... That doctors are more likely to be sued for negligence now than they have been in the past is undeniable. In particular, in the 1980s and 1990s the number of claims steadily increased, relative to the number of treatment episodes. The reasons...

No time to train the surgeons: more and more reforms result in less and less time for training.(Editorials)
February 21, 2004... Surgical training in the United Kingdom is beset by fundamental problems raising what has been described as "considerable disquiet amongst trainees and trainers." (1) Basic and higher surgical trainees progress through a system...

Prognosis after cochlear implantation: children benefit the most as do many adults.(Editorials)
February 21, 2004... Multichannel cochleax implant systems were approved by the Food and Drug Administration for adults in 1985 and for children in 1990. NHS funding became available in the early 1990s. About 4000 Patients have received implants in the United...

Korean scientists clone 30 human embryos.(News)
February 21, 2004... South Korean scientists based at the Seoul National University stirred up a storm worldwide last week when they announced in the online edition of the journal Science that they had derived a line of pluripotent embryo stem cells from one of...

Study finds no connection between MMR vaccine and autism.(News)
February 21, 2004... The results of a large new study in the journal Pediatrics show no relation between the combined vaccination against measles, mumps, and rubella (MMR) and the development of autism. In 2001, a panel of experts convened by the US Institute...

Gates announces $83m for research into TB vaccine.(Brief Article)
February 21, 2004... Gates announces $83m for research into TB vaccine: The Bill & Melinda Gates Foundation has announced an $82.9m (43.9m [pounds sterling]; 64.9m [euro]) grant to the Aeras Global TB Vaccine Foundation, based hi Bethesda, Maryland, to support...

Maggots on prescription.(Brief Article)
February 21, 2004... Maggots on prescription: A decision by the Prescription Pricing Authority means that GPs will be able to prescribe sterile maggots of the common greenbottle Lucilia sericata for the treatment of all types of infected and necrotic wounds for...

Both life expectancy and infant mortality rise in the United States.(Brief Article)
February 21, 2004... Both life expectancy and infant mortality rise in the United States: Overall life expectancy in the United States reached a new high of 77.4 years in 2002, up from 77.2 in 2001, the National Center for Health Statistics has reported. But...

CHI seeks views of children and young people.(Commission for Health Improvement)(Brief Article)
February 21, 2004... CHI seeks views of children and young people: The Commission for Health Improvement (CHI) is planning to ask more than 120 000 young Patients, and their parents or carers, for their views on the NHS services they have received. The results...