Outpatient department correspondences: what are the urology patients’ views?

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Amr Hawary
Andrew Sinclair
Ian Pearce


Rationale of the study: The UK NHS department of health policy to copy patients into the outpatient correspondence sent to their general practitioners (GPs) is proving to be a controversial issue with conflicting views regarding its usefulness. We conducted an outpatient survey to assess the views of urological patients about receiving copies of outpatient letters sent to other clinicians following their consultation. We also explored their thoughts on having such letters dictated in their presence.Methods: Patients attending urology outpatient clinic appointments were asked to complete an anonymised standard questionnaire. They were asked if they wished to receive a copy of any outpatient department correspondence and, if so, what form of correspondence (postal or e-mail) they would prefer. Patients were asked if they preferred to be present when their clinician dictated the letter and if they would be prepared to fund such a serviceResults: Out of the 458 completed questionnaires, 394, (86%), were in favour of receiving copies of correspondence arising from their consultation. Out of those 394 patients, 351 patients (89%) expressed a preference to receive letters while only 43 (11%) patients preferred e-mail communication. Of those patients wishing to receive copies of their correspondence, 225 (57%) wished for this correspondence to be dictated in their presence and 232 (59%) were willing to pay a nominal fee to cover the postal and administrative costs of such a service.Conclusion: The majority of urological patients are in favour of receiving copies of outpatient correspondence arising as a consequence of their consultation. More than half opted to be present in the clinic during the dictation of any correspondence which offers the added advantage of allowing explanation of medical terms and ensures patient and physician agreement. Our study shows that urology patients are in favour of this policy and therefore, we recommend that all patients be sent copies of all correspondence relating to their care and that patients are given the option to be present during such dictation.

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Patient Views and Advocacy


Kriwanek, S., Armbruster,C., Beckerhinn,P., Blauensteier, W. & Gschwantler, M. (1998).Patients' Assessment and Recall of Surgical Information after Laparoscopic Cholecystectomy. Digestive Surgery 15 (6) 669-673.

Department of Health. (2006). Copying letters to patients.

White, P. (2004). Copying referral letters to patients: prepare for change. Patient Education and Counseling54, 159–161.

Pothier, D.D., Nakivell, P. & Hall, C.E. (2007). What do patients think about being copied into their GP letters? Annals of the Royal College of Surgeons of England 89(7)718-721.

Singh, S., Budeda, B. & Housden, P. (2007).Do patients want copies of their GP letters?-our experience with 7250 patients. International Journal of Clinical Practice 61(8)1407-1409.

Saunders, N.C., Georgalas, C., Blaney, S.P., Dixon, H. & Topham, J.H. (2003).Does receiving a copy of correspondence improve patients' satisfaction with their out-patient consultation? Journal of Laryngology and Otology 117(2)126-129.

Lloyd, B.W. (1997). A randomised controlled trial of dictating the clinic letter in front of the patient. British Medical Journal 314(7077)347-348.

Tomkins, C. S., Braid, J. J. & Williams, H. C. (2004).Do dermatology outpatients value a copy of the letter sent to their general practitioner? In what way and at what cost? Clinical and Experimental Dermatology29 (1)81–86.

Dale, J., Tadros, G., Adams, S. & Deshpande, N. (2004).Do patients really want copies of their GP letters? A questionnaire survey of older adults and their carers. Psychiatric Bulletin28,199–200.

Murray, G., Nandhra, H., Hymas, N.& Hunt, N. (2003).Psychiatrists omit information from letters when they know patients will be sent copies. British Medical Journal 326 (7386)449.

Jelly, D., Van Zwanenberg, T. & Walker, C. (2002).Copying letters to patients: concerns of clinicians and patients need to be addressed first. British Medical Journal 325 (7376)1359