A complaint that changed my practice

doi:10.1136/bmj.332.7549.1092

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Antonio Munno (a.munno@ntlworld.com), general practitioner

King Street Surgery, Kempston, Bedford

The family asked to meet me. Their daughter had recovered from meningococcal septicaemia, and they wanted to know why I hadn't diagnosed it when they saw me that morning six weeks ago at the GP surgery. A few hours after I had treated her for an upper respiratory tract infection, her parents noticed a rash on her legs and took her straight to the accident and emergency department, where the seriousness of her condition was recognised.

The letter of complaint arrived a few weeks after she was discharged: How had I missed the …