CINXE.COM

<!DOCTYPE html><html lang="en-US"><head><title>Just a moment...</title><meta http-equiv="Content-Type" content="text/html; charset=UTF-8"><meta http-equiv="X-UA-Compatible" content="IE=Edge"><meta name="robots" content="noindex,nofollow"><meta name="viewport" content="width=device-width,initial-scale=1"><style>*{box-sizing:border-box;margin:0;padding:0}html{line-height:1.15;-webkit-text-size-adjust:100%;color:#313131;font-family:system-ui,-apple-system,BlinkMacSystemFont,Segoe UI,Roboto,Helvetica Neue,Arial,Noto Sans,sans-serif,Apple Color Emoji,Segoe UI Emoji,Segoe UI Symbol,Noto Color Emoji}body{display:flex;flex-direction:column;height:100vh;min-height:100vh}.main-content{margin:8rem auto;max-width:60rem;padding-left:1.5rem}@media (width <= 720px){.main-content{margin-top:4rem}}.h2{font-size:1.5rem;font-weight:500;line-height:2.25rem}@media (width <= 720px){.h2{font-size:1.25rem;line-height:1.5rem}}#challenge-error-text{background-image:url(data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHdpZHRoPSIzMiIgaGVpZ2h0PSIzMiIgZmlsbD0ibm9uZSI+PHBhdGggZmlsbD0iI0IyMEYwMyIgZD0iTTE2IDNhMTMgMTMgMCAxIDAgMTMgMTNBMTMuMDE1IDEzLjAxNSAwIDAgMCAxNiAzbTAgMjRhMTEgMTEgMCAxIDEgMTEtMTEgMTEuMDEgMTEuMDEgMCAwIDEtMTEgMTEiLz48cGF0aCBmaWxsPSIjQjIwRjAzIiBkPSJNMTcuMDM4IDE4LjYxNUgxNC44N0wxNC41NjMgOS41aDIuNzgzem0tMS4wODQgMS40MjdxLjY2IDAgMS4wNTcuMzg4LjQwNy4zODkuNDA3Ljk5NCAwIC41OTYtLjQwNy45ODQtLjM5Ny4zOS0xLjA1Ny4zODktLjY1IDAtMS4wNTYtLjM4OS0uMzk4LS4zODktLjM5OC0uOTg0IDAtLjU5Ny4zOTgtLjk4NS40MDYtLjM5NyAxLjA1Ni0uMzk3Ii8+PC9zdmc+);background-repeat:no-repeat;background-size:contain;padding-left:34px}@media (prefers-color-scheme:dark){body{background-color:#222;color:#d9d9d9}}</style><meta http-equiv="refresh" content="390"></head><body class="no-js"><div class="main-wrapper" role="main"><div class="main-content"><noscript><div class="h2"><span id="challenge-error-text">Enable JavaScript and cookies to continue</span></div></noscript></div></div><script>(function(){window._cf_chl_opt={cvId: '3',cZone: "www.bmj.com",cType: 'managed',cRay: '9139b8093fe99d6f',cH: 'sx1oCwou3f.ztYday.ws.d55sZUHQtmgDrdkU27IrPs-1739836637-1.2.1.1-qh10INEVWSieja27GIv5cjqK7l5pOECZobD22Vp4HelFV5VHkJmc9XpGAUXZdi7z',cUPMDTk: "\/about-bmj\/complaints-procedure?__cf_chl_tk=wloi59r5kUZ2YJUO.fpBUHf1OBXteh4jiPp_XuMT.aQ-1739836637-1.0.1.1-89SmASv5.fg8klrAPsKywnLlGhodb94pCRSL_YiCgag",cFPWv: 'g',cITimeS: '1739836637',cTTimeMs: '1000',cMTimeMs: '390000',cTplC: 0,cTplV: 5,cTplB: 'cf',cK: "",fa: "\/about-bmj\/complaints-procedure?__cf_chl_f_tk=wloi59r5kUZ2YJUO.fpBUHf1OBXteh4jiPp_XuMT.aQ-1739836637-1.0.1.1-89SmASv5.fg8klrAPsKywnLlGhodb94pCRSL_YiCgag",md: "NianroXTzWLgHc3_BnTDPuOgyfgOjhuEmemm7rXOxU4-1739836637-1.2.1.1-wT2LYR0LSnbaj4AHeEc3CsyicRg9V0VZWRzX3VccCE2zCK_JnBVs8.5N_S8xXHCFrOuAdR4eyNh9ObKdm7.ZmzlySmVgqK1E0o6cdWZKikMEVBlbQO4g.VqLEebQSlRUc.Lw.Bts1g.ALlotE7uIApf5uvr51cr1NY9Gp3oHQgmY8Q35CkDxXHcDDq0i6b8oz9LHAVxAR.W5fPF2xSQ7ciKpiDknSL0IJFszhRnyGMSy.Zye34ORRXLC4PClZgItLOs1v3R0CYauqtEfemhgw6txQk4OLkFmOIpa_CdluRk6sC9G8kP5jyn57KmOYHypGqWI18BvSlQu5g7f8gtm_ZX.VNYHzKZtHO5zZZDB2IlfHqpfc8lqet.R4iXkfkExxLE3sGURrPB.w7xzhNYbuH6yZ4Cv4BnZr2p955hXCb4RU.0rooG5zVxunAGZTEgOTIXmViaZa3fP9VJRcxnm37M9dSDAAytBHBEaOlvUFejeLKY2ZNHW4JKOkE5ExXk_EK5cpVSwtYBIkDk8nVdy334NvrCLxP6FFJcq1ZppptfAIbSJwoAzSmtZPeOVgHbkj6nm_fwxeHKoyLonZO65Rrz3F1sgJ9cfZ4NSyZlapq.eu55V10LvorZc5DSkqikgyks5SHWA9XEaqXnLFsV0TjDNUoZAsI8PXwENiObebiwcYaEreGeRfYOvPHbiRDQsIsQOe29ATTgrbbkxNS8Hd2k.3Kuiz2ZSDmOZWmHJ.AeadAPCZGsbRs9C_k.tOmP7RSXb3a.FdO9zduAu2_iMu2xFoK9cAO6.zKRrkQ46penUG8T5ub9I8BSJMa0H9DMCLE4zZWjuulu2JczASth6NDz7ErK7gF0.lN9BGYc8ejbGjJCyTDhFkEeyCkP3mpUFcjIkS6ugQNTjxAWOJBkBmALFZ7EulfPSe29Xj_6yRnP40oeKwfXNu_xqWjivk0qHLOvqBGogy0o4cPH4sBKNZkejs11.dkFDpTLij.y26otDFRmKgvlH5hjR3A6A.klZ34esQ0AYiM6V1Y_MQpBe3Bj7pB7dhE1TaNcwnES7nZs8L9n0O7v5sLFpHqfDiiMNcc_uJAXlj2XTIsKfFpMUcxllDgTG6fCQvz4340DIQV63zHyh_B6TL1mfbxrUz650nyMQBl03.n8qKP7QFE3M.t963r_jksJ1A_LOcCAUcoE7iKPFktfWI6.yWlRFUlB1xSXBU7BERLKgX2bJtoSttz9nO0di_Pq1v6gO8MjeYNBXvHrpz4EPKuoj5.33LBJybfvI6UbRFjYGX6FpYnvJ95vWVzj.vOXfJj.r05Bf.PKulzn2jcD0f7p_K9MeLRhJwHvWCRd85oQvs62tFh67lgpQI376N_Rl2WxsYLYObvqJ0jChOjGQCQJwcFHCpYBXZV8wmNKYLvUD0x.t6mgZw7.2N8zNs8bHSj0CW07yY22MmCWpblSSIdyA1IVsMn7gWkzRh8JXbiMTEqleajlN8R_kCYklaXjDlQkZ05kOxvSeoSQbej8sLe1_CPD4fPsrkeZwNWT8q7HrIMzyIMX0Q.RHBo_6aU6vkiQIAbAx39s8YcbjiqNPUdyqViM3tZmkooC44Q0Xqu4ixRuVR.i7ITVy1Xv2dQTeZZx0ghdOGuyeE3Bk_Ou1rWMpXef9MdWBE2hVGodgomiP7HBK1DfgihNZgw7qBDlBxDFaqX0Y1EbLBQcuL9gyUMPkjB3EErtAqsxj_p_HAs7gJeSxV0kQ.LaIPED6XCjiNA94sIxNhtML.bHjzO3yoWo9bqxpiGF9.ZQ7Ck1h6S7kKq9UJk.0IgVhYbvmApNvT4UkuaQ8CD43.Z.DQo1Dql7SfUb5xBfq.G_e5GbbupmRgsDQJGynvBbaBjt0o.ANCkXRJJZBenlnSjthhkgU5S184n6G1LGn7QPEIr0Uuj1H18332yUyboe91azUy9IfOf3_rAun7rEEzAKvxjPk8NtWyikGDyLs3VMpAB6WsYPNnZIXN5LNJD1qSh73rg3GBHR0EY3nglhRObiYkzbZm6cKPxLFvLRVrEhWH3EYFGlaLdMCda3sWNLbjRbZ0.wCt3B.K0oh6NSyw7369QTTC99_c7tdPUFVHy2zOFNx1muKzqbo54ZSYWGToW7F6p9FO20yPDnIPQBgEBYkVwyAz6ZYkd.d8Btk4GnCdjiMHn8vcsVLmAJ.Mej94s7lBPXfKm01wrHANU40cJFgmPW3NixW_aDXlVWredAhfKRKT3LkA1i_TMHIyO7w3_0Vddb3RJsy5Q5nMUzfywI1fYl9HFn88hhG209hnREJtUlmOcMbXY4T_AMjBIu41u7T6_pe.Ap5u6HDBRF4Dnf7jwJi0uC5KGMQtBHLuMJiZDFx9TSeid0FL3RF_tG9t8TYRXHYurDnQD0qNLIoeekoA0I7.XJdG9XoRQdheydeEe5AwFAjISZ31q3_M.m4FNbmF6Tc7tKTjYbarUUfP3qyU08J.iXb9gU26W6_XJVv19PB47OViB4JAnvZ9NILfNjbz3dQNaFBlNI2jjQ",mdrd: "aG2RaPt5bApywAwbhLZ22cP2mUmPKjoEB39WylBI9OM-1739836637-1.2.1.1-ohcg55a9kwt8B.fp.E9rCr0mRJ9uO4h48pH26x11taMGkcbMWchpel.LLT1O4nQtzbhpngXPZXFd3SyKroKMD1lK57ZvPWNIUTndogYEisTwaXE3_u6YpJ3TbSjbYwu5ofAd_htle.uCqDR2IQUxwgsRAypREc0xkHjJxpbVqE0MEtPTU6RlpS2YL4Nxeg8L88XFkjaBfyvQMBYpSI1ajO8Zi.zuYpIVGJiUrrtOyiOmNoicnO.aFjXo8nT.qdLP33ZYCFyn.fqLja_KL9g_iht2VbY5ZP7YFz.W1iZOZxnIiz6atgt_wOujFAywWoR.kkM0JYErc4d7TJCQz3MIyZ.edKdfTTbYBKo01QoEsGlNpmgsIQiaGbB1LTH97sCvjN.UcJS8QMshnWKw4pNFxBedBSWIKROiRzVWyC2Tv29fvRcuEeSdUHayObcle6oZQLjiHSneaeeo69QMobN59wX9RPe32mGkktoI0GpZtwhnOF_4LvsN2Jrh5ImUlzJxhHGo9vBWjjxYVfZdYbWdRcr7VNH7qiZwpiz5DOn2YKjp0e0YQC58LI.Yn.SBz6vdI78oamLFYSwV6fOfv5bA18Rvdklc4UTJt24hdCghV_QN2HFSBGdALegRZm5NTRdwbZjTZIos9mM8uVocpYi3kmN5fSswFFu15MWqyMh5acdodP7M8fv7Kc4DSR_U10G.QEyOHGFX1Ov9HmXRmxmbGnknA0QHyQLd4YnzVWWNYgHZM6bYm9eSif9J3rmsKwdUtai1bFS7MNQXIXOYOhu5LSAqa7ZUmksQcsRE5joowO.06Eim1lqwj.5QYenYST_fa1GKsXe36.NsgS9ZcaOCY8wgWcP_PWMALVFk8WudX278BF6GbkhtTqKzE6uIwHVGtjyj9cNFiRFpPM3Qaj6Sw56hjnH01YcabK3HxTcVEUan2r4dA4OXzCDQl1fEL58V8E_zIxKKtWjE4YARAGlZhiH7E.pgqAVn4S..f9_OP.mlCcUnRvKQleIeENIFAHiRRrFex3SHrNR8vZ3F8D70d.NtdJGPaDAQaKU71.e5MRiAy9c5xPXMYn5mkcawvC8H6Ui_vXGj6bmzW4D2htzW8Wo544AjiWFhBeQ0VgW2CW11OZ6.dpGAuJ6LkgaPjzTxjaCG0A_2PGf._DnScF8oZ_B2rPA_Vk4NhymDkVQcIxlKLpLU59Z8E7YB8SBDEbH2QqUwYJ.MnbCtgcVgLjxq0jHh21Xq9XP9vFx2Xspw.mqqpkjTdbAEXf3cbPZMptupa1jBFUTOFwkl3eFeH_KtnfRlEN19YC8JnFOWklObluIg_vfjmF4W88jZr8jCJGy8TRnlwepZZ.2sF.qqkAQ2nHbl6vwSzNcQ7Bh0uLZ0EUoXeFkrFKrzkFQlx7ToIaQ.bsUbm01ZLzw3ODjEVsxInHlu6Hic2TYOTSbIpfy_slvg4NKbHVyScpnLSfvZj3FtWIMFZ5ZsdiVaEIvRwM9R.bO7Gyx6hhUV82cBEsqz3_HO.F3fP5JqFGM6UDV3zL2zPZeJXaVhDhdzd4lQan_86ZjWLsdkLxFbj3lK648z8nqCEa270Z3WcUSYR3Z5rul26VCYKDGRg9xzS4J6y2SRtD6lLec7ybKgQeMKImIiHxICxYwYp.i1M.zNjcrq9nlKuIZyxN.ArP3nXmKIDiz4TwvsyDVU9S3qThRXwpAuc5WxXUXa40oSo7D_agkO87Cq4eHwELcSykhoNqBn266zBwalc_WGtfsGDFS6bc0OD3.y10vwLk3CVT0qTcbaWNIeOS4lzHH4IVGnXn4vOrhlmBdNw4qu4PgomhbpvV2KzpL1FWSjSu3nZ_byyLgGEIECIEGBls4lxmuAZb1HdQw5B0sZbFv6jX4Jtx8uHkRMfoENEnkJToJc1levAuSEcxGOxL7VGCtsdWumPgjInWcM3z2ee9Ju_b9CzzOyqpZAgRU"};var cpo = document.createElement('script');cpo.src = '/cdn-cgi/challenge-platform/h/g/orchestrate/chl_page/v1?ray=9139b8093fe99d6f';window._cf_chl_opt.cOgUHash = location.hash === '' && location.href.indexOf('#') !== -1 ? '#' : location.hash;window._cf_chl_opt.cOgUQuery = location.search === '' && location.href.slice(0, location.href.length - window._cf_chl_opt.cOgUHash.length).indexOf('?') !== -1 ? '?' : location.search;if (window.history && window.history.replaceState) {var ogU = location.pathname + window._cf_chl_opt.cOgUQuery + window._cf_chl_opt.cOgUHash;history.replaceState(null, null, "\/about-bmj\/complaints-procedure?__cf_chl_rt_tk=wloi59r5kUZ2YJUO.fpBUHf1OBXteh4jiPp_XuMT.aQ-1739836637-1.0.1.1-89SmASv5.fg8klrAPsKywnLlGhodb94pCRSL_YiCgag" + window._cf_chl_opt.cOgUHash);cpo.onload = function() {history.replaceState(null, null, ogU);}}document.getElementsByTagName('head')[0].appendChild(cpo);}());</script></body></html>