//So the letter is to give smurfchops the chance to opt out.//
So why couldn’t the chance to opt out be provided by the people doing the tests? e.g. “The NHS has asked us to send this poo test. If you want to opt out [send a text/write a letter/phone up/whatever]. If you want to take part [here’s the instructions].
They’ve subcontracted out the testing so why do they need to be involved at all? The testing people can follow up any refusals or failures to respond and pass the details on to the NHS when they have exhausted any follow up that is deemed necessary.
The NHS is simply making work for itself and its staff. This is just one example of one process. Nobody seems willing to examine these processes critically to determine whether or not they are best practice and fit for purpose, with the result that the entire organisation is rendered unfit.
//something like 15 million NHS appointments are missed in a year.//
I’m not surprised. Mrs NJ had a letter, correctly addressed to her, giving her an appointment at a hospital forty miles away . This surprised her because she had never had any dealings with the said hospital and in any case was not awaiting treatment for any ailment. She did the decent thing and phoned the hospital to inform them of their mistake (taking the best part of an hour to do so). She was told that nothing could be done because the hospital had no idea who the appointment was meant for. Two months later she received an identical letter with a further appointment. That went in the bin. One of my acquaintances was awaiting a hospital appointment. He received a letter with an appointment to go to hospital A. At 5pm the day before the due date he received a text reminding him of his appointment at hospital B. By the time he contacted someone the next day to find out where he was supposed to go, he was informed his appointment was in fact at hospital C, which was too far away for him to get to in time. So that’s five of the 15 million missed appointments accounted for.