As an RA patient who has missed two enbrel injections due to the changes at Healthcare at Home I am becoming increasingly worried that the company will not be able to resolve their current delivery problems quickly. The standard apology letter sent out does not really acknowledge the stress or distress caused by this company in recent months; the difficulties experienced in phoning, lack of response to emails, broken promises of phone calls, deliveries not arriving when arranged, patients missing doses of medication. By reading the comments on this site relating to this issue I can see that staff have been laid off, others are leaving as they can not cope with what has happened to the company and or with the number of complaints. The service appears to be broken; is it beyond repair. Some contributors to the earlier discussions and questions have suggested taking action. What action can be taken against a private company? Healthcare at home do not appear to have a complaints policy and complaining to the person who answers the phone will not achieve any constructive change. As patients what can we do? We can inform our hospital consultants and hope they ensure that the nhs is not paying for medication that is not sent to patients. We can also write letters of complaint about this to our MPs to alert them to a major issue that has arisen within a section of healthcare that has been handed over to the private sector.