Over the past 5 years there has been an increased interest in assessing use
rs' satisfaction with health care services in England. Measuring and interp
reting user satisfaction with reproductive and sexual health services carl
be complex, and efforts have met with varying degrees of success. This pape
r will summarise the methods that have been used to assess user satisfactio
n over the past 10 years, describe a different type of approach that has be
en recently used in England and provide some suggestions Sor approaches tha
t may be effective in improving clinical effectiveness in the new millenniu
m.