A dentist who refused to implement recommendations by the health service ombudsman or apologise to the patient who complained is the first to be publicly exposed under a new naming and shaming policy.

Gary Capon, a dentist in the Southampton and South West Hampshire health authority area, was found to have failed to assess adequately 'Mrs A's' tooth decay and gum disease between 1991 and 1997. He rejected the ombudsman's recommendation that he improve his understanding of current practice.

The case is included in ombudsman Michael Buckley's latest report. The ombudsman received 1,450 complaints, slightly less than in the same period last year. More than 40 per cent were from people who had not yet gone through the health service's own complaints system.

The ombudsman identified the emergence of a 'second generation' of complaints about the new NHS complaints procedure. He said 'earlier technical problems' with independent review panels had given way to concerns about the way hearings are planned and managed.

The Health Service Ombudsman: investigations completed April - September 1999 . www.ombudsman.org.uk