Tag

Complaints

Recommendations related to complaints

51 recommendations 82% accepted

Tag overview

Government Response
Accepted (24)
Accepted in Part (18)
Awaiting Response (9)
Recommendations in This Theme

recommendation across 10 inquiries

Across 10 inquiries

Tagged Recommendations

51 total
R20 Response Pending Muckamore Abbey Inquiry

Independent advocacy for service users and families

Properly trained independent advocates should be made available to service users and families to support effective communication with staff and for raising concerns and complaints. DoH/SPPG should specify the level …

Department of Health NI
R38 Response Pending Muckamore Abbey Inquiry

Clear pathways for raising concerns

People with learning disabilities and autistic people and their families should be provided with clear, written information outlining the available pathways for raising concerns. This information should clearly distinguish between …

Northern Ireland Executi…
R39 Response Pending Muckamore Abbey Inquiry

Guidance on recording and presenting concerns

People with learning disabilities and autistic people and their families should be provided with a short description of how best to record and present concerns so as to be effective.

Northern Ireland Executi…
R40 Response Pending Muckamore Abbey Inquiry

Record all complaints in electronic system

In HSCTs all complaints, regardless of whether they are resolved immediately at ward level, should be recorded in the Trust’s electronic complaints management system. In private and third sector facilities …

Northern Ireland Executi…
R41 Response Pending Muckamore Abbey Inquiry

Inform complainants of complaint management process

Complainants should immediately be informed of how their complaint will be managed (locally or through the corporate complaints process) along with a clear explanation of the corresponding level of investigation …

Northern Ireland Executi…
R42 Response Pending Muckamore Abbey Inquiry

Regular updates on complaint progress

Complainants must be regularly updated and informed of the progress of any investigation, including when the process concludes without a specific finding.

Northern Ireland Executi…
R43 Response Pending Muckamore Abbey Inquiry

Red-rated complaints shared with all NEDs

All complaints managed at corporate level and rated as red (using the red, amber and green (RAG) rating matrix) should be shared with all non-executive directors (NEDs) on the Board.

Northern Ireland Executi…
R44 Response Pending Muckamore Abbey Inquiry

Proactive quality assurance beyond complaints

Complaints alone are a poor indicator of quality of care, particularly in a vulnerable population such as those admitted to MAH. A low volume or absence of complaints does not …

Northern Ireland Executi…
R87 Response Pending Muckamore Abbey Inquiry

PCC awareness of statutory functions

The PCC should take further steps to ensure that health service users, including carers and families of people with learning disabilities and autistic people, are aware of its statutory functions …

22 Accepted in Part Brook House Inquiry

Update healthcare complaints handling guidance

The Home Office must review and update Detention Services Order 03/2015: Handling of Complaints to ensure that appropriate guidance is given to healthcare providers on the investigation and handling of …

- In March 2024, the Home Office stated that a comprehensive review of complaints processes, including medical complaints, was underway in consultation with residents, IMBs, …
Home Office
28 Accepted in Part Brook House Inquiry

Address barriers to detainee complaints including fear of repercussions

The Home Office and its contractors operating immigration removal centres must take steps to identify and address the barriers to making complaints that are faced by detained people, including a …

- In March 2024, the Home Office committed to a comprehensive review of complaints processes, including barriers faced by detainees, in consultation with residents, IMBs, …
Home Office
29 Accepted in Part Brook House Inquiry

Improve Professional Standards Unit investigation procedures and training

The Home Office must update Detention Services Order 03/2015: Handling of Complaints to clarify that, in investigations carried out by the Professional Standards Unit into allegations of serious misconduct against …

- In March 2024, the Home Office stated that the PSU had updated its training to reflect Brook House Inquiry findings, including training in interviewing …
Home Office
5 Accepted IICSA

Reform Church of England clergy discipline for safeguarding

The Church of England should make changes and improvements to the way in which it responds to safeguarding complaints (whether related to allegations of abuse, or a failure to comply …

- In March 2021, the Church of England endorsed proposals for a new independent complaints process for safeguarding (Government Response, Church of England, March 2021). …
Church of England
3 Accepted IICSA

Disapply 12-month limit for CSA police complaints

The Chair and Panel recommend that the National Police Chiefs' Council ensures that complaints relating to child sexual abuse are no longer 'disapplied' by police forces on the grounds that …

- On 16 January 2019, Chief Constable Craig Guildford (NPCC lead for Complaints and Misconduct) advised all Chief Officers that complaints relating to child sexual …
National Police Chiefs C…
7 Accepted IICSA

Catholic complaints policy with escalation process

The Catholic Bishops' Conference of England and Wales and the Conference of Religious should publish a national policy for complaints about the way in which a safeguarding case is handled. …

- On 30 April 2021, the Catholic Council for the Inquiry stated that a framework and template for complaints was ratified by the Bishops, covering …
Catholic Bishops Confere…
6a Accepted Paterson Inquiry

Communicating complaint escalation

We recommend that information about the means to escalate a complaint to an independent body is communicated more effectively in both the NHS and the independent sector.

- In December 2021, the government accepted this recommendation, stating that NHS complaints processes now more clearly signpost to the Parliamentary and Health Service Ombudsman …
Department of Health and…
6b Accepted in Part Paterson Inquiry

Mandatory independent complaint resolution

We recommend that all private patients should have the right to mandatory independent resolution of their complaint.

- In December 2021, the government accepted this recommendation in principle, stating that further work was needed on an implementation mechanism and that membership of …
Department of Health and…
IHRD-68 Accepted Hyponatraemia Inquiry

Using Investigations for Training

Information from clinical incident investigations, complaints, performance appraisal, inquests and litigation should be specifically assessed for potential use in training and retraining.

HSC Trusts
13 Accepted Morecambe Bay Investigation

Improve complaints handling

The University Hospitals of Morecambe Bay NHS Foundation Trust should review the structures, processes and staff involved in responding to complaints, and introduce measures to promote the use of complaints …

- In July 2015, the government stated that the Trust was improving complaints handling processes (Learning Not Blaming, Cm 9113, Department of Health, July 2015). …
University Hospitals of …
31 Accepted Morecambe Bay Investigation

Fundamental review of NHS complaints system

The NHS complaints system in the University Hospitals of Morecambe Bay NHS Foundation Trust failed relatives at almost every turn. Although it was not within our remit to examine the …

- In July 2015, the government stated: "We accept this recommendation in principle" but stated it did "not believe that another fundamental review will help" …
Department of Health and…
34 Accepted Morecambe Bay Investigation

CQC and PHSO memorandum of understanding

The relationship between the investigation of individual complaints and the investigation of the systemic problems that they exemplify gave us cause for concern, in particular the breakdown in communication between …

- In July 2015, the government stated: "We accept this recommendation" and confirmed that a new Memorandum of Understanding between the CQC and PHSO had …
CQC
R33 Accepted Vale of Leven Inquiry

Nursing complaint investigation

Health Boards should ensure that where a complaint is made about nursing practice on a ward this complaint is investigated by an independent senior member of Nursing Management.

- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …
NHS Health Boards (Scotl…
F109 Accepted Mid Staffs Inquiry

Effective complaints handling

Methods of registering a comment or complaint must be readily accessible and easily understood. Multiple gateways need to be provided to patients, both during their treatment and after its conclusion, …

- The Local Authority Social Services and National Health Service Complaints (England) Regulations 2009 (SI 2009/309) established a single complaints procedure for health and social …
Healthcare providers
F110 Accepted Mid Staffs Inquiry

Lowering barriers

Actual or intended litigation should not be a barrier to the processing or investigation of a complaint at any level. It may be prudent for parties in actual or potential …

- The Local Authority Social Services and National Health Service Complaints (England) Regulations 2009 do not contain any provision requiring or permitting complaints to be …
Healthcare providers
F111 Accepted Mid Staffs Inquiry

Lowering barriers

Provider organisations must constantly promote to the public their desire to receive and learn from comments and complaints; constant encouragement should be given to patients and other service users, individually …

- The NHS Constitution (revised 2023) includes a pledge that "the NHS will ensure you are treated with courtesy and you receive appropriate support throughout …
Healthcare providers
F112 Accepted Mid Staffs Inquiry

Lowering barriers

Patient feedback which is not in the form of a complaint but which suggests cause for concern should be the subject of investigation and response of the same quality as …

- The PHSO's NHS Complaint Standards (July 2022) state that organisations should treat all expressions of dissatisfaction that require a response as complaints, regardless of …
Healthcare providers
F113 Accepted Mid Staffs Inquiry

Complaints handling

The recommendations and standards suggested in the Patients Association's peer review into complaints at the Mid Staffordshire NHS Foundation Trust should be reviewed and implemented in the NHS.

- The Patients Association conducted a peer review of complaints handling at Mid Staffordshire NHS Foundation Trust, published in 2011. The review made recommendations about …
NHS
F114 Accepted Mid Staffs Inquiry

Complaints handling

Comments or complaints which describe events amounting to an adverse or serious untoward incident should trigger an investigation.

- The Patient Safety Incident Response Framework (PSIRF), mandatory for NHS trusts from autumn 2023, requires trusts to consider all sources of information — including …
Healthcare providers
F115 Accepted in Part Mid Staffs Inquiry

Investigations

Arms-length independent investigation of a complaint should be initiated by the provider trust where any one of the following apply: A complaint amounts to an allegation of a serious untoward …

- The Local Authority Social Services and National Health Service Complaints (England) Regulations 2009 require responsible bodies to investigate complaints but do not prescribe specific …
Healthcare providers
F116 Accepted Mid Staffs Inquiry

Support for complainants

Where meetings are held between complainants and trust representatives or investigators as part of the complaints process, advocates and advice should be readily available to all complainants who want those …

- The Health and Social Care Act 2012 (section 185) placed a duty on local authorities to commission independent advocacy services for people making or …
Healthcare providers
F117 Accepted in Part Mid Staffs Inquiry

Support for complainants

A facility should be available to Independent Complaints Advocacy Services advocates and their clients for access to expert advice in complicated cases.

- The Health and Social Care Act 2012 (section 185) placed a duty on local authorities to commission independent advocacy services for people making NHS …
Department of Health and…
F118 Accepted in Part Mid Staffs Inquiry

Learning and information from complaints

Subject to anonymisation, a summary of each upheld complaint relating to patient care, in terms agreed with the complainant, and the trust's response should be published on its website. In …

- The Local Authority Social Services and National Health Service Complaints (England) Regulations 2009 require NHS bodies to prepare an annual report on complaints handling, …
Healthcare providers
F119 Accepted Mid Staffs Inquiry

Learning and information from complaints

Overview and scrutiny committees and Local Healthwatch should have access to detailed information about complaints, although respect needs to be paid in this instance to the requirement of patient confidentiality.

- Local Healthwatch organisations were established under the Health and Social Care Act 2012 (sections 221-227), replacing Local Involvement Networks (LINks) from April 2013. Local …
Healthcare providers
F120 Accepted in Part Mid Staffs Inquiry

Learning and information from complaints

Commissioners should require access to all complaints information as and when complaints are made, and should receive complaints and their outcomes on as near a real-time basis as possible. This …

- Integrated Care Boards (ICBs), which replaced Clinical Commissioning Groups from July 2022 under the Health and Care Act 2022, have responsibility for commissioning most …
Commissioners
F121 Accepted Mid Staffs Inquiry

Learning and information from complaints

The Care Quality Commission should have a means of ready access to information about the most serious complaints. Their local inspectors should be charged with informing themselves of such complaints …

- CQC's Insight intelligence model draws on complaints data from multiple sources to identify providers requiring regulatory attention. CQC receives information about complaints through its …
CQC
F122 Accepted in Part Mid Staffs Inquiry

Handling large-scale complaints

Large-scale failures of clinical service are likely to have in common a need for: Provision of prompt advice, counselling and support to very distressed and anxious members of the public; …

- The National Quality Board (NQB), a multi-stakeholder body bringing together NHS England, CQC, NICE, HSSIB, NHSE regional teams and other system partners, has published …
F133 Accepted in Part Mid Staffs Inquiry

Role of commissioners in complaints

Commissioners should be entitled to intervene in the management of an individual complaint on behalf of the patient where it appears to them it is not being dealt with satisfactorily, …

- The NHS Standard Contract 2024/25 includes provisions requiring providers to have effective complaint handling arrangements and to report complaints data to commissioners. Commissioners can …
Commissioners
F134 Accepted Mid Staffs Inquiry

Role of commissioners in provision of support for complainants

Consideration should be given to whether commissioners should be given responsibility for commissioning patients' advocates and support services for complaints against providers.

- The Health and Social Care Act 2012 (section 185) placed a duty on local authorities (not NHS commissioners) to commission independent advocacy services for …
Commissioners
F151 Accepted in Part Mid Staffs Inquiry

Complaints to MPs

MPs are advised to consider adopting some simple system for identifying trends in the complaints and information they received from constituents. They should also consider whether individual complaints imply concerns …

- The government's response to the Francis Report in "Hard Truths" (Cm 8777, November 2013) noted that MPs have a significant role in representing the …
Parliament
F222 Accepted Mid Staffs Inquiry

General Medical Council Systemic investigation where needed

The General Medical Council should have a clear policy about the circumstances in which a generic complaint or report ought to be made to it, enabling a more proactive approach …

- The government's response in "Hard Truths" (Cm 8777, November 2013) accepted this recommendation (Hard Truths: the Journey to Putting Patients First, DHSC, November 2013). …
GMC
F259 Accepted Mid Staffs Inquiry

Role of the Health and Social Care Information Centre

The Information Centre, in consultation with the Department of Health, the NHS Commissioning Board and the Parliamentary and Health Service Ombudsman, should develop a means of publishing more detailed breakdowns …

- The government's response in "Hard Truths" (Cm 8777, November 2013) accepted this recommendation (Hard Truths: the Journey to Putting Patients First, DHSC, November 2013). …
F38 Accepted Mid Staffs Inquiry

Use of information about compliance by regulator from: Complaints

The Care Quality Commission should ensure as a matter of urgency that it has reliable access to all useful complaints information relevant to assessment of compliance with fundamental standards, and …

- Regulation 16 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 requires providers to establish and operate an accessible complaints system, …
CQC
F39 Accepted in Part Mid Staffs Inquiry

Use of information about compliance by regulator from: Complaints

The Care Quality Commission should introduce a mandated return from providers about patterns of complaints, how they were dealt with and outcomes.

- Regulation 16(3) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 requires providers to supply CQC with complaint summaries within 28 …
CQC
F40 Accepted Mid Staffs Inquiry

Use of information about compliance by regulator from: Complaints

It is important that greater attention is paid to the narrative contained in, for instance, complaints data, as well as to the numbers.

- CQC's inspection model examines complaints handling qualitatively under the "Responsive" key question, including how providers learn from the content and themes of complaints, not …
CQC
L10 Accepted in Part Leveson Inquiry

Complaint Handling Mechanism

The Board should require all those who subscribe to have an adequate and speedy complaint handling mechanism; it should encourage those who wish to complain to do so through that …

- The Prime Minister stated on 29 November 2012 that he accepted the principles for independent self-regulation including complaint handling (Oral Statement to Parliament, Prime …
Press
L11 Accepted in Part Leveson Inquiry

Power to Hear Complaints

The Board should have the power to hear and decide on complaints about breach of the standards code by those who subscribe. The Board should have the power (but not …

- The Prime Minister stated on 29 November 2012 that he accepted the principles for independent self-regulation including complaints adjudication (Oral Statement to Parliament, Prime …
Press
L12 Accepted in Part Leveson Inquiry

Complaint Decision Responsibility

Decisions on complaints should be the ultimate responsibility of the Board, advised by complaints handling officials to whom appropriate delegations may be made.

- The Prime Minister stated on 29 November 2012 that he accepted the principles for independent self-regulation (Oral Statement to Parliament, Prime Minister's Office, 29 …
Press
L13 Accepted in Part Leveson Inquiry

Complaints Committee Composition

Serving editors should not be members of any Committee advising the Board on complaints and any such Committee should have a composition broadly reflecting that of the main Board, with …

- The Prime Minister stated on 29 November 2012 that he accepted the principles for independent self-regulation (Oral Statement to Parliament, Prime Minister's Office, 29 …
Press
L14 Accepted in Part Leveson Inquiry

Free Complaints Process

It should continue to be the case that complainants are able to bring complaints free of charge.

- The Prime Minister stated on 29 November 2012 that he accepted the principles for independent self-regulation (Oral Statement to Parliament, Prime Minister's Office, 29 …
Press
L37 Accepted in Part Leveson Inquiry

Pre-litigation Complaints

A regulatory body should be prepared to allow a complaint to be brought prior to commencing legal proceedings if so advised. Challenges to that approach (and applications to stay) can …

- The Prime Minister stated on 29 November 2012 that he accepted the principles for independent self-regulation (Oral Statement to Parliament, Prime Minister's Office, 29 …
Press
BAHA-17 Accepted Baha Mousa Inquiry

CPErS Complaints Procedure

JDP 1-10 should incorporate the requirement that on entry to and exit from a theatre level detention facility, CPErS are proactively asked whether or not they have any complaints concerning …

- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that procedures for proactively seeking captured persons' complaints …
Ministry of Defence