Everyone has the right to expect a positive experience and a good treatment outcome. In the event of concern or complaint, patients have a right to be listened to and to be treated with respect. Service providers should manage complaints professionally so customers’ concerns are dealt with appropriately. Good complaint handling matters because it is an important way of ensuring customers receive the service they are entitled to expect. Complaints are a valuable source of feedback; they provide an audit trail and can be an early warning of failures in service delivery. When handled well, complaints provide an opportunity to improve service and reputation.
Aims & Objectives
- We aim to provide a service that meets the needs of our patients and we strive for a high standard of care;
- We welcome suggestions from patients and from our clinicians and staff about the safety and quality of service, treatment and care we provide;
- We are committed to an effective and fair complaints system; and
- We support a culture of openness and willingness to learn from incidents, including complaints.
- Patients are encouraged to provide suggestions, compliments, concerns and complaints and we offer a range of ways to do it.
- Patients are encouraged to discuss any concerns about treatment and service with their treating clinician, or they can complete our customer feedback form.
- Clinicians and staff can also use the feedback form to record any concerns and complaints about the quality of service or care to customers.
- All complainants are treated with respect, sensitivity and confidentiality.
- All complaints are handled without prejudice or assumptions about how minor or serious they are. The emphasis is on resolving the problem.
- Patients and staff can make complaints on a confidential basis or anonymously if they wish, and be assured that their identity will be protected.
- Patients, clinicians and staff will not to be discriminated against or suffer any unjust adverse consequences as a result of making a complaint about standards of care and service.
- Clinicians and staff are expected to attempt resolution of complaints and concerns at the point of service, wherever possible and within the scope of their role and responsibility.
- Any concerns raised remotely, via telephone, email or text must be acknowledged promptly but a face to face appointment booked in order to discuss in detail, with accompanying assessment and review for medical records.
The process of resolving the problem will include:
- An expression of regret to the patient for any harm or distress suffered;
- An explanation or information about what is known, without speculating or blaming others;
- Considering the problem and the outcome the patient is seeking and proposing a solution; and confirming that the patient is satisfied with the proposed solution.
If the problem is resolved, clinicians and staff are expected to document the details of the complaint and how it was resolved, and provide a report to the patient.
Clinicians and staff will consult with a Company Director if addressing the problem is beyond their responsibilities.
Dr Anita Kapoor is responsible for;
- Coordinating investigation and review of formal complaints, conducting risk assessments (in consultation with clinicians), liaising with complainants, maintaining a register of complaints and other feedback (in conjunction with Deputy Complaints Manager Dr Mark Lister).
- Ensuring there is meaningful reporting on trends in complaints
- Ensuring compliance and review of the complaints management policy
- Notifications to insurers and consultation with professional registration bodies, and others where necessary.
- Formal complaints are acknowledged in writing or in person within 48 hours.
- The acknowledgment provides contact details for the person who is handling the complaint, how the complaint will be dealt with and how long it is expected to take.
- If a complaint raises issues that require notification or consultation with an external body, the notification or consultation will occur within three days of those issues being identified.
- Formal complaints are investigated and resolved within 30 days.
- If the complaint is not resolved within 20 days, the complainant, clinicians and staff who are directly involved in the complaint will be provided with an update.
Records and Privacy
- The complaints manager maintains a complaints and patient feedback register with records of informal feedback (Suggestions for improvement and patient feedback forms) and formal complaints.
- All interactions with the complainant, including face to face, telephone, email or text are documented in the patient record.
- Personal information on individual complaints is kept confidential and is only made available to those who need it to deal with the complaint.
- Complainants are given notice about how their personal information is likely to be used during the investigation of a complaint.
- Individual complaints files are kept in a restricted access section of the computer system’s file server.
- Patients are provided with access to their medical records [in accordance with the confidentiality policy]. Others requesting access to a patients’ medical records as part of resolving a complaint are provided with access only if the patient has provided authorisation [in accordance with the confidentiality policy].
Open Disclosure and Fairness
- Complainants are initially provided with an explanation of what happened, based on the known facts.
- At the conclusion of an inquiry or investigation, the complainant and relevant clinicians and staff are provided with all established facts, the causal factors contributing to the incident and any recommendations to improve the service, and the reasons for these decisions.
Investigation and Resolution
The Complaints Manager Dr Anita Kapoor and/or Deputy Complaints Manager Dr Mark Lister carry out investigations of complaints to identify what happened, the underlying causes of the complaint and preventative strategies.
Information is gathered from:
- Talking to clinicians and staff directly involved
- Ask staff involved to provide a factual report of the incident
- Listening to the complainant’s views on their experience and concerns
- Establishing what kind of resolution is expected
- Reviewing medical records and other records; and creating a coherent timeline of treatment episodes, reviews and communications.
- Gathering and reviewing any supporting documents and records
- Reviewing relevant policies, standards or guidelines.
Complaints about Individuals
Where an individual clinician or staff member has been nominated by a complainant, the matter will be investigated by the relevant manager or supervisor, who will:
- Inform the clinician or staff member of the complaint made against them;
- Ensure no judgement is made against a clinician or staff member while an investigation is being carried out;
- Ensure fairness and confidentiality is maintained during the investigation; and
- Encourage the clinician or staff member to seek advice from their professional association/body, if desired.
Where the investigation of a complaint results in findings and recommendations about individual clinicians and staff members, the issues are addressed through the service’s staff performance and review process.
After receiving a formal complaint, Dr Kapoor and/or Dr Lister reviews the issues in consultation with relevant clinicians to decide what action should be taken, consistent with the risk management procedure.
Reporting and Recording Complaints
The complaints managers prepare periodic reports on the number and type of complaints, the outcomes of complaints, recommendations for change and any subsequent action that has been taken. The reports are provided to staff, clinicians, senior management and if appropriate, uploaded into personal portfolio for audit and appraisal.
The complaints managers periodically prepares case studies using anonymised individual complaints to demonstrate how complaints are resolved and followed up, for the information of staff, and for use in audit and appraisal.
Information about trends in complaints and how individual complaints are resolved is routinely discussed at staff meetings and clinical review meetings as part of reflecting on the performance of the service and opportunities for improvement.
Complaints reports are considered and discussed at monthly clinical review meetings and directors’ meetings.
An annual quality improvement report is published that includes information on:
- The number and main types of complaints received, common outcomes and how complaints have resulted in changes;
- How complaints were managed—how the complaints system was promoted, how long it took to resolve complaints (and whether this is consistent with the policy) and whether complainants and staff were satisfied with the process and outcomes; and
- The results of the annual patient satisfaction survey.
- The service promotes changes it has made as a result of patient complaints and suggestions in its general publicity.
Complaints that are not resolved at the point of service, or that are received in writing and require follow up, are regarded as formal complaints.
Clinicians and staff refer complaints to either Dr Kapoor or Dr Lister the complaints managers if:
- After attempting to resolve the complaint, they do not feel confident in dealing with the complainant; or
- The outcome the complainant is seeking is beyond the scope of their responsibilities Or;
- They or the complainant believe the matter should be brought to the attention of someone with more authority.
If the complaint is not resolved at the point of service, clinicians and staff are expected to provide the complainant with the formal complaints policy.
Clinicians and staff then complete a report and forward it to Dr Anita Kapoor and/or Dr Mark Lister.
The complaints manager coordinates resolution of formal complaints in close liaison with the patient, treating clinician and other staff who are directly involved.
Assessing Resolution Options
Formal complaints are normally resolved by direct negotiation with the complainant, but some complaints are better resolved with the assistance of external bodies and authorities.
The complaints managers will sign post the complainant to an appropriate external body if;
- There is a serious question about the adequacy and safety of a health practitioner;
- The complaint is against a senior clinician or manager who will be responsible for investigating the complaint, resulting in a perception that there is a lack of independence; or
- The complaint raises complex issues that require external expertise.
- Where the complaint is not related to a clinical episode/outcome but a customer service issue and this has not been resolved to the patients satisfaction, Face Clinic London undertakes to signpost patients to an approved Alternative Disputes Resolution Service Provider (by the Chartered Trading Standards Institute) https://www.tradingstandards.uk/consumer-help/adr-approved-bodies/ in accordance with The Alternative Disputes Resolution Regulations (2015) and undertakes to co-operate and comply with the recommendations made by the approved ADR provider.
References and Further Reading
- Professional standards as per relevant statutory body (GMC, NMC, GDC, GpHC)
- Chartered Institute of Trading Standards https://www.tradingstandards.uk/consumer-help/adr-approved-bodies/