Complaints Handling? Flashcards

1
Q

Importance of communication with pt during appts?

A
  • understand patients RFA
  • identify medical history
  • gain informed consent
  • provide appropriate advice
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2
Q

How manage your risk of getting a complaint?

A

Work in practice you like

Build rapport with
- reception
- labs

Have an open door policy

Preparation
- leaflets
- recommended websites

Be realistic with time

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3
Q

Ways service can fail the pt?

A

Appts
- incorrect, running late, wrong dentist

Treatment planning

Estimates

Treatment failures

Complications

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4
Q

What is a complaint?

A

Any expression of dissatisfaction by a patient (or their representative) about a dental service or treatment, whether justified or not

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5
Q

What is the principle of clinical negligence?

A

Claimant must provide it was more likely than not that:
- dental professional owed them a duty of care
- there was a breach of duty
- breach of duty caused harm
- avoidable harm resulted

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6
Q

How can pts interests be put first?

A

Communicate effectively with them
- all necessary information
- clear information on cost

Recognise pts rights and responsibilities

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7
Q

Step 1 Model complaints handling procedure?

A

Frontline resolution
- straightforward issues
- on the spot apology, explanation
- recorded what’s gone on

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8
Q

Step 2 model complaints handling?

A

Investigation
- not resolved frontline
- complex / high risk
- definitive response and investigation given within 20 days following thorough investigation of points raised

  • customer may not want to partake in frontline resolution
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9
Q

Step 3 model complaints handling?

A

Independent external review
- SPSO
- evidence of service failure or maladministration by service provider

  • if disagree, 10 days to request post investigation review
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10
Q

Who are DCS?

A

Private dental complaints service
- within 12 months of treatment taking place
- within 12 months of becoming aware you have something to complain about

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11
Q

What can the DCS assist with?

A

Explanation / apology

Full or partial refund of fees

Remedial tx from dental professional
- or from another dentist / practice

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12
Q

What can’t the DCS help with?

A

Aware of complaint over 12 months
- or tx over 12 months ago

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13
Q

What is the HIS?

A

Health improvement Scotland
- governs independent / private clinics including dental practices
- time frame for lodging complaint is 6 months not 12 like NHS

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14
Q

What things can HIS deal with regards to complaints?

A

Quality of treatment

Care environment

Care equipment

Poor treatment by member of staff

Operational and procedural issues

Lack of information provided by service provider

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15
Q

What can’t HIS investigate?

A
  • services not registered with them
  • > 6 months
  • refunds
  • fees
  • clinical informed decisions
  • second opinions
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16
Q

How can complaints be made?

A
  • phone
  • in person
  • in writing - letter / email
17
Q

Guide for HIS complaints?

A

Step 1 - receive and assess complaint

2 - plan for investigation

3 - investigation and response provided within 20 days

4 - decision making and reporting - outcome letter sent to complainer

5 - follow up, providers action plans put into place after investigation outcome

6 - appeal / grievances - within 10 working days

18
Q

What is the apology act (2016)?

A

Encourages those to apologise for any occurence by

  • making an apology inadmissible in most civil proceedings as evidence to determination of liability
  • apology must not include statements of fact or of admissions of fault
19
Q

What are the GDC’s principles with regards to a complaint

A

5.1 - make sure effective complaints procedure

5.2 - respect pts right to complain

5.2.1 - do not react defensively to complaints, listen carefully and involve them in complaints process. Find out what outcome pt would like from their complaint.

5.3 - prompt and constructive response

20
Q

How should the standard 5.1 - effective complaints procedure, be carried out?

A

Complaints procedure should be
- displayed, not have to be asked for
- easy to follow
- provides info on other independent organisations
- respects confidentiality

  • keep written record of all complaints and responses
21
Q

How should standard 5.3 be carried out - prompt and constructive response?

A

Acknowledge their complaint ASAP
- deal with it calmly
- respond within all the time constraints
- deal with all points raised
- offer apology and practical solution where appropriate
- respond in writing, if they still not happy then refer them to the relevant ombudsman or health service