Dealing With Complaints Flashcards

1
Q

What is a complaint?

A

An expression of dissatisfaction

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2
Q

Legally, what do complaints require?

A

A response

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3
Q

Who are examples of people who complain?

A
  • Patients
  • Colleagues
  • Employers
  • Health boards/trusts
  • GMC
  • Police
  • Courts
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4
Q

What are some things people may complain about?

A
  • Alleged poor treatment
  • Alleged poor performance
  • Rudeness
  • Not listening
  • Failure to comply with job plans
  • Health problems
  • Fraud
  • Criminal offences
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5
Q

What are ways to protect yourself from complaints?

A
  • Join defence organisation
  • Be aware of and follow GMC advice “Good Medical Practice”
  • Be aware of local complaints procedure
  • Put patients first
  • Don’t be judgemental
  • Don’t be afraid to refer or get second opinion
  • Clinical audit
  • Peer review
  • Act responsibly
  • Do not break the law
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6
Q

Who can you get support from when dealing with complaints?

A
  • Can be stressful
  • Seek support of supervisors and colleagues
  • Should be disclosed to supervisors anyway
  • GP
  • BMA counselling service
  • Student support
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7
Q

Do different NHS boards have different complaint procedures?

A
  • Dealt with by complaints officer
  • You will be interviewed to give your response to complaint
  • Employer may evoke disciplinary action
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8
Q

What legislation guides how complaints must be dealth with?

A

Patients Rights Act

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9
Q

Summarise Scotland’s complaint procedure?

A
  • Written complaints procedure must be clear and available for patients
  • Complaints officer has 5 days to decide whether complaint dealt with informally or formally
    • Must deal with complaint successfully as far as complainer is concerned
    • Need to tell complainer immediately if wish to deal with it informally and gain agreement
    • Documentation is very important
    • If following formal procedure must acknowledge within 3 working days
  • Decide whether requires written or verbal response, or meeting, to gather full information
  • Give full response within 20 days unless impossible in which case let the patient know why the delay
  • If patient remains dissatisfied might consider mediation
  • Respond again and if patient still dissatisfied can contact NHS Ombudsman within 28 days
  • Health board requires details of complaints quarterly
  • Must comply with the Patient Rights Act
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10
Q

How long does complaints officer have to decide if they are dealing with a complaint formally or informally?

A

5 days

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11
Q

When must a full response to a complaint (outcome of investigation) be given to a patient?

A

Within 20 days

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12
Q

Who can patients contact if they are disatisfied with the outcome of a complaint?

A

NHS Ombudsman within 28 days

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13
Q

What are some patients rights under NHS legislation?

A
  • Any complain about NHS services must be dealt with efficiently and have proper investigation
  • Patients must know outcome of their complaint
  • Can take their complaint to an independent Health Service Ombudsman if they are not satisfied how complaint was handled
  • Can make claim for judicial review if they think they have been directly affected by unlawful act or decision
  • Have right to compensation where they have been harmed by negligent treatment
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14
Q

Under NHS legislation, what does the NHS commit to in regards to complaints?

A
  • Ensure patients treated with courtesy during complaint and given support
  • Fact that patient complained will no adversely affect future treatment
  • When mistakes happen they will be acknowledged, apologise, and explain what went wrong and put things right quickly, whilst ensuring that lessons are learned
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15
Q

Who does the Ombudsman make recommendations to after a complaint?

A

The NHS board

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16
Q

What are some examples of behaviour that can lead to a student fitness to practice?

A
  • Receiving criminal conviction or caution
  • Lying
  • Not engaging with teaching
  • Not treating patients and teachers with respect
17
Q

Summarise good medical practice?

A
  • Contribute to and comply with systems to protect patients
  • Respond to risks to safety
  • Be aware of risks posed by your health
  • Establish and maintain partnership with patients
  • Treat patients and colleagues fairly and without discrimination
  • Openness with legal or disciplinary proceedings
  • Honesty in financial dealings
18
Q

GMC states that doctors have a duty to act, when?

A

When they believe patients safety is at risk, or patients care or dignity are being compromised:

  • “Raising and acting on concerns about patient safety” gives guidance
19
Q

What are possible outcomes of a complaint?

A
  • Sleepless nights
  • Anxiety
  • Dissatisfied patients
  • Litigation
  • Loss of reputation
  • Discipline
  • Loss of job
  • Fitness to practice at the GMC
  • Restrictions on license
  • Erasure
20
Q

All medical professionals have a Duty of Candour, what does this mean?

A

This means must be open and honest with patients if something goes wrong:

  • If unsure of consequences seek advice from senior colleague to peer review your view and then tell patient (or patients advocate)