Policy

Complaints Handling Policy

A framework for the open, fair and timely management of complaints, concerns and feedback in private healthcare

For Private Healthcare ClinicRef BS-PH-POL-003See a sample (PDF) →
£54.99
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  • Instant download after checkout
  • Editable Microsoft Word (.docx)
  • Mapped to the CQC standards
  • Optional 3-monthly updates

What's inside

This policy is fully drafted and structured, ready to brand and complete for your service. It covers:

  • 1. Purpose
  • 2. Scope
  • 3. Policy statement
  • 4. Definitions
  • 5. The complaints procedure
  • 6. Duty of candour and serious incidents
  • 7. Vulnerable patients, accessibility and support
  • 8. Confidentiality and data protection
  • 9. Roles and responsibilities
  • 10. Training
  • 11. Records, monitoring and audit
  • 12. Related documents
  • 13. Version control and review
  • Appendix A - Complaint Logging Form
  • Appendix B - Complaint Response Quality Checklist
  • 14. Disclaimer

Legislation & standards it maps to

  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - Regulation 16 (Receiving and acting on complaints)
  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - Regulation 12 (Safe care and treatment), Regulation 13 (Safeguarding service users from abuse and improper treatment) and Regulation 20 (Duty of candour)
  • Care Quality Commission (Registration) Regulations 2009 - Regulation 18 (Notification of other incidents)
  • Local Authority Social Services and National Health Service Complaints (England) Regulations 2009
  • Data Protection Act 2018 and the UK General Data Protection Regulation (UK GDPR)
  • Equality Act 2010
  • Health and Care Act 2022 and the Patient Safety Incident Response Framework (PSIRF)
  • Independent Sector Complaints Adjudication Service (ISCAS) Code of Practice (Fourth Edition)

Who it applies to

All employees, directors, registered managers, registered clinicians, bank and agency staff, contractors, volunteers and any person acting on behalf of [Organisation Name]

Glossary

Plain-English explanations of the technical terms and legislation used in this document.

Accessible Information Standard
A standard requiring health and care providers to give people information in formats they can read or understand and to meet their communication needs.
Advocate
An independent person who helps someone express their views and stand up for their rights, for example when making a complaint.
Best interests
A decision made for someone who cannot decide for themselves, choosing the option that is best for them.
Care Quality Commission (CQC)
The independent regulator of health and social care services in England.
Clinical governance
The system through which an organisation monitors and improves the quality and safety of the clinical care it provides.
Complainant
The person making a complaint, who may be the patient or a relative, carer, representative or advocate acting on the patient's behalf.
Data Protection Act 2018
The UK law that governs how organisations collect, store and use people's personal information.
Duty of candour
The legal duty to be open and honest with a person and their family when something goes wrong with their care.
Equality Act 2010
The law protecting people from discrimination based on characteristics such as age, disability, sex or race.
Health and Care Act 2022
A UK law that reformed how health and care services are organised, funded and held to account in England.
Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
The regulations setting out the fundamental standards of safety and quality that registered care providers must meet.
Independent Mental Capacity Advocate
An advocate appointed to support and represent a person who lacks the capacity to make a particular decision and has no one else to speak for them.
Independent Sector Complaints Adjudication Service (ISCAS)
An independent body that provides external, final-stage review of complaints for the private healthcare providers that subscribe to it.
Local Authority Social Services and National Health Service Complaints (England) Regulations 2009
The law setting out how complaints about publicly funded health and adult social care services must be handled.
Mental capacity
Whether a person can understand and make a particular decision for themselves at the time it needs to be made.
Nominated Individual
The senior person responsible to the regulator for supervising how a service is provided.
Notifiable safety incident
An unexpected or unintended incident during care that results in, or could result in, significant harm and that triggers the duty of candour.
Parliamentary and Health Service Ombudsman (PHSO)
The independent body that makes final decisions on unresolved complaints about publicly funded health services and government departments in England.
Patient Safety Incident Response Framework (PSIRF)
An approach to responding to patient safety incidents that focuses on learning and improvement rather than blame.
Person-centred care
Care that is planned around the individual's needs, preferences and wishes, with them involved in decisions.
Records Management Code of Practice
National guidance setting out how long health and care records should be kept and how they should be managed and disposed of.
Registered activity (regulated activity)
A type of care or treatment the law requires a provider to register with the regulator to deliver.
Registered Manager
The person registered with the regulator as responsible for the day-to-day running of a service.
Root cause analysis
A structured method of investigating an incident to find the underlying reasons it happened, so they can be put right.
Safeguarding
Protecting people's health, wellbeing and rights and keeping them safe from abuse, harm or neglect.
Single assessment framework
The structure the regulator uses to judge a service, built around quality statements and five key questions (safe, effective, caring, responsive, well-led).
Statutory
Required or set out by law.
Subject access request
A person's legal right to ask for a copy of the personal information an organisation holds about them.
Triage
Quickly assessing a complaint to decide how serious or urgent it is and how it should be handled.
UK General Data Protection Regulation (UK GDPR)
The UK's main data-protection law governing how personal information is collected and used.
Whistleblowing (raising concerns at work)
Raising a concern about wrongdoing, risk or malpractice at work, protected by law.

How it works

  1. Buy securely with Stripe - instant, no VAT, no account needed.
  2. Download your editable Word file from the link we email you straight away.
  3. Complete the placeholders for your service, then have it approved before use.
  4. Add the optional updates subscription and we keep it current as guidance changes.

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