Compliments & Complaints

You have the right to make a complaint about any aspect of NHS care, treatment or service, and this is firmly written into the NHS Constitution.

The information on this page will guide you through the NHS complaints arrangements, as well as the core requirements for NHS complaints handling laid out in legislation.

The NHS encourages feedback because it’s used to improve services. If you wish to share your views and experiences, positive or negative, simply speak to a member of staff. If you’re unhappy with an NHS service, it’s often worthwhile discussing your concerns early on with the provider of the service, as they may be able to sort the issue out quickly.

Most problems can be dealt with at this stage, but in some cases you may feel more comfortable speaking to someone not directly involved in your care.

Considering making a complaint but need help?

Many issues can be resolved quickly by speaking directly to the staff at the place where you received care or accessed a service. Some people find it helpful to talk to someone who understands the complaints process first and get some guidance and support. You’ll find a Patient Advice and Liaison Service (PALS)in most hospitals. If your complaint is relating to secondary care (a specialist or hospital), please contact the PALS Department directly for that service.  

You can speak with a PALS member, who’ll try to help you resolve issues informally with the hospital before you need to make a complaint. PALS can be particularly helpful if your issue is urgent and you need action immediately, such as a problem with the treatment or care you receive while in hospital. If you’re making, or thinking about making, a complaint, someone from the independent NHS Complaints Advocacy Service can help you. An advocate will also be able to attend meetings with you and review any information you’re given during the complaints process. You can seek advice from an NHS complaints advocate at any stage of the process. If you decide you need some support, it’s never too late to ask for help. Your local council will be able to tell you who the advocacy provider is in your area.

Who do I make my complaint to?

Knowing who to complain to can seem confusing, especially if more than one organisation is involved. If you need help, you could get information from your local Healthwatch or from an NHS complaints advocate.

How do I find the commissioner?

Contact NHS England for complaints about primary care services (GPs, dentists, opticians or pharmacists). NHS England also commissions military health services and some other specialised services.

Find out more on the NHS England website

Contact your local Integrated Care Board (ICB) for complaints about secondary care, such as hospital care, mental health services, out-of-hours services, NHS 111 and community services like district nursing, for example.

Every ICB will have its own complaints procedure, which is often displayed on its website.

Find contact details for ICB’s

Contact your local authority if your complaint is about public health organisations, which provide services that prevent disease, promote health and prolong life.

Complaining about adult social care services

If you’re unhappy with a social care service, care home or home care and you’re paying for your own care, you may want to speak to the service provider first. But if you want to make a complaint, the organisations that provide these services will have their own complaints arrangements. If your care is funded or arranged by your local authority, you may wish to raise the issues with the care provider in the first instance. If you’d prefer not to do that, you can raise your concerns directly with the local authority.

Find out more about social care

Making a complaint

Complaints should normally be made within 12 months of an incident or of the matter coming to your attention. This time limit can be extended provided you have good reasons for not making the complaint sooner and it’s possible to complete a fair investigation. This will be a decision taken by the complaints manager in discussion with you. You can make a complaint verbally, in writing or by email. If you make your complaint verbally, a record of your complaint will be made and you’ll be provided with a written copy.

If you’re complaining on behalf of someone else, include their written consent with your letter (if you’re making your complaint in writing) as this will speed up the process. But consent is not required if you’re making a complaint in the name of:

• a deceased person
• someone who lacks the capacity to make their own decisions
• a non-Gillick competent child

If you’d like support, you can always contact your local NHS Complaints Advocacy service.

What to expect

You should expect an acknowledgement and the offer of a discussion about the handling of your complaint within 3 working days of receiving your complaint. If you accept, the discussion will cover the period within which a response to your complaint is likely to be sent. There’s no set timeframe, and this will depend on the nature of your complaint. If, in the end, the response is delayed for any reason, you should be kept informed. If you made a complaint but do not receive a response or decision for more than 6 months, you should be told the reason for the delay.

Once your complaint has been investigated, you’ll receive a written response. The response should set out the findings and, where appropriate, provide apologies and information about what’s being done as a result of your complaint. It should also include information about how the complaint has been handled and details of your right to take your complaint to the relevant ombudsman.

Not happy with the outcome?

If your problem persists or you’re not happy with the way your complaint has been dealt with locally, you can complain to your local health services commissioning group, Hertfordshire & Essex Integrated Care Board

You may also wish to complain to the relevant ombudsman. The Parliamentary and Health Service Ombudsman makes final decisions on unresolved complaints about the NHS in England. This organisation is independent of the NHS. For more information, call 0345 015 4033 or visit the Parliamentary and Health Service Ombudsman website.

Social care

You have the right to take your complaint to the Local Government Ombudsman (LGO), which is independent of local authorities and care providers. For more information, call 0300 061 0614 or visit the Local Government and Social Care Ombudsman website.

Other ways to give feedback

Sometimes the NHS will ask for your feedback. The Friends and Family Test (FFT) is available for several NHS services, including hospitals, GP practices and mental health services. The FFT is an anonymous and quick way for you to provide feedback about the service provided to you.

There are other, more in-depth national survey programmes you might be invited to take part in to find out about your experience of the NHS. The Patient Reported Outcome Measures (PROMs) questionnaire is just one example. PROMs invites patients who have recently had a hip or knee replacement, varicose vein surgery or groin hernia surgery to give feedback on the care they received.

There are many websites that invite you to comment, give feedback, or even rate NHS services or facilities. You can comment on health and social care services in England on the NHS website. Simply use the services near you tool and select a service.

You can either leave an overall star rating or post a review for other patients to see.