We’ve set out below where we can help or when we will help you get to the right place depending on whether you are a patient, family member, someone that works in the NHS or any organisation relevant to our role.
We also explain how you can complain about us. If you are unclear about our role then please contact us.
Patients, carers and family members
When making a complaint, you can choose to complain to either of the following:
- The healthcare provider – the organisation where you received the NHS service, for example your hospital, GP surgery or dental surgery
- The commissioner – the organisation that pays for the service or care you received. This will vary depending on the NHS service you are complaining about.
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 clinical commissioning group (CCG) 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.
If your complaint is about patient choice we may be able to help you directly. Please contact us and we will see if we can help.
The NHS Constitution says that patients have the right to choose any NHS provider (that is clinically appropriate) for their first consultant-led outpatient appointment.
You also have the right to be offered an alternative provider if you have not received a consultant-led outpatient appointment within 18 weeks of a referral from your GP.
NHS staff or NHS foundation trust governors
NHS staff concerns (whistleblowing)
If you work in the NHS – or for any organisation relevant to our role – and have serious concerns that you can’t raise within your organisation, you can contact us as a whistleblower.
In general we cannot resolve individual cases, but we will use information from whistleblowers to consider, primarily, whether they raise wider governance concerns about how a trust is being run by its board.
Commissioners and providers of healthcare services
Procurement, patient choice and competition
Part of our role is to make sure that procurement, patient choice and competition operate in the best interests of patients and to step in if anti-competitive behaviour by NHS commissioners or providers goes against patients’ interests. Commissioners’ obligations in relation to procurement and patient choice are set out in the Procurement, Patient Choice and Competition Regulations and the Standing Rules Regulations.
We can provide advice about these obligations and investigate complaints when commissioners or providers are restricting patient choice or behaving anti-competitively.
We will acknowledge your enquiry within 2 days and contact you within 10 working days to provide advice or let you know how we intend to proceed.
Examples of advice we have given are:
- a patient contacted us because they did not feel they were being treated quickly enough; we were able to advise them of the choices available to access quicker treatment
- a commissioner contacted us to discuss their plans for a prime contractor and we advised them how the rules applied to those plans
- a provider contacted us with concerns about a commissioner’s conduct and we advised them about the rules relating to conflicts of interests
To raise a procurement or patient choice issue please contact us at: email@example.com.
Find more information and guidance about procurement, patient choice and competition.
How we will use information you provide us
We may use the information you provide us when you contact us in other ways. If we are going to use this information for other work that we do we will let you know how we plan to do so within 10 working days.
There are 3 key areas where we can use the information you share with us:
Governance of NHS trusts and foundation trusts
If you make a complaint to us about an NHS trust or foundation trust we will consider whether it could signal underlying problems with how the trust is run. If so, we will consider what further work we need to do to verify whether underlying problems exist and how we can support the trust to fix them.
Integrated care in the NHS
Providers of NHS care have an obligation to to not stand in the way of care being delivered in an integrated way. If you think a healthcare provider may have breached these obligations we will use the information you provide to decide whether or not to look at the more general behaviour of the provider. For more detailed information about integrated care see our guidance.
Procurement, patient choice and competition
Commissioners and providers of NHS healthcare have legal obligations to ensure that patient choice and competition operate in the best interest of patients. If you think a healthcare commissioner or provider may have breached these obligations we will use the information you provide to decide whether or not to look in more detail at the behaviour of the commissioner or provider. For more detailed information about procurement, patient choice and competition see our guidance.
Complain about us
If you’re not satisfied with any aspect of our service, let us know so we can resolve the matter as quickly as possible. You can complain if you feel we have:
- treated you unfairly
- provided poor service
- acted incorrectly
- taken too long to take action
- failed to take action
- not provided information
What happens next
After receiving a complaint, we will:
- acknowledge receipt within 3 working days
- telephone you where possible to confirm our understanding of your complaint and explain what will happen next
- investigate your complaint, which may include gathering documents and interviewing staff
- write to you with a provisional decision or further response within 20 working days of receipt
- If you’re not satisfied with our response to your complaint, contact your MP to refer the complaint to the Parliamentary and Health Service Ombudsman
Our complaints procedure
- How to complain about NHS Improvement – Guidance on how to make a complaint.
Speak to us
- 020 3747 0900
Write to us
Enquiries, complaints and whistleblowing team
133-155 Waterloo Road