PHSO

Listening and Learning:

The Ombudsman’s review of complaint handling by the NHS in England 2011-12

Wherever possible, the response to a complaint should try to  return the complainant to the position they would have been in if the events  concerned had not happened. These are important steps in rebuilding trust  between the patient and the NHS.

For an apology to be complete, it must be accompanied by an  explanation of what went wrong and how that happened. The explanation must also  address the outcomes sought by the patient, including service improvements or  compensation. Where the patient has requested financial redress, decisions not  to pay compensation should be well-reasoned and explained.

Such a remedy is not  always appropriate. However, it should be carefully considered where the  patient has suffered actual financial loss. It can also be a powerful  indication that the complaint has been taken seriously and the distress or inconvenience has been recognised.