New research for CQC shows people regret not ra... - Thyroid UK

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New research for CQC shows people regret not raising concerns about their care – but those who do raise concerns see improvements

holyshedballs profile image
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From the Care Quality Commision 19th February 2019 cqc.org.uk/news/releases/ne...

The Care Quality Commission (CQC) is calling for people to speak up about their experiences of care, as new research* shows that almost 7 million people in England who have accessed health or social care services, in the last five years have had concerns about their care, but never raised them**. Of these, over half (58%) expressed regret about not doing so.

The most common reasons for not raising a concern were not knowing how (20%) or who (33%) to raise it with, not wanting to be seen as a ‘troublemaker’ (33%) and worries about not being taken seriously (28%). Over a third of people (37%) felt that nothing would change as a result.

However, when people did raise a concern or complaint, the majority (66%) found their issue was resolved quickly, it helped the service to improve and they were happy with the outcome.

The research is being published today by CQC to mark the launch of their ‘Declare Your Care’ campaign. The campaign is encouraging people to share their experiences of care with CQC to support its work to improve standards of care in England.

The majority of people who did raise a concern or complaint were motivated by a desire to make sure that care improved for others. This included wanting to improve the care they, or a loved one, had received (61%) and improve care for everyone using the service (55%) with a smaller number also hoping for an apology or explanation (26%).

The main reasons given for raising, or wanting to raise a concern, were delays to a service or appointment, lack of information and poor patient care. Additionally, over a fifth indicated that they have raised or wanted to raise concerns about the lack of communication between health and care services.

Ian Trenholm, Chief Executive at the Care Quality Commission (CQC) said;

“Our annual State of Care report shows that most people are getting good care, a real testament to the hard work of the many people working across Health and Social Care in this country.

“We know that when people raise a concern they have a genuine desire to improve the service for themselves and others. We also know that the majority of services really appreciate this feedback and make positive changes, as this new research shows.

“Hearing from people about their experiences of care is an important part of our inspection work and contributes to driving improvements in standards of care. Everyone can play a part in improving care by directly giving feedback to services, or by sharing information and experiences with us so that we can take action when we find poor care. Sharing your experience also enables us to highlight the many great examples of care we see.”

Minister of State for Care, Caroline Dinenage said;

“We want the NHS and social care system to provide the safest, most compassionate care in the world. This means encouraging patients to speak up with concerns, ensuring we act on them and learning from what happened so we can do better in future.

“That’s why I encourage anyone who has concerns over their care, or the care of loved ones, to share their experiences with the Care Quality Commission - so they can continue their vital work of protecting patients and improving the excellent care we see across the health service.”

You can share your experience of care, on behalf of yourself or a family member, at cqc.org.uk/sye

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holyshedballs
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3 Replies
helvella profile image
helvellaAdministratorThyroid UK

Thanks - I suspect many fear the opposite outcomes. Worse outcomes and regret they had put in a complaint.

holyshedballs profile image
holyshedballs in reply to helvella

I think you are right about many patients fear complaining. The research shows that 66% of patients who complained were glad they did but that also leaves 33% unsatisfied. I look at my experience of dealing with complaints about my service area and i find that the complainant is unsatisfied with the outcome about 90% of the time. This is because the complainants are unrealistic in their desired outcome and feel frustrated when i tell them so. A few have gone on to the Ombudsman who has broadly supported my and my colleagues conclusions. Occasionally the Ombudsman identifies areas where we could have done more. When she does, we accept that and make changes to our procedures.

One of the reasons I post on the forum is that the evidence overwhelmingly supports the outcome that the charity(s) and forum contributors desire. I also think that the behaviour of some GPs and Endos is appalling and needs to be addressed. It is common knowledge in health circles that some, not all, doctors lack knowledge and have very poor interpersonal skills. This is behaviour I do not accept in my own team and I don't think that doctors should be so arrogant and dismissive without any comeback. They rely on their "position" and the fear of complaining in patients to protect themselves.

The NHS, the GMC and now the CQC and the Minister want patients to complain. They want positive feedback too. This forum exists because some GPs and Endos do not do what they are supposed to do i.e. treat patients properly and with respect. It is my view that doctors won't change unless patients give feedback to the relevant bodies without fear of recrimination by the medical profession. Sometimes it means going to court as Ms Montgomery did. That resulted in the scathing comments about medical paternalism from the Supreme Court. One of the outcomes of Ms Montgomery's complaint and subsequent court case is that the GMC is rewriting is Code of Practice on Consent. The GMC Codes of Practice are not just for doctors, they are for patients as well.

The point of complaining/giving feedback is to effect change. It is my view that the poor doctors wont change without being complained about. if patients complain, the need to know how to complain. I look at the complaints I deal with and can see that most are doomed to failure. I want to take that experience and help patients complain effectively

Patients need to know who to complain to. there are several bodies who want feedback some look at certain things and others look at other things. We need to know who is best to complain to.

We also need to give patients the confidence to complain and overcome the fear of complaining. For example, try to bust the myth that patients will be delisted for complaining.

I'm sure that with the tools to give feedback, the knowledge of how to use them and the confidence to use them patients can give positive or negative feedback that will effect change.

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SlowDragonAdministrator

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