1. 1 What people think about complaining Omnibus Survey Results - 11 September 2012

2. 2 wanted to complain The expectations, experience and barriers of those who wanted to complain give us an insight on the public complaint system in the UK Group 2: Those who did not need to complain Complained formally Did not complain further Compl. further 1998 participants 100% 1612 (81%) Did NOT complain formally 138 (39%) 214 (61%) 54 (25%) 153 (72%) 358 (18%) Group 1

3. 3 Customers that wanted to complain – those who did it formally and those who didnt How do expectations differ between the two groups? Are there any demographic differences between those who complained formally and those who didnt? Are formally made complaints very different from those not made formally ? 1. 2. 3.

4. 4 1. Are there any demographic differences between those who complained formally and those who didnt? Those who complain formally tend to be: –Aged above 45 –Females –White Those who did NOT complain formally tend to be: –Ages 16-24 –BME –Males –Unemployed

5. 5 2a. Examples of formally made complaints The main organisations they complained about was the local council and the NHS –Other organisations included: HMRC, Public transport, DWP/ JobCentre Plus About the treatment my father was receiving from nurses The way was left in aisle when he was an emergency case They got my marital status wrong and still haven't corrected it. My mum was assaulted by one of the staff in a care home. She's 86 years old. It wasn't dealt with properly.

6. 6 2b. Examples of complaints that were NOT made formally Lack of acknowledgement that my mother was dying Misdiagnosed a burst appendix as gastroenteritis and as a result I almost died of Peritonitis and had to have major surgery when it should have been a simple minor surgery I still suffer pain from this surgery months later Miscalculated tax credits Poor care of elderly in nursing home

7. 7 3. How do expectations differ between those who complained formally and those who didnt?

8. 8 Perceived barriers to complaining Those who didnt complain are likely to expect: –the complaint process is complicated and inefficient –it is difficult to find out to who to complain to –you would not get what you want Additional barriers to complaining: –Will not being taken seriously – the younger age group –It will be too time consuming - BME –They do not know where to complain or how to do it – disabled and unemployed

9. 9 Does the experience of those making a complaint reflect the perceived barriers of those who did not? Efficiency Communication Final outcome Empathy Attitudinal

10. 10 Finding the organisation and making a complaint: Actual experience vs general expectation Those who made a formal complaint felt generally positive about finding out how to complain, and making the complaint to the organisation (How did they found out who to complain to? –Mainly by asking the organisation - particularly those in D/E social class and BME or –searching on line - the younger group (16-24) and the A/B social class)

11. 11 What is stopping people trying to complain? Potential additional barriers… Are all organisations signposting customers on how to complain? oInitial results from the hard to reach research suggest that this is not happening consistently oOur customer satisfaction survey indicate that 45% of the enquirers that came to us said they were NOT informed about PHSO by the organisation, this is particularly true for the parliamentary organisations (56% not informed) If the organisation does not help, is the information on-line easily accessible? oSome of the most vulnerable groups are less likely to access on-line information (i.e. those with disability; D/E social group; and those in the older age group)

12. 12 Does dissatisfaction with the way the initial complaint was handled lead to taking the complaint further? Only a third of those who made a formal complaint felt satisfied –Even less amongst BME - 14% satisfied Despite the low satisfaction in the handling of their complaint, only a quarter of those who complained decided to take their complaint further, and an additional one in three would have liked to but didnt – why not?

13. 13 Those who did not take their complaint further share similar reasoning with those who did not complain in the first instance Those who did not take their complaint further were mainly concerned with: –not being taken seriously and –the complaint process being too time consuming Base: All who did not take the complaint further 153

14. 14 What does this research means in relation to our Vision, Mission and Strategy? Are wrongs righted for all, including the most vulnerable? –4 in 10 would not complain formally when unhappy about a public service –The most vulnerable and disadvantaged are less likely to make a formal complaint or to know how or where to complain Do people feel powerful enough to influence making the service better? –There is a general lack of confidence amongst consumers in complaint resolution, both in terms of not fulfilling their own individual benefit (getting what they are asking) and a wider benefit (preventing the mistake happening again) –When consumers feel that they do not have a voice and their complaint would not be taken seriously they tend not to complain

15. 15 What does this research mean in relation to our Vision, Mission and strategy paper? What the guardian of the complaint system should look like? –Information on how to complain should be ready available and easy to access: –Consumers currently mainly rely on the organisation to signpost them on how to complain, but this is not happening consistently –Alternatively, they search for information on-line but this channel is less likely to be used by the most vulnerable (those with disability; D/E and the older age groups) –Simplify the complaint process to help people to complain formally –Negative expectations and experience of the efficiency of and time involved in the complaint process, make the act of complaining not worthwhile for many Helping people to come to us when they need to –Consumers dissatisfied with the resolution of their complaint might not take their complaint further because of lack of confidence and concerns about the amount time that they need to invest –We asked those who said it was difficult to find us to take their complaint further and they said it was difficult because PHSO is poorly advertised and they did not know it existed (Customer Satisfaction Survey)

16. 16 What does this research means in relation to our Vision, Mission and strategy paper? Use lessons learned from complaints to influence service improvements –Negative expectations of the wider benefit of the complaint outcome does not encourage people to complain formally –Early findings from the hard to reach research suggest that well known public service failures (e.g. treatment of the elderly by the NHS service) not being followed by service improvements acts as a further barrier to complaining as a bad service can become a norm