Communicate & challenge
Complaint planner & response checker.
A complaint should make it easier to investigate the problem, not harder. Define the issues, evidence, questions and outcome — then check whether the response actually answered them.
1. Before complaining
2. Build an issue schedule
One row per issue. This gives the investigator something concrete to answer.
| # | What happened? | What should have happened? | Evidence | Question requiring an answer |
|---|---|---|---|---|
| 1 | ||||
| 2 | ||||
| 3 | ||||
| 4 | ||||
| 5 | ||||
| 6 | ||||
| 7 |
3. What outcome are you asking for?
Possible practical remedies
- A decision reviewed by the correct person.
- A clear explanation of the evidence and policy used.
- An inaccurate record corrected or properly qualified.
- A delayed action completed.
- An apology or acknowledgement.
- A policy/process improvement or staff learning.
Keep it realistic
A complaint handler may not have power to award the exact service, placement, diagnosis or clinical outcome you want. Separate the complaint remedy from any substantive decision that belongs to another route.
The outcome I am asking this organisation for
4. Simple complaint structure
Purpose
Say that this is a complaint and identify the decision/service.
Issues
Number the individual complaint points.
Evidence
Reference the documents that matter rather than attaching everything.
Questions
Ask what you need the investigation to determine or explain.
Outcome
State the remedy or action you are seeking.
5. Did they actually answer you?
PHSO's NHS Complaint Standards expect a final response to set out the issues, explain how they were investigated, present the evidence considered, explain whether something went wrong and what happens next.
| Your issue / question | Where answered? | Evidence considered? | Finding / reason? | Remedy / learning? | Still unanswered? |
|---|---|---|---|---|---|
6. Decide the next step
What has now been resolved?
What remains unanswered, and is it material?
What route is actually available next?
Check the organisation's final response and the relevant rules. Do not assume every disagreement has another appeal stage.
Sources & review
Last reviewed: 16 August 2026. This resource is practical information for England, not legal or clinical advice. Check the linked source if your situation turns on a deadline, appeal right or legal interpretation.
PHSO — writing a final response letterPHSO — writing and communicating the final responseNHS England — feedback and complaints about NHS servicesUse this with