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Concerns and Listening to People

We aim to provide the very best care and treatment possible however at times, your experience of our service might not be as good as expected.

If you are unhappy with the care you have been provided, we would encourage you to raise your concern as soon as possible, preferably with the senior staff on duty at the time the incident or issue took place. This will allow us to talk to you about your concerns and attempt to resolve them as soon as possible.

We recognise that raising concerns can take courage especially if this is after an upsetting or traumatic experience. Because of this, we aim to respond in ways that are:

  • Compassionate
  • Respectful
  • Sensitive to what you’ve been through, and
  • Supportive of you and those close to you

Who can raise a complaint or concern?

You can tell us yourself or ask a representative to act on your behalf for example, a relative, a carer, Llais Representative or Member of Senedd.  However, staff will only discuss your concerns with a representative if they have your signed consent. Please see the section below.

Concerns can be made by anyone who has used NHS services or facilities; or has the patient's consent.  Your concern will be managed sensitively and effectively. 

For further information about the NHS Wales Listening to People Complaints and Concerns you can visit the Welsh Government website: Listening to People: NHS Wales complaints, incidents and redress process | GOV.WALES

In Person: 

Often, worries and problems can be resolved there and then by speaking directly to a staff member or their Manager on the ward or department.  If you don’t feel comfortable talking to them directly, or if you feel the matter has not been resolved you can contact the Concerns and Patient Experience Team.

Online You can raise a complaint or concern online here.

By Email:

Concerns.qualityandsafety.POW@wales.nhs.uk

In Writing:

You can write a letter or use the PTHB Raising a Concern or Complaint Form and send to:

PTHB Concerns/Patient Experience Team
Quality & Safety Department
Commissioning Rooms
Bronllys Hospital
Bronllys, Brecon
Powys
LD3 0LS

You can write directly to the Chief Executive Officer:

Powys Teaching Health Board
Glasbury House

Bronllys, Brecon
Powys
LD3 0LU

By Telephone

01874 712582

If we are unable to take your call, please leave a brief overview of your concern, with your name and contact telephone number on the voice messaging service. We aim to respond to voicemails within 2 working days.

 

Important Information to Provide us with

It helps us to investigate matters quickly if you provide the following information when you contact us:

  • Patient's name, date of birth and address
  • NHS Number, if available
  • Date, time & location of the event / issues
  • Names of staff involved (if known)
  • Details of your concern / complaint
  • If you are not the patient please provide your full name, address and relationship to the patient 

Listening to People is the national framework for handling NHS complaints, incidents, and redress in Wales. Replacing the older Putting Things Right system, it guarantees you the right to an in-person or virtual listening discussion, faster early resolutions, clear plain-language updates, and increased financial redress without court involvement.

Under the Listening to People Regulations a concern should be notified no later than 12 months from:

  • The date on which the concern occurred, or
  • from the date the person realised they had a concern.

A concern cannot be looked into if 3 years or more have passed from the date the person became aware of the matter.  Sometimes there are exceptions to the rule and if you are in any doubt, please contact the People's Experience team to discuss.

Listening Discussion

On receipt of a concern, we will offer the person who has raised the concern the opportunity for an In-Person ‘Listening discussion’. This is your opportunity to explain what happened and what matters most to you. We understand that retelling experiences can be distressing. You only need to share what you feel able to. Staff should work sensitively with you to avoid unnecessary repetition.

You may:

  • bring a friend, family member or advocate
  • ask for reasonable adjustments or language support
  • take breaks or pause the discussion if needed

Stage 1 - Early Resolution

Early resolution must always be considered and offered, where appropriate before moving to the second stage (which is an investigation stage).

You will be asked during the listening discussion as to whether you consent to early resolution being attempted. You are able to accept or decline the offer. Early resolution is often a much swifter process and enables staff to act on the issues raised in the listening discussion and resolve them in a timely manner.

Early resolution consists of fact and records checking, to understand what has happened or what the causes may be in relation to the concern raised. We will focus on taking the actions needed to address the issues you raised and achieve the outcome discussed during the listening meeting. This will include a sincere apology for any distress or harm caused.

Stage 2 - Formal concern/complaint

Stage 2 or the investigation stage is usually reached when stage 1 or early resolution has been explored and has been unsuccessful or if you preferred not to use early resolution. Sometimes we may also decide from the start that early resolution isn’t the best option for your concern. At this stage, we take a closer, more detailed look to understand what happened and how we can help resolve your concern.

You should be given an estimated length of time for the initial investigation to be concluded and when you can expect the initial response summarising the findings, actions to be taken and next steps.

Further information can be found on the Listening to People – People's Guidance here: Listening to People - The NHS Wales Complaints, Incidents and Redress Process: People’s Guidance

Within Powys, a lot of the healthcare you receive will be delivered externally from Powys Teaching Health Board services, for example cross-border into England or with another health board in Wales.

Concerns and feedback relating to care within these areas will be investigated by the responsible health board or NHS trust however as commissioners of these services, we want to hear about the issues you’re facing too.

We are happy to act on your behalf to liaise directly with the relevant health board to ensure you receive a timely response to your concerns.

If you have a concern or complaint about services that you have received from your General Practitioner (GP), Dentist, Pharmacist or Optician we recommend you speak directly with that practice in the first instance to allow them to investigate your concerns for you. This will allow the provider to have the opportunity to respond to your concerns directly.

If you prefer, the People's Experience Team can assist you in raising your concerns to the GP or other service provider.  

If you have already raised your concerns directly with the GP/other service provider and have received a response, Powys Teaching Health Board is unable to re-investigate those concerns.

From April 2023, the duty of candour became a legal requirement for all NHS organisations in Wales.

Openness and honesty should be at the heart of every relationship between those providing treatment and care and those experiencing it.

In the NHS, we strive to provide high quality, safe and compassionate care to all of our service users. However, even when we do our best, people may sometimes experience harm. That’s why we have the Duty of Candour.

Our goal is to create a culture of trust and openness, so that you can feel confident in the care you receive from us.

The Duty of Candour is a legal requirement for NHS Organisations in Wales to be open and honest with service users receiving care and treatment. This is outlined in the Health and Social Care (Quality and Engagement) (Wales) Act 2020.

The Duty of Candour applies if the care we provide has or may have contributed to unexpected or unintended moderate or severe harm, or death.

This duty builds on our Putting Things Right process (see "Concerns and Putting Things Right" above) for raising concerns or complaints.

You do not need to contact us about the Duty of Candour. We will contact you if the Duty of Candour applies to your care and treatment. You should continue to use our Putting Things Right process for raising concerns or complaints.

Find out more about the Duty of Candour in our leaflet: Duty of Candour Leaflet

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