Seventh report - Parliamentary and Health Service Ombudsman Scrutiny 2019–20

Select Committee
Public Administration and Constitutional Affairs Committee HC 843 25 January 2021
Report Status Government responded
Conclusions & Recommendations 14 items (14 recs)
Government Response (AI assessment · 14 of 14 classified)
Government response
Seventh Special Report- Parliamentary and Health Service Ombudsman Scrutiny 2019–20: Government’s and PHSO response to the Committee’s Seventh Report of Session 2019–21 · published 20 Apr 2021

Recommendations & Conclusions

14 results
1 Recommendation Accepted
Para 12
The information provided in the PHSO’s annual report on the outcome of enquiries and complaints...
Recommendation
The information provided in the PHSO’s annual report on the outcome of enquiries and complaints should be made more transparent. The grouping of cases that “are not ready to be taken forward” and “should not be taken forward” should be … Read more
Government Response Summary
The government commits to simplifying and streamlining the PHSO’s Annual Report to make performance data more transparent and easier to understand, stating that changes in this direction had already begun.
2 Recommendation Rejected
Para 14
In May 2020, the PHSO reported to the Committee that it had experienced an increase...
Recommendation
In May 2020, the PHSO reported to the Committee that it had experienced an increase of 13 per cent in demand compared to the previous financial year. Due to the introduction of a new digital casework management system, comparisons between … Read more
Government Response Summary
The government rejected the recommendation, stating the information provided was correct, accurate, and already clarified to the committee, therefore no correction was needed.
3 Recommendation Accepted
Para 17
The Committee welcomes the PHSO’s efforts to set stretching target section scores for its Service...
Recommendation
The Committee welcomes the PHSO’s efforts to set stretching target section scores for its Service Charter commitments, but continues to regard the relatively low scores against commitments 8, 11 and 13 as continuing priority areas for improvement and requests an … Read more
Government Response Summary
The government commits to continuously improving the quality of PHSO's casework in the identified Service Charter areas and will provide an update to the Committee at the next scrutiny inquiry on how these improvements are progressing.
4 Recommendation Accepted in Part
Para 20
The Committee appreciates that there is a risk that complainants could be overwhelmed with information...
Recommendation
The Committee appreciates that there is a risk that complainants could be overwhelmed with information if all the evidence the PHSO has collected is shared with them, but it remains the case that complainants need to be assured that all … Read more
Government Response Summary
The government acknowledges the value of sharing evidence schedules and already produces a full schedule of *material* evidence upon request. However, it deems scheduling *non-material* evidence disproportionate and does not commit to proactively sharing the schedule without a request.
5 Recommendation Acknowledged
Para 22
The PHSO should report in its annual report and accounts the number of new enquiries...
Recommendation
The PHSO should report in its annual report and accounts the number of new enquiries and complaints that have been received in that financial year. This number is separate from the number of enquiries and complaints that the PHSO has … Read more
Government Response Summary
The government acknowledges the committee's detailed recommendations for performance data in the Annual Report, committing to simplify and streamline it for greater transparency, but does not explicitly state it will report the number of new enquiries separately from handled complaints.
6 Recommendation Acknowledged
The PHSO should provide a breakdown of how long health cases that are over one...
Recommendation
The PHSO should provide a breakdown of how long health cases that are over one year old have been open for. This information should also be produced next to the general information the PHSO provides on the amount of time … Read more
Government Response Summary
The government acknowledges the committee's detailed recommendations for performance data in the Annual Report, committing to simplify and streamline it for greater transparency, but does not explicitly state it will provide the specific breakdown of health cases requested.
7 Recommendation Acknowledged
Para 26
The PHSO should report regularly in its annual report the number of cases in the...
Recommendation
The PHSO should report regularly in its annual report the number of cases in the queue for allocation to a caseworker and the average amount of time it took for cases to be allocated to a caseworker. This will be … Read more
Government Response Summary
The government acknowledges the committee's detailed recommendations on performance data in the Annual Report, committing to simplify and streamline it for greater transparency, but does not explicitly state it will report the specific metrics requested.
8 Recommendation Accepted in Part
Para 29
It is necessary for complaints to the PHSO to be time-limited, as there needs to...
Recommendation
It is necessary for complaints to the PHSO to be time-limited, as there needs to be some level of certainty about when matters that could potentially be complained about can no longer be taken forward. However, the Committee’s view is … Read more
Government Response Summary
The government states it collects and provides data on cases not taken forward due to time limits, noting 969 such cases in 2019-20. However, it confirms it does not collect specific data on how often or why the Ombudsman’s discretion is used, but will publish updated information on handling out-of-time cases in a new service model policy.
9 Recommendation Acknowledged
The Committee recommends that the PHSO should publish a target for responding to correspondence, and...
Recommendation
The Committee recommends that the PHSO should publish a target for responding to correspondence, and should track its performance against that standard and report to the Committee each year. (Paragraph 31) Value for Money
Government Response Summary
The government acknowledges the committee's detailed recommendations for performance data in the Annual Report, committing to simplify and streamline it for greater transparency, but does not explicitly state it will publish a target for correspondence response or track performance against such a standard.
10 Recommendation Acknowledged
Para 35
The Committee believes that regular peer review studies will be an important source of assurance...
Recommendation
The Committee believes that regular peer review studies will be an important source of assurance of the effectiveness of the PHSO’s processes and in turn, its value for money. The Committee recommends that peer review should include specific assurance on … Read more
Government Response Summary
The government welcomes the idea of peer review and will inform the appointed peer review chair of the committee's recommendations regarding the review's scope, including casework quality. However, they emphasize the need for flexibility and the independent chair's ultimate decision-making power on the report's structure.
11 Recommendation Accepted in Part
Para 36
While peer review does require some degree of understanding of ombudsman services, fresh independent perspectives...
Recommendation
While peer review does require some degree of understanding of ombudsman services, fresh independent perspectives are valuable to avoid groupthink setting in. The Committee recommends that the next peer review should include in its panel an independent member, such as … Read more
Government Response Summary
The government acknowledges the value of an independent auditor on the peer review panel and has developed a list of validated panel members including auditors. They will notify the future peer review chair of this recommendation for consideration, while maintaining that the chair will ultimately decide the panel's composition.
12 Recommendation Acknowledged
Para 37
The Committee recommends that the value for money study should adopt the following broad structure...
Recommendation
The Committee recommends that the value for money study should adopt the following broad structure in its report: For each area examined, the report should first set out what is expects to see of a modern ombudsman organisation, it should … Read more
Government Response Summary
The government acknowledges the committee's recommendation for a specific report structure for the value for money study and will inform the future peer review chair of these suggestions. However, it stresses the independent chair's ultimate authority over the report's final structure.
13 Recommendation Deferred
The Committee reiterates its conclusion that legislative reform of the PHSO is required.
Recommendation
The Committee reiterates its conclusion that legislative reform of the PHSO is required. The PHSO’s legislation is out of date compared to modern Ombudsman standards. While the Committee appreciates the pressing priorities facing the Government, including covid-19, reform of the … Read more
Government Response Summary
The government acknowledged the importance of modernising Ombudsman standards but stated there are no plans to reform the system up to and including 2023-24 due to current pressures and the parliamentary timetable, committing only to consider future opportunities.
14 Recommendation Accepted
Routinely publishing the PHSO’s casework online, including levels of compliance with the PHSO’s recommendations will...
Recommendation
Routinely publishing the PHSO’s casework online, including levels of compliance with the PHSO’s recommendations will help to demonstrate the impact of the PHSO on other organisations. For recommendations that are of a more long-term nature, such as forming and implementing … Read more
Government Response Summary
The government accepts the recommendation, committing to start publishing casework decisions online via a new digital system from April 2021, with future plans to also publish information regarding compliance with PHSO's recommendations.