22 Response Accepted in Part

Update healthcare complaints handling guidance

Recommendation

The Home Office must review and update Detention Services Order 03/2015: Handling of Complaints to ensure that appropriate guidance is given to healthcare providers on the investigation and handling of complaints specific to the provision of healthcare in an immigration detention setting. The Home Office must ensure that training about the updated guidance takes place on a regular (at least annual) basis for staff dealing with healthcare complaints, as well as those responsible for managing them. The training must be subject to an assessment. Healthcare providers in immigration removal centres must ensure that all healthcare complaints are robustly investigated in accordance with the updated guidance. The methodology and outcomes must be clearly communicated, including to the detained person. They must also ensure that appropriate, regular (at least annual) training and guidance is provided to those holding responsibility for the investigation of healthcare complaints.

Published Evidence Summary
The following publicly available evidence relates to this recommendation:
- In March 2024, the Home Office stated that a comprehensive review of complaints processes, including medical complaints, was underway in consultation with residents, IMBs, and the Prisons and Probation Ombudsman (Government Response to the Brook House Inquiry, Home Office, March 2024).
- In February 2025, DSO 03/2015 (Handling Complaints in IRCs) was updated to include healthcare complaint escalation pathways, translation request forms, and quarterly healthcare reporting to the Home Office (Detention Services Order 03/2015, Home Office, February 2025).
- No independent assessment of whether the updated complaints process has improved healthcare complaint outcomes in practice has been identified to March 2026.
How was this evidence gathered?
Evidence searched by Claude (Anthropic) on 10 Apr 2026
Checked data held on this site (government responses, progress updates, independent evidence)
Jurisdiction
England
Response
Accepted in Part
Accepted in Part Home Office
19 Mar 2024

A comprehensive review of complaints processes, including medical complaints, is underway. Detention Services Orders are to be updated on completion.

Read Full Response
Progress Timeline
Parliamentary Answer
14 Jan 2025

Angela Eagle, Written PQ 23170 (15 January 2025): 'Completed and closed as of October 2024.'

Published Evidence

Published assessments of progress from inspectorates, select committees, official progress reports, and other sources. Source type badge indicates whether each assessment is independent or government self-reported.

Reasonable Progress
03 Sep 2025
HM Inspectorate of Prisons Inspection Report

Active Home Office team increased contact and communication with detainees. Oversight mechanisms functioning but more work needed.

View detailed findings

Based on Independent Review of Progress visit in August 2025, following up 13 concerns from August 2024 inspection. Brook House run by Serco held 192 detainees at time of visit.

Report on an independent review of progress at Br… View Source
Insufficient Progress
19 Sep 2024
Brook House Inquiry Chair Other

Inquiry Chair Kate Eves described government response as "inadequate" and called for a "reset" with the new government. Warned abuse "becomes a question of when, not if" it happens again.

View detailed findings

In September 2024, Kate Eves told Channel 4 News she was "disappointed with what I see as an inadequate response by the former government to an important report." She noted the inquiry cost about £20 million over four years. Home Office lawyers had argued her "recommendations are not binding."

Channel 4 News interview, September 2024
Source
Report The Brook House Inquiry Report 19 Sep 2023
Responsible Bodies
Home Office Primary
Recommendation age 2.7 yrs
Last formal update 502 days ago