R33 Response Accepted

Nursing complaint investigation

Recommendation

Health Boards should ensure that where a complaint is made about nursing practice on a ward this complaint is investigated by an independent senior member of Nursing Management.

Published Evidence Summary
The following publicly available evidence relates to this recommendation:
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing an Implementation Group chaired by the Chief Nursing Officer (Scottish Government Response, June 2015).
- The Scottish Government's response acknowledged the report's finding of 'poor complaint management by nursing teams' and the need for independent investigation of complaints about nursing practice.
- The Patient Rights (Scotland) Act 2011 established a complaints process for NHS Scotland, with the Scottish Public Services Ombudsman (SPSO) as the final stage of the complaints process. The NHS Scotland model complaints handling procedure sets out standards for complaint investigation.
- However, the specific recommendation that complaints about nursing practice on a ward should be investigated by an independent senior member of Nursing Management is a matter of local implementation within each NHS board. While the framework supports independent investigation, the consistency of implementation across all wards and boards is difficult to verify from published sources.
- Healthcare Improvement Scotland's inspection programme includes assessment of complaints handling, providing some external assurance.
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)
This recommendation applies across many organisations. The evidence above reflects central policy activity; adoption in individual organisations may vary.
Jurisdiction
Scotland
Response
Accepted
Accepted Scottish Government
18 Jun 2015

Section 4.1 of the Scottish Government's response acknowledges the report's finding of 'poor complaint management by nursing teams,' which forms the substance of recommendation 33. While the response generally accepts recommendations relating to nursing care, it does not explicitly detail a specific policy or mechanism for complaints about nursing practice on a ward to be investigated by an independent senior member of Nursing Management. However, Section 2.1 and 4.2 refer to the Patient Rights (Scotland) Act 2011, which details patients' rights to make complaints, and the Patient Advice and Support Service (PASS) as an independent body providing information for patients dealing with NHSScotland.

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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
18 Jun 2015
Scottish Government Other

Scottish Government response addressed complaint investigation requirements. NHS Scotland Complaints Handling Procedure was revised and standardised across all health boards.

View detailed findings

Complaints handling procedures reformed but specific requirement for independent senior nursing investigation of nursing complaints was addressed through general complaints reform rather than specific mechanism.

Scottish Government Response to Vale of Leven Inq… View Source
Source
Report The Vale of Leven Hospital Inquiry Report 24 Nov 2014
Responsible Bodies
NHS Health Boards (Scotland) Primary
Recommendation age 11.5 yrs
Last formal update 4000 days ago