Select Committee on Public Administration Fifth Report


1  Introduction

Background

1. This is the first of a series of Reports on our inquiry into Public Services: Putting People First, which began in autumn 2006. Our inquiry follows up the work of our predecessor Committee on Choice, Voice and Public Services.[1] We wanted to consider the development of 'voice' in the design and delivery of public services more fully, and look at whether the systems in place were effective both in engaging users and in improving services.

2. The increasing emphasis on the 'personalisation' of services has made this inquiry particularly timely. We have been able to draw on much evidence to look at the benefits and, perhaps, the pitfalls of this approach. 'Personalisation' and responsiveness to the needs of users are welcome developments, but the state is not just a service provider. It defines both entitlements and obligations. It also interacts with the users of its services in very many different ways. The relationships between a taxpayer and HM Revenue & Customs (HMRC), or between a social worker and client, are very different from one another, and each also differs from normal customer-provider relationships. The ways in which user experience is monitored and used may vary widely between services. Although providers of public services need to respond to their users' experience, at minimum to ensure that services are appropriate, they will also have to balance user responsiveness against cost and requirements for consistency and fairness.

3. At the outset of this inquiry we identified three key themes:

  • How government and the public services handle and learn from complaints;
  • How public service providers work together with service users in the design and delivery of services; and
  • How standards of service are set in order to guarantee minimum levels of service.

This Report is the first in a series of linked reports on those topics.

4. During the course of this inquiry we took evidence on complaints from the Parliamentary and Health Service Ombudsman, HMRC, the Department for Work and Pensions and the Disability and Carers Service, the National Consumer Council and Professor Patrick Dunleavy of the London School of Economics. We also questioned the then Chancellor of the Duchy of Lancaster, the Rt Hon Hilary Armstrong MP, the then Cabinet Office Minister, Pat McFadden MP, and the then Head of the Prime Minister's Delivery Unit, Ian Watmore, in the course of hearings on a range of other issues. We were able to draw on more than fifty memoranda submitted in response to our issues and questions paper as well as the National Audit Office (NAO) report Citizen redress: what citizens can do when things go wrong with public services,[2] and the annual reports of complaint handling bodies. Our individual experiences in conducting casework for our constituents and the Committee's continuing relationship with the Ombudsman have also informed this Report.

Complaints systems: theory and practice

5. Where government provides services directly or commissions them from others, this tends to be because these services are too important to rely on provision from elsewhere. Citizens, voters, and taxpayers expect services to meet certain standards, and to have an opportunity for redress when things go wrong. This can only happen if there is a responsive and effective complaints system in place. Complaints also provide an opportunity for service improvement. For example, each valid complaint about the administration of tax credits gave the state the opportunity to put things right for the individuals concerned, while the volume of similar complaints pointed towards systemic problems. Feedback from complaints is particularly valuable in areas where service users have no option of 'exit', either through choosing a different provider or by abandoning the service altogether.

6. Although there is some good practice, it seems government frequently does not respond to complaints as well as it should. The 2005 NAO report, Citizen redress, was highly critical of complaint handling mechanisms within departments.[3] Complainants often need time, persistence and stamina to pursue their complaint to a satisfactory conclusion and complaints processes can be difficult to access, understand and use. There have been calls to make information and advice about complaints systems much more readily available to citizens.

7. This is not to say the complainant is always right. Some people have unrealistic expectations of what the state can deliver. Some are unacceptably abusive, whatever the validity of their complaint. It is all too easy to understand why public servants on the receiving end of complaints can react defensively, and why passing a complainant swiftly on can seem a good idea. But most complainants are reasonable, and many complaints are well-founded. Complaints that have initially been rejected by service providers can ultimately lead to major improvements to the system, as the Ombudsman has reported, for example, about assessments of eligibility for NHS funding of long-term care in England. [4]

The cost of complaints

8. There are value for money arguments for improving how government bodies handle complaints. The NAO report on citizen redress attempted to quantify the cost of running complaints mechanisms for public services. Due to a lack of consistency in how departments record data about complaints, particularly cost data, their figures represent a 'best estimate' of the cost of dealing with complaints. However, the scale of the redress system is not in question: the NAO suggested it was nearly two per cent of overall central government administrative costs. In the year 2003-04:

These figures cover all redress systems, complaints, appeals and tribunals, and Ombudsmen and independent complaints review bodies.

9. Systems that resolve complaints early on are relatively cheap. Expenditure on complaints comprises spending by departments and agencies on resolving complaints themselves, as well as the cost of Ombudsmen or complaint review bodies. In 2003-04, there were 543,000 new complaints made to central government bodies, which cost departments and agencies a total of £59 million to handle. In contrast, the various public sector Ombudsmen and independent review bodies cost a total of £73 million and received 42,000 new cases of complaints for review in that year. The NAO noted that:

…there are major savings to be made by departments and agencies if they can resolve more complaints and appeals at the lowest possible levels of the 'ladder of redress', rather than allowing complaints or appeal cases to progress up the system, involving extra bodies and accumulating extra costs and delays as they do so. [6]

10. Some complex complaints will inevitably require the involvement of the Ombudsman or other complaint review bodies. However, both the Ombudsman and the Healthcare Commission have observed that many of the complaints that came to them could have been dealt with effectively at an earlier stage. The Ombudsman has reported on complaints "that should never have got as far as [her]…because they were not handled properly at source".[7] The Healthcare Commission noted that in around a third of the cases it received, greater efforts could have been made by health care providers to resolve the complaints.[8] There are clear economic arguments for resolving complaints as quickly as possible. The earlier complaints are resolved, the cheaper it is for everyone.

11. But handling complaints effectively is not just about value for money. Crucially, it is about establishing a responsive relationship between the apparatus of the state and the people who use this apparatus. In this Report we consider in turn:

  • how citizens know what they can complain about and who they can complain to;
  • arrangements for handling complaints within departments;
  • how complaints are used by public services to address problems and inform service design and delivery; and
  • whether there is a role for a central government body to issue guidance and hold departments to account for how they handle complaints.



1   Public Administration Select Committee, Fourth Report of Session 2004-05, Choice, voice and public services, HC 49-I Back

2   National Audit Office, Citizen redress: what citizens can do if things go wrong with public services, Session 2004-05, HC 21, 9 March 2005 Back

3   Ibid Back

4   Ev 127 Back

5   National Audit Office, Citizen redress, p 44 (note that the NAO figures are for central government bodies and do not include NHS complaints, which are handled locally rather than centrally) Back

6   Ibid Back

7   Parliamentary and Health Service Ombudsman, Annual report 2005-06: making a difference, Session 2005-06, HC 1363, p 11 Back

8   Healthcare Commission, Spotlight on complaints: a report on second-stage complaints about the NHS in England, January 2007, p 35 Back


 
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