Too many people with a learning disability enjoy second rate healthcare and services- in the past many have been let down by the system and the 1000 lives project was established to help avoid any more unnecessary suffering. Health professionals and families have developed better ways of working that all agencies are now expected to adhere to. These aim to ensure that staff and others have a better understanding of an individuals' needs. likes and dislikes and are better equipped to support their recovery.
The Welsh Government have supported NHS trusts across Wales to develop the 1000 Lives guide that aims to improve general hospital care of patients who have a learning disability
Amongst the many practical tips within the guidance is the 'Traffic Light' approach. This is a snapshot of simple information that gives a clear picture of what is important to a person. Apart from essential information on health issues and medication the documentation allows you to inform any care provider things that are unique and important to your relative, this can include routines, things that cause distress or anxiety and the best ways to communicate and care for an individual.
- Things you should know
- Things You Must Know
- Things that matter to me
Raising a concern about Health Services
Putting Things Right
The NHS in Wales aims to provide the very best care and treatment and it is important that we welcome comments and learn from people’s experiences, good or bad. The vast majority of people are happy with the service they receive.
Sometimes though, things might not go as well as expected. When that happens, we need to look at what went wrong so we can try to make it better.
This information applies to you if:
- You are not happy with care or treatment provided by or for the NHS in Wales
- Or If you have any other concerns you think we should know about.
It tells you about the arrangements that will be in place from 1 April 2011 for looking into concerns.
What is a concern?
A concern is when you feel unhappy about any service provided by the NHS. By telling us about your concern, we can apologise to you, investigate and try to put things right. We will also learn lessons and improve services where they need to be better.
There are some things that we cannot deal with under the arrangements, such as:
- Private healthcare or treatment (including private dental treatment)
- A complaint which was made and investigated under the arrangements that were in place before 1 April 2011.
Who should I talk to about my concern?
If you feel able to do so, the best place to start is by talking to the staff who were involved with your care and treatment. They can try to sort out your concern immediately. If this doesn’t help or if you do not want to speak to staff who provided the service, then you can contact a member of the concerns team.
For concerns about health services, you will need to contact your Local Health Board or the relevant NHS Trust.
If you have a concern about services that you have received from your General Practitioner (GP), Dentist, Pharmacist or Optician you should normally ask the practice to look into it for you, but if you prefer, you can ask your Local Health Board to do so.
You can contact the concerns team by:
- Writing a letter
If you need help to tell us about your concern, please let us know, or contact your local Community Health Council (CHC). Your local CHC provides a free and independent advocacy service, which is able to help patients or the people acting for them to raise a concern. The CHC will offer advice and support, including putting you in touch
with specialist advocacy services if you need them. Your local CHC can be found below:
Who can raise a concern?
If this is something that has happened to you, you can raise the concern yourself. If you prefer, a carer, friend, relative or your local CHC can represent you, but you will be asked to agree to this.
How soon should I tell someone about my concern?
It is best to talk to someone about your concern as soon as possible after the problem happened but you can take up to 12 months to let us know. If a longer time has passed but there are good reasons for the delay, tell us anyway, as we may still be able to deal with your concern.
What happens next?
- Let you know that we have received your concern within 2 working days (weekends and bank holidays not included);
- At the same time, ask you if you have any particular needs that we should be aware of in dealing with your concern
- Also ask you how much you want to be involved and get your consent to accessing your health records, if this is needed
- Investigate your concern
- As part of the investigation, decide with you whether we need to get specialist advice (such as a clinical opinion) or other independent help with sorting out your concern
- Let you know what we have found and what we are going to do about it
- In most cases, let you have a final reply within 30 working days of the date when we first received your concern (weekends and bank holidays not included). If we can’t reply to you in that time, we will give you the reasons why and let you know when you can expect a reply.
Some cases might need further investigation under the Redress arrangements. Redress is a range of actions that can be taken to resolve a concern where the organisation might have been at fault in causing some harm. It can include a written apology and explanation of what happened, an offer of treatment/rehabilitation to help relieve the problem and/or financial compensation. If Redress may apply to your concern, we will let you know what this means in more detail.
What you should do if you are still unhappy
If your concern has been looked at by us and you are still not happy with our response, you can contact the Public Services Ombudsman for Wales.