Refer to principles 1, 2, 5 and 11
Regulatory principles that apply to licensed centres
treat prospective and current patients and donors fairly, and shall not discriminate against them unlawfully;
have proper respect for the privacy, confidentiality, dignity, comfort and well being of patients and donors;
provide prospective and current patients and donors with sufficient, accessible and up-to-date information in order to allow them to make informed decisions;
report all adverse incidents (including serious adverse events and reactions) to the HFEA, investigate all complaints properly, and share lessons learned appropriately;
On this page:
- Relevant legislation
- Complaints procedure
- The complaints officer and complaints register
- Investigating complaints
- Section includes interpretations of mandatory requirements
- Download this guidance note (133kb)
Please note: As of 1 October 2014 the downloadable Code of Practice is generated directly from online content, therefore the formatting may appear different to previous versions.
- Download the full code (5055kb)
- Download all the directions
Search the Code
28AInterpretation of mandatory requirements
The law requires NHS and private centres to have, and adhere to, a complaints procedure. References to the relevant legislation can be found in the ‘Other legislation, professional guidelines and information’ box at the end of this guidance note.
The centre should ensure that staff understand the complaints procedure and the right of people to complain.
It may be appropriate to deal with a complaint as soon as it arises, without using a formal complaints procedure. In such cases, staff should deal promptly and thoroughly with issues as they are raised. Staff should treat all complaints seriously and show the complainant due respect, however minor the complaint may appear. Staff should not deter people from making formal complaints if they wish to do so.
The centre should ensure that staff are given appropriate training in complaints handling and that there are written procedures for:
a) acknowledging and investigating complaints, and
b) collecting suggestions and compliments.
The complaints officer and complaints register
The centre should nominate a member of staff to act as complaints officer. The complaints officer should be:
a) the first point of contact when a person makes a formal complaint, and
b) responsible for investigating complaints and ensuring the complaints procedure operates effectively.
The centre should display notices prominently to explain the complaints procedure and give the complaints officer’s name and contact details. This information should also be given to patients and donors.
The centre should ensure there is someone else of at least equivalent seniority available to deal with complaints in case a person feels unable to complain to the complaints officer.
The centre’s complaints officer should keep an accurate complaints register. For each complaint, the following should be recorded in the register:
a) what has been done to resolve the complaint
b) all communication with the complainant (including verbal), and
c) the outcome, and any action taken as a result.
The centre’s complaints register should be made available to HFEA inspectors during inspections.
Complaints should be investigated by staff who were not involved in the circumstances that gave rise to the complaint.
If a complainant is unhappy with the outcome of the investigation of their complaint, they should be informed of further action they could take (eg, going to the Health Commissioner in the NHS, the HFEA, or the Ombudsman).
In NHS centres, the complaints procedure should comply with standards required of NHS services. In private centres, the procedures should comply with this Code of Practice and with the standards required by:
a) the Care Quality Commission (England)
b) the Care Commission (Scotland)
c) the Care and Social Services Standards Inspectorate Wales (Wales)
d) the Regulation and Quality Improvement Authority (Northern Ireland), or
e) relevant successor bodies.
Other legislation, professional guidelines and information
Other information you may find helpful:
Code of Practice edition: 8