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Gisborne Hospital Report - Health and Disability Commissioner

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<strong>Gisborne</strong> <strong>Hospital</strong> 1999 – 2000<br />

Incident <strong>Report</strong>ing <strong>and</strong> Complaints Procedure<br />

“The surgeons would have witnessed much of the behaviour. None of it<br />

was addressed. There was a view that the issues were about us not liking<br />

Brian Lucas, about a personality problem between us.”<br />

4.39 It was reported that a member of the medical staff had said to a nurse: “I bet<br />

they wouldn’t have made an issue if he was young <strong>and</strong> h<strong>and</strong>some.”<br />

Dr Lucas’ comments<br />

4.40 Dr Lucas was asked by the investigation team to comment on the most serious<br />

issues that Tairawhiti <strong>Health</strong>care needs to address, relating to theatre practice.<br />

He responded:<br />

“There should be a timely incident reporting process. Those issues that<br />

are brought up in incident reports are worthy of discussion, so the first<br />

thing is to have a hospital-wide incident report process that produces<br />

results <strong>and</strong> resolution <strong>and</strong> completion on things during a staff member’s<br />

lifetime in a timely way. As a subset of that, could there not be a real<br />

good attempt at getting an interdisciplinary discussion or getting a forum<br />

started if it isn’t already? In the first quarter of this year after the<br />

millennium there didn’t seem to be anything.”<br />

4.41 Analysis of the current policy <strong>and</strong> feedback from staff using the system<br />

indicates that further review <strong>and</strong> development of the system is essential if it is<br />

to become an effective component of THL’s quality management system.<br />

4.42 In light of the issues raised regarding Dr Lucas, the Chief Executive<br />

commented that the challenge for THL “is to get the process right <strong>and</strong> ensure<br />

that staff get appropriate feedback” on incident forms submitted.<br />

5. THE COMPLAINTS PROCEDURE<br />

Complaints h<strong>and</strong>ling<br />

5.1 Complaints are defined by Tairawhiti <strong>Health</strong>care in the Incident <strong>and</strong><br />

Complaint Management Policy as “a formal expression of dissatisfaction or<br />

grievance”. Enquiries are defined as “an observation or remark that queries<br />

some aspect of service”. The policy does not cover staff complaints.<br />

5.2 The policy notes that complaints are to be passed on to the appropriate senior<br />

manager <strong>and</strong> Clinical Director where applicable within 24 hours of logging.<br />

The policy states: “Review of complaints is the responsibility of the<br />

appropriate senior manager. All complaints are reviewed.”<br />

5.3 All reviews of complaints are to be completed within 14 days, <strong>and</strong> in the event<br />

of the review being unable to be completed within that timeframe the senior<br />

manager must notify the complainant in writing of progress. The complainant<br />

must be furnished with progress reports as required by the Code of Rights<br />

(Rights 10(3) <strong>and</strong> 10(7)).<br />

56

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