Effective Complaint Handling Guidelines Third Edition
Effective Complaint Handling Guidelines Third Edition
complaint handling
guidelines
3rd Edition | February 2017
This page is the inside front cover and is used in bookbound mode to get the correct number of pages for printing out.
Effective
complaint handling
guidelines
3rd Edition | February 2017
NSW Ombudsman
Level 24, 580 George Street
Sydney NSW 2000
Web: www.ombo.nsw.gov.au
Email: [email protected]
ISBN: 978-1-925569-20-9
This work is copyright, however material from this publication may be copied and published by State or Federal
Government Agencies without permission of the Ombudsman on the condition that the meaning of the material
is not altered and the NSW Ombudsman is acknowledged as the source of the material. Any other persons or
bodies wishing to use material must seek permission.
Foreword
The NSW Ombudsman’s office has forty years experience in handling complaints, conducting
surveys of complaint handling systems, and working with organisations to improve their systems and
processes. It is now accepted that complaints should be seen in a positive light and, if handled well,
can help organisations improve the way they do business and build stronger relationships with their
customers.
Many organisations still fall short in handling and resolving individual complaints, as well as
identifying and addressing systemic administrative problems. A 2015 survey by the NSW Customer
Service Commissioner found that customers who had their complaints handled well had a higher
than average satisfaction with government services. However, more than half of those surveyed had
a negative perception of how their complaint was handled. Improving complaint handling processes
is an important element in increasing customer satisfaction with NSW government services and has
been identified as a Premier’s Priority.
Valuable work has been done in recent years to ensure that organisations are better informed about
how to put in place robust systems and practices for complaint management. Comprehensive
advice is available in a new Australian/New Zealand Standard published in 2014: Guidelines for
complaint management in organisations. In 2015, the NSW Ombudsman’s office published a
Complaint Management Framework and Complaint Handling Model Policy. This provides advice to
organisations on best practice principles of complaint management and how to adopt the essential
components of an effective complaint management system. The model policy can be replicated (or
modified) by organisations to suit their particular needs.
We thought it timely to review the NSW Ombudsman’s Effective Complaint Handling Guidelines,
which were last reviewed in 2010. These guidelines provide practical advice for organisations on
handling individual complaints, handling particular types of complaints, and dealing with people who
make complaints.
When using these guidelines, keep in mind that customers are more likely to complain if they think
something can be changed by making a complaint. They will be helped by up-to-date and relevant
information on the complaint process and what to expect. They want to be told after their complaint is
made approximately how long it will take to finalise it – and they expect this to occur in a reasonable
time. Customers will generally be more satisfied if a dedicated person or team is handling their
complaint, keeping them up-to-date and providing a point of contact.
In short, people want their complaint interaction with an organisation to be fair, reasonable and
appropriate. When this occurs they are more likely to accept an outcome as fair and reasonable, even
if it is different to what they had hoped for.
1. Introduction.................................................................................... v
1.1 What is a complaint?..........................................................................................................vi
1.2 Why people complain......................................................................................................... 1
1.3 What people want when they complain............................................................................. 1
1.4 Why people don’t complain................................................................................................ 2
It is essential that organisations provide quality customer service from the outset. If and when things
go wrong, they can only be put right – and services improved – if the organisation hears about it.
Complaints are important as they provide information about the effectiveness of an organisation’s
services, help to identify aspects that need improvement, and contribute to a better understanding
about customer satisfaction and dissatisfaction. By responding positively to complaints, an organisation
can improve its service provision and customer relations as well as the wellbeing of its staff.
A commitment to good complaint handling is needed at all levels of an organisation. The head of the
organisation, together with senior management, should champion effective complaint handling as a
way of strengthening the organisation’s administration and improving relations with the public. Good
complaint handling will:
• reassure customers that the organisation is committed to properly addressing and resolving
any problems
• maintain or help improve relationships with the people the organisation deals with
• improve the organisation’s transparency and accountability.
Organisations with a culture that values complaints are more likely to:
• Have a people focus – this involves being open to complaints from members of the public
about standards of service delivery, the conduct of staff, and organisational policies, procedures
and practices, as well as being committed to promoting and implementing an accessible
complaints system as a means to address problems and enhance the performance of the
organisation and its staff.
• Be responsive – responding to complaints in a timely manner and recognising and rewarding
good complaint handling by staff.
• Act fairly and objectively – addressing each complaint with integrity and in an objective and
impartial way.
• Ensure no detriment – taking all reasonable steps to ensure that people making complaints
are not adversely affected because they made a complaint, or one is made on their behalf.
When handling complaints, it is critical for staff to recognise the inherent dignity of the person who
has made the complaint and treat them with courtesy and respect. They should be given clear and
comprehensive information about the process that will be followed to manage their complaint, as well
as the possible outcome – including options to have the matter reviewed and how they are treated.
It is now well recognised that people are likely to care as much about how their complaint is dealt with
as they do about the issue that triggered the complaint. This means that following a process that is
seen to be fair, treating complainants in ways they perceive to be reasonable (including with respect),
and providing adequate information at appropriate times is likely to be as important to complainants
as getting the outcome they were seeking.
The Australian and New Zealand Standard Guidelines for complaint management in organisations -
AS/NZS 10002:2014 (AS/NZS Complaint Management Standard) defines complaints as an:
Sometimes, when a person makes a complaint, they will not explicitly use terminology such
as ‘complaint’ or ‘dissatisfaction’. They may instead use language such as:
• I disagree with your decision about ... • Why didn’t ... happen?
As well as having a clearly articulated policy about the types of matters that will be dealt with as
a complaint under the organisation’s complaint management system, it is also important for an
organisation to consider what will not be registered as a complaint. This could be, for example:
• a request for services – unless it is a second request where there has been no response to the first
• a request for information or an explanation of policies or procedures
It is important to note that if part of the organisation’s functions include regulating or dealing with
complaints about other organisations, a complaint about such organisations would not be a
complaint about the services or staff of the regulating body. Similarly, if an oversight or regulatory
body is asked to conduct a merits based review of a decision made by another organisation, that
is part of the decision-making process (which will not end until the right to seek a review has been
exercised or expires) and not a complaint. A subsequent expression of dissatisfaction about how a
review was handled would, however, be a complaint.
It is critical to be clear about the types of matters that will be treated as complaints. This is so that:
• matters are dealt with in accordance with the appropriate procedure or policy
• complaints are dealt with in a consistent and efficient manner
• complaint statistics correctly identify the numbers of complaints being made over time.
• Separately recording suggestions, inquiries and compliments will enable an organisation to
build a clearer picture of what people like and don’t like, and will often provide a more balanced
picture of public perceptions than simply recording and acting on negative feedback.
Some organisations receive a lot of complaints about things that cannot be changed, perhaps
because of inadequate resources or government policy. In these situations, the feedback a complaint
gives is still valuable. Perhaps the policy needs to be reconsidered or perhaps resources could
be better targeted. If neither is practical or appropriate, complaints may highlight a need to better
manage the expectations of the public who deal with the organisation. In many cases, customer
complaints will echo and reinforce staff complaints about similar matters. The feedback collected,
properly reported, may itself be a catalyst for change.
When things go wrong, many people demand no more than to be listened to, understood, respected
and if appropriate given an explanation and apology. Good communication is critical – and a prompt
and sincere apology will often avoid a dispute escalating and the significant time and resources that
this can involve.
“The lack of information given was frustrating, as was the inability for the handler
to give me a timeframe. At a few points I felt like I was being treated with
disrespect when calling to get clarification about the process”1
“Thank you for your letter and for looking into this complaint for me. Even though
I find it difficult to agree with the ruling, I appreciate that it has been addressed.”2
When people are asked why they didn’t complain about a genuine grievance or poor service, they
often give one or more of the following reasons:
• there was no available information on how to make a complaint
• it was too difficult to find out who to ring or go to
• it would be too time consuming
• I was worried about retribution if I complained and had to keep dealing
with these people/this organisation
• I doubted it would be taken seriously
• I didn’t think it would make any difference so I didn’t bother
• I had received a negative reaction in the past when I raised problems
• I wanted to avoid further upset after experiencing rudeness
• I didn’t want to be seen as a troublemaker
• I gave up after the initial fob-offs and telephone transfers
• I wanted to speak to a responsible manager rather than fill in a form
• I was worried someone fairly junior would be blamed for the mistake.
It is also important to acknowledge that many people who may wish to raise their concerns do not
have the skills, knowledge or capacity to do so. There are a range of barriers that may have an impact
on someone’s ability or desire to make a complaint. These include:
1. Quote in Customer Service Commissioner NSW, NSW Whole-of-Government Complaint Experience Survey: detailed report, November
2015, 12.
2. From a complainant to the NSW Ombudsman
The onus is on organisations to be aware of the potential for these issues to arise and to address
them as far as reasonably possible. Organisations need to be particularly aware of any barriers
that limit or prevent communication by some people, and be innovative and flexible in developing
and implementing strategies to overcome them. This is likely to include having up-to-date and
relevant information on the complaint process available to people before they make a complaint. It
is also important to have a number of alternative ways that people can make complaints, to provide
assistance to people who may find it challenging to articulate or lodge their complaint, and to ensure
that information about the complaint management system is accessible in a variety of formats and
can be adapted to meet the needs of different people.
“I spoke to her supervisor, it was clear that she didn’t care and would not follow
up either”3
3. Customer Service Commissioner NSW, NSW Whole-of-Government Complaint Experience Survey: detailed report, November 2015, 15.
The AS/NZS Complaint Management Standard sets out the following guiding principles
for complaint management:
1. Enabling complaints
• People focus
• Ensuring no detriment to complainant
• Visibility and transparency
• Accessibility
• No charges
2. Managing complaints
• Responsiveness
• Objectivity and fairness
• Equity
• Privacy and disclosure
• Communication
The content covered by these guidelines is congruent with the AS/NZS Complaint
Management Standard.
To comply with the guiding principles in the AS/NZS Complaint Management Standard, all
organisations should implement a complaint management framework that includes appropriate
policies and procedures, clear lines of responsibility, and appropriate delegations. The size and
scale of the framework will vary depending on the functions of the organisation and the number of
complaints received.
When establishing and reviewing their complaint management framework, organisations should
consider:
• any statutory or regulatory requirements
• the value the organisation seeks to derive from complaints to improve their operations
• financial, operational and organisational requirements
• the number and demographics of their customers
• the nature and breadth of their interactions with the public
• the number and type of complaints they receive
• input from staff and other interested parties.
Other ways in which organisations can foster a culture that values complaints include regular training
for staff, internal communication reinforcing the value of complaints, strong support from senior
management, and emphasising complaint processes during the induction of new staff.
Staff at all levels of an organisation are expected to be committed to fair, effective and efficient
complaint handling. Table 1 outlines the nature of the commitment expected from staff and the way
that commitment should be demonstrated.
Manager Establish and • Provide regular reports to the head of the organisation on issues
responsible manage the arising from complaint handling work.
for complaint • Ensure recommendations arising out of complaint data analysis
complaint- management are canvassed with the head of the organisation and implemented
handling system. where appropriate.
• Recruit, train and empower staff to resolve complaints promptly and
in accordance with the organisation’s policies and procedures.
• Encourage staff managing complaints to provide suggestions on
ways to improve the organisation’s complaint management system.
• Encourage all staff to be alert to complaints and assist those
responsible for handling complaints to resolve them promptly.
• Recognise and reward good complaint handling by staff.
Staff Demonstrate • Treat all people with respect, including people who make
whose exemplary complaints.
duties complaint • Assist people make a complaint, if needed.
include handling
• Comply with this policy and its associated procedures.
complaint- practices
handling • Keep informed about best practice in complaint handling.
• Provide feedback to management on issues arising from complaints.
• Provide suggestions to management on ways to improve the
organisation’s complaints management system.
• Implement changes arising from individual complaints and from the
analysis of complaint data as directed by management.
All staff Understand • Treat all people with respect, including people who make
and comply complaints.
with the • Be aware of the organisations complaint handling policies and
organisation’s procedures.
complaint-
• Assist people who wish to make complaints to access the
handling
organisation’s complaints process.
practices.
• Be alert to complaints and assist staff handling complaints to resolve
matters promptly.
• Provide feedback to management on issues arising from complaints.
• Implement changes arising from individual complaints and from
the analysis and evaluation of complaint data as directed by
management.
Some of the barriers that prevent people from raising their concerns include:
• not knowing who to contact or the process to be followed
• distrust of the organisation or government
• fear that an existing service or support will be taken away if a complaint is made
• fear that they will experience discrimination or retribution if a complaint is made
• a belief that the process will be time consuming, confusing and difficult
• a belief that complaining will be fruitless as nothing will change.
It is important that organisations work to overcome these barriers and ensure systems are readily
accessible, easy to use and in plain English – and preferably also in other languages commonly used
by people who use their services.
One approach an organisation can take is to provide multiple channels by which people can raise
concerns. Although it may seem more efficient for an organisation to prefer complainants to use a
particular mechanism – for example, a website or specific phone line – this will need to be adequately
resourced and supported and may be difficult for certain community members to access. For
example, people who primarily use mobile phones may face high costs if they have to stay on hold
with call centres. This may be a particular concern for those without a fixed address, those on low
incomes, those without access to a landline, or those who do not want to use a shared landline for
security or privacy reasons.
Organisations should consider the role that new technologies can play, but care should be taken to
ensure that any new methods adopted to facilitate complaints are properly deployed and supported.
To be most effective, social media requires constant monitoring and may need more resources than
other contact methods. New technology may also place additional requirements on frontline staff. If
people who have dealings with an organisation are not familiar with new technology, staff may have to
temporarily fill a help desk role – answering questions about the process as well as the substance of
inquiries or complaints.
Some strategies to encourage complaints from vulnerable people and people reluctant to raise
concerns include:
• Publicising the organisation’s complaint handling policy on its website and through other
reference material available to the public – information should be available in a range of
languages and alternative formats such as large print, Braille, Simple English.
• Using tools such as text headphones (TTY) and the national relay service (NRS) to enable
people who have speech or hearing impairments to contact the organisation.
• Facilitating the use of accredited translators and interpreters when appropriate.
• Ensuring, where possible, that the organisation’s premises are located in places that are
accessible by public transport and accessible for those with limited mobility.
In addition to making it easier for individual complainants to raise their concerns, organisations
should take steps to proactively engage people in sectors or communities that may have difficulty
making a complaint or be reluctant to do so. This might include:
• Seeking feedback from vulnerable groups through visits and outreach programs, especially in
rural and remote areas and Aboriginal communities (where applicable).
• Encouraging complaints and feedback from representatives and advocates who may service
vulnerable groups.
• Working with, and/or providing training to, organisations that provide advocacy and support
services to vulnerable people so that these organisations can effectively help vulnerable people
who wish to make complaints, and make reports to authorities when necessary
(eg mandatory reporting of child protection concerns).
• Developing policies or guidelines targeted to specific client groups, such as a policy for dealing
with young people.
• Providing training for staff about how to deal with, and respond sensitively to, people who may
need assistance to make complaints, and about issues regularly facing certain groups within the
community – such as young people, Aboriginal and Torres Strait Islander people, and people
with disability.
Section 5.4 provides further information about the importance of ensuring vulnerable people who
make a complaint are given reasonable support and assistance to understand the processes that
will be followed.
A procedure is a statement or instruction that sets out how the organisation’s policies will be
implemented and by whom. Procedures provide a standard against which the organisation
and its stakeholders can measure the organisation’s performance. A complaint handling
procedure should describe the steps that need to be taken by staff to implement the aims of an
organisation’s complaint handling policy and respond to complaints.
It is useful for policies and procedures to provide guidance for staff about:
• relevant terms and definitions, including the definition of a complaint
• guiding principles – such as accessibility, responsiveness, objectivity and fairness
• the process for managing complaints
• making and keeping adequate records about the receipt, handling and outcomes of complaints
• monitoring trends in complaints
• analysing, reporting and reviewing the subject matter and outcomes of complaints to measure
the quality of the organisation’s services and make system improvements
• using information from complaints to review the products, systems, services and procedures of
the organisation as a whole.
The NSW Ombudsman has developed a model complaint handling policy to provide guidance
to organisations on the key principles and concepts of an effective and efficient complaint
management system. Most of the model policy can be used as a template and replicated by
organisations. See http://www.ombo.nsw.gov.au/news-and-publications/publications/guidelines/
state-and-local-government/complaint-management-framework-june-2015.
People who have dealings with the organisation should be informed about the complaint management
policy and procedures and supported to access and use them. Policies and procedures should also
be accessible to, and known by, all members of staff.
4. Customer Service Commissioner NSW, NSW Whole-of-Government Complaint Experience Survey: detailed report, November 2015,
key finding 5.
If a person contacts an organisation to make an enquiry or complaint, it is vital that the first contact is
handled well. If the staff member dealing with the customer is impatient, dismissive or discourteous
the person may be less likely to pursue the matter or alternatively want to escalate it to a more senior
officer. In both of these situations, the complaint will not be resolved efficiently and confidence in the
organisation may deteriorate.
Some organisations may choose not to record complaints that are resolved at the first point of
contact. However, careful consideration should be given before adopting this approach – as it will
mean that potentially valuable data about complaint trends and systemic issues will not be captured,
and good outcomes achieved at the frontline may not be recognised.
For frontline staff to be able to respond to complaints with confidence, they need to:
• understand why people complain
• listen effectively and ask the right questions
• communicate respectfully, courteously, impartially and honestly
• express empathy
• have insight into their own reaction and response to complaints
• not take the complainant’s anger or frustration personally
• provide comprehensive and clear information about the way the complaint will be handled, as
well as the outcome and reasons for the outcome.
Staff whose duties include complaint handling need to have the appropriate aptitude, knowledge
and skills to be able to respond to complaints effectively. Consideration should be given to recruiting
people who demonstrate the attributes of a successful complaint handler.
The organisation’s complaint handling policy and procedures should provide staff with information
and guidance to handle individual complaints effectively. Staff should also have the appropriate
authority, training and support to handle complaints and complainants in a manner that is lawful,
reasonable and fair.
For more information on frontline complaint handling, see Section 4 – Handing individual complaints,
and Section 6 – Managing people who make complaints.
Level 2 involves:
• Internal review – a more senior officer or specialist officer reviews the decision of the frontline
complaint handler to confirm the original decision or take corrective action. Generally, more
senior officers have a broad delegation to overturn previous decisions and apply remedies. The
basic guidelines for frontline complaint handling apply equally to these cases.
• Alternative dispute resolution – sometimes a senior officer can help facilitate a discussion
between the frontline complaint handler and the complainant, or the matter might be referred
to an external mediator or facilitator. A mediator, through a formal face-to-face process of
discussion, helps the parties to clarify issues and reach a solution.
• Investigation – sometimes an investigation is required to determine the action that should be
taken when more serious allegations are raised. It is essential that external agencies are notified
promptly where relevant – eg local police force, ombudsman’s office or corruption agency. See
also Section 5.1 – Complaints alleging criminal or corrupt conduct.
‘Investigation’ is a generic term to describe a fact-finding process aimed at establishing the truth.
Investigations should follow a logical sequence in the pursuit of clearly identified objectives, and
should be approached systematically and comprehensively. Investigators should act objectively and
must not ‘take sides’. An investigation usually involves:
• seeking to answer an identified question
• gathering sufficient reliable information to enable a decision to be made
• impartial fact finding
• reporting the outcome
• sometimes making recommendations.
The nature and scope of an investigation undertaken in response to a complaint will depend on the
circumstances of the case and any relevant statutory and policy requirements that may apply. Those
responsible for conducting investigations need to remember to:
• act reasonably and impartially
• ensure confidentiality
• avoid and manage conflicts of interests
• provide appropriate procedural fairness.
• For more information on conducting an investigation into allegations raised within a complaint,
see Section 4 – Handling individual complaints.
Internal review, conciliation and investigation of complaints do not always result in a resolution
that the complainant or organisation considers satisfactory. When the complaint is serious or the
complainant’s demands will continue to have an impact on the time and resources of staff, external
sources of review may be appropriate. This can take a number of forms:
• Alternative dispute resolution – sometimes a neutral third party can help settle an escalating
dispute. Private and public sector organisations use the services of professional mediators in
such situations. The mediator, through a formal face-to-face process of discussion, helps the
parties to clarify issues and reach a mutually agreeable solution.
All staff should be aware of their responsibilities for managing complaints. Complaint handlers should:
• be aware of policies and procedures about complaint handling, and how to deal with
unreasonable conduct by people making complaints
• receive ongoing training in effective complaint handling and the organisation’s complaint
management system
• have clear delegations of authority and written guidance about their discretion to respond to
issues raised with them in the course of managing complaints.
Staff whose responsibilities do not include complaint handling should be alert to identifying
complaints and be aware of where/who they can refer a complaint to internally if they receive one.
Dealing with complainants, especially if complainants have been angry or aggressive, can be
very difficult for staff and at times even frightening. It is perfectly normal for staff to get upset or
stressed in these situations. Everyone reacts differently to stressful events. Some people react
immediately after an event while others react much later. Stress can also be cumulative, perhaps
resulting in an extreme reaction to a minor event that follows a chain of stressful events. It is
the role of supervisors to support staff through this process and identify the type of help and
support needed. This can be achieved through:
• Defusing – giving the staff member an opportunity to express and release their
feelings, thoughts and emotions in a non-judgemental way and safe space after an incident.
This should ideally take place as soon as possible after the incident.
• Debriefing – analysing what occurred, identifying what may have triggered the
complainant’s/staff member’s reactions, and identifying possible solutions (individual
and systemic). This should ideally happen within three days.
• Counselling – sometimes people are not comfortable talking to their colleagues
or supervisors and would prefer to talk to someone outside the service. Supervisors should
consider referring staff to a recognised counselling service – some organisations provide a
free employee assistance program.
Some organisations may choose not to record complaints that are resolved at first point of contact.
However careful consideration should be taken before adopting this approach, as it will mean that
potentially valuable data about complaint trends and systemic issues will not be captured.
When determining how a complaint will be managed, an organisation should assess the issues
raised against the following criteria:
• severity • impact on the individual, the general public and/or the
organisation
• urgency
• potential to escalate
• complexity
• whether another part of the organisation, or another organisation,
• health and safety
needs to be involved in resolving the complaint.
implications
After assessing a complaint, a decision will need to be made about how to manage it. Managing a
complaint may involve:
• giving the person information or an explanation
• gathering information from the person or area that the complaint is about
• investigating the claims made in the complaint.
If a decision is made to appoint an external investigator, the investigator should be given clear
terms of reference about the scope of the investigation. Terms of reference provide formal
guidance to investigators on precisely what they are to do to satisfy the contract. The terms
should also stipulate any restrictions on the investigation, such as security and access to
information requirements. It is important that the terms of reference are adhered to and a regular
quality assurance process implemented by a departmental officer.
The most appropriate investigative approach will also need to be determined. This will involve
considering any statutory requirements, the nature of the issue and the likely outcomes. It is often
useful to characterise an investigation as either ‘outcome-focused’ or ‘evidence-focused’.
• Outcome-focused investigation – this is an appropriate strategy for less serious issues and
issues concerning organisational policies, procedures and practices. It aims to quickly identify
and remedy problems, does not require an in-depth analysis of all available evidence, and
may conclude that any issues or problems should be remedied through workplace training,
amended policies or systems, an apology or mediation.
When conducting a formal investigation, it is good practice to prepare a written investigation plan.
This should outline the scope and sequence of investigative activities and highlight any risks that
may need to be managed. The length and complexity of the plan will depend on the nature and
seriousness of the complaint being investigated. However, it should not be too rigid or detailed. It is
only a tool to assist the investigator – it should be flexible and able to be revised or entirely replaced if
new evidence or lines of inquiry emerge. A written plan helps keep the investigation focused and on-
track, and is also useful if the investigation needs to be handed over to someone else.
Investigation plan
At the outset, investigators need to identify:
• what questions need to be answered
• what information is required to answer those questions
• the best sources of information and methods to use to obtain that information
• any risks that need to be managed and strategies that need to be implemented to do so.
The investigator will need to determine who may have relevant information about the complaint being
investigated, and what key documents are likely to be relevant and will need to be obtained. Ethical,
privacy and legal issues that can arise accessing certain material, such as a person’s Facebook
page, also need to be considered. Information obtained during an investigation should be stored
securely, consistent with relevant legislative and policy requirements. Records should be kept about
all investigative activities. These do not need to be lengthy or detailed, but should allow external
bodies or others within the organisation to examine the actions of the investigator and to understand
the approach taken and tasks completed.
After evidence has been collected and examined, it is useful to review the overall evidence to identify
any weaknesses or gaps and consider whether further lines of inquiry should be followed. It is not
always possible to gather evidence establishing every aspect of ‘what happened’ when a complaint
has been raised, but it is important to acknowledge any areas where there is insufficient evidence –
rather than attempt to gloss over or minimise any problems.
Reviewing the evidence is an important preliminary step to reaching initial or preliminary conclusions
about the matters under investigation.
If the draft report contains adverse comments or recommendations about a staff member (or other
affected person), procedural fairness requires that this person is given the opportunity to be informed
about the findings and recommendations and to make submissions.
As former Chief Justice Gleeson said in Minister for Immigration and Multicultural Affairs; Ex parte
Lam: ‘Whether one talks in terms of procedural fairness or natural justice, the concern of the law
is to avoid practical injustice’.5
The courts argue that there are two policy reasons for procedural fairness. They are to:
• increase the chances that the decision-maker will make a fair and unbiased decision
• ensure that justice is not only done but is seen to be done.
Procedural fairness can be relevant to four aspects of the investigation and decision-making
process. These aspects are:
• how information is collected
• how information is used
• how potentially adversely affected people are given notice of the allegations and the
opportunity to be heard (to check the accuracy of the information, protect their rights, and
influence the outcome)
• how the investigator/interviewer/presiding officer communicates with a person being
questioned.
5
The current view of the courts is that procedural fairness is made up of two definite rules.6 These are
the hearing rule and the rule against bias.
The hearing rule has two parts. The first (the notice rule) requires that anyone likely to be affected
by an action or decision is given notice of the issues in sufficient detail for them to be able to respond
meaningfully. This includes:
• informing anyone whose interests are likely to be adversely affected by a decision – about the
decision that is to be made and any case they need to make, answer or address
• informing anyone who is the subject of an investigation – about the substance of any allegations
against them and the grounds for any proposed adverse comment.
The second part of the hearing rule requires that a person likely to be affected by a decision or action
is given an opportunity to respond to adverse material, such as a proposed adverse comment and/or
recommendations.
The rule against bias requires that people investigating an allegation, preparing a case or making
a decision must act impartially in considering the matter. The investigator and decision-maker must
have had no direct involvement in the matters being investigated – preferably neither should be the
direct supervisor of any person under investigation. This is particularly important if the allegations and
possible consequences are serious.
In assessing the fairness of administrative procedures, ombudsman go further than the courts. They
take the view that a ‘fair procedure’ effectively requires compliance with five basic principles. These
principles are:
• Adequate hearing – any person likely to be detrimentally affected by a decision or action is given
an adequate opportunity to respond to proposed adverse comments (equivalent to one limb of
the ‘hearing rule’ of procedural fairness).
• Adequate notice – any person whose rights or interests are likely to be detrimentally affected by
a decision or action is to be informed of the issues they need to respond to (the other limb of the
‘hearing rule’ of procedural fairness).
• Absence of bias – the people investigating an allegation, preparing a case or making a decision
must be, and must be seen to be, impartial (equivalent to the ‘rule against bias’ of procedural
fairness).
• Adequate evidence – there must be logically probative evidence to support conclusions,
findings, recommendations and decisions. This is a much broader concept than what is often
referred to as the ‘no evidence rule’ of procedural fairness, but closer to the broad interpretation
now given to the concept of ‘unreasonableness’ by the High Court – in, for example, Minister for
Immigration and Citizenship v Li [2013] HCA 188.
• Adequate reasons – reasons should be given to explain decisions that adversely affect a
person’s rights or interests.
The nature and scope of any action taken to resolve a complaint will depend on a number
of factors, including:
• the circumstances of the case
• any statutory requirements
• the issue/s complained about
• the parties involved
• the likely outcome.
The options to achieve a fair and reasonable outcome to resolve a complaint, address issues of
concern, or redress detriment that has resulted from substantiated issues include:
7. Re Finance Sector Union of Australia; ex parte Illaton Pty Ltd [1992] HCA 30; Livesey v New South Wales Bar Association [1983] HCA 17;
Webb v R [1994] HCA 30.
8. Minister for Immigration and Citizenship v Li [2013] HCA 18. Note, in this case, the majority held that the legal standard of reasonableness
is not limited to what is known as Wednesbury unreasonableness (ie. that a decision is ‘so unreasonable that no reasonable authority
could ever come to it’. See also Australian Government Solicitor Publications, 21 May 2013. http://www.ags.gov.au/publications/express-
law/el186.pdf. Accessed 9 December 2014.
The first step in deciding which remedy is appropriate is for an organisation to take responsibility
for resolving the problem. If there is more than one organisation involved, they may need to
work together to resolve the problem or lose facing the person. When resolving a complaint, it is
important for organisations to act promptly, be fair and proportionate, look at all the circumstances,
and if appropriate – for example, if there is a fundamental disagreement between a person and
the organisation about what happened, whether an error was made or a loss occurred – consider
whether alternative dispute resolution is an option.
If, in the course of an investigation, the organisation makes any adverse findings about a particular
individual, any applicable legislated privacy obligations (and exemptions) will need to be considered
before the organisation shares information about findings with the person who made the complaint.9
9. In NSW, for example, section 18 of the Privacy and Personal Information Protection Act 1998 (NSW) places limits on disclosure of information
to a person other than the individual to whom the information relates. In January 2016 the Act was amended to provide exemptions to
this provision for investigative agencies if the information concerned is disclosed to a complainant and the disclosure is reasonably
necessary for the purpose of (i) reporting the progress of an investigation into the complaint made by the complainant, or (ii) providing
the complainant with advice as to the outcome of the complaint or any action taken as a result of the complaint. This exemption also
applies to any public sector agency or public sector official, who is investigating or otherwise handling a complaint or other matter that
could be referred or made to an investigative agency, or that has been referred from or made by an investigative agency (section 24).
After these issues have been considered and a complaint is closed, it is important for comprehensive
records to be kept about:
• how the complaint was managed
• the outcome/s of the complaint – including any aspects that were substantiated, any
recommendations made to address problems identified, and any decisions made on those
recommendations
• any outstanding issues that need to be followed up.
It is also important to make sure that outcomes are properly implemented, monitored and reported to
the complaint handling manager and/or senior manager.
If – during the course of reviewing a complaint – systemic issues or other concerns are identified,
relevant senior staff should be notified and steps taken to resolve these issues.
In response to being notified about a complaint – depending on the circumstances of the case – an
external agency may:
• conduct an investigation as an alternative to the organisation conducting an investigation
• conduct a separate investigation about the alleged conduct (or aspects of it) alongside the
investigation undertaken by the organisation
• oversee, monitor or review the organisation’s investigation – not all external agencies will have
the power to do this.
People making complaints should be informed about relevant oversight agencies and appeal
mechanisms so that they are able to take up any rights of review or appeal.
Although there is no hard and fast rule, if it is suspected that an offence has been committed and
there is some evidence to support this view, investigative activity should stop immediately and the
matter referred to the police. It is unlikely that calling the police too early will result in any great harm.
However, delaying or failing to contact the police where criminal offences are involved could result in
the contamination or destruction of evidence and seriously impede a police investigation. Similarly, if
an issue of corruption is raised, the matter should be referred as soon as possible to the relevant anti-
corruption agency.
In some circumstances, it may be an offence to fail to inform the police of a crime. In NSW, for
example, section 316 of the Crimes Act 1900 makes it an offence to fail to inform the police of
information that might help them apprehend, prosecute or convict a person who has committed
a serious indictable offence – generally, offences that are punishable by five or more years
imprisonment.
Police declined to investigate 41% of the anonymous complaints because there was not
enough detail to identify subject officers, they were too vague or did not contain sufficient
information, or because they were frivolous, vexatious or not made in good faith. We generally
agreed with the police decisions not to investigate.
Malicious complaints often bring to light legitimate issues. Sometimes it takes a desire to take
retribution or to express anger and frustration to make a person speak out, where they otherwise
would have remained silent. A good example is where a person has been disciplined by their
supervisor and subsequently makes allegations that their supervisor has been corrupt. Certainly it is
possible in these kinds of circumstances that the person has fabricated the complaint. However, it is
equally possible that the person had previously been aware that their supervisor had acted corruptly
– and it is only the breakdown in their relationship that has driven them to share that information.
On other occasions, an organisation may find that the allegations are not supported by any evidence
and there is other evidence to suggest that the complaint was made vexatiously – that is, primarily to
cause annoyance. The organisation is then generally justified in dismissing the complaint because
it has no substance. The complainant should be advised that no evidence was found to support the
allegations. However, any further complaints from the same person should be freshly assessed to
see if they have any substance.
Section 3.2 – Making it easy for people to make complaints, highlights the importance of an organisation
being accessible and using multiple approaches to try to increase the likelihood that people who may
be reluctant to make a complaint will do so.
Organisations should also allow a person to request that another person or agency help or represent
them to make and progress their complaint. It may be appropriate to ask the person making a
complaint about the type of help they may need to enable them to engage with the complaints
process effectively.
Child Support has a triage function called the Customer Review Gateway (CRG) that supports
frontline staff who are unsure of the correct review mechanism for a customer’s circumstances,
or when a customer presents with multiple issues or difficult behaviour. This service allows
these clients, contacting Child Support by phone, to be immediately transferred to the CRG
service. The CRG provides detailed advice or clarification of the reasons for a decision for a
customer, rectifies administrative errors on the spot rather than requiring formal review, and
coordinates referrals to other specialist services. There is also a Personalised Services section
that manages clients who are in great distress or exhibiting extreme behaviours.11
11. Commonwealth Ombudsman, Complaint management by government agencies: An investigation into the management of complaints by
Commonwealth and ACT Government, Report 02/2014, p. 30.
Organisations should work together, wherever possible, to ensure complaints are handled in an
efficient manner and complainants are told who is responsible for dealing with their concerns and
the processes that will be followed. They should establish business rules or arrangements with other
organisations to ensure that:
• it is clear who takes the lead in certain matters
• all relevant agencies are involved
• relevant information is shared appropriately – in many cases, information will only be able to be
shared with the express and informed consent of the complainant
• proper consideration is given to advice
• arrangements are in place for resolving conflicts
• one organisation is responsible for ongoing communication with the complainant
• decisions are made in accordance with agreed processes and timeframes
• actions are implemented and otherwise followed up.
When organisations are frequently required to work together, consideration should be given to:
• whether steps should be taken to improve public knowledge about the correct organisation to
contact about particular issues or complaints
• whether feedback on the subject of complaints should be included in regular meetings or
exchanges of information
• how to capture information about complaints involving multiple organisations.
Although a customer is not likely to get what they want in every situation – which may not be possible
or reasonable – the aim should be to ensure that the customer knows that they have been fairly
treated and that the organisation has done everything possible, within reason, to meet their needs.
From the outset, it is critical to treat people with dignity and respect, manage expectations, manage
perceptions and empathise.
• treat complainants respectfully, pleasantly • show empathy and ask what the person
and professionally at all times wants to happen
• give your name, greet the person • try to meet reasonable requests that
courteously, and ask in a positive manner would resolve the matter
how you can help
• offer solutions that can be delivered
• listen to what the person has to say – use
• decide the appropriate course to adopt
good listening skills (look interested,
and, if possible, gain the agreement of the
maintain eye contact, adopt an open body
customer
posture etc)
• take responsibility for solving the problem
• arrange for assistance (eg interpreter or
on the spot if possible
advocate) if required
• handle complaints quickly, within
• seek clarification of any points that are not
established timeframes
clear – in a non-judgemental way
• log the complaint and action taken for
• summarise the main points raised and ask
later trend analysis.
whether they are correct
• provide information to facilitate a better
understanding of a decision that has been
made or action taken
“…recognition of the inherent dignity and of the equal and inalienable rights of all members of the
human family is the foundation of freedom, justice, and peace in the world...”
Complaint handlers need to recognise that the dignity of individuals – that they matter and that they
are worthy of care and attention from the complaint handler – is a fundamental human need. If people
feel that their dignity has been threatened or damaged, they may react in a way that is perceived by
others as unreasonable or an over-reaction. Violations of dignity can include anything that makes
people feel unworthy or without value. This can include bullying, humiliation, demeaning criticisms or
negative judgements, exclusion, being judged or treated as inferior, unfair treatment generally, and
having their views dismissed or misunderstood.
Depending on the circumstances of each case, if a central factor underlying a complaint related
conflict situation is a fundamental human need – such as restoration of dignity – options would
include all those listed under A and one or more of those listed under B.
At the beginning of the complaints process, all complainants should be informed in general terms of:
• the role of the case officer and the functions of the organisation
• the complaints processes and procedures that the organisation will follow in relation
to the complaint
• how the complaint will be dealt with
• the likely timeframes for completing tasks relating to the complaint
• the responsibility of the case officer (and the organisation) in relation to the complaint
and the person making the complaint.
Justice theory
Justice theory is a way to describe or explain how individuals react to decisions and the way
they are made. The key proposition is that parties to a dispute care as much about how their
dispute is resolved as they do about the outcome of the matter.
According to this theory, any decision making process involves the following dimensions:
• The decisions or outcomes of the process – which focuses on perceived fairness of
decisions or outcomes.
• The procedures used – focusing on perceived fairness of the processes used to make
decisions or outcomes.
• The treatment of the individual involved – in terms of both:
- the manner the person was treated
- the information provided to them.
The key lesson that can be learned from justice theory is that it is very important for complaint
handlers to ensure that:
• The expectations of complainants about the handling and likely outcome of their complaints
are realistic – this will affect the complainant’s perception of whether the outcome of the
complaint is reasonable.
• The procedures used by complaint handlers are seen to be fair and reasonable –
complainant’s expectations about the nature and level of their involvement may come
into play.
• The interactions between complaint handlers and complainants are perceived to be fair
and respectful. This may include whether adequate information has been given to the
complainant about the progress of their complaint.
As well as establishing clear ground rules about what complainants can expect from the complaints
process, it is also important to outline what is expected from complainants in return. This is because
many complainants who behave unreasonably seem not to recognise that what they consider to be
their ‘rights’ – eg the right to complain – are subject to a balancing set of ‘responsibilities’ that they
must accept when they make a complaint. This may include a responsibility to:
• clearly identify their issues of complaint
• provide all relevant information about their complaint – to the best of their ability
• cooperate with any requests for information, inquiries or investigations
• act honestly
• treat the people handling their complaint with courtesy and respect.
For some people, however, anger about their complaint is translated into aggressive or abusive
behaviour towards organisations and the staff handling their complaint. They may threaten harm,
withhold information, provide misleading information, act dishonestly, bombard organisations
with extraneous information, or demand outcomes that are not possible or appropriate in the
circumstances. At the end of the process, these same complainants are often unwilling to
accept decisions and continue to demand further action on their complaints – even though they
have exhausted all available internal review options. Although complainants who display such
unreasonable conduct may make up a small percentage of the people that an organisation has to
deal with, the resources directed towards dealing with their complaints can be significant – and the
people who display such behaviour can place a heavy burden on staff.
One approach that may help to reduce the likelihood that a complainant will become caught up in a
downward spiral into unreasonable conduct is to use ‘motivational interviewing’ when dealing with
them. Motivational interviewing is:
The aim is for the complaint handler to guide discussion in a focused way – by informing, asking
and listening – to encourage the complainant to see the benefits of changing their behaviour so they
are more likely to attain their goal (resolving the complaint). The complaint handler must develop
trust, build rapport, use empathic reflective listening, respect the autonomy of the person making the
complaint, and remain collaborative and non-judgemental.
12. Glossary of motivational interviewing terms as supplement to William R Miller and Stephen Rollnick, Motivational Interviewing: Helping .
http://www.guilford.com/add/miller2/glossary.pdf.
In such cases, clear boundaries have to be established and maintained. The most effective way for
staff to manage unreasonable conduct by complainants is to deal with observable conduct, rather
than the possible motivations or causes for that conduct. Unreasonable conduct by complainants
can be divided into five broad categories – see Table 2. The table also includes information about the
overall management strategy for dealing with particular types of conduct.
Conduct Summary
Unreasonable This includes complainants persisting with their issues even though they
persistence have been dealt with to finality, refusing to accept final decisions and
sending excessive amounts of correspondence.
The strategy for dealing with unreasonable persistence is saying ‘no’ – not
necessarily using the word but the same principle.
Unreasonable This includes complainants insisting on outcomes that are unattainable,
demands moving the goal posts, or demanding to have their complaints dealt with
in particular ways.
The strategy for dealing with unreasonable demands is setting limits – eg
limiting how often a complainant can telephone the organisation, who they
can call, for how long etc.
Unreasonable lack This includes complainants providing disorganised, excessive or irrelevant
of cooperation information, being unwilling to consider other valid viewpoints, or refusing
to define their issues of complaint when they are capable of doing so.
The strategy for dealing with unreasonable lack of cooperation is setting
conditions – eg requiring a complainant to define their issues of complaint
or organise information they have submitted with their complaint.
Unreasonable This includes complainants seeing cause and effect arguments where
arguments there are clearly none, holding conspiracy theories unsupported by
evidence, and irrationally interpreting facts or laws and refusing to accept
other more reasonable interpretations.
The strategy for dealing with unreasonable arguments is declining and
discontinuing – eg refusing to deal with complaints that are not supported
by any evidence.
Unreasonable This includes extreme anger, aggression, threats or other threatening or
behaviours violent conduct.
The strategy for dealing with unreasonable behaviours is setting limits
and conditions about acceptable and unacceptable conduct and, if
necessary, applying risk management strategies and/or security policies
and procedures.
13. For a discussion about unusually persistent complainants, see Grant Lester, Beth Wilson, Lynn Griffin and Paul E Mullen, ‘Unusually
persistent complainants’, British Journal of Psychology (2004) 184, pp. 352-356, and Grant Lester, ‘The Vexatious Litigant’, Judicial
Officers’ Bulletin, April 2005, Vol. 17 No. 3, pp. 17-19.
There are eight critical matters that must be considered by organisations considering imposing any
such limitations:
• In the absence of compelling reasons to the contrary, members of the public are entitled to seek
advice and assistance and use the services and facilities provided by an organisation.
• Complaints and criticism are legitimate and potentially constructive aspects of the relationship
between an organisation and the public. They are a valuable means of reflecting on the
operations of an organisation and improving both those operations and the quality of an
organisation’s relationship with the community.
• Anger is an understandable and, to some degree, an acceptable emotion on the part of
members of the public frustrated with actual or perceived misconduct or other action or inaction
of an organisation or its staff. It is an emotion that needs to be properly managed so that
effective services can be delivered, communication can take place, and staff members and
public facilities are not put at risk. It is unacceptable to unconditionally deprive any member
of the community of the right to have their complaints and concerns examined or to use the
services and facilities that would otherwise be provided by an organisation.
• Before applying limitations, an organisation should be prepared to try alternatives – for example,
seeing whether different (generally more senior) staff are able to deal with the person in question.
• In all but the most serious of cases, limits on access and use of services and facilities should
be applied only after a warning to the person that limits will be applied unless the specified
unacceptable conduct stops.
• When framing reports and recommendations about imposing limits, organisations should
ensure that staff avoid inflaming matters by using defamatory or otherwise derogatory language
and base their recommendations on objective accounts of the person’s behaviour and its
impact on the organisation.
• An organisation should specify in writing to the person concerned the limits that have been
imposed and the reasons they have been imposed.
• An organisation should be prepared to have any limitations it has imposed reviewed by its CEO/
Board/Council on application by the person on whom the limitations are imposed – after a
reasonable period, such as three months. This creates an incentive to address the problematic
behaviour.
Applying limitations on contact requires tact, discretion, flexibility and common sense. Each situation
needs to be considered separately, in light of the provisions of the relevant policy.
The key to improving an organisation’s complaint handling and service delivery lies in ensuring a
clear, consistent approach to recording complaints in sufficient detail to inform relevant staff or an
external organisation about the nature of a complaint and the action taken to resolve it. The complaint
management framework also needs to include regular analysis of complaint issues and trends
relating to service quality and associated systems.
Complaint numbers
Many factors influence complaint numbers and numbers of complaints cannot, in themselves,
be an accurate indicator of an organisation’s performance. Many factors that go towards
improved performance – such as an increasing focus on complaints and rigour around
recording complaints – can increase complaint numbers. Promoting and improving the
accessibility of a complaints system will also increase numbers. Equally, a reduction in
complaint numbers may be due to a change in responsibilities rather than an improvement
in an organisation’s performance.
To undertake effective complaint analysis, organisations should make and retain good records
including:
• details of complaints
• categories or common issues raised in complaints
• the steps taken to address complaints
• complaint outcomes
• any undertakings or follow up action required to resolve the complaint or issues identified.
To maximise accountability and improve service delivery, information collection should also include:
• Records about the type of training and instruction that individuals involved in the complaint
management system have received.
• The organisation’s criteria for responding to requests for records made by a complainant or
somebody acting on their behalf – this may include time limits, statutory rights, what kind of
information will be provided, to whom and in what format.
• Specifying how and when de-identified complaint data may be disclosed to the public or other
organisations to whom the complaint refers.
Regular analysis of reports will enable trends to be monitored, the quality of customer service to be
measured and improvements to be made. When conducting regular reviews of complaint data, it is
important to identify whether there have been any internal or external factors (such as changes to
legislation or applicable policies, organisational structures or responsibilities, resources or systems)
that could have affected the period under review.
Organisations should also continually monitor their complaint management systems to ensure
complaints are effectively responded to and resolved, and any deficiencies in the operation of the
system are identified and rectified. Monitoring may include the use of audits, complainant satisfaction
surveys, and online listening tools and alerts.
Regular reports should be made to the head of the organisation and senior management about
the operation of the complaint management system, complaint trends and systemic issues, and
recommendations for improvement where appropriate. Reports to management should balance the
need for comprehensive and thorough information against the need for clarity and brevity.
To develop a culture that values complaints, it is critical that the head of an organisation and senior
managers send a clear message to staff that complaints can be a valuable source of feedback on
the organisation’s systems, services and staff – and actively implement changes to services,
systems, practices, procedures and/or products if weaknesses are identified through managing and
analysing complaints.
It is a common assumption that additional resources are needed to improve the management of
complaints.14 However, it is possible to make significant improvements to the handling of individual
complaints and the operation of the complaint management framework without the need for additional
resources. In the first instance, organisations may wish to attempt to reduce complaint numbers.
Some methods, such as improving service delivery, should lead to noticeable reductions in complaint
numbers over time. Other options for reducing complaint numbers are to proactively communicate the
implementation of new programs and policies and provide comprehensive explanations of decisions.
At any time that policies, procedures or processes are changed as a result of complaints or
feedback, the organisation should:
• Publicise the changes to both staff and customers – this will help to overcome any perception
that ‘nothing ever seems to change’ as a result of complaints.
• Monitor the impact (if any) of the changes through the complaint process – to see, for example,
if complaint numbers have decreased.
14. Commonwealth Ombudsman, Complaint management by government agencies: An investigation into the management of complaints by
Commonwealth and ACT government, October 2014, Report 02/2014, p. 15.
• The Australian and New Zealand Standard Guidelines for complaint management in
organizations (AS/NZS 10002:2014).
• NSW Ombudsman Complaint Management Framework and Complaint Handling Model Policy,
2015 - http://www.ombo.nsw.gov.au/news-and-publications/publications/guidelines/state-
and-local-government/complaint-management-framework-june-2015.
• NSW Ombudsman, Managing unreasonable complainant conduct: Practice manual, 2nd edition,
May 2012.
• NSW Ombudsman Tips for accessible complaint handling and accompanying video - My right
to be heard
• NSW Ombudsman Tips for local councils - Building a best practice complaint management
system
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Web: www.ombo.nsw.gov.au
Email: [email protected]