Statutory guidance

Chapter 8: Complaints, Document Retention and Data Sharing

Updated 21 November 2024

Enquiries and complaints

8.01 Providers must have an appropriate and effective complaints process across their whole supply chain to resolve customers’ complaints. You must explain your complaints process to the customer in your first contact with them.

8.02 A signature or an email response from the Customer confirming they understand and agree with the complaints procedure is acceptable evidence of the Customer’s agreement to proceed.

8.03 Where a formal complaint has been received from a Customer, a drafted response should be submitted to the AtW Service Delivery team at  [email protected] before replying to the Customer’s complaint. AtW Service Delivery team will review the draft response and either request it to be reworded or confirm their approval. Once you have received an approval from AtW Service Delivery team, the response should then be sent to the Customer.

8.04 You should refer to the Complaint resolution core briefing pack in the DWP Generic Provider Guidance and the DWP Customer Charter when reviewing your complaints processes.

8.05 If a Customer is unhappy about any aspect of the supply of the Services received from you (and/or any of your Sub-contractors) and raises a complaint, you should ensure that you follow each step of your process robustly, in order to bring the complaint to a satisfactory conclusion.

8.06 After following all steps in your process, you must include in your final response a standard text which signposts the Customer to contact the Independent Case Examiner (ICE) should they wish to pursue their complaint. The text can be found in Annex H.

8.07 Complainants should be advised that they can escalate their complaint to the ICE within six months from the date of the final response that you issue.

8.08 ICE will first look to see if there is scope to resolve the concerns raised without requesting any evidence from you. If a complaint is relatively straightforward, and the Customer has reasonable expectations about what you could do to resolve it, ICE will liaise between the parties involved and try to reach an agreement which is satisfactory to all. ICE will write to the Customer with details of what action you have agreed to take and will monitor the case until that action has been completed. If a complaint is resolved at this stage, then no determination of fault will be made.

8.09 If the complaint cannot be resolved, ICE will request the evidence from you to establish what happened. Following the review of evidence, ICE will propose a way forward. If you agree the actions that ICE propose, and if your customer is satisfied that they address their complaint, the case will be closed. Again, no determination of fault will be made.

8.10 ICE will contact you to confirm that each step of your internal process has been completed.  If they feel that you have not completed your process satisfactorily, you may be asked to revisit some steps to seek resolution before ICE are prepared to investigate further.

8.11 You must action and (if applicable) respond to any correspondence of any nature from ICE within the stated timescales.

8.12 ICE does not act on behalf of individuals, but as an independent arbiter.  The ICE Office has two primary purposes:

• to provide a free complaint resolution and investigation service to individuals who are unhappy with the final response to their complaint from the relevant DWP Agency, Business, Access to Work Provider; and

• to support DWP Agencies, Businesses, Access to Work Providers in improving their services, by highlighting where things have gone wrong and making constructive recommendations based on the complaints the ICE Office identify. Recommendations might be systemic in nature or case specific

8.13 The ICE will mediate between you and the customer to broker a resolution. If a resolution cannot be agreed between either party, ICE will ask to see the evidence. You must provide all the evidence which relates to the complaint. ICE will again attempt mediation between you and the customer (known as a ‘settlement’ if the evidence is needed to broker an agreement). If this cannot be achieved, ICE will undertake a full investigation of the complaint.

8.14 ICE has three stages of complaint examination, which will be applied to any complaints made about you.  At every stage, you, the Provider, will have the opportunity to give your version of events and offer any supporting evidence.

8.15 These stages will apply to any complaints made about you.  At every stage, you, the Provider, will have the opportunity to give your version of events and offer any supporting evidence. More information about each stage can be found in Chapter 2 of the Generic Provider Guidance Grievance and Complaints Procedure – Treating Participants Fairly.

8.16 All draft ICE investigation reports include findings and recommendations. If any aspect of a draft ICE report is disputed, the grounds for the challenge need to be raised by your complaints lead/senior manager. Disputes should be addressed to the ICE Adjudication Manager, who will review the response and establish the nature and extent of the dispute.

8.17 Any challenges to an ICE report must be clearly articulated. This part of the process is only concerned with factual inaccuracies contained in the draft report or misinterpretation of case events, procedures, or policy. ICE will not revise a report based on a difference of opinion, such as the level of redress recommended. It is for the ICE to determine the findings and any appropriate remedy based on the case evidence presented.

8.18 In some instances, an informal discussion between yourselves and the ICE Adjudication Manager may resolve any concerns or misunderstanding around the content of the draft ICE report and remove the need to trigger the formal escalation process.

8.19 Your response will be shared and discussed with the ICE, who will provide a view. If the ICE agrees, the report will be amended, and a revised copy shared for comment. If the ICE does not fully agree, the formal escalation process will commence.

8.20 The formal escalation route is in two stages, firstly the ICE Adjudication Manager will reply to you within ten (10) working days of receipt of the challenge, providing their view and if appropriate, a copy of the revised draft report, allowing 10 working days to respond. If agreement is reached, the escalation will be closed.

8.21 Stage two of the process will be instigated if ICE the is not persuaded by the response to the stage one escalation, or your dispute of the draft report remains unresolved, the ICE Head of Office will write to your director to seek agreement on a way forward.

8.22 Further information regarding the three stages of complaints can be found in DWP Generic Provider Guidance- Chapter 2 Delivering Provision.

8.23 Please note that under normal circumstances, if a complaint is upheld against you at investigation stage, a financial contribution will be recovered from you to go towards funding the Independent Case Examiner service for provider complaints in the following year.

8.24 Further information on complaints procedures can be found in your contract and in DWP Generic Provider Guidance- Chapter 2 Delivering Provision.

8.25 For more information about ICE, please visit the ICE website.

Issues management

8.26 When you identify problems relating to any aspects of the services you deliver, you should resolve such problems as per the obligations in your MHSS contract.

8.27 You should report any proposed changes to the way in which your services are accessed or suggestions for improving the efficiency of the services provided to your performance manager in writing. Their approval is required prior to implementation. Any change that requires a change to the AtW MHSS Contract will need to be approved by DWP through the “Change Control Procedure” (please refer to the AtW MHSS Contract).

Document security

8.28 Please refer to Chapter 8 of the Generic Provider Guidance - Information Security and your AtW MHSS Contract.

Document retention

8.29 Providers must keep during the contract term and for seven (7) years following the expiry or termination of the contract, complete and accurate records of all contract documentation including the services supplied under it, all expenditure reimbursed by the Department and all payments made by the Department except for Personal Data that is required to be returned or destroyed under the AtW MHSS Contract.

8.30 In respect of completed specified reports, documents, and personal notes, these can be retained for up to six (6) months after the exit report payment. At which point they can either be:

• securely destroyed and disposed of; or
• anonymised and retained, as outlined in your AtW MHSS contract data processing schedule 11.

Data Protection Legislation and Data Sharing

8.31 Providers must follow United Kingdom General Data Protection Regulation (UK GDPR) taking into account as per your AtW MHSS Contract.

In relation to the sharing of data, Providers should also adhere to all requirements as laid out in Chapter 8 of the Generic Provider Guidance for DWP Providers - Information Security.

8.32 You must retain all customer responses to each stage of the complaint for the duration of your Contract, as outlined in your AtW MHSS contract data processing schedule 11.