Is something not right?

When you use a health service, you should be treated fairly, kept informed and listened to. If something doesn’t feel right or a decision seems unfair or unclear, it’s okay to speak up.

Complaints help health services understand problems, fix mistakes and make things better for everyone.

How we can help

You can contact us to complain if you feel you have been treated unfairly by a NSW public health service.

We can help you to understand your options and look at concerns about how the NSW public health services make decisions and handle complaints.

We look at issues like delays, unclear decisions, poor communication and problems with how complaints are managed.

In some cases, we may take further action such as making inquiries or referrals, conciliating or taking other action to resolve a complaint.

Which health services we can look at?

  • Public hospitals
  • NSW Ambulance
  • Community health services (e.g. early childhood services, Aboriginal health services, multicultural health services, counselling services)
  • Public drug and alcohol and mental health services
  • Public outpatient services (e.g. outpatient rehabilitation, cancer care, dialysis)
  • Local Health Districts
  • Justice Health and Forensic Mental Health Network
  • NSW Health Pathology services
  • Ministry of Health
  • eHealth
  • HealthShare (e.g. Enable NSW, Patient Transport Service)
  • Health regulators (see below)

  • Clinical treatment decisions and practitioner conduct
  • Community Treatment Orders 
  • Private hospitals (refer to the HCCC)
  • Private health insurance (refer to Commonwealth Ombudsman)
  • Commonwealth funded services (e.g. NDIS, Aged Care)
  • General Practitioners (GPs) and other practitioners in private practice (refer to HCCC)

We do not look at complaints about clinical care or practitioner conduct. This is the role of other health regulators:

  • The Health Care Complaints Commission (HCCC)
  • Health Professional Councils & Health Professional Councils Authority (HPCA)

The HCCC is an independent Commission that has broad discretion in the actions and decisions it makes to handle complaints, in consultation with relevant professional councils.

We can look at complaints about the regulator’s administrative processes. Examples may include where there is delay or if the reason for a regulator’s decision is unclear.

We do not undertake merits review of clinical and conduct decisions. This means we do not re-examine the detail of inquiries they made, or the evidence they considered, as it is not our role to assess whether the decision was the preferable one to have made.

However, we may look at whether there were issues in the administrative process leading up to the decision (for example, was the process procedurally fair and consistent with legislative responsibilities).

Common issues people contact us about

We look at problems with how decisions are made, how complaints are managed, and whether the health service followed fair and proper processes.

Examples of issues you can contact us about include:

  • difficulties accessing services
  • decisions that seem unfair or confusing
  • policies, procedures or systems that appear unfair, inconsistent or not followed
  • problems with how the health service or regulator managed your complaint
  • administrative mistakes (e.g. booking errors) and delays
  • poor communication
  • excessively long wait times or delays for non-elective procedures, (or unusually long wait times for elective procedures).

Before you make a complaint

We usually ask people to raise their concerns directly with the service before coming to us.

Many issues can be resolved by raising your concern with:

  • the staff caring for you
  • the Nurse Unit Manager
  • the Patient Liaison or Patient Experience Officer/Manager at the hospital
  • the Complaints Team at the health service
  • the Health Care Complaints Commission (for clinical treatment and practitioner conduct complaints).

However, you can contact us directly if:

  • you don’t feel comfortable raising the issue with the service
  • you have tried raising your concern and the problem is not fixed
  • you think the issue affects others as well.

Information that helps

It helps if you can tell us:

  • what happened
  • who was involved
  • when and where it happened
  • the impact on you
  • what you would like to happen next.

You don’t need to write a long or formal complaint – your own words are enough.

Making a complaint for someone else

You can make a complaint for a family member, patient, friend, or someone you care for.

If possible, talk to them first. Usually, we require a consent form.

If the person cannot speak for themselves, we will look at the situation and decide what action may be appropriate.

If you are a NSW Health staff member or contractor

Health staff sometimes contact us about issues that may affect safe or fair care, such as:

  • unsafe systems
  • repeated delays
  • unclear workplace processes
  • problems with how concerns or complaints are handled.

You can raise these issues with us.

Your concern may be a public interest disclosure (PID). We can help to explain your rights and options.

Learn more about PIDs and our Whistleblower Support Line here.

How to contact us

There are several ways you can contact us.

Visit our contact page.

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Journey Together artwork

We acknowledge the traditional custodians of the land on which we work and pay our respects to all Elders past and present, and to the children of today who are the Elders of the future.

Artist: Jasmine Sarin, a proud Kamilaroi and Jerrinja woman.