Guides Health & Data NHS Ombudsman escalation

How to Escalate an NHS Complaint to the Ombudsman UK

Last reviewed March 2026 — LetterSure editorial team

The NHS has not resolved your complaint to your satisfaction. The Parliamentary and Health Service Ombudsman is your next step — here is exactly how to escalate and what to expect.

When can you escalate to the Ombudsman?

You can escalate to the Parliamentary and Health Service Ombudsman when the NHS organisation has completed its complaints process and you are unhappy with the outcome, or when they have not responded within the expected timeframe. You must normally have exhausted the NHS organisation's own complaints process first.

You must escalate within 12 months of receiving the NHS organisation's final response. The service is free and you do not need a solicitor. The Ombudsman covers NHS services in England — separate bodies cover Scotland, Wales, and Northern Ireland.

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What the Ombudsman can do

Investigate your complaint independently

The Ombudsman is completely independent of the NHS and will review your case impartially.

Recommend an apology

The Ombudsman can recommend that the NHS organisation issues a formal apology.

Recommend service improvements

The Ombudsman can recommend changes to NHS procedures to prevent the same thing happening to others.

Recommend financial compensation

In cases where you have suffered financial loss or significant distress the Ombudsman can recommend compensation.

Require explanations

The Ombudsman can require the NHS to provide a full explanation of what happened and why.

What to include in your escalation

Your original complaint letter

A copy of what you sent to the NHS organisation.

The NHS organisation's response

The final response letter you received from the NHS.

Why you are unhappy with the response

Explain clearly and specifically what is missing or incorrect in the NHS response.

Relevant medical records

Any records that support your complaint — ask your GP or hospital for these if needed.

A clear account of what happened

Set out the timeline of events in plain English.

What outcome you are seeking

An apology, an explanation, compensation, or a change in procedure.

How to submit your complaint to the Ombudsman

You can submit your complaint to the Parliamentary and Health Service Ombudsman online, by phone, or by post. The Ombudsman will first assess whether your complaint is eligible for investigation. Not all complaints are investigated — the Ombudsman prioritises cases where there is evidence of significant injustice or hardship.

If the Ombudsman decides to investigate, they will contact the NHS organisation for their side of the story and review all the evidence before reaching a conclusion. The process can take several months to over a year for complex cases. Keep copies of everything you send.

The NHS complaint escalation process

Step 1 — NHS complaint

Submit a formal complaint to the NHS organisation. They must respond within 25 working days.

Step 2 — Internal review

If unhappy with the response, request an internal review from the NHS organisation.

Step 3 — Ombudsman referral

If still unhappy, escalate to the Parliamentary and Health Service Ombudsman within 12 months of the final response.

Step 4 — Investigation

The Ombudsman assesses and if appropriate investigates your complaint, reviewing evidence from both sides.

Step 5 — Outcome

The Ombudsman issues their findings and any recommendations for the NHS organisation.

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Frequently asked questions

When can I escalate to the Ombudsman?

When the NHS organisation has completed its complaints process and you are unhappy with the outcome, or when they have not responded within the expected timeframe. You must escalate within 12 months of the final response.

What does the Ombudsman do?

Independently investigates unresolved NHS complaints in England. Can recommend apologies, service improvements, and financial compensation. The service is free and you do not need a solicitor.

How long does the process take?

Several months to over a year depending on complexity. The Ombudsman first assesses eligibility, then investigates if appropriate, gathering evidence from both sides before reaching a conclusion.

Is it free to complain to the Ombudsman?

Yes. The Parliamentary and Health Service Ombudsman is completely free. You do not need a solicitor.

What evidence do I need?

Your original complaint letter, the NHS response, relevant medical records, a clear explanation of why you are unhappy, and what outcome you are seeking.

This guide is for general information only. LetterSure letters are personal correspondence drafts and do not constitute legal advice. For legal matters consult a qualified solicitor at solicitors.lawsociety.org.uk.