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    1 Grumbles, Gripes and Grievances

    The role o complainTs in Transorming public services

    1

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    Grumbles, Gripesand GrievancesThe role o complainTsin Transorming publicservices

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    2 Grumbles, Gripes and Grievances

    The role o complainTs in Transorming public services

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    3 Grumbles, Gripes and Grievances

    The role o complainTs in Transorming public services

    cOnTenTs

    acknOwledGemenTs 4

    execuTive summary 5

    1 inTrOducTiOn 14

    2 cOmplainTs in a relaTiOnal sTaTe 17

    2.1 T o g 17

    2.2 cot ot 19

    2.3 cot o oto 22

    2.4 ug ot to o ot t o oto 24

    2.4.1 ct 24

    2.4.2 ct 27

    3 deininG cOmplainTs 30

    3.1 cot o (. o t) 30

    3.2 dt o o ot 32

    4 a cOncepTual ramewOrk 35

    4.1 cot oto t 36

    4.2 lt, egg, ro 37

    4.3 ioto o 37

    4.4 ioto oto 40

    4.5 a 40

    5 eliciTinG cOmplainTs 42

    5.1 Og o ot 42

    5.2 T t 43

    5.3 etg ot tog gt toog 45

    5.4 Ot ot o to tg ot 48

    6 acTinG On cOmplainTs 49

    6.1 ug ot to ot oto 49

    6.2 coog oto 52

    7 valuinG cOmplainTs 53

    7.1 vg t og o ot 53

    7.2 cot o t g 54

    8 cOnclusiOns 56

    9 recOmmendaTiOns 58

    appendix 1 60

    appendix 2 70

    reerences 72

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    acknOwledGemenTs

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    mailto:[email protected]://www.dass.stir.ac.uk/mailto:[email protected]://www.qmu.ac.uk/be/Research/cic.htmhttp://www.qmu.ac.uk/be/Research/cic.htmmailto:[email protected]://www.dass.stir.ac.uk/mailto:[email protected]
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    execuTive summary

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    The role o complainTs in Transorming public services

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    The role o complainTs in Transorming public services

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    a t d q w y t td tz. rt k t dt tdt d xtd t:

    What kind of public servants are good at relationships? Relational approaches require skills that

    are distinct from those of management and delivery. They require greater empathy, a better

    ability to see things from the point of view of others, stronger skills in both communication

    and listening, and skills of mobilisations, including particular skills in how to organise coalitions

    for change, particularly where the goal is to change cultures. Management becomes as much

    about mobilisation as about control through the line.1

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    http://www.instituteofcustomerservice.com/files/1.Guidancehttp://www.instituteofcustomerservice.com/files/1.Guidancehttp://localhost/var/www/apps/conversion/tmp/scratch_3/20handling.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_3/20handling.pdfhttp://www.instituteofcustomerservice.com/files/1.Guidancehttp://www.instituteofcustomerservice.com/files/1.Guidance
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    1 inTrOducTiOn

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    b dto pg

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    2 cOmplainTs in a relaTiOnal sTaTe

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    iqt o o

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    od d :

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    t xtt tw t . T t w t t. o , t, t d d t. T d t y xt t y t, xy t ty t t tdd ty w t (s t .,

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    ay d Jt p.

    hw, w t tt y , t qt t td. ad t t , wt t t tw t xtt d x dy.

    btw 2011 d 2012 t t t p s od Wd y 13 t; t stt p s od y 12 t; d tod s d t od s y 25 t. ctt t l od dd t d (od at 2012).T pty d ht s od (phso 2011) d 15,000t t t 20102011, y t 5 t 20092010. Tt t td od w t tdd (bk t .,2011).

    s d t t t . ad t tg md c t t dt t uK 23 t t t y, t t td 2007. T t t w dt tt wt t tt t t td y 69 t d k t y 45 t (g md c2012). nhs t std y 15 t 20112012 t y .T 2 w t t ttt .

    T 2: cot po s t nhs

    pocoteg w20102011

    32,681

    3% y

    4,379

    + 4.1% y

    162,129

    +8.3% y

    11,968

    + 15% y

    8,968

    + 10% y

    pocot sot20112012

    cotto t nhseg aw20112012

    cotto t nhssot20112012

    cotto t nhsw20102011

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    T t qt t t w t dy w . st tttd d t w qt t t t d ( 1 d 1). ct t t tttdy ft tty tt w dy t

    y td.

    g 1: nt o cot o nto p s

    g 1: nt o cot o lo p s

    Staff attitude

    Staff competence

    Quality or reliabilityof goods/services

    Suitability of

    goods/services

    Organisation not keeping its

    promises and commitments

    Availability of

    goods/services

    Cost

    Late delivery or

    slow service

    Other

    Public Services (national)0 10 20 30 40

    38.3%

    37.2%

    36.9%

    26.0%

    16.6%

    14.2%

    12.2%

    9.1%

    15.3%

    Staff attitude

    Staff competence

    Quality or reliability

    of goods/services

    Suitability of

    goods/services

    Organisation not keeping its

    promises and commitments

    Availability of

    goods/services

    Cost

    Late delivery orslow service

    Other

    Public Services (local)

    0 10 20 30 5040

    44.1%

    36.2%

    25.9%

    22.3%

    21.5%

    20.5%

    16.1%

    10.2%

    12.2%

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    D wt d y t tt d tt wt (c 2010). Tdty, d dtd y tt d d d t t t t d.hw, Dt pyt d p bdt w, t

    tt d t t tt t d t ddt y y (gy d lttd, 2009). T tw t tddd d t t td d (T d htt, 1996).

    h t d t y t w t t. it d t t t t tzd k t y t dk, w t d t t tt d d(lse p py g 2010). it w t . T ptt rt at std d tt wt w t t t t x t (stt gt 2012). T ay tttd t t t t w by d ht . it w t , t

    t w t tk t ty (ad ct 2011).

    nt, t t y w ft tw xtt d x ; d dt t d .

    2.3 cot o oto

    b (2010: 37) t tt t ky t t tt tt d d t . ot tt tdtt t t tty , d t d td, tt t (bt d Tdd 2012; bt dldt 2012).

    it d y: d dt; t d t d dtty; t d d y tt ; d ;t ; ; t d; d tz xtt (b2010). i t, t adt c (2007) d tt:

    ... innovations (in public service provision) emerge in response to several drivers, and

    it is rarely easy to establish a direct relationship between a single specic driver and a

    subsequent innovation. More oten, members will articulate demanding outcomes which

    will require an innovative response rom ocers i they are to be delivered.

    (at coo 2007, . 20)

    Wt dy d , t t t t w t y d d ty. i t t d d k d t, t d tt.i t tt tty t wt t k t d d ddtd , t t.

    by tt, t d , t w kwd d wy tt t.

    ct w tt d d t y kwd t . ct d t ty td, yd d td

    ty. T q d t t t t t() d wt t t(). T y d wt t t dty; ttwt tz; wk wt tz t d t t, dt d t.

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    T ct c tt:

    Scotlands public services are in need o urgent and sustained reorm to meet

    unprecedented challenges Reorms must aim to empower individuals and communities

    receiving public services by involving them in the design and delivery o the services

    they use achieving outcomes or every citizen and every community.

    (sott Got 2011)

    ctz d t t t uK t d t t (Wt p, ct o, 2011):

    The open public services agenda can make a dramatic dierence by treating citizens

    as grownups by giving them greater choice and control; genuine inormation on

    outcomes; and a stronger role or their communities. Improvements will be driven by

    putting the needs o citizens beore producer interest.

    (hm Got, 2012: 3)

    s t Wt p d t . T u (2011) tt: T t dt t t d t t t t t ty.

    ct y w tz d tt t t.

    T ittt ct s (2007) w tt t t:

    idty d t d.

    ht tt t .

    c td wd.

    ct d d t.

    u yt .

    Complaintsled innovations may be incremental (tailoring services more eectively),

    radical (developing new services) or transormative, resulting in new workorce

    structures, new types o organisation, new relationships between organisations and with

    a step change in overall perormance

    (mg a 2003).

    hty (2005: 28) dt ty t t: pdt t(.. w ttt t); s t (.. tx ); pt (.. dtt t t t d k ; d t w ); pt t; stt t(.. ty ; dt t); g t (.. ;dd t); d rt t (w d w t,.. t ).

    p t t t d t t dtd y hty., t t d ty d t t t d t t tdy.

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    CULTURE

    Incompatible Complementary

    Low UNPREPAREDNESS LOW CAPABILITY

    High RESISTANCE READINESS

    COMPETENCE

    2.4 ug ot to o ot t o oto

    T 3 w w t d td t y: d w t w d t t; tw ty w t t qd; d t w t tt t . ot y dy td t ty t d ty t.

    T 3: v o ot oto

    2.4.1 cot

    ct t t t d t t :

    c Kwd mt (cKm)

    it

    Dy

    co kog mgt

    cKm t t t ty t tt t d kwd t t ydy d t. T dd txt t t dt t t, ttt t t t t t kwd (r d h, 2005). T dt t t kwd d d t d tt d dy t. hw, t t y ttt kwd qt t t t t, tt d xtt ttkwd (sj d s, 2006). T d t t cKm t tt t.

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    ioto

    Tkt. dtd t tt k t

    it Dna: c, ct , ctty, ct, ct,ct d ctt. T 4 w w dt d tt t dtd, w t tt t y t t dy.

    T 4: k ct o et co koge ioto

    ct d d w t t

    COMMUNICATION. a w ttd, t y t d t.b t t d t fw y k kwd t y t, t t t tt d k.ad ty k kwd t w yt (bk d Tk, 2011). T ty xd t tmot cot oo Go, w , t d t sttd t t Twtt d k.

    u kwd xt yd t d. T d kwdd y t CONSUMER. ct d t tt kwd t ttt , t d , xt (s t ., 2012). c t dty t ty

    d t t t t d t xtt d d t (uwk,2002). ltt d httt (2004) d tt kwd t t t tt. T ty tt dy, x

    ct r o ro o ot

    ct ty o ed

    fw

    c ty udtd t idty d t dd ht tt

    c ty ex w c td wdtty ad k tTk k

    ct ty itt ott t dg/t dt

    ctty ty gt itt nw t/t

    ct dt

    ctt ty o t it d jdtd jdt bd wd mt wd

    ct ty st sw /k itt k

    http://localhost/var/www/apps/conversion/tmp/scratch_3/Thinksmart.comhttp://localhost/var/www/apps/conversion/tmp/scratch_3/Thinksmart.com
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    t d , w qk d t t dtdd qd. ot tt t d k t tk, teol c d d sto.

    T t ty t ty t CHALLENGE dt dw t t . i t po sot4, x, t tk tt t , tt, t p rTt, c d y o t p s td t . it mto u , t tk t dt f ptt o t t . c d t t (k t)d (tt tt t t t ty wt tt).

    ct t COLLABORATION. b (2011) tt t t d tk t t t ty ty t wt ty y wt. T qy . T td

    twd t t, t d dt ky t t wd w d d t d t t ptt o ydy ty (.. bw, 2012). i y , t tw d d d t t.o eol c w w wt t t d t t jd . ot wkd wt t y, w d t t w t d t d y. utty, d kwdw d t d t t. T o Tt rt t d d tt t t t t . Dtd t tw t dt t mot cot oo Go, tstt d d D d gwy c d t dd t.

    T ty t dw wd t dd t t CREATIVITY.ct d d t t tt y t ( tt t qky) w. ptt pot d x w t tk, dw d d kwd, d t w. T eb dg xty t d ttytt kwd td t wt t xt.

    bd t wd d t tt t tCONTEMPLATIONt. ct t ttt t t t yt t t, d d.hw, k d tt tk; t tt t td d td ty (r d h, 2005). Tet e dtt w d t

    t t t .

    d

    a t t ttd d t ty COMPLETION, t Deliveryt. m y, t t t t k d w d tt t

    4. a t t d t uK y ttd t/wtd t .

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    ct t t t t t ; w, ty t ft t (s t .,2012). W t k t ky, y t. nty t t t qtd y d sj

    (2006: 106) d ty ddt wt t dt t d tt t t.

    a w t t d t, t y dty wt tt d tk. ct t wy w t ky d t tz, d tt t tt tdty t d. i eol c , t td tt t t d dt t. htt wd t t t w t w dt k jd t. o ty w w t, ty w t d t t t t t t t x.

    ct t d t t t . hw, dd t y t t t t. a yt d t tft t dy t, t y t td t t t d. T t ty t d wy t d t t, w t tt wy t d t t t(s, 2011).

    htt (2003: 2) t tt t t tw q tt: it t t t t ttt d t t t xt. i t td, t t dt t jty xdtz t d t dy.

    2.4.2 ct

    W t wt t t q t t dt tt twd k t t kwd tty (gt t .,2002: 463). s wd tt tdd t t tt . W t x d t t tt w, tty d t x (s t., 2012).

    2 w t dx tt wt t. T d : w wt d t t t ; w y t t wt w t t w dd; d w y t t wt t t

    t t. nt d t wt t.

    c tw d t t t d t t t. hw, t ttwd. p qty x d t t t t t. at t t, tt t t d t d t t tt t dtt t xtd t w t.nt, t ct idx t tt t t tyd t w t t t t t.

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    g 2: cot i o t uk (ittt o cto s 2012)

    ct k t t t t t t t wy. t, t t y t. pt d d t t t t tt ty. sd, t tt t. p , d t w t t t, y wd y xt d tt t t t . y w

    xt t , t y t t y tt dty t t ht d sty ext. x, t t po sot t kd wt t tt t t d t dd t t. y, t kd t t t.

    p d t tt t t w t t wt t. lw tt d d t wt t t. T ed Ttbt (2011) d tt w y ttd, 51 t w t t t t 12 t, w y 25 t w tt t t 12 t. T d w y

    dttd 15 t d 57 t. l tt y f ttt wt t t.

    Overall

    Retail (non-food)

    Retail (food)

    Automotive

    Finance (insurance)

    Services

    Leisure

    Utilities

    Transport

    Telecommunications

    Public Services (local)

    Finance (banks and

    building societies)

    Tourism

    Public Services (national)

    50 60 70 80 90

    72.2

    79.6

    78.5

    78.3

    77.1

    75.9

    72.6

    72.2

    71.7

    71.4

    70.1

    67.4

    66.8

    64.9

    Jul-12 Jan-12

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    i t t t, t tt t t ttdt y d t t t t t. T itt d t t t t wt wd d d t d tt d d t t t d tty. T

    t t t dtt qky t d t dt d t t. it t t x t t w t t txt , d t 70 t w t d tty td y t. std t d tt, yty,tt, t d tty (bQ, 2005; Dy, 2011). gd t t ty t t t. a t tdy wd td 160 t t w td y t x (m d bd 2012).nt, t y t dw t t tt t. x, w t c ct ot t ty; ty t c dt tt; t t t a dy t t tt t dty d t t d t t y t

    t wt; d t tw ad d t dy w tx t wt t dty t t t ty t d wt (The Economist, 2012).

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    3 deininG cOmplainTs

    A complaint is any expression o dissatisaction made to an organisation where a

    response or resolution is explicitly or implicitly expected.

    T dt t d t t dty d, ty x dtt (bw d m, 1996; v t ., 2008; sa,2011). it t tt t k , d t, wt t wdy d dt (.. ics, 2010; bs iso 10001, 2007):

    3.1 cot o (. o t)

    T (2007) w t , t . ct t , w ttdwt xt tt d wt dt t yt tt(h, 1970). i wy, xt t tt t. T t t, t tttd t td t (oT, 2010).nhs c dd tt d t y t (ct o 2010). hw, td t twd t. ptt d t w t d. ext t , y t tt d t. i , xt y t td; x, w dd d t t tt. i t y gp

    wk dtt xt t t wd t t q (Dwd d J, 2012).

    a ot o o tto to ogto o o oto t o t t.

    o to ot: o ot; t tt, ott to o o ; t t o qt; tt o t.

    cot t o t t o t ogto o o o tt o q t t ot , to o oo ot.

    T t o t ot, t t , too t o.

    ics (2010)A complaint is when a customer brings a problem to the attention o theorganisation and expects some redress, probably over and above simply supplying

    the original product or service that was the cause o the complaint.

    bs isO 10001 (2007)An expression o dissatisaction made to an organisation,related to its products or the complaints handling process itsel, where a response or

    resolution is explicitly or implicitly expected.

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    T t t y d wt xt; t wt at hft xt, d yty wk (1970), t tt:

    p ky t t xt ty y t t . i t

    dtt, yt w k wt y tdd ( y dt) d t t (t) (s t ., 2012).

    e ty t xt, ky t t dt,qy tty t , t ty t t(s d b, 2005; s t ., 2012).

    ct ky t wy t jd qty(s d b, 2005).

    T ty t xt y w t t xt t f dy, d t d t t d t k t. T

    t tt w t dd t t y J l gd (2007), t.

    ady, w dty tt t tt y f t ( 3).Tw td: t yty; d t tty, tty d dt d . Tw td: t ty qty; dty xt.

    g 3: at o so b (2005: 264)

    c y td t t t tt tt kt (ck t ., 2006; g, 2008). p t tt w xt. it t ty tt tt ty t tt t dqty tk t t. v y td ydtt wt . hw, t y td y t d td , wy d d dt. v, d t, tt (s t ., 2012).

    Consumer loyalty

    Intensity and

    duration of need

    Transparency of

    service quality

    Availability of exit

    Consumer

    -

    Related Consumer loyalty

    Intensity and

    duration of need

    Transparency of

    service quality

    Availability of exit

    Complaint

    (problems create

    a perceived need

    for innovation)

    Service-

    Related

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    3.2 dt o o ot

    T y wy w x y t t t t

    x t t t, twd t . my t dd(s t ., 2012). ct y dt d dt t t t tt d qky t t t , t x t. T t t t, d t wy w t dd t t .

    lt t d t tt dt wt t t t . W wd xtt t t dd t wy. W t ky t ty ,t tt ty y t t t ty dy t t t . Yt t d t t t ,d t k t dty t t dtt. cy t t t t t. hw, t w y

    d tt t y tt d ty t y w t yt td y t.i t td d yd, ty d kwd t. x, t T u o w w wt d t t t t.

    T d t tt t t, d w ty ty ty w tt t t t. i D 2011, t sa d cdi s a t uK 2.8 , dt d t. T sa d tt t w jt t tqty k (t k tt cisa t t t) t y(t tt t ). gd t y dtt tt w qd t d wy t t.

    ot t y d tt, td tt.T t y w qtty t ty y t. rd t t y tt, d y t t t dd t ty t. a t t twy tt kwd td, td d xtd ( xt w : ptt pt; Dd sty, d edl c). bk dTk (2011) k kwdd t (cKei) t ty t t d t t t t kwd.gd t cKei . hw, t x w dtt tt t d t.

    T u O dtt o wo po (dwp) woto bt ct

    T t wt t w dy t wty kkd dw y td t t . h t tttd t t t d , t d . T d wdw tdy d fx t tt tyddd t dtt t t t, t d y. T tw w d t t t t t d ; t t w d d dd.

    h dt ty d tt y d t ty dt d t dt T u o (Tuo).

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    T td t DWp t d t t d tdtt d t d t t d xty d y t d.Wt cty c ttd t t t t w ,d tt, t Wt bt ct.

    Wt dt y w y t tt t t t dt.Ty w t t t Tuo tt t d t ty dt t t t dt.

    i m 2012 w Tuo w tdd ed, stdd W, w t t t jt t dt. w tt t dt, t t w t qTuo t d dt t dt tt, nt i, dt t d y t t t. T t tdtt d w ttd. Dd t ty d adt s; cd s; c h; c Tx o;Dty d c s; Dvla (d y); hm r d

    ct; pt s; d t p s.

    T t td t d dyt. T w t d t w d t tztt. T t t tz t; t d d twy t y t dd d , y t t y k t y t t t.

    It isnt just strikingly obvious; its also a ne example o innovation and best

    practice, a dynamic and inspiring model o how central and local government can

    work in true cooperation to achieve benets or themselves and their customers.

    Im condent that others can take heart rom our progress and start work on their

    own innovative projects, sae in the knowledge that a cooperative and willingspirit does exist within government, and that any boundaries and prejudices can be

    smashed with the hammer o a great idea.

    mtt bgg, pog mg o TuO

    T t t tz xtd t tt 66 t xt ty, w t d t w 192 t d.bt t tt t t dt dt.

    eol c: seQOl, so

    T dt w w d dd d t k twt d y t t d . T td tw t tk t t. T t d d t wt t y d d tt t w t t .T w wt t t/tt, w w jt d t . uy, t, t d t td .

    T td d t t k t t d w t d d d jd . T td d t w t wd t td wt seQol, wt wd k t

    dt tty. T kwd t d t d t d t t t y, w t d, tt t d d y ttt tt. cty t

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    t wd. nw, w t t t wd wy, t t d t td t t y.

    T t kd d t d t

    d, t t t tt d t . p ttd t t t y t d t t w t d. Tqt w kd: y w t t, w wd y ? T d t t wt t y y tt d tdtt t d t d.

    t, t ty t d d tk w w seQol t wt y w. T t tt t, tk tw t w t t w t t t yt w t yt. T xt x t ddt tt ddd t, d t d.

    d sto: dt s dot ct, stg

    T dt dt w y t . sdd t, t d t t x d t t, d x t t t ty t dt t y dt t y t t . T d wt t DvD y t Dt s Dt ct t t uty st d td t t k. o 1,000 k dttd tt t nhs std. a t 1,000 d, t d , t wt t dtd t d dt. a d dt t k, wt tw ddt t dd d w dtt.

    T t t x dd w w ttd yt ty t d t tt t wt dty.h t wt t Dt s Dt ct d t t dt . Dd sty ty d td dt t ty, d t . T y t tt d t t t t dt t d t . T d d t t d d dtd wt tttd d y twt t t tt d yd.

    h dd t t t, t xt t d wk wt t w t d t.

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    4 a cOncepTual ramewOrk

    o t wk td t w 4. Twk d t t td ct 2 Dy, it dc Kwd mt (cKm), d tt t dy ttw t. it w w t t, wt d d t t t cKm dw t (t t) t t t t, xtt d d; w t t d , yt ttt.

    O ot o o o

    ...tg to, ggg t og to ot t oog gt

    ... to ogto to ot oto t

    ...tt to t oto o o to, otto o

    ... t g , t o ttt

    ... gt f, to, o oto .

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    Delivery Innovation

    Innovation Inputs

    (Other Prompts)

    (Other Knowledges)

    Innovation Process

    (Re) Invention

    Exploitation

    Diffusion

    Change in?

    Values

    Systems

    Attributes

    Innovation Outcomes

    Many/few benefitBig/small impact

    Added Value?

    Functional Price/costEmotional Social

    Complaints

    (big/small stuff) (high/low volume) (many/few contributors)

    Consumer knowledge management (CKM)

    Source ofdissatisfaction

    Listen

    Respond Engage

    g 4: a cot o o cot ioto

    4.1 cot oto t

    p t dd wt t dt d tdd tt q

    y, t tt dd d. cttt dt wt t y y q t; ytt, t t t d d y q tt. x, t d t mot cot oo Go, t sttd g d t stt d t d t adt D . Tdd tt w t t t t tx xt tt.

    T t t t t tt d t (. ldt, 2011).s t y t t , w tt, t t tt 50,000 tt, t y y ttd qty; ty y tt , tt, t t tt 5 tt, t

    td dd td tt y y.

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    s t, t eol c , dty w d td wty y t d; t t dty w d d y td t t w t t t . T t dt t, t ptt pot, w mencap

    d ; y t t t w dt, t t po sot.

    4.2 lt, egg, ro

    ct y d t d t cKm tt , tyt, , d ty (dtd b, 2011). gd t kytt t cKm (s, 2011). it q t w d ttd, w t d wdy t t (bd, 2000). T w dttd t t tdt d tt d t

    tt d dtt kwd tt tt t t.T ho dg pot d x wt d y t ty t w d dt x.my t . it t tt d dtdt ty t d ty ty t t t. awpk ht d W b c td t x d d kt. T t t tty d t td t t t t.

    T xt t t cKm q d t wt t,t t t d t wt t kwd , yk,ttt d d. r t t d t w y t. bd t t wt t ttt w ty t t t .

    4.3 ioto o

    et cKm t t t t t :

    ito t d t dd td y t;

    eotto tt d t t; d

    do wd dt t t.

    T y q d t tt t t d t. Dd t t t t, ty y d t , yt d t, ttt.

    p t wy y t tt d t . Yt t w ty tt t d t twt t w. D tw d d t d t. i t t t, d y dy t t t t t wt . T t t wy t t yt d t tt t t tw dd.

    i t t po sot, t dd t tt t t wd t t t td d d t .

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    ct y d t yt d t. t ., (2012) tt t t yt y tt . nw d d y tdd t t wy t d. T y td y t d t tt t d t d tt t

    dy t. i t d sto, t t d t d tt t t ttt dt. i t t o Tt, dttkd d d t dtt t tt t t tt d d.

    y, y d t t ttt t , wt qt t f kt . Tw tt d t tdt t t twd ttt. t, dd y d w ttt t tt. sd, dd d w ttt t tt, t y d t w w t ttt dd. o eb dg w w kwd t tt w t t

    dtd.

    mot cot oo Go t t sott oo o

    T ty mt d tdy d t fd t .Ty w d t t , y wt t tt dd tt ty, wd t d y td y ttt x fd t . lk t d j t fd. l dt w ty d t cty d r g wt t t t stt d .T g w t t t y fd w t tt fd.T d t k fd, dt w d t dt d k, t, d ty t c d d t kd.

    T d t k, ttd dy tk t dtd t t t w. a d mt w dd t t dtd wy fd t . Twtt t ty tt t sepa fd w t t t kwd t t d d t ty ky t.

    p w d kwd t tt t t

    tt. et t t dd, ty, d t dt t t t . T ty tt 2010, d , xt d d wt t l c(D d gwy). T d x tty wk wtt ty.

    We help communities to put in place a holistic support programme to empower

    individuals to engage with the local authority, Scottish Water and the Environment

    Agency. Forty people have adopted a drain, demonstrating eective engagement

    with the local community. It is important to conront the issues and ocus the anger

    to develop creative solutions to the serious complaints and rebuild condence.

    Peace o mind, building resilience in community channels ocuses on peoples

    experiences and changes their mindset its a totally new way o thinking.p h, dto o t sott oo o

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    T ty t ky t tt t t y d qty. e t t d t t t t t k fd tty. T d t t t t tt

    std d t tt id d ed.

    ho dg pot: ao p hot, w boog co ho l

    h lk tt tt 70 t dd t k t t tt, d t t d t tt d t t t t t nhs.

    h tt w dd t wt tt t, t t t, d d d t t t nhs.Ty d t dd t t tt; d d t d t d d t t y d. i xt , t d dttd t t t 36 t y.

    h lk wkd wt t t t wk t t td t d t d. Ty t tt t dt d d t t t . Ty dd t t tty t k t dtd .

    aw pk ht, t wt W c, ttd t w t.T kd t wk tw t t, ttyd t t t ty xty . Tydd ht D pjt d td k wk t dty t t t tty d d t dt t. Tk wk d dt t tt d t t td. T pjt, jty dd y nhs W d t st pt t W b c, d t t d t t k y: tt td d y d d; d d t tw tt d t tty; w t tt; d d k tw t t, ty t d ttt

    .

    w t tdt t t t d wt t y td:

    There are many challenges or homeless people making known their dissatisaction

    with services; their expectations may be low, they may lack condence hospitals

    need to take a more holistic approach and embed these links into their processes.

    h mt, po mg, ho l

    aw pk ht tt tt ty 45,000, d t dt dyd d, x t tw a d st 2011

    27 tt w, / , wd tyd d t t .

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    4.4 ioto oto

    T t t t t d t t t

    t tt td t. W td tt t t xtt t w td t t t, t xtt t w w y t(. ldt, 2011). s, T u O, t d y t. i t, eo l c d t mto u, ty w t t t t t . i yt t, t po sot, t y ty t t y t. i t , t d t dt tt d d t .

    W td t , dd wdy . a y t d w ddd tt d t t . a td t wt ty

    t t t tt y t t t. ptt pot d x w t d. T pt w y dd wt dt. hw, t d w kd t t t nhs. pt dd t t wd t dt.at d x mot cot oo Go, w t dtd d t t t t tt std; d t tt id d ed.

    4.5 a

    o w w td t d t dtd tt . T t ddd ttwy: , t, d t.

    ty tt t t txt dty tt.T y d t t , d y . ctd t w w d t t kwd td t t t d ty y.T T u O xt x t t tt dt t . T mot cot oo Go t dt wy t . T w t d y dt d d t t d yt d t t t fd.

    t td y t wt t d tz.ctd t y , dty dytwy wk. T eol c d ptt pot xt x w tz kwd xtd t dy t tty .

    ctd t t t . Wd d lt(2010) dty t wd t ,t d tt, d t w dd d t, t d t t. ct d t t twd q t. T mto u ty t

    t t t y t wkd d t t ty. i t , td t d dd t wd t.

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    T t t d, ft t t, , dtty, ty d (m t ., 2007). ctdt t dd qt t t , t t tty. T T u O, eol c, ho

    dg pot d o Tt w w d w t t tt w t t wt . a s (2011)w, k t wt , , xtt, d d t d tt t kd t w dtd t t.

    T txt wk td t t dtd w t d t d t. Wt t wk , t w t tx dt w t t, t d t tt t.

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    5 eliciTinG cOmplainTs

    5.1 Og o ot

    c tt tw d tz y (..tt td ), d (.. ) ddt (.. t d)(s t ., 2012). o t tdd td (s t ., 2012).

    ct y , y y, wtt. Ty d dty t t td tt. Ty ddty t d , t, twt; dt td xmystt ptto (adx 1); dy t ctz ad. ct t d: t dty tty d tt ( f); dty t (adx 1 dt). ct dt .

    nw t , d t wy w tztt wt . i Wk, w t t td, t d t tt d w tt (bw, 2012). hw, t t kwdd tt t t wt f. i 2010, c d tt t t wy tt wt w (48 t ) d t (46 t);

    y x d d wt. Tdt td t t t w t .

    ctz y t q t t . o t tdy wtt d 30 t y ty wd t ty ty wd t td t (s t ., 2012). at tdy (ty 2011)d tt 20 t d t d, t t y. c d t w t y. it d w dt wt d t . T w q dt t t wy d ttwt .

    cot g: o o o; o tt;t to o o t tog o o oogto; o ot

    cot o t . n toog og o , gg t tz tt t .

    T t ott o ootg ot oto . i t t g tg o g t o og togt to o og o g.

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    5.2 T t

    e wd tz y t tt t dty t d;

    w ty d , ty y tt ty t d t ty dd.i t t td t y t . T td t td t t dt t ty t dd wt t t d t tk t t t tw t .

    p t d ty ty t d dqtd d. od y t dt;ty t tt kwd t d tt y d tt t .

    od d t td t tt d t w d td y y;

    dd . a w t dtt ty d t t t t (spso, 2009: 2).

    p t d t k tttt t yt t (g, 2011). T c d c t (phso2011) dw t x t nhs tt t 65 d t y. T t tttd d d tt d td t t c td y t nhs cdt, a uK d t l gtat. it t, D Dty, ddd t k t d (c dty d 2012). it d j t t tk t td . T w ht sod, D J m (phso 2012) td t t dkd t t t wt wk d wt dd.

    i d d t t d d t y ky td t, t d d t t.

    T 2007 c rw t ty d t d d std dtt y ty wt t d, t dtt xt ty tyt t. h w w tt tyt t ft t d tt. c d tt tt w y x d t w t t w tw dd d td. i x td t t, dd w t t t dt dy t d t t ttd

    t t t : () nhs, () c c, () t dd , () d ( gmc n md c) () tpt . c dd t tdt tddd td yt.

    T c rw d t t t t d std.T ct stdd atty (csa) w td t d tddd,d t d d. i t td d: td d t w dd tt t t; t t t tty t y y d tk t t w t; d t d t d d t; d dt t twk. a w t wt dd t

    t t d, d t d qt d t csa qd (mdd, 2012).

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    ot xt d tt y d t t d:

    . s tt t ittt c a (ittt c a, 2012).

    . ady d ctz ad bx. ctz ad d ctz adstd d d yt t d t dt t tt d t tt t (ctz ad std, 2012).

    . c t W? d c tt y t d d t t.

    . rt ogem, t c c d t gmc. c tyqt ty tt t t, t wdyd tt wt t d t d (.. hd t ., 1999).

    Td t tt t td t . i t ty xt wd d ty kwd tt t d . T t x t t po sot. ity, dt w d y tp d pt od. W t dt w t td,t p r Tt tk t t t nt c c, t sttc c d t W c c. T td t k t t t t, o. at t w dw , t t t t d t t tt d t .

    ptt pot: lg dt iqt

    T Dt y d t x wt dtydd nhs . T w t tt w t t d ttt, wy ty d dd. Ty d m ; t d t w t . h nhs dt Tt td, d ddd t tt wt dt. ptt td ,: wt t d t ; y ; t y t t t t t kwdd.

    w t tt, ptt pt w tdd. T pt

    a4 dt tt d t tt t dd tt . it t tt tt dd d d k t d tt tt t xt w tt dttd t t .T pt k t d tt ty y t t wkw t t t, , ty ky wk, t tw kw t t, d t t. it d ky t t ddt d dt tk, w t t dtdtt d d d t .

    T pt w d y ty tt w dt dt t tt t d y, y tk t t. x, wt dt, t d, q dy

    t t tt t. dk tt, dt y t. ptt k t d kwd ty dtd d td , t t d.

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    T Tt ty wk jt d a t at tt ttdd t wk t wt dt. it k t t t pt tt d y t wk

    wt . T t t d , tw t t d w tt t. Wd t ww t t t ddd wt t iT yt.

    po sot: po ro Tt, nto coco Oo

    a , rd D, d t t p d pt odt t t y w t

    x t qt y. T d t td t t t , ty t t w t t t t t d t icTtd d ty. T t ddt t xt xty t t t tt; w tt t t tt d t t d w tddt .

    T od ttd d d dt. Tw t td y t p s. T p r Tt t tk t d kd t nt c c, stt c c dt W c c t tt. Ty tk t t ow dd tt t t d dd. a t, t t std, ed d W ; ty w wt y. a w t dt t t , t wd t:

    Prisoners are able to make more regular and longer calls to amilies and support

    systems outside the prison service. This has made a huge dierence: emotional

    support, especially at times o distress or those with mental health problems and

    suicidal concerns, so in eect this provides a saer environment or prisoners. There

    is an implicit eeling that i prisoners are happier, then lie in the prison will be

    calmer. There are also social arguments around amily contact and support being

    important or reducing reoending.

    coo, T po ro Tt

    5.3 etg ot tog gt toog

    T t y t dy t icT d tt dt, fx wk tt d dt t t wy(ct o 2012). it d tt t dtd d qty, td (.. ct o 2010).

    T t y t t t t tz t t , wy tt d tt t t

    (s it 2012). Dt ty tt td tt t W 2.0 tt t d t t, k d d (o, 2010). it t d d t :

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    w tt, w tt d kwd t t; td d;t t d, d t (mdy, 2011; Dd, 2011).

    a d ky t t y t, w t

    d t dt t t t tdt . Y ky t tt wt t y (c 2010). i tdy 16 t 24 y d, t w t ty d t t t dd t d . s dd t kw w t; kd d t k t; d d t wd t d yt ty dd (b t ., 2002).

    c tt ty t t t; d ty t t d d. sxtyt t w twk k w, d50 t w dk (nw 2011).

    T y x t t t d tz kwd ( adx 1). a tt t uK t xmy stt wt, w tz t d t . ctz ed w t y p, t btbt a ty tk t, t t t t ty d d t t dty t tt ty . nt ay , d rt it, w t t t k t, tt d t. i ttd bt, us, t stt b add a tk dt t t t t t tty, t d d ttt t tt. u t t t twtz d t; d k t x tz. W t t t q t, ty t t t .

    my tt dd t w wt, l lw db c Dd (2012), w d d nt t xtwt dt. otd (2011) tdd ptw t t t t t d . T dt td otd t k td. ot tt t, nhs c, d t ttz, d t w t .

    a t tdy 78 tt d tt 96 t k d, wt t t 4 t td t . hw, t jty (t 70 t) t y wy t, t tz t, w,d (lse 2012). T tty dy d t qt (siTm, 2012).

    my t t t t t t k d Twtt (Td 2012). s t t wtt t k t t (b 2010). ldt (2009)t tt d t:

    become organised in new ways, at low costs, without many o the paraphernalia o

    traditional, hierarchical organisations(and develop) that capacity or collective sel

    expression and selorganisation creates new options or us to become organised, to get

    things done together in new ways.

    (lt 2009)

    my t d y tz t.

    ptt o x tzd t, t t j d k t d. T t w

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    t t, t td t tt dk. my td tt w t d d t ptt o. s nhs tt y d ty w w t t t t t . ptt o t t t

    d t t t tt dk (ehtid 2012). Tw t t t (mto u d o Tt) dd tt wt ptt o.

    at x t t rt y gp . mk btt w dtdwt gp. W ddd t gp d t dt t t ddk t t gp t . bd t Tad t yt t, d t t t , td tt tz t t t gp d k d d (eht id 2012). m d t t dt . x, t gd c gd t d d t d d d .

    mto u: ptt Oo

    a ddt d t td t tt t ptt owt. T t dy , d wt t ty, ttt w t t wtt dt t wkd. T d d q. ity, d dd t d . hw, t tt ptt o td t wt t t. sqty, t t w d dy t td ty. T d t dtdt ttd t t mdy . T d t t t t d t tt w d d t wkd ty y.

    ad t t ceo ptt o, t dtt w the transparency othe web can get people to act.

    o Tt pg to io: ptt Oo

    ptt o tk t rt t wt d t t

    t tt wt t d t t ttwk t d t tt x d t. a t, 52 d d t w ty wd d t . T dw d ptt o d rt c wt. adt t ceo ptt o, t transparency o the webd tt td micro social movement xtdd d.

    T t wd t d wtt dt. it qd: t t t; tdt y ptt o; d t wk tt. T ty t d t w d w wk y ptt o x, k t y dt k t d d tt t d t d t

    t. T Tt ty x. hw, t dt ty t d t ty t tt.

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    5.4 Ot ot o to tg ot

    o d t tt t d t

    t. hw t d t ( adx 1). i d, ty t t td t t tt t . bd t t, b cty c d t t t t wt tt tk t d I wantmy money back. i id t ctz rt cd tz t d dk b d. i Dk, awy wt d t tdd t t tdtd, y d dt d y tddtt .

    i t ld b rd, t Y d: w dd tt tddt t t t t . m t wt t t t ft t t d t

    t t t . a t t t d wtt t .

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    6 acTinG On cOmplainTs

    6.1 ug ot to ot oto

    sy ty t w t t d t t. it t d t, ty d t td t t t t, xtt d d.

    T ittt ct s, d tt wt k xt xt (dwt k ) kd t w w t d wt dt. ct d t t d, dd dd; t y w tt t w w d d t wt (ics 2007).

    ct d tt t dty t d dtt t w (b d D 2002). Ty d ky t (b d D 1999) d dty t d t. T t ho dg pot t awpk ht, t W, t d t. T d tyd y t d t t w d y .

    p ky t ty t t w td .T t t t t t t; yt dt t t d t wt t t d t d t dtt t t (ncc, 2004). s t t t t, d wt t ty (o 2010;

    ht ctt 2011). my (2003) dt t ft tw t tt d t . a d t t t t x (ht c, 2007). T c t od at t t ddt wty t y x t (Tyd, 2012).T w ct W d ddtd t t d wttt t w t t , w ty dd yt .

    o , et e, dtt wt d wd t. T c Qty c d t t wt dt t wk d t t t d t .

    T dtd kwd t t t t t t t k tt qt d t tt t d . T ddt, t t t t d d, k tdt tdd .

    i t to oto, ot to ot to t ooto o o to, otto o.

    cot o og o t oto o ,ooto to t to to t, o ot to oot tto o to t.

    s ooto t o tz g ft t tot o o t ooto o.

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    T eb dg d t x t w . c d tt t dd d; dty t t d d t yt w d wt y ,d, ttt d t t . T lt d Dt

    hd d nk c c d t kwd tt t d t. t tt w ty d x w t d t t t tk tt d t td y t d.

    et e: c Qt coo (cQc)

    ext t st Wt tt wt dt d t w dk t cQc wt t t dy t t t . Ty td tt qt w d t dt, w w kd t

    t. T t, d wt t t ttyt t y t t d dt t ty d tmt cty at, d cQc t t k d t t . T t d tt qt dd xt d t dtd kt t t. T d t, dd t d w td. T t d tt d t t d t d t d tt kt w t . T dd t tt t t y,dty, , ty, ty. rtt, t dt w ty d d t t t t d.

    W t cQc d t tt dd t, t d wt x t, t t d ext y ex t t d t . T at Ttt w x t y t . T td kwd t t t k t qt d t d y dd t t t. T t d t t t cQc wt t k t . T td td y t. o t ty, c st, w yd t ext y ex. ext ttd t, tt dt t t d tk t tt tt d t t t cQc.

    T w d 300 ext y ex. i t wd :

    Who would have thought it? My view about what I think is being respected andtaken into account. Ive had opportunities to be out and about visiting lots o

    dierent services, and sharing my expertise.

    eb dg (ebd) lto dt h n c c

    o tt t t lt d Dt hd d nk c c dd x d tt d . s t tt d td

    t t dt wt d d. Dtd t w t y,dty, tt d d t . T d t d t t t d dt. ot tt d d x.

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    st t d dtd tt dtt wt t . ebDw t t tt t , wtt d d t j.ebD dd t tt t t t , w w wtd yt d t tt d. T t td t d t

    t d d d x. T t d tt t d t t t t tt d. ebD w td Tt t tt ed. T t t dw, t t t dtt. a d wtd t c c, wt y tt t t tk twk d t kt d ft. s t tdd d:

    Qt f

    ottt tt dd d d t tt qky d t.

    lt w tt t t t t t tt d.

    ptt ty.

    rw t d t wd d w tty k.

    extd t t tt t ttty tt.

    a tt o tt t

    nw t t wd, t d w dy tt.

    nw wt t t wd, k t tt t d kt t d d t.

    Ddtd qt t t wd t t tt t d t.

    eb dg xt x w t t d d d t . it t wk t tt d. ad t tt tyt, J pk,

    t t t t ttt t t ebD . Itsthese emotions the way patients eel at certain points o their care that lead us

    to the hard improvements, many o which we can do quickly and at little or no cost.c ext st rd dd: We can now point to more than 40 realimprovements in our head and neck cancer services as a direct result o the EBD

    work. Thats very exciting.

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    6.2 coog oto

    ct y wk d d t t d,

    dt t t t d t t, t t t t xt t d d t. i t d t d dt qt t. x, t eol c, d sto d ptt pot d t, t dt. rty t t wd, t t dt d t wt dt ty w dtd t d . T qt t dt. i y w t ty , t ty d t wy wt t d tt t t tk t t. Ty wt d t tk t d t y t t d td t wt ty t y. Tt d t dt, t t. u w dtdy d t k t y t , d t k tt y qt t d t dd.

    i t , t mot cot oo Go, t d dtd t . T tt t d t y ttd y t dd t d t. hw, t y ttd y t t dt, w d t tyd ty d . sy, t et e , dt d t y ttd y t yt t d t . hw, t ext d td tt ttt t t tt wt d tdt.

    s dt dd t t t t tk t dt . T nhs ittt it d it(2010) dtd t t ky t k t tt d, tty, tt . s t ., (2012) t q:

    s d tt dt kwd d , dtt t w dt t d tt tt.

    T tt ttt t t k t wk, t t d y wt t dt kwd.

    p t t tk t w ty tt wt tz. st,d d tz t t w t, t

    t t tt q. hw, ty d t wt tz t, t dt t t t t t.

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    7 valuinG cOmplainTs

    7.1 vg t og o ot

    b w t t t d wt t q t t dt d twd tt t kwd . Yt y tt t t, k t t t w d dt.

    s t y f t xtt d tt wt t t.cty, t d t tt ty k t t wty x t . T k t t w tk twy t t w wt d. bt t .Tt tw d d t .

    a htt (2003:3) t, t d t dty d ,d t w, t t , ft. at t t t twdt. nw t t w z tt t t t. o, stwt (1996) t t, t w y t t t w.

    et (2000) t tt t t q:

    lt d t kwd td t d.

    e dtd d t t t t d dd .

    l t t d t x.

    a t w d t t.

    a t t t d t t qty d k t (. syty t ., 2007). bw d m(1996) t tt t t.

    a ky tk t t t wy t t t. ct d t dt wy wt t t dtt q t, t dtt t d q dt. bt ty y k t ty dd d ddd dqty (stt ht

    c 2009; stt ext ht Dtt 2002).

    T ct p sty (2011: 4) d tt t dtt t d y x; t, t,

    cot t ott ogto to ot t o oto.

    bg g to t to gg t ot q t tt o o to o tt t og o .

    bo g f oto, ot oot t too o o ogto t oto tt to g ogto .

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    d wd tt d d d t. T t mto u, ho dg pot, po sot dptt pot w tt d w d t , d w y t d wt x .

    ct t t t t. ptt t solace wk ftd tt t dy dtt tt t t t t y, t k ty , t d t y wtt t d t . ct w t td y, t tw t d dt t tk td t t t d. s tt wdy t t, t t t tt d t tk t d t td tt (solace, 2011). ct d d t y d wyt t d .

    7.2. cot o t g

    cty t tt t t t d t. W dy td tt w t t t wt t t , t t .i t, t d t ft wt t t t (s t., 2012). p kw t t w ty t. gy t ft t tw t w ty ty ttd y t ,d t xtt w ty d ttd (s t ., 2007).

    ct t t t tt; w. i t w dd, ky t t t . skt ., (2005) t tt t t t d d , d y k d w d .W t xt ttt t w tz, t t w t t t w t t t t d. hw, tz dt ky t w tt d (.. kwd,k, t). T k t tty ttt. Tk t t t dt t t , d t tt t t t d t(s, 2011; K d, 2009).

    ad t, t d t t tt dt t . ct t q dty t t

    t tt y t td t , t t: t t ( t t t w t );t t t (t t t t t t wt t txt); ty t t (v e c d s (1993; ).

    Sometimes cultural values support innovation; but culture can restrain innovation when there

    is confict between the culture and the innovation. Creative management is necessary to

    support the orces that drive change and overcome the orces that resist change.

    (v e cog s, 1993: 46)

    ct t tt d t t, t d t. x, po sot tdy w

    w t p s d t dt t t d dt t . dsto td t t t. D t t tt d t Dt t Dt s Dt ct

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    (DsDc). T d tt t tt dd wt t t t d tyt tt t dt d d t k t t tt.T DsDc Dt kd t t d wt t w t yt w tt t qd t dt t y d t t w w t

    t . at t t tt, d t t Dt, t y dd d t tk td t. T t d wt t nhst w td, d t tk y tt t wt .

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    8 cOnclusiOns

    T k tw t d t tt d t y xtd. T tt d tt dwt d. T d tt tz dd, k tdd d qty . hw, t t t, dt tt d t t tt d tty dtt. T d t d t dty. Kwd dd t t w t d tt tt t d d t. ct w d tt t. Ty d t t tz t x . e wt t t t. i dty, t d t tt qd t d t,

    qt d td .

    T td t t w w t t t; dd, d t tt. Ty w t d w kwd tt d d d d tw , d d td t. v , t wt dt , t k t.my d w dd t d ty. it t t w d t d t t td.

    T tt dtd w t d t ty t t ,w d t dty y wt ty t tdt. i t t , yt d t; t ttt;q d tz; t t? W d t d (d ) t dt ty tt t td: t jt ; t t, d t t.

    sttt w tt t y t uK,d tt w t t t t d.

    Ty t tt t t t. itt t t t dk tw tz d . nw t dt t t dtt. s t tx tt t t t t tt dttt. mt tt w d; t t jty t

    t wy t t tz t, w d . s dd tt wt ptt o t tty t wt tz. hw, t t t, t t d tt t t wt f. m tdt t tz d d t t tydd td t.

    W dtd ky t t td t:t, , , t, tty, tt dt. a t d t dd t ww ty d t t. hw, d q tyt t t , tt, ; t w t

    t. it t t t d t t d t; tq t w d ttd. p d t w t

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    k t t t t t ty. i t td ttt t tty , t t tt wy t kwd tt t t. T d d t tty, t t d w t t, tt

    dy d k t t . utty, t q t t t t t kwd tt t d t y tt t t t t, xtt d d.

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    9 recOmmendaTiOns

    w t o ot ?

    W d ky wy dd t w t d :

    1. k g o o o ot (d t wy t d).

    2. u toog to o o to ot (k t t ;d t t t t).

    3. cot t g tz o t ( tt tydtd w t t dt wt).

    4. l o ot t og ot o o tg (t d).

    5. io ot o t oto o ot (t tty d tt t t d t, d tt ddtd ).

    6. l t o o (tt d dd t t t td t d t t d t tty d t k).

    7. G ot t t o t to q o ot to g oto (d tt t t qky).

    W k dt t d d wt tt t dt :

    Got

    itd ttty qt t d dt t.

    cdt .

    e tt t dt dd d t t dtt .

    e d t t tt tt.

    pt pty tt t dt t t.

    O ogto gto

    e kwd t t.

    add t t d t dt.

    u ty tyt tt.

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    ct t t t t t t.

    ct t .

    s o

    so l: t t; t d dt; t t; d tty.

    mg: t t tt t; t d wt t t k t t x tt.

    cot t: w ty t k t t tt; t dt t tt t; d t wt .

    coo: d t d t wd tt; d d t.

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    appendix 1

    iot o g ot

    uk

    ptt Oo w dd y p hdk gp sd w wtd t kt wd tt t t nhs. s dd ptt o wy td tt t t x, d y t t t . a t w t. it t t t d t t t tt dk . c t p btw d t jt t t tDtt ht vty st itt p 20122013, w

    td 6.8 t 50 t.

    s: .ttoo.og./o/q #Q1

    ..o.///7610/ttootooo

    ht uk

    T nhs ptt cg kd y 1 d ww t t dt t dtt t tt:

    D y ttd tt x t yt tt d tt t y.

    ct wy ttd t.

    e d d dt t tt x t wt d t.

    D t tt yd t t .

    ptt y tt ty t t x t d ty. n nhs t tt t tt t x t t tt y t.

    T x t d t t tt dk, kt d tt dk, t t d t wdy .

    s d t wk tt, d tty, wk wt tt d tt tt x. T tt t d d t wy dd.

    T nhs ptt dk c dd t d wd t w d t w dy dt t x d t t t d.

    s: .ttt../oto/__oto/_tt__g.t

    .ttt../ogto/ot_/ot_t__ttt.t

    http://www.patientopinion.org.uk/info/faqhttp://www.ehi.co.uk/news/ehi/7610/patienthttp://www.institute.nhs.uk/innovation/spread_and_adoption/nhs_patient_feedback_challenge.htmlhttp://www.institute.nhs.uk/innovation/spread_and_adoption/nhs_patient_feedback_challenge.htmlhttp://www.institute.nhs.uk/organisation/about_nhsi/about_the_nhs_institute.htmlhttp://www.institute.nhs.uk/organisation/about_nhsi/about_the_nhs_institute.htmlhttp://www.institute.nhs.uk/innovation/spread_and_adoption/nhs_patient_feedback_challenge.htmlhttp://www.institute.nhs.uk/innovation/spread_and_adoption/nhs_patient_feedback_challenge.htmlhttp://www.ehi.co.uk/news/ehi/7610/patienthttp://www.patientopinion.org.uk/info/faq
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    nt: eo

    btbt : ctz ed w t y p, t btbt . at tt t tt d t xd, dt

    t t tk t, t t ty d d tt dty t t t ty . a t gps d t t t xt t t , d ty wk wt tt ty d t dty d t .

    T t wd , k dwk tt yt (w w y d y t t t tky d tz). cd wt d t y wt,btbt t y t x d w dt t wd t t t tt d t ty ttt.

    bd y wy t d t dtd t, ty

    t t w t t t, d w ttqk dk t t tz.

    s: .g.o/got/tt

    .tt./g

    i: bgo

    T pac t yk t tt t wtd ty y k tk t b ty j d d t t t tdqy, y dtk y.

    T j t t pac t ttt ctz rt cd (crc)yt b d w tz d dk t qty, y d dqy d t ty wtt tt wt d (p 2006; p d sk 2000).

    T d tk d dt y d qt. T t w d wt t jt : () dtttt tz dk d d t t t d d t t t t t t dt t; d () t t t t tt d xt t t d d t t

    qty d tty.

    s:t..o//q/do?=10506359&g=188

    d

    d ml t tt t k t tz ty dty, d t t wt t tz d t.

    T D t awy wt t rd T t t tz ddt t t t t d.

    T td y tz t t tt tz x t t. p wt wk wdd t mdl w w twd y D t tt wt t y d t d awy wt t rdT.

    http://www.springwise.com/government/buitenbeterhttp://www.buitenbeter.nl/englishhttp://localhost/var/www/apps/conversion/tmp/scratch_3/site.ebrary.com/lib/qmuc/Dochttp://localhost/var/www/apps/conversion/tmp/scratch_3/site.ebrary.com/lib/qmuc/Dochttp://www.buitenbeter.nl/englishhttp://www.springwise.com/government/buitenbeter
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    T t t awy wt t rd T t w w t tdtd d y d dt d y tddtt d d . T jt xdd d d td y t .

    s: ..///tttttottgot

    uk: ro

    yo s: w d: a w tdw t t t t t t t . a t td, yd d d , t tt t d, t qty t, w d dt. ptt dtd, t t d t t d t t .

    st k w dy td y d ddwt dt. ly Kt, ct ad r d p, tt t y dd . They make you stop and thinkabout things rom the customers point o view. They also encourage innovation by

    allowing sta to suggest ways to improve services. The councils complaints panel is

    an excellent way to spread the learning so that something learnt by one service can

    be implemented by others.

    i a 2010, w ct mdt w td wt x t t:

    ro q x, t d t y tt.

    Gt t gt ft t x, t d.

    b ft x, t qky t d t t.

    b o , ttg t to ft x, t t

    l o o ot x, .

    e qt tog o ot w y .

    T d t tty d t t d ddd t wd.

    s: .o.go./o/o_got__o/o/oo/ot/o___.t

    uk: s

    a O st r d dty t d tdt t wt d . T kkttd t. Ty kt t d t t, t t ttt t t jt. T dtd ddd t t t:

    ctt t t ty t.

    Jd tk d , k yd t dt .

    Ttd t t t t t.

    http://www.mind/http://localhost/var/www/apps/conversion/tmp/scratch_3/-lab.dk/en/cases/awayhttp://www.richmond.gov.uk/home/council_government_and_democracy/council/councilprocedures/complaints/you_said_we_did.htmhttp://www.richmond.gov.uk/home/council_government_and_democracy/council/councilprocedures/complaints/you_said_we_did.htmhttp://www.richmond.gov.uk/home/council_government_and_democracy/council/councilprocedures/complaints/you_said_we_did.htmhttp://www.richmond.gov.uk/home/council_government_and_democracy/council/councilprocedures/complaints/you_said_we_did.htmhttp://localhost/var/www/apps/conversion/tmp/scratch_3/-lab.dk/en/cases/awayhttp://www.mind/
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    r tt dtd t d t.

    mk d t t.

    sdw dtd ky t x:

    it t t, d dtd t.

    m d t d d t.

    gtt t t dt.

    Tt d dtt tt.

    i, d d k tt.

    u t t tt d t .

    s t t t.

    s: ct o p st, 2011.

    Go: /uk: bg

    cot co:it t ttd d wt dy wk T K d o KtK hk. p t w d t t d t dy tt ty dd d t ty t t y t t t t .

    i t y t x vtk. it ctc d t d t d tt w t ty. K d KtK tt: Wouldnt it be antastic totake this expression literally and organise a real Complaints Choir!

    a t jt d d y tyd t wd. K d KtK d t t t dtt w ty w td tt t t w y t s ittt b t xtd t t d tt t t ct c ty.

    b w t t tt t jt. T tt d tfy d t dtd t t tty. l mkhy td t t t . Wt tw wk t w dt t y t ttd tt dt t t tt y w w t . a t w wt y t t t y d: I wantmy money back.

    s: .oto.og/to.t

    http://www.complaintschoir.org/history.htmlhttp://www.complaintschoir.org/history.html
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    uk: loo

    mstt:T ld b bt x:

    rt t tt y t t , xmystt y d wt , w y t tt y td t dd t tt wt y , d t y qk .

    it w d t t w t w wd t t tt td. s xmystt w xt t t w t k ty wtk t, t t jt tt t t d t td t. s t k ty t tz t t . it w .

    xmystt t d t t t , d

    tt wt w d t x t t.

    b w, w tdd t d t y tt t ydy t d td tt t ttt twk. i t, t ty t t wt dt. a dt t t tt t wk, ty t d w dx t. s i tk t t t wt dt t k t y d t d.

    s: .ot.og/og/2012/06/01/toooogotfttoo

    uk: loo

    mTot uk t tt y tt t bt d t dt t t t ct s dtt.

    m t t, xmyTt t t, ddt w d t t t t d t t qdt t tt y d. it t t k t tz, wt y t dt t ty my sty.

    s: .ot.og/ot/ftot

    uk: bg

    bg c do 2010a t t tt tz t t ty. Tb c Dd t t qt tt t b cty c dy. it td t tt dt w t

    T dd w d t nt mk it l 2010.nt wtd tt t t wt d t d

    dt dt jt. bd mdk tk t d tdd t t c Dt b d ty d t.

    T w t k dt t t wt tt t c. T tt w kd t d t t

    http://www.mysociety.org/blog/2012/06/01/thehttp://www.mysociety.org/projects/fixmytransporthttp://www.mysociety.org/projects/fixmytransporthttp://www.mysociety.org/blog/2012/06/01/the
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    t dt wd d t t t t t tz b d t c t t d t t d.

    s: o.og./ot

    uk: not a

    not a poto ait w nt ay dt t t t k t, ttd t t t c t t std t td t dtk p .

    rt it, nt ay c , tt t tt c t k tt t, fy t d d .Ty w t tk j tt t wt

    dt.

    ld t nt ct s Wk, rt it t y tdwd t a st, t y y t . i jt qk t, dt t fy t, t, tt, d d t , tt tt d d .

    rt it t t t t t xt t t d d t t dty t t c. it kd dty t t ck yt dt t kt tdt t t j.

    W t uK tt tdd t k t y k k tkt, nt ay c t t std t tt dt t tty t dk tk d .

    s: .ot.go./nat/ioZo/poa.

    uk: Gp

    G m coT w gmc l s, w tt , w td d wk wt md Dt, dt d tt t

    t d w t k t tt t t . Wwt dt t td t d t, tk d t qky ty t tt .

    nw d t g md c w t dt t ttt t tt k t t t t qty.

    T d k t tt dt t t tt tt ttt tt t wt t. n t dt t t tt t dt t t.

    n Dk, c ext t g md c d:

    These clauses are totally unacceptable. Doctors who sign such contracts are

    breaking their proessional obligations and are putting patients, and their careers, at

    risk.

    http://localhost/var/www/apps/conversion/tmp/scratch_3/civicdashboard.org.uk/abouthttp://www.north/http://localhost/var/www/apps/conversion/tmp/scratch_3/-ayrshire.gov.uk/NewsArticles/InfoZone/iPhoneApp.aspxhttp://localhost/var/www/apps/conversion/tmp/scratch_3/-ayrshire.gov.uk/NewsArticles/InfoZone/iPhoneApp.aspxhttp://www.north/http://localhost/var/www/apps/conversion/tmp/scratch_3/civicdashboard.org.uk/about
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    T w d t d t t tt ty k tt dt dty t t w ty tt ty tk, w tt dty d. T d xw dt d t d d t d t

    t t, d w t tk y tt ty y .

    Dt ty t ty d w tt w dt d w ty wk . nwd d d t dt d dt dt dtd t t t t yt ,t d t, , d .

    T tw dt t t 240,000 dt t d t d t wd t t 12 m 2012.

    s: .../cottv.?iti=2223

    .g.og//11881.

    uk : eg

    ht so c co cohtwt w t w t t d . itw xt tw dtt htwt, t , d htwted, t t .

    l htwt:

    Wt t?

    T ht d s c at 2012 t t tt htwt w td a 2013. ut t l it ntwk (link) wt t t .

    a htwt w ddt t, t y t wt d t, t t ft d t t . it w t k t d k t t tt .

    T htwt w t tz d t t t f d w t d dd

    wt t ty.

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    l htwt w:

    h t t w ttty t d w d, ttt w d x tt, d t tkt t w d t d tt d, t Jt stt nd at (Jsna) d t tt cc g. T w tt htwt t t, t t d tk t qt.

    e t t w d t t t d d dtd tt t tt w d t w d w d w ty d.

    http://www.pals.nhs.uk/cmsContentView.aspxhttp://www.gmc/http://localhost/var/www/apps/conversion/tmp/scratch_3/-uk.org/news/11881.asphttp://localhost/var/www/apps/conversion/tmp/scratch_3/-uk.org/news/11881.asphttp://www.gmc/http://www.pals.nhs.uk/cmsContentView.aspx
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    b t t htwt ed t t d.

    pd wt t t t d wt t d w t w; t d t t t t t d, t

    d ( d y t tty), t t dd wwt t t nhs .

    pd, t t, t t t d d w t t.

    pd ttt, dd dk t t d t d .

    c d t c c g t k tt y dd t t tz d.

    W t d ft t dty t ty t .T xt qt t ht d s c at tt t wy w l htwt x t t t tt d dt , d .

    s: t..go./ttt

    uk: eg

    e c : Goo c Grdt d t t w t d t, wt t td t t, t ty wt Tad.

    T d wt w w d t t d y d ttt y t.

    mt d t w w d x tt, d t bt t d d tttt d k .

    p btw, t d: The system or care providers is largelya private market but it doesnt behave as one. We want to take the principles rom

    schemes like TripAdvisor and Which? reviews and make it much easier or people to

    be able to shop around or care and make wellinormed choices.

    h d t wd w t k , d t k t w , t d t t t tt,d d. m btw d: It is about bringing together rich sourceso inormation and putting it all out there the good, the bad, and the ugly.

    T t t td t t c Qty c(cQc) w t . T Wt p w t t wy t t t t yt.

    ld y 2012, t gd c gd wt t t .

    Dd y tw t, my y c d utd a a, gdc gd w t td ( w d ) dd ty t t t d t t t k Tad.

    http://localhost/var/www/apps/conversion/tmp/scratch_3/healthandcare.dh.gov.uk/whathttp://localhost/var/www/apps/conversion/tmp/scratch_3/healthandcare.dh.gov.uk/what
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    s: .tg.o./t/t/8948294/rt ogotTaottgtooo.t

    og.ttto.o/2012/02/18/goo gtooo

    .goog.o.

    uk

    ioto coo Of (icO)T ico d t ty wd yty w w t t k t ico w w dd t t y. W t d tt y td t t t t tt t t wt t t, wy t t w wd ddw ky t t t d t tk t t

    t.

    ot t t wt t t, t d t q y t dtt t ico t d y t dtd t yt t tk wt.

    s: .o.go./ot.

    us : boto

    stt b potot, pot ho pto:stt b t tt tz xty t t t t t ytt. rt, t tt t my T m. m o nwu m tk dt t t t t ttty. Dd t wt , t add t t d gps ty t t w d wt xd t.

    s: tt://.tooto.go/doiT//tt.

    tt://tt.og

    nt: at

    lo atot e: T cty atd ddd t t d t t td twk t d wtd. T ty d tgt itt t dd t d t 750,000 dt d t t.

    a t kwd t t t dt td k g m t d , tt, dtdw t y . a txtd d t t t tw, d t t t t.

    Residents have embraced the new selservice site and the number o inquiries has

    risen 400 per cent while contact centre interactions have been cut by 50 per cent.

    Residents appreciate the ease and convenience while the city is delivering enhanced

    service and saving costs.

    s:tt://..o/g/gottotz/totot.

    http://www.telegraph.co.uk/health/healthnews/8948294/Ratehttp://localhost/var/www/apps/conversion/tmp/scratch_3/-your-grandmothers-care-TripAdvisor-style-ratings-introduced-for-care-homes.htmlhttp://localhost/var/www/apps/conversion/tmp/scratch_3/-your-grandmothers-care-TripAdvisor-style-ratings-introduced-for-care-homes.htmlhttp://localhost/var/www/apps/conversion/tmp/scratch_3/blog.thefutureperfectcompany.com/2012/02/18/goodhttp://www.goodcareguide.co.uk/http://www.ico.gov.uk/complaints.aspxhttp://www.cityofboston.gov/DoIT/apps/streetbump.asphttp://streetbump.org/http://www.kana.com/lagan/government-to-citizen/customer-story-amsterdam.phphttp://www.kana.com/lagan/government-to-citizen/customer-story-amsterdam.phphttp://www.kana.com/lagan/government-to-citizen/customer-story-amsterdam.phphttp://www.kana.com/lagan/government-to-citizen/customer-story-amsterdam.phphttp://streetbump.org/http://www.cityofboston.gov/DoIT/apps/streetbump.asphttp://www.ico.gov.uk/complaints.aspxhttp://www.goodcareguide.co.uk/http://localhost/var/www/apps/conversion/tmp/scratch_3/blog.thefutureperfectcompany.com/2012/02/18/goodhttp://localhost/var/www/apps/conversion/tmp/scratch_3/-your-grandmothers-care-TripAdvisor-style-ratings-introduced-for-care-homes.htmlhttp://localhost/var/www/apps/conversion/tmp/scratch_3/-your-grandmothers-care-TripAdvisor-style-ratings-introduced-for-care-homes.htmlhttp://www.telegraph.co.uk/health/healthnews/8948294/Rate
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    uk

    nhs t, tttd dt tt t t t gp t d w gp t d qky t t

    t.

    cd po & Oo (p&O), t t gp tty d dy d t w tt t Wt mdd t k ttd t t dt y.

    it t tt dk t nhs tt ttd t tt w ty.

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    td y t w t.

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    s:[email protected]

    .oog.o./togt

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