3. The local written response

What a good letter does

  1. Thanks them for raising it and restates each point so they know you heard it
  2. Sets out the facts as you found them (dates, treatment, what was explained)
  3. Says what you accept, what you do not, and why — without sarcasm
  4. Apologises for the experience where that is right. In UK law an apology is not, by itself, an admission of legal liability
  5. Says what you will change (training, template, recall system)
  6. Says how to take it further if they remain unhappy (module 2)

If harm is alleged

Contact your indemnity organisation before you write a long speculative admission of legal fault. You can still set out the facts and apologise for distress.

If you need more time

Say so before your own deadline, with a reason and a new date. Silence is what drives escalation.

Next module

Module 2 covers NHS and private escalation, the Dental Complaints Service, the GDC, reviews on the internet, and how the practice learns.

Always follow your written procedure and current national complaints rules.