MJB ADHD · Static reading view · Interactive version

Who is responsible?

Status: drafted · Content checked 2026-10-07

Separate the next care decision from complaints, regulation and investigation.

1 · Start with ownership

A complaint acknowledgment does not itself produce care. Ask which clinician or service owns the next decision, what the decision is, when it will happen and what protects you while you wait.

England’s local service complaints usually belong with the provider or ICB; NHS England has a defined remit, rather than responsibility for every complaint.

ACC-NHSE

3 · Useful next action

Keep two requests visible: the care you need now, and the investigation of what went wrong. Ask for a named owner and deadline for each.

Open the responsibilities table and national routes.

5 · Understand the gap

HSSIB identified unclear responsibility across organisational boundaries and transitions. A handover needs accepted responsibility, not just a sent referral.

ACC-HSSIB

6 · Sources and full account

UK mental health care accountability.

Uncertainty

Records, responsibilities and law can change. The page dates its review and links the primary source. Missing information is not assigned an unsupported cause.

Sources cited

ACC-NHSE Official complaints routing in England link (Public official source reviewed; linked source controls its own later updates)
ACC-HSSIB HSSIB, 13 May 2025: cross-system mental health inpatient safety findings link (Public official source reviewed; linked source controls its own later updates)