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Launch of Malcolm Rowley Trust We believe we have a unique part to play in helping people who have concerns and complaints about care services. The fear of repercussions is the main reason why many people have not in the past complained and are still afraid to voice concern in case they "rock the boat". Bureaucracy and the Care System itself is weighted in favour of the Provider and the Statutory Authorities and the cared for person and their families remain disempowered. Patient empowerment is said to be at the heart of the government's plans to modernise the N.H.S and to narrow health inequalities. We very much welcome proposed plans for a Patient Advocate Service in each Trust, but only if this Service is truly independent of the Department of Health and not some kind of quango. We know people have real difficulties making complaints. Lack of trust or confidence in being fairly treated without incurring "some sort of come back" leads to feeling of sheer helplessness and guilt for many that are too afraid to take action. People become physically ill with the anxiety, frustrations and stress of unresolved worries. Serious allegations and their subsequent investigation deter and disempower people further especially as these investigations are generally conducted by colleagues on the same pay roll, albeit sometimes from a different department. The need for an accessible and independent third party to oversee fair treatment and respect is crucial to all complaint procedures. This is why truly independent advocacy, mediation and conciliation services will be a priority for the
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