Phase Structure and Resistance to Progressivity in Complaints Calls to the NHS

This paper examines how callers to an NHS complaints helpline get to tell their story. As project-based institutional calls, the closure of a complaints call is observably organized around mutually ratified project completion. Our analysis reveals the practices that callers deploy to resist call handlers' (CH) progress through the institutional phase structure of the call, thus also resisting ratification of their project as complete. We show how these practices are varyingly oriented to (re-)telling elements of the complaint or pursuing legitimation of their complaint and/or identity as reasonable. Callers' resistance to institutional progressivity is oriented to misalignment in the prior uptake of their complaint narrative, revealing the relationship between projects and identities in the context of helpline interactions and the tension between the separate projects of caller and CH.

Automated summary

This paper investigates how callers to an NHS complaints helpline express their stories. Through analysis, it is found that callers resist the progress of call handlers and the completion of their complaints project. These resistance practices are related to the re-telling of complaint elements and the pursuit of legitimacy for their complaints and identities. The resistance of callers reveals the misalignment in the prior understanding of their complaint narratives, demonstrating the relationship between projects and identities in helpline interactions, as well as the tension between callers and call handlers.