Monday, June 9, 2025

Use the Fishbone Diagram and 5 Whys to strengthen complaint handling

An Image of The Ishikawa (Fishbone) diagram to solve complaint handling problems.

If the same issues keep resurfacing, there’s a deeper cause that’s being overlooked. And more often than not, it’s not what you think. It’s easy to assume you need more staff, but if good people keep leaving, the issue probably isn’t the role; it’s the process breaking down.

Fixing complaints sustainably means finding and addressing the real causes, not just the visible symptoms.

And to do that, you need time out of the trench and the right tools.

Here’s one combination that helped me more than once shift from chaotic working to one of clarity:

The Fishbone Diagram, and the 5 Whys analysis.

What is the purpose of a Fishbone Diagram?

Also known as the Ishikawa Diagram, the Fishbone is a visual cause-and-effect problem-solving tool. It helps teams identify root causes by organising contributing factors into structured categories.

It’s a great way to:

  • Cut through the noise to find the real problem

  • Encourages critical thinking

  • Brings different perspectives together

  • Helps teams ask better questions

What does a Fishbone Diagram help you identify?

During the Analyse, phase of improvement work (e.g. DMAIC: Define, Measure, Analyse, Improve, Control), a Fishbone diagram helps you:

  • Break down complex issues into manageable parts

  • Explore contributing factors

  • Moves you beyond assumptions to find root causes and supporting data

I've handed the fishbone template to the complaint teams and asked them to complete it, usually over a 48–72-hour period, and while handling live cases. There’s nothing like a real-life problem to trigger the mind!

🐡 When to use a Fishbone Diagram in complaint handling

  • When the same issue keeps resurfacing (e.g. missed SLAs)

  • When resolution happens, but complaints aren’t closed out (e.g. FOS escalations)

  • When there’s disagreement in the team about what’s going wrong

  • When you need to show others what’s behind recurring issues

Example: Poor service levels

Let’s say service levels are dropping. You can use a Fishbone to map potential causes under these six complaint-handling categories:

  • People – high turnover, low morale, inconsistent decisions

  • Processes & Policies – no escalation path, unclear ownership

  • Technology – manual logging, siloed tools

  • Customer Expectations – slow updates, lack of empathy

  • Regulatory Compliance – missing audit trails, poor documentation

  • Measurement & Feedback – no trend tracking, weak data loops from different sources

Once you’ve built your Fishbone Diagram, you can apply the 5 Whys…

What is the 5 Whys root cause analysis?

The 5 Whys is a simple questioning technique that helps you dig deeper by repeatedly asking:“Why is this happening?”

You ask “why?” for each symptom until you reach the root cause, often in five steps or fewer.

🧪 How the Fishbone Diagram and 5 Whys work together

Let’s continue the example:

Problem: Poor service levels

  1. Why are service levels poor? → Complaints take too long to resolve

  2. Why? → Cases are stuck waiting for approvals

  3. Why? → Too many cases for the Team Leaders to review

  4. Why? → No clear escalation process

  5. Why? → No prioritisation policy in place

Root cause: Lack of structured escalation and prioritisation.

💡Tip: Split the team into two or three sub-teams and issue each with a Fishbone Diagram and let it sit with them for a day or two. Then ask them to each apply the 5 Whys to their diagrams and see what you get.

What are the 6 elements of a Fishbone Diagram?

Adapted for regulated complaints handling, we recommend these six categories:

  1. People

  2. Process & policy

  3. Technology

  4. Customer expectations

  5. Regulatory compliance

  6. Measurement & feedback

What are the 7 traditional categories?

The original Ishikawa model uses:

  1. People

  2. Policies

  3. Procedures

  4. Placement

  5. Product

  6. Promotion

  7. Processes

  8. Price

You don’t need to use all eight; adapt what makes sense for your complaint or use case.

This tool is widely adopted across regulated sectors like healthcare, financial services, and customer service, for example, the NHS also recommends Fishbone diagrams as part of root cause analysis.

🛠️ 5 steps for creating a Fishbone Diagram

  1. Write the problem statement clearly at the 'head' of the fish

  2. Draw the main 'bones' (categories) off the spine

  3. Brainstorm causes within each category

  4. Ask 'why?' repeatedly to go deeper

  5. Highlight potential root causes for further analysis or action

Why use the Fishbone with the 5 Whys?

The Fishbone helps you look wide. The 5 Whys helps you look deep, and together:

  • You map causes clearly and concisely

  • Then dig into what's really driving the problem

  • Without relying on guesses and assumptions*

Advantages of the Fishbone Diagram

  • Easy to understand and explain

  • Useful when time is limited or resources are scarce

  • Helps simplify complex issues

  • Great for team collaboration and root cause sessions

  • Sparks ideas even when you’re not sure where to start

  • Provides a visual map you can return to

  • Visuals help stakeholders remember your message

Disavantages of the Fishbone Diagram

  • Can get too broad or messy if not focused on the problem

  • * May rely too heavily on opinions if not supported by data

  • Doesn’t prioritise causes, it just maps them

  • Can lead to false leads if the categories aren’t well chosen

💡 Tip: Always bring in complaint data and team insight to balance out the diagram.

How to create a Fishbone Diagram in Word

  1. Open a blank document

  2. Use Insert > Shapes to draw a horizontal arrow

  3. Add text boxes branching off the spine

  4. Label with your chosen categories

  5. Add contributing causes under each

Complaint management toolbox

Fixing complaints starts with understanding what’s broken, not just what’s visible.

This is one small tool that can help you get there faster, and with the whole team aligned, you may also find our blog describing The 5 Cs of complaint handling and how to use the framework effectively useful.

Over the next few weeks, we’ll be sharing more tools to try and help you. If you’d like to share things that have worked for you, please get in touch.