Patient Feedback and Complaints

We are continually looking to turn our patients’ feedback into real improvements in the services we provide. We use it to focus on the things that matter most to our patients, carers and their families. We would like to hear from you if you have a suggestion on how we can do things better to improve our patients’ experiences. We’d also like to hear from you if you are pleased with the service you’ve received. We’ll let the staff involved know and share the good practice across our teams.

Please note that we can only investigate issues with patient consent. If you are completing this form on behalf of an adult, we required their consent to proceed.

Last Updated: 09/11/2023

Your Details

Name *

Address

Date of Birth *

Phone Number

Email Address *

Summary of Feedback/Complaint

Please describe in one or two sentences the issues that have led to this feedback/complaint. This will help us understand the key problems you have experienced.

Your Feedback *

Have you experienced this issue before? This may include at this surgery or at a previous healthcare provider. Please provide details if it was previously resolved.

Please can you describe how this issue may have occurred. For example, problems can arise due to conflicting messages, personality conflicts, or where we were unable to meet your expectations. Understanding this aspect helps us to explore the full circumstances surrounding the issue.

Please describe any specific outcomes from this feedback? Understanding our patient's needs is important to us so that we can explore and address issues fully. Common outcomes that patients value include improving our service through training, saying sorry when we have made a mistake, addressing a communication issue or exploring the issues with you in more detail.

Next steps and what you can expect from us

We would like to review this feedback as part of our ongoing commitment to improving our services where possible and reaching a positive outcome for both you and the practice, ensuring that our systems are as effective as we can make them.

Would you like us to review this feedback going forward as part of our learning? *

Yes No

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our privacy policy to discover how we protect and manage your submitted data. *

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Patient Feedback and Complaints

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