Comments and Suggestions Form

We care about what you think and are happy to receive your views on the service that we provide. We welcome complaints; they help us to improve the service we give to patients. Your comments will be totally confidential and there is no need to give your name and address unless you would like a response.

The practice operates an in-house complaints procedure. In the first instance please contact the Claire Vincent Human Resources by letter, telephone or in person, so your complaint can be investigated and dealt with quickly. It is our policy to give you a full explanation and advise you of the outcome.

If we are unable to resolve the problems you may wish to contact someone independent. PALS (Patient Advice and Liaison Service) can be contacted for information, support or advice about local health services: they can also help you with Compliments, Comments, Concerns and Complaints. If PALS cannot help resolve your concerns they will advise you how to make a complaint. PALS can also put you in touch with the local Independent Complaints Advocacy Service (ICAS) who will support you in making your complaint about the NHS.

What kind of comment would you like to send? Remember this form is not for medical matters.
Your comment is:	A Suggestion Praise Regarding a Problem Other
What would you like to say?
Enter your comments in the space below

Your contact details
Your Name:
Your Email:
Your Telephone:
Do you agree to be contacted regarding this matter?
Yes, I agree that the practice may contact me regarding this matter

About This Form

Note that by using this form, you will be sending information about yourself across the Internet. Whilst every effort is made to keep this information secure, you should be aware that we cannot offer any guarantees of absolute privacy. If this matter concerns you then you should use another method to notify us of your comment.

Your IP address (18.204.55.168) will be sent with your communication. In rare cases where abuse or criminal activity can be shown to have taken place this may be used by the authorities to trace you.