Sample Complaint Letter printable pdf download

Sample Complaint Letter

DATE

YOUR FULL NAME & TITLE

ADDRESS

POST CODE

TEL NUMBER HOME/WORK

E-MAIL ADDRESS

NHS NO.

}

HOSPITAL NUMBER: D.

} if known

PATIENT’S DATE OF BIRTH

}

Head of Patient Relations

South Tees Hospitals NHS Foundation Trust

The James Cook University Hospital

Marton Road

MIDDLESBROUGH

TS4 3BW

Dear Sir/Madam

PATIENT’S NAME, DATE OF BIRTH, ADDRESS (if not yourself)

Re:

I am writing to you to complain about the treatment received at

(insert)

HOSPITAL & WARD/ DEPARTMENT WHERE INCIDENT HAPPENED

Please see enclosed leaflet for the hospitals covered by South Tees Hospitals

NHS Trust.

If you are complaining about a particular member of staff, also include their name

and position if known.

(insert)

DETAILS OF WHAT HAPPENED, WHEN IT HAPPENED

Include names and positions of people involved, if relevant.

If the events are very detailed, list the main points in date order in this letter.

Enclose further background information on separate sheets, if required.

Do not leave out relevant information or any part of your complaint).

(insert)

DETAILS OF WHY YOU ARE NOT SATISFIED.

If you wish to complain about a number of matters, list the most important ones

first.

Try to be clear and concise in the points you make.

Sample Complaint Letter