Sample Complaint Letter Page 2

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(insert)
SPECIFIC QUESTIONS YOU WOULD LIKE ANSWERED.
List them in order of importance.
(insert)
DETAILS OF WHAT YOU WOULD LIKE TO HAPPEN AS A RESULT
OF YOUR COMPLAINT.
For example, an apology, an explanation, details of the treatment, a meeting,
action to put things right, reassurance that the same thing will not happen to
anyone else.
I would be pleased if you would carry out a full investigation into my concerns and
provide a response in accordance with the NHS Complaints Procedure.
I look forward to receiving your reply. I understand that I will be kept informed of
progress if I do not receive a response within 25 working days. Please do not
hesitate to contact me if you need any further information.
Yours sincerely
YOUR SIGNATURE
YOUR NAME PRINTED
If you are complaining on behalf of someone else make sure they have
countersigned your letter.
If the patient is unable to consent, for example, if they are very young, very
ill or deceased, then consent is required from their appointed Next of Kin.
COUNTERSIGNATURE - PATIENT'S OR NEXT OF KIN
Please note that if there are several pages it is helpful to number the pages to
avoid confusion.
Remember to keep a copy of your letter for your future reference.
This information will help us to investigate and respond to your complaint
speedily.
Updated 05.08.2014
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