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Complaints Form

By completing this form you are consenting to your complaint being shared with NHS Calderdale CCG.

If you have any difficulties in filling out this form, or any questions about the complaint process, please call the CCG on 01422 307400.

If you do not receive an acknowledgement of your complaint within three working days, please call us on 01422 307400, or email ccg.feedback@calderdaleccg.nhs.uk

If you would like a response to your complaint, please make sure you fill in your contact details.

YOUR PRIVACY:  We respect your privacy and will only use your personal data in accordance with the Data Protection Act 1998 and the forthcoming General Data Protection Regulation. Click HERE  to read our full privacy notice.

What happens when a complaint is made?

When we receive a complaint from a person regarding NHS services we make up a file containing the details of the complaint. This is so that we can investigate and respond to your complaint appropriately. The file normally contains the identity of the complainant and any other individuals involved in the complaint.

We will only use the personal information we collect to process the complaint and to check on the level of service we provide. We do compile and publish statistics showing information such as the number of complaints we receive, but not in a form which identifies anyone.

Normally, the types of information we will process about you and any other individuals involved in the complaint, is information that you have provided yourself. Generally this will include your and any other individual’s name  involved in the complaint, date of birth; address; postcode; your, or their, health and care needs and other information you feel relevant to your complaint.

We usually have to disclose the complainant’s identity (and, where appropriate, any other individuals involved in the complaint) to whichever care provider or other NHS service which the complaint is about in order to move forward with the investigation. If a complainant, or any other individuals involved in the complaint, do not want information identifying him or her to be disclosed, we will try to respect that. However, it may not be possible to handle a complaint on an anonymous basis.

We will keep personal information contained in complaint files in line with our retention policy. This means that information relating to a complaint will be retained for 10 years from closure. It will be retained in a secure environment and access to it will be restricted according to the ‘need to know’ principle.

Similarly, where enquiries are submitted to us we will only use the information supplied to us to deal with the enquiry and any subsequent issues and to check on the level of service provided.

In addition to the above, more information can be found in the CCG’s Privacy Notice, which can be provided to you as a hard copy, or found by following this link:

https://www.calderdaleccg.nhs.uk/download/privacy-notice/

I and, where appropriate, other individuals involved in the complaint, have read and understood the above information and the CCGs Privacy notice on the use of my/ our information. I/we consent to the use of my/our information to ensure compliance with common law duty of confidentiality.

 


Special Requirements

Do you have any special requirements which we need to know about to help us communicate with you?

If there is anything which makes it difficult for you to pursue your complaint, please use the space below to tell us how we might help.


Contact details of the person making the complaint

If you prefer to receive a response by email, please ensure you provide your email address.

Details of the patient (if different to the above)

If the details are the same as those given above, please leave blank


Details of your complaint



Please describe the circumstances that have led you to complain.
Please include details of:
  • Who was involved?
  • What was said and done?
  • When did events happen that led to your complaint?

  • Please indicate when these events happened, including start and end dates.





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  • Help you with complaints about private medical treatment
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