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Your involvement *
I am the complainant
I represent someone else
I wish to remain anonymous
Complainant to remain anonymous
Please provide details of your complaint below *
Previously contacted us about this issue?
Please provide details *
Classification *
Root cause *
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Delivery
Quality of service provided
Delay in providing service
Timings of service offered
Dispute of eligibility
Refusal to provide service
Delay in referring for a service
Failure to deliver agreed service
Cancellation or withdrawal of agreed service
Inappropriate type/level of service
Delay in providing documentation
Policy/Procedure not followed
Child's voice
Management oversight
Staff
Attitude/rudeness/inappropriate comments
Inappropriate worker activity
Professionalism
Missed appointment
Poor communication (to customer)
Poor communication (external)
Poor communication (internal processes)
Documents
Written documentation unclear
Accuracy of records/documentation
Dispute of records/documentation
Egress Issue
Finance
Prices/charges objection
Funding not approved/reduced
Agreed funding not provided
Discrimination
Age discrimination
Care Experienced discrimination
Disability discrimination
Gender reassignment discrimination
Marriage/civil partnership discrimination
Pregnancy/maternity discrimination
Race discrimination
Religion/belief discrimination
Sex discrimination
Sexual orientation discrimination
Other
Health and safety issue
Information Security alert
Details of action taken to resolve the issue *
Was compensation offered? *
Was compensation offered?
Yes
No
Are corrective actions required?
Are corrective actions required?
Yes
No
What would you like us to do to resolve the issue?
Do you need to offer advocacy? *
Do you need to offer advocacy?
Yes
No
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