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Your involvement *
I am the complainant
I represent someone else
I wish to remain anonymous
Complainant to remain anonymous
Total complainants *
1
2
3
4
5
6
7
8
9
Please provide details of your complaint below *
Previously contacted us about this issue?
Please provide details *
Classification *
Root cause *
Please select
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
Staff
Attitude/rudeness/inappropriate comments
Inappropriate worker activity
Professionalism
Missed appointment
Poor communication (to customer)
Poor communication (external)
Poor communication (internal processes)
Documents
Written communication 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 report
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?
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