NHS Complaint Standards sample forms
Use this form to explain that other relevant people inside (and potentially outside) your organisation may need to see information from a complaint as part of your investigation.
[WORD 1.04MB]
If the person is using a representative, you need to follow confidentiality and data protection laws. The person needs to authorise the representative to act on their behalf. They must also authorise you to discuss their complaint and share their personal information with the representative. Use this form to help you.
[WORD 1.05MB]
Use this form if the person affected does not have the capacity to consent to the complaint being made on their behalf.
[WORD 1.04MB]
Use this sample consent form to gain permission to share the person’s details with other organisations.
[WORD 1.04MB]
Anyone who makes a complaint to the NHS is entitled to an independent complaints advocate. If the person is using a advocate, you need to follow confidentiality and data protection laws. The person needs to authorise the advocate to act on their behalf. They must also authorise you to discuss their complaint and share their personal information with the advocate. Use this form to help.
[WORD 1.04MB]
This is an Easy Read version of the consent form.
[WORD 1.4MB]
Use this form to make a simple record of an early resolution complaint, including the outcome, and any action taken to resolve the issue and improve services.
[WORD 1.04MB]
Use a joint consent form to cover sharing personal information and any learning across all organisations involved. This means the person raising the complaint only needs to provide consent once.
[WORD 1.04MB]
Use this form to capture insight and learning from a complaint. They will help organise your data so you can use it in reports to senior leaders or in your annual report.
[WORD 1.04MB]