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Patient Experience

Shifnal & Priorslee Medical Practice Complaint Form

If you feel you need to put your complaint in writing please print the complaints forms below. This form consists of two pages, page one is the patients details and complaint and page two is our third party consent form which must be filled out if you are complaining on behalf of a patient.

Once you have completed all sections of the form as appropriate please either post this to us, attach the form into an email or drop this in to your local site. The address and email address are stated above.

Complaint Form

Patient’s Name*

Date of Birth

Address 1*

Address 2

Town*

Postcode*

Patience Contact Telephone Number*

Patient Email address*

Subject*

Details of Complaint*

Are you the patient, making the complaint*

Yes

Your Full Name

Relationship to Patient

*Please make sure all Mandatory fields have been completed

*Privacy Consent

This form collects personal and medical information about you. We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage your submitted data *

I consent to the practice accessing my medical records for the purpose of investigating this complaint, collecting and storing my data from this form

Are you human?*

Complaining on Behalf of Someone Else

Please note: Shifnal & Priorslee Medical Practice keeps strictly to the rules of medical confidentiality. If you are complaining on behalf of someone else, we need to speak to the patient first and ask that you have their permission to do so or we will need the third party consent form completed.

Other forms available

Tell Us What We Did Well

If you wish to make a compliment or make a suggestion please use the Compliment Form

Register as Patient

Please visit our Patient Registration page and fill in the health questionnaire to register as a patient at Teldoc.

Change of Name

Please visit our Change of Name Form to update your details

Make a Suggestion

Please visit our Suggestions Form to make a suggestion.

More forms

Please visit the How Do I Portal for more forms

Need Some Help? Telford and Wrekin Independent Complaints Advocacy Service

What is Independent Health Complaints Advocacy?

Advocacy provides practical support and information to people who want to complain about an NHS service.
It also supports people who want to make a complaint on someone else’s behalf.

The service aims to help people understand what their options are and to support them through the NHS complaints process to ensure they get the best possible resolution. Every person who accesses the service will have different needs and every complaint is different which is why the service adapts the approach it takes to each case and tailors the support it provides to meet individual needs.
You decide the level of support you need and an advocate will work with you to ensure you get the best possible outcome to your complaint.

You can contact them by:
Freephone: 0800 161 5600
Text: 07724 172811
Email: advocacy@ecstaffs.co.uk

Download Complaint Form

Complaining to Other Authorities

If you experience any difficulties in relation to the services Shifnal & Priorslee Medical Practice provides, we hope you will speak to us use first so we can try to resolve any issues or concerns our Complaints Procedure.

However, if you feel you cannot raise your complaint with us or that after using our complaints procedure we have not resolved the issue to your satisfaction , you can contact.

NHS Complaints Advocacy Service on 0300 3305454

NHS England on 0300 311 22 33

Healthwatch Telford www.healthwatchtelfordandwrekin.co.uk/

CONTACTING THE CARE QUALITY COMMISSION

If you have a genuine concern about a staff member or regulated activity carried out by Shifnal & Priorslee Medical Practice then you can contact the Care Quality Commission on 03000 616161, or alternatively visit the following website: http://www.cqc.org.uk

PALS, NHS ENGLAND & OMBUDSMAN

PATIENT ADVICE & LIAISON SERVICE (PALS)

PALS provide a confidential service designed to help patients get the most from the NHS. PALS can tell you more about the NHS Complaints Procedure and may be able to help resolve your complaint informally. You can visit the PALS Office which is situated at Princess Royal Hospital in the Main Reception.

Opening Hours:
Monday to Thursday – 9am to 5pm
Friday – 9am to 4.30pm

Tel: 01952 282888/01952 641222 ext:4382

NHS SHROPSHIRE,TELFORD & WREKIN

After 1 July 2023, patients and members of the public can make a complaint about primary care services (such as GP services, pharmacy, optometry and dentistry) by contacting NHS Shropshire, Telford and Wrekin instead of NHS England.

You can do so by phone, e-mail or written correspondence via NHS Shropshire, Telford and Wrekin Patient Services Team, at:

Telephone: 01952 580407

E-mail: stw.patientservices@nhs.net

In writing at: Patient Services Team, NHS Shropshire, Telford and Wrekin, Wellington Civic Offices, Larkin Way, Tan Bank, Wellington, Telford, TF1 1LX

There are two ways to make a complaint:

You can complain to the healthcare provider: this is the organisation where you received the NHS service, for example a GP surgery or dental surgery, or
You can complain to the commissioner of the service: this is the organisation that paid for the service or care you received, such as your local ICB (NHS Shropshire, Telford and Wrekin).

OMBUDSMAN

If you are not happy with our response, you can refer your complaint to the Parliamentary and Health Service Ombudsman who investigates complaints about the NHS in England. You can call the Ombudsman’s Complaints Helpline on 0345 015 4033 or http://www.ombudsman.org.uk