Clinical negligence letter of complaint to hospital

This is a FREE Template for you to download and use. This has been written and prepared by Truth Legal Solicitors and is an official legal document.

                                                                                                                            YOUR FULL NAME

                                                                                                                                             ADDRESS

                                                                                                                                           POSTCODE

                                                                                               TELEPHONE NO. HOME & MOBILE

                                                                                                                              E-MAIL ADDRESS

NHS NO.:                                         )

HOSPITAL NO.:                              ) if known

PATIENT’S DATE OF BIRTH       )

(Name of Chief Executive)

Chief Executive of named NHS Trust

Name of Hospital

Address

Postcode

Date

Dear Sir/Madam

Formal complaint

Re: (insert) PATIENT’S NAME, DATE OF BIRTH AND ADDRESS

I am writing to make a formal complaint about my NHS care or treatment received at:

 1)(insert) – HOSPITAL & WARD/DEPARTMENT WHERE INCIDENT HAPPENED

- Should you be complaining about a specific member of staff, you will need to include their

full name and position if known.

2) (insert) –  INFORMATION ABOUT THE COMPLAINT

- Details of exactly what happened and when it happened.

- Date/s of incident from when the complaint arose.

- Dates of any appointments, admissions/discharge in relation to the incident/s in question.

- Reason for treatment and/or admission.

- Include names and positions of people involved, if relevant.

- If you are complaining about any type of delay (for example if you had to wait for treatment or for

a doctor to see you) then you should specify approximately how long the delay was (if known).

- Should the events be very detailed then list the main points in chronological order in this letter.

- Include all important and/or relevant details. Don’t leave anything out.

- Attach any documentation and/or evidence that you wish to rely upon in support of your complaint. Only send copies, not originals.

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