Complaint or Concern Form

Coastal Medical Partnership is always looking for ways to improve the services we provide to you. To do this effectively, we need to know what you think about the service you receive. Tell us what we could do better and where we don’t meet your expectations. Only by listening to you can we continue to build and improve the services we offer.

What We Will Do:

We will acknowledge your concern or complaint within three working days. This could be orally or in writing. We will offer to discuss the matter as well as advising you of other agencies who can assist you. We aim to have investigated your complaint within ten working days of the date when you raised it with us. We will then be able to offer you a written explanation, which can be sent to you or discussed in person. The report will contain the following matters:

An explanation of how we considered your concern or complaint
The conclusions reached
Any remedial action for which the complaint specifies, or the responsible body considers
Confirmation that action needed has been, or proposed to be taken
Details of your right to take your complaint to the Health Service Ombudsman

Complaining on Behalf of Someone Else:

We adhere to the rules of medical confidentiality. If you are complaining on behalf of someone else, we must know that you have their permission to do so. In this situation, we need a letter signed by the person concerned. Unless they are incapable of providing this, for example due to illness.

You can read our complaints policy here:

Learn More About Our Compliments and Complaints Procedure

Note: Please do not use this form as a way to make a 'request,' as it will be disregarded and you will not receive a response. If you are unsure how to contact the surgery for a query, please visit this page on our website for clarification:

https://www.coastalmedicalpartnership.nhs.uk/contact-us-1

Last Updated: 11/04/2024

Your Details

Please tell us which is your usual surgery *

Arnewood

Barton

New Milton Health Centre

Webb-Peploe

Your full name including forename, surname and any middle names *

Patient name if different

Date of birth *

Contact telephone number *

Contact address *

Contact email address

Confirm contact email address

Add Your Concern or Complaint Here:

Please include as much information as possible *

Important Information

I consent to the practice collecting and storing my data from this form *

Yes No

I understand this form is to raise or concern or make a complaint and is not a way to make a general 'request' for other matters. I also understand that if I use this form for anything other than a complaint or concern, it will be disregarded and I will not receive a response. *

Yes No

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Complaint or Concern Form

Further Information