We take all complaints and comments seriously, and look at them fairly.

Our complaints team will listen carefully, look into what happened, and give you a clear, fair response. Your care will not be affected, and your feedback helps us improve the care we provide for others.

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Online complaint or compliment form

Note: Questions marked by * are mandatory

Patients full name (please include title)*

NHS number (if known)

Address*

Telephone number (including dialling code)*

Email Address*

Date of birth *

Please note: If you are completing this form on behalf of a patient please include your details below.

Name of other patient

Address

Telephone number (including dialling code)

Email address

Relationship to patient

Please add your comments, compliment, complaint or suggestions here.*

Which Care Group service does this relate to?

Tower Hamlets Services

0-5 children’s health servicesUrgent Treatment Centre (Royal London Hospital)Out of Hours ServiceAdvocacy and InterpretingExtended Access HubsSocial Prescribing

Waltham Forest Services

0-19 children and young people’s health services

Please note: The next set of questions allows us to monitor who gives us feedback so we can ensure everyone has equal opportunity to raise issues and concerns. You do not have to complete this section although we would encourage you to.

Age

Gender

Sexuality

Ethnic origin

Asian or Asian British

IndianPakistaniBangladeshiChineseAny other Asian background

Black, Black British, Caribbean or African

CaribbeanAfricanAny other Black, Black British, or Caribbean background

Mixed or multiple ethnic groups

White and Black CaribbeanWhite and Black AfricanWhite and AsianAny other Mixed or multiple ethnic background

White

English, Welsh, Scottish, Northern Irish or BritishIrishGypsy or Irish TravellerRomaAny other White background

Other ethnic group

ArabAny other ethnic groupI would rather not answer

Religion or beliefs

Do you consider yourself to have a disability?

If yes, please give details.

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form.

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Taking your complaint further

The Parliamentary and Health Service Ombudsman investigates complaints from patients or their relatives if they receive poor service from government departments and other public bodies, including the NHS.

Learn more

Self-Referral Form

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TOWER HAMLETS GP CARE GROUP CIC
Island Health Practice 1st Floor, 145 East Ferry Road, London, England, E14 3BQ
Company number 09233816

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