: Tell us what you think

About Us Work for us Our Services New hospitals Our charity Foundation trust For patients & visitors For clinicians For media

For patients>>Tell us what you think

Tell us what you think

Comment, suggestion or complaint

We are committed to providing a high-quality service for all our patients, and will do everything possible to make sure that your visit to our hospital is as comfortable as possible. We are constantly developing the services we provide for patients and visitors, and would welcome your input.

If you’d like to make a comment, suggestion or complaint, please do one of the following:

Speak to the staff at your clinic/department
Read the Tell us leaflet and complete and return the form. The leaflet can be picked up from clinics and wards in the hospital.
Download an Inpatient feedback form or e-mail your complaint to complaints@bartsandthelondon.nhs.uk
Contact our Patient Advice and Liaison Service (PALS) on tel 020 7943 1335 or email PALS@bartsandthelondon.nhs.uk

Alternatively you can fill in the below feedback form online.

	Patient details
Name (Mr/Mrs/Ms/Miss)
Hospital No. (If known)
	Address

Tel No. (incl. code)
Date of birth
Email address
	If you are completing this form for somebody else, please give your details below
Name (Mr/Mrs/Ms/Miss)
Address
Tel No (incl. code)
Email address
Relationship to patient
	Your comments, complaints or suggestions

	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 to. We can assure you that your answers will have no bearing on your right to complain or how your complaint is dealt with.
	Age
	Child (16 or under) Adult (17-64) Older adult (65 or above) I would rather not answer
	Gender
	Male Female I would rather not answer
	Sexuality
	Gay Lesbian Heterosexual Bisexual I would rather not answer
	Ethnic origin
	Bangladeshi Indian Pakistani Other Asian background White & Asian White & Black African White & Black Caribbean Other mixed background Caribbean Other black background British Irish Other White background Any other ethnic group I would rather not answer
	Religion or beliefs
	Atheism Buddhism Christianity Hinduism Islam Jainism Judaism Sikhism Other I would rather not answer
	Disability Discrimination Act 1995
	Disability Discrimination Act 1995 Under the terms of the Act a disability is defined as a 'physical or mental impairment which has a substantial and long term effect on a person's ability to carry out normal day to day activities'. NHS employers welcome applicants from disabled people.
	Do you consider yourself to have a disability?
	Yes No I would rather not answer
If yes, please give the details