Complaints and compliments – Afon Elai Partnership

We are very interested in your views of the service we are providing.

If there is something that we are doing well and you would like to tell us about it – or something that you think we could be doing better please let us know.

We take complaints very seriously. If you need to make a complaint about the surgery or the services we offer, please fill out the below form or, if you prefer, in writing. We will answer your concerns as soon as possible.

Complaining on behalf of someone else

Please note that we keep strictly to the rules of medical confidentiality. If you are complaining on behalf of someone else, we have to know that you have their permission to do so. A note signed by the person concerned will be needed, unless they are incapable (because of illness) of providing this.

Complaint Form

Is this complaint being made on behalf of you or someone else?(Required)

If you are making a complaint of behalf of someone else please ensure we have received signed consent prior to this complaint to enable us to deal appropriately.

Someone else

Your full name.(Required)

If you are complaining on behalf of someone else, please advise your full name and fill in the rest of the form on behalf of them.

Patients full name(Required)

First Last

Patients Date of birth(Required)

Preferred phone number(Required)

Email address(Required)

Date in question(Required)

Is this complaint about a(Required)

Is this complaint about(Required)

Details of Complaint(Required)

What can we do to resolve this for you?(Required)

Not for urgent medical help(Required)

Yes, I understand this form is NOT for urgent medical help

Phone

This field is for validation purposes and should be left unchanged.

Further information

Cardiff and Vale Local Health Board

Concerns and Complaints

E-mail the team at concerns@wales.nhs.uk or write to us at Chief Executive, Cardiff and Vale University Health Board, Maes y Coed Road, Cardiff CF14 4HH.

Read the ‘Putting things Right’ information on the gov.wales website.