You should use this form to send us an enquiry. If you have feedback on a particular hospital, care home, clinic, dental surgery or other care service then you should use our 'Your experience' form instead. You can find this on the profile page of the relevant service by using the search box at the top of this page.

Required fields are marked with an asterisk (*).

*
Choose the option which best describes you
*
*


Your privacy

If you provide us with your contact details, we will use this information to:

  • provide you with a response - if you have requested one
  • contact you if we need further information so we can act effectively.

We will treat your personal information in confidence. You can find out more about our approach to confidentiality in our Privacy statement.