Complaint Investigation Plan Complainant Address: Telephone Details: Number/Email: Name: Relationship to the Service User if third party: Service User Address: Telephone Number: details: Name: Consent obtained if Service user wishes to be involved NHS No: complainant is not subject in the complaint, if being taken of complaint: forward by a third party: Complaint No: Complaint Letter Attached (embedded letter/ telephone note) Appointment for face to Acknowledgement of issues face or telephone letter consultation: Date final response letter due: (15 working days): Yes/No Name and Contact Advocacy involvement details: Multi-agency Involvement: Date of Initial Contact with Complainant Date of Meeting/Discussion re Issues for Investigation etc Following contact with complainant, clarification of Issues Outcomes sought by complainant
Complaint Investigation Plan Complainant Details: Name: Address: Telephone Number/Email: Relationship to the Service User if third party: Service User details: Name: Address: Telephone Number: NHS No: Consent obtained if complainant is not subject of complaint: Service user wishes to be involved in the complaint, if being taken forward by a third party: Complaint No: Complaint Letter Attached (embedded letter/ telephone note) Acknowledgement of issues letter Appointment for face to face or telephone consultation: Date final response letter due: (15 working days): Advocacy involvement Yes/No Name and Contact details: Multi-agency Involvement: Date of Initial Contact with Complainant Date of Meeting/Discussion re Issues for Investigation etc Following contact with complainant, clarification of Issues Outcomes sought by complainant
Associate-Document-Complaint-Investigation-Plan.docx