PALS Feedback Form

The Dudley Group NHS Foundation Trust is committed to providing high standards of care and service.

We know that, as in any other organisation, things can go wrong. If there is something that you are not happy with, please let us know so that we can try to put matters right. You can write to us, call us, email us, or complete the online form below.

Address:
PALS team
Trust Headquarters
Russells Hall Hospital
Pensnett Road
Dudley
DY1 2HQ

Telephone: 0800 073 0510

Email: dgft.pals@nhs.net

About You

Title ^*

First name ^*

Last name ^*

Address ^*

Postcode ^*

Telephone ^*

Preferred method of contact ^*

I am not the person directly affected - this feedback is about another patient that I know

Your Concerns

Please describe your concerns/summary of events: what happened and why you are unhappy, the name of the staff involved, the ward or department concerned, the date and time that the event occurred, etc

What outcome would you like to achieve? (apology, change to process, procedure, etc.)

Privacy Notice: By submitting this form, you confirm that the data you have provided is accurate to the best of your knowledge. Your data will be processed in accordance with the Data Protection Act 2018 and UK GDPR in line with the Dudley Group NHS Foundation Trusts privacy policy, which can be accessed here.

About You

About the Person Affected

Your Concerns