Back
Log Out
Your Organisation
Welcome
Configure
Page Properties
Messages
Outline
On Behalf of (Staff)
Staff Id
Surname
First Name
Job Title
Admin./Clerical/Recep. Staff
Ancillary/Estates
Call Centre Staff
Chemist Counter Assistant
Chiropodist/Podiatrist
Community Responder
Consultant/Professor
Contact Lens Optician
Dental Nurse
Dental Technician
Dental Therapist
Dentist
Dentist - Vocational Trainee
Dietician
Dispensing Optician
Dispensing/Pharmacy Assistant
Doctor (Unknown Grade)
General Prac. (GP)
General Prac. (GP)-Registrar
General Prac. (GP)-Special.Int
Health Care Ass. Nurse/MW/HV
Health Care Ass. Support Staff
Health Visitor
House Officer
Hygienist
In Training/Super. Nur/MW/HV
In Training/Super. Optician
In Training/Super. Pharmacy
In Training/Super. Support Sta
In Training/Super.Diag/Therap
In Training/Supervisior-Ambul
In Training/Supervisior-Dental
Interpreter
Manager
Medical Student
Mental Health Advocate
Midwife
Nurse
Nursery Nurse
Occupational Therapist
Ophthalmic Med Practitioner
Optical Dispensing Ass. Optici
Optical Dispensing Ass. Suppor
Optometrist
Paramedic
Pharmacist
Pharmacy Technician
Physiotherapist
PTS Operative
Radiographer
Research Fellow
Residential Support Staff
Scientific And Technical
Senior House Officer
Social Worker
Special. Registrar (Incl. Sen)
Speech & Language Therapist
Staff Grade
Technician
Volunteer
ID
Job Status
Agency
In-house bank / NHS Professionals
Locum
Other
Permanent employee / contractor
Self-employed practitioner
Unknown
Visiting care-provider
Organisation
Ulysses (2000) Ltd.
Site
Azure (Cloud Network)
Customer Site
Havant (Local Network)
Department
Directorate
Contact No.
Ethnicity
Bangladeshi - Asian Or Asian British
Black African - Black Or Black British
Black Caribbean - Black Or Black British
British - White
Chinese - Other Ethnic
Indian - Asian Or Asian British
Irish - White
Not Stated
Other Asian - Asian Or Asian British
Other Black - Black Or Black British
Other Ethnic Category - Other Ethnic
Other Mixed - Mixed
Other White - White
Pakistani - Asian Or Asian British
White & Asian - Mixed
White & Black Afrian - Mixed
White & Black Caribbean - Mixed
Email Address
Address Line 1
Address Line 2
Address Line 3
Address Line 4
Post Code
On Behalf of
Person Search
Select/Add
Edit/View
User Defined
Details of the Person giving feedback
Your Details
Select/Add
Edit/View
Feedback Details
Case Number
Case Type
Complaint
Compliment
Feedback
How Received
Email
Phone Call
Website
Response Method
Audio
Brail
Large Print
Source
Brother
C.H.C.
Complainant
Daughter
Father
Friend
G.P.
M.P.
Member Of Staff
Mother
PALS Dept.
Relative
Sister
Son
Wife
Letter Date
Initial Date Recieved
Date Received
Date Feedback Applicable
Case Paused
Days Required
Time Received
Acknowleged
Consent Required
Consent Requested
Consent Received
Initial Contact Due
Initial Contact Date
Complaint Target Date
Delay Reason
Admin Failure
Annual Leave
Complex Case
Sick Leave
Unable To Contact Complainant
Unable To Contact Staff
Details of Feedback
What organisation do you work For
Date Agreed
Final Contact
Closed
Summary (Brief Details)
Summary of Actions
Next Action Date
Organisation
Ulysses (2000) Ltd.
Handler
Grade
Commendation
Compliment
Fast Track
Formal Complaint
Informal Complaint
Current Stage
Show Stages History
Next Stage
To Department/Ward For Investigation
To Division For Investigation
Status
Awaiting Consent
Awaiting Report
Closed
Ongoing
Response Sent
How Heard
Categorisation
Category Search
Clear
Type
Ambulance
Appointments
Attitude Of Staff
Buildings, Land & Plant
Car Parking
Cleanliness
Clinical
Customer Care
Equipment
General Procedures
Hotel Services
Maintenance & Repair
Non Clinical
Transport
Category
Admission Arrangements
Aids & Appliances
Ambulance - Late
Ambulance - Other
Appointment - Cancellation(IP)
Appointment - Cancellation(OP)
Appointment - Delay (IP)
Appointment - Delay (OP)
Appointment - Time
Attitude Of Staff - Admin
Attitude Of Staff - Medical
Attitude Of Staff - Nursing
Car Park - Charges/Fines
Car Park - Condition
Car Park - Spaces
Clinical Treatment
Code of openness of complaints
Communication/Info to Patients
Complaints Handling
Condition - General Building
Condition - Treatment Room
Condition - Waiting Room
Condition - Ward
Consent to Treatment
Diagnosis Problems
Discharge Arrangements
Equipment
Expenses Problem with Claim
Failure to Follow Procedures
HA/PCG Commissioning
Hotel Services - Food Choice
Hotel Services - Food Quality
Hotel Services - Laundry
Hotel Services - Other
Independent Serv. HA
Independent Serv. Trust
Loss of Personal Property
Medication Error
Mortuary Arrangements
Nursing Care
Operation (IP) Cancellation
Operation (IP) Delay
Operation - Adverse Outcome
Patient Status Discrimination
Patient's Privacy & Dignity
Personal Records (complaint)
Personal Records (Medical)
Policy & Commercial Decisions
Post Mortem Arrangements
Premises - Access to
Premises - Unclean
Transfer Arrangements
Transport (Hosp) - Inapprop.
Transport (Hosp) - Late
Transport (Hosp) - Non Arrival
Category Detail
Location
Department Search
Clear
Organisation
Ulysses (2000) Ltd.
Property
Site
Azure (Cloud Network)
Customer Site
Havant (Local Network)
Site Type
Acute/General Hospital
Ambulance Service
Comm. Nursing, Medical & Ther.
Community & Gen. Dental Serv.
Community Optometry/Optician
Community Pharmacy
General Practice
Learning Disabilities Service
Mental Health Service
Department
Directorate
Specialty
Division
Location Lookup
Persons Involved
Consultant/Clinicians
G.P.
G.P.
Practice
S.H.A.
Other
Attachments and Documentation
Initial Grading
Severity/Likelihood
1 Low
2 Medium
3 High
1 Unlikely (Green)
2 Probable (Probable)
3 Likely (Red)
Risk Rating
1 Tolerable (Green)
2 Moderate (Yellow)
3 Substantial (Orange)
4 Extreme (Red)
Initial Score
Final Grading
Severity/Likelihood
1 Low
2 Medium
3 High
1 Unlikely (Green)
2 Probable (Probable)
3 Likely (Red)
Risk Rating
1 Tolerable (Green)
2 Moderate (Yellow)
3 Substantial (Orange)
4 Extreme (Red)
Final Score
Outcomes
Outcomes
Outcomes
Del.
Outcome Detail
Date Closed
Was the Enquirer Satisfied
Unknown
Satisfied
Not Satisfied
Please verify you are human by entering the letters and numbers from the picture into the box below.
Additional Details
Report Types
User Defined Section
Title
Title
Title
Title
Title
Title
Title
Title
Sub Title
Sub Title
Sub Title
Sub Title
Sub Title
Sub Title
Sub Title
Sub Title
Save and Close