NHS Professionals Feedback/Incident Form
This form takes between 5-7 minutes to complete, incomplete forms will expire within 60 minutes.
Please add your contact details and the shift reference (where applicable) to ensure accurate processing.
Client Trusts please note if you are submitting feedback regarding an NHSP bank worker (not agency worker) who has cancelled late or not attended for assignment (DNA) you will not need to submit this form.
NHSP Flexible Workers are managed through a staged process and are picked up automatically on release of Timesheets.
Thank you for taking the time to complete this Feedback Form.
Person Submitting Feedback (You must be band 6 or above to submit feedback.)
Details of person you are reporting
Report/Person Making Complaint
Feedback/Incident Details