Healthcare Professional Feedback form
(In Confidence)

We welcome feedback (good and not so good) from Healthcare Professionals to help us to learn and continually improve our service. Please use this form to record any feedback you wish to provide to us.

Please note that:

  • This form should not be used to register Complaints or Incidents
  • Your correct contact details are important in case we need to contact you for further clarification/information
  • NHS 111 informs all callers that calls may be recorded and monitored for quality, training and safety purposes
  • Upon submission of this form, you should see a confirmation message and receive an email receipt to the contact address you provide below. If you do not, you may contact the local Governance team directly.

Leave feedback on our service

Patient Details

Your Details