Online complaint form

When providing details of your complaint it is helpful if you can include specific information if you know it, such as names of staff involved and where the incident happened.

If you are complaining on behalf of someone else, we will need their permission for you to act on their behalf. If the patient is a child or lacks capacity to provide consent we will need proof of ID from you. We will ask for this information when we acknowledge receipt of your complaint.

Patient details:

Title:*

First name:*

Last name:*

Postal address including postcode:*

Contact number:

Email address:

Date of birth:

NHS number (if known):

Your details (if you are not the patient):

Title:

First name:

Last name:

Postal address including postcode:

Contact number:

Email address:

What relationship are you to the patient?

Which site did the issue take place:*

Which ward did the issue take place:

Date the issue took place:*

Please summarise the issue that has led to you to make your complaint:*

Any additional information:

What would you like to happen as a result of your complaint? Please note that if we do not think that we can achieve what you want, we will let you know.

Other:

What is your preferred method of communication?

Other:

The information I have provided is accurate to the best of my knowledge.*

* required fields

We are aware of a fire within the grounds of Malton Hospital.

All patients and colleagues have been safely evacuated, and there are no reports of any injuries.

We are working closely with North Yorkshire Fire and Rescue Service and other partner agencies to monitor the situation.

If you have an appointment at Malton Hospital today, please do not attend. Our teams are reviewing all affected appointments, and we will contact you as soon as possible to rearrange or discuss the next steps. Thank you for your patience and understanding.

Malton Urgent Treatment Centre is also currently closed. Please do not attend. If you require urgent medical advice, please use NHS 111 online or call 111. In a life-threatening emergency, always call 999.

We will provide further updates as soon as more information becomes available.