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Greater Manchester NHS 111
Health Professional Feedback Form
Greater Manchester NHS 111 welcomes feedback about its services from patients,
carers, health professionals and stakeholders alike. Listening to patients and all those
who interface with our services provides a valuable learning opportunity which can be
used to bring positive improvements to the quality of healthcare we provide.
Please use this form to record any feedback you wish to make, giving as much
information as possible to enable us to identify the exact part of our service you are
referring to. Please email your completed form to:
nw111gtrmanchester.feedback@nhs.net
Alternatively if your feedback relates to a specific patient incident please complete the
patient required details on the back of this form
IN CONFIDENCE
Health Professional Feedback Form
Health Professional’s details
Name
Job Title
Organisation/Practice
CCG
Address
Postcode
Telephone
Email Address
Signature
Incident Date
Incident Time (if known)
Details of Feedback:
Date