
Sample Complaint Letter 
 
DATE 
 
YOUR FULL NAME & TITLE 
ADDRESS 
POST CODE 
TEL NUMBER HOME/WORK 
E-MAIL ADDRESS 
 
 
NHS NO.        } 
HOSPITAL NUMBER: D.    } if known 
PATIENT’S DATE OF BIRTH  } 
 
 
Head of Patient Relations  
South Tees Hospitals NHS Foundation Trust 
The James Cook University Hospital 
Marton Road 
MIDDLESBROUGH 
TS4 3BW 
 
 
Dear Sir/Madam 
 
Re:  PATIENT’S NAME, DATE OF BIRTH, ADDRESS  (if not yourself) 
 
I am writing to you to complain about the treatment received at  
 
(insert)         HOSPITAL & WARD/ DEPARTMENT WHERE INCIDENT HAPPENED 
  Please see enclosed leaflet for the hospitals covered by South Tees Hospitals 
NHS Trust. 
  If you are complaining about a particular member of staff, also include their name 
and position if known. 
 
(insert)  DETAILS OF WHAT HAPPENED, WHEN IT HAPPENED  
  Include names and positions of people involved, if relevant.   
 
  If the events are very detailed, list the main points in date order in this letter. 
 
  Enclose further background information on separate sheets, if required.   
 
  Do not leave out relevant information or any part of your complaint). 
 
 
(insert)  DETAILS OF WHY YOU ARE NOT SATISFIED.   
  If you wish to complain about a number of matters, list the most important ones 
first.   
 
  Try to be clear and concise in the points you make.