Your life. Your plan.
Your local NHS board
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The organisation and contact
Record the service, ICB team, named contact and safe reply method.
The problem and dates
What happened, when did you learn about it, and who was involved?
The effect on me
Describe the impact, unmet needs and any immediate risks.
My questions and evidence
List questions to answer and documents or examples that support them.
What would put things right
Say what outcome you want and which issues are urgent.
My access and support needs
Record communication adjustments, chosen supporter and any required permission.
The correct process
Record whether this is a complaint, specific funding review or another route, and all deadlines.
Responses and action
Record acknowledgement, agreed reply date, outcomes, outstanding points and next steps.