Guidance to fill in the Education Provider Complaint Form The form is designed to be completed electronically so the boxes will expand as you type. If you want to fill in the form by hand, you can use additional sheets of paper if you run out of space. Please make sure it is clear if you use additional sheets which order they are in. If any section of the form is incomplete, we will send it back to you so that you can complete it. 1. YOUR DETAILS Title Place a cross in the box that applies to you or write in space the next to “other” what your title is. Family name Please provide your family or surname. Given name Please provide your given or first name. Address (Include Post Code) Please provide the address where you would like to receive any correspondence. Telephone Please provide at least one telephone number. You might want to give us two numbers (for example, your work and personal numbers or home and mobile numbers). Email Please provide at least one email address if you have one. You might want to give us two addresses (for example, your work and personal addresses). How are you related to the education provider or programme of study? In this box we would like you to tell us about how you are linked either to the education provider or to the particular programme of study. You may be a student or a lecturer on the programme based at the education provider. You might be someone who has received treatment or care from a student or a member of academic staff at an education provider. You may be involved in the teaching of practical parts of the programme. How you are related to the programme or education provider will affect what other complaints bodies you can go to and so we need to know this information to assist you. 2. DETAILS OF EDUCATION PROVIDER(S) AND PROGRAMME(S) OF STUDY Please name the education provider or education providers who deliver the programme or programmes that you want to complain about. You can make a complaint about more than one programme or education provider on the same form, but please make sure it is clear if there are differences between your complaint for each. Please ensure that the programmes are on our approved programme list on our website as we can only handle complaints about HPC approved programmes. 3. DETAILS OF YOUR COMPLAINT Have you taken your complaint to the education provider? Place a cross in the correct box. We normally expect you to have taken your complaint to the education provider and your complaint to have reached an outcome before we will investigate. If yes, please give the name and job title of the person who handled your complaint. Give the name of the person at the education provider who looked into your complaint. Please also give their job title. This information will allow us to work out firstly what type of complaint you have made (ie formal or informal) and also allow us to contact the right person if we investigate your complaint. Has the education provider completed investigating your complaint? Place a cross in the correct box. We will not normally investigate a complaint until an education provider has had the opportunity to investigate and come to a decision about what action to take. If yes, what was the outcome of the investigation? Give a brief summary of the decision the education provider made about your complaint. Normally, education providers will issue letters that indicate the outcome of a complaint. You may want to include a copy of this letter with your complaint. Have you taken your complaint to any other body / organisation / institution? Place a cross in the correct box. If yes, please list: All the bodies, organisations or institutions you took your complaint to If their investigations are complete The outcome of each complete investigation As there are a number of organisations that may be interested in your complaint, you may have contacted a range of other people to let them know about your complaint. To prevent the investigations overlapping we ask you to let us know about all the organisations you have contacted. Please complete the table to let us know who you have contacted, if they have completed their investigation and what the outcome of the complete investigation was. 4. YOUR COMPLAINT In the first box please give the details of your complaint. You should be very clear about the areas of the complaint. It is useful to know the dates of important events or decisions. When telling us about your complaint you can use the following list to help you. The list is a summary of the kinds of areas of education programmes that we set standards for and you should think about these areas when making your complaint: Information provided to students before starting the programme. The way that the education provider made a decision to offer a place on the programme to a student or not. The facilities used for teaching and learning. Members of staff on the programme or contributing to teaching or learning. The way the programme is managed. The subjects being taught and how they are taught. The practical parts of the programme where students may be in clinical settings. The assessment for the programme and how quality of assessment is controlled. In the second box, please let us know what you would like to be done about your complaint. We protect the public by setting standards for our registrants and the education programmes they complete. This function is very precise and we cannot offer compensation or change marks or grades. 5. AUTHORITY FOR HPC TO INVESTIGATE YOUR COMPLAINT You are required to sign and date this section of the form. We are asking you to confirm that we have the authority to show your complaint to the education provider so that they can respond to us about the details of your complaint.