Appeal a decision about a complaint

If you are unhappy about the outcome of a complaint you can appeal the decision by submitting this form.

Complete the appeal form below if you would like to appeal a decision made by the Practice Standards Panel. If you are unhappy with the outcome of a complaint we can refer to an Independent Appeals Officer who will, initially, consider whether there are grounds for appeal. The process and grounds for appeal are outlined in complaints procedure.

Your appeal should be about the concerns you raised in your complaint and not about any new concerns you may now have about the member.

Your name*
First Last
Member's name*
First Last
Date of Practice Standards Panel report
MM slash DD slash YYYY
Has there been a procedural irregularity, e.g. do you feel the complaints procedure has not been followed?
- Yes
- No
What happened?
Have irrelevant matters been taken into account or has something been ignored?
- Yes
- No
What happened?
Is the conclusion reached by the Practice Standards Panel plainly wrong?
- Yes
- No
Why is the conclusion plainly wrong?
Is the action recommended by the Practice Standards Panel inappropriate?
- Yes
- No
Why is the recommended action inappropriate?
Supporting documentation
Drop files here or

Max. file size: 64 MB.
You can attach supporting documents that directly support your appeal. Only upload documents that provide direct examples of the events you've described. If we feel it would be helpful for you to provide more documents we will discuss this with you.