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Our terms, conditions and policies

Comments policy

NHS Choices has a number of areas where you can contribute to the site. You can comment on and rate almost any NHS service, including hospitals, GP practices and dentists. We welcome feedback, whether you, a friend or a family member were a patient or just visiting. 

Contributions to this website will be moderated, that is, checked to make sure they don’t break our rules. You will need to keep your contributions constructive, relevant and civil. The rules and guidelines below are to protect both you and the NHS, and our moderators will remove contributions that break the rules.

Should you have further questions and would like to contact us, please get in touch  with our Service Desk team either via our feedback form or by emailing

If you wish to make a complaint about our content or any operational issues, please email Additionally you can take a look at the NHS Choices complaint process (PDF, 192kb) and for more detailed information see the NHS Choices complaints policy (PDF, 904kb).


Commenting on NHS services (including hospitals, GP practices and dentists)

The service you receive from the NHS in England will never be adversely affected by your feedback on hospitals, GP surgeries, dental practices or any other health provider and you can comment anonymously if you wish. You should respect the anonymity of other patients and staff at the service you are commenting on by not using their names.

The 'Leave review' feature available on many NHS service provider profiles on NHS Choices allows you to comment on the service you, a friend or a family member, received. This is not a formal complaint procedure and if you wish to make a complaint you should read our guide to making a complaint. NHS trusts and the service providers are not obliged to read or respond to the comments, though many do. If you want a reply to your feedback you should contact the provider of the NHS service directly. Alternatively contact the commissioner of the service. NHS England is responsible for purchasing primary care services such as GPs, dentists, pharmacists, optical services and some specialised services. Your local CCG (clinical commissioning group) for secondary care including hospital treatments, emergency care and some community services, like district nursing.

You can comment on your experience even if you are paying for your care privately so long as the service provider also provides NHS care.

Giving your feedback on an NHS service does not require registration with NHS Choices but you will need to provide a valid email address so that we can contact you if there are any problems.

Feedback should be made within the 'Leave review' area of the NHS service provider profile page. This area is not suitable for making general political points about NHS services. Feedback from members of staff will not be accepted. Any comments solicited by service providers or a related party are not permitted. Service providers should never post comments on behalf of patients, their friends or family members.

Ratings and comments must be about events within the past two years. Once a comment we've published is more than two years old, it is removed from the service's profile, along with any associated ratings and information.

Complaining about another person’s comment

If you think someone’s contribution to the website breaks our rules you can alert one of our moderators by checking the 'Report as unsuitable' box directly beneath the comment. Reporting a comment will not delete it but will temporarily remove it and ensure we look at it as soon as possible. The moderators will then decide whether to remove it permanently or reinstate it.


Relevance, civility and decency

Relevance: comments must be relevant to the page they are to appear on. 

Be civil: please ensure that your contributions are respectful of others. We will remove contributions that are unlawful, harassing, abusive, threatening, obscene, sexually suggestive, racist, homophobic or sexist or that incite or promote hatred of any group of individual.  

Writing in capitals: do not write in capital letters – on the internet this is regarded as “shouting” and many people are offended by it.  

Be informative: ensure that your comment has enough information to describe your experience, and if you are commenting on a hospital, GP practice, dental practice or community NHS Service, provide enough information to assist someone else in making decisions about the service. Comments deemed uninformative by our moderators may be removed.  

Abusive language: comments containing swearing will be removed. People of all ages use the NHS Choices website and language should be suitable for them.  

English: all comments on the website must be made in English. Comments in other languages will be removed.  

Stereotypes: comments that stereotype sections of society will be removed.  

Multiple posts: duplicate comments or repeats will be removed. Users should only post one review per experience.


Privacy and confidentiality

Whether you are speaking for yourself, a friend or a family member, do not name the individuals you are talking about. If you are making a comment on another person’s behalf, it is best instead to talk of ”my husband” “my uncle” and so on to protect their privacy.

Personal information: to protect your privacy any information you contribute that reveals personal information, such as names, phone numbers, email addresses, twitter handles, addresses and so on will be removed. Any posts attempting to use the site to exchange personal information or arrange meetings with another user will also be removed.


Screenames, nicknames and impersonation

Screennames used on NHS Choices are moderated. When selecting a screenname make sure you choose one that is not rude, offensive or aimed at impersonating another person.

Naming businesses: Please avoid naming businesses or commercial services in your comment. Any comments breaching this rule will be removed.  

Under 16s: We ask that people under 16 get permission from a parent or guardian before posting on NHS Choices.


Health advice, medical products and commercial activity

Comments that glamorise smoking, drug use or drinking or that promote a poor moral example will be removed.

Asking for and giving specific medical or health advice is not permitted.

Comments deemed to be advertising a product or service will be removed.

We may remove references to specific medical products or medicines if the context is not appropriate.

Irrespective of their contents, comments will be removed if they were, or might reasonably be suspected of being, made following financial or any other inducement.

Legal issues, criminal activity or negligence

Current court cases and court injunctions: contempt of court rules mean you cannot make comments that could prejudice the outcome of a court case or General Medical Council hearing. Comments on something that subsequently becomes the subject of a court case or hearing will also be removed if they risk being in contempt of court. Contributions that break a court injunction will be removed. 

Clinical negligence or criminal activity: specific accusations of clinical negligence in which an individual is identified will not be published. If you have an allegation of clinical negligence by a particular clinician please use the NHS complaints procedure. Accusations of specific criminal activity will not be published. If you believe that criminal activity is or has taken place at any NHS organisation please contact the police or the organisation directly.

Defamation: defamation is a complex area. Defamation may occur when someone makes a statement that causes serious harm to a person's reputation. The law allows you to post comments containing your honestly held opinion, provided you identify the facts on which you are expressing your opinion. Posting untrue statements is against the law if they cause serious harm to a person's reputation or are likely to do  so. Comments deemed to contain defamatory statements will be removed.

Disclaimer: this definition is not to be regarded as a statement of the law nor should it be relied upon to make any judgement as to whether content is potentially defamatory. It is up to you to decide whether to take specific legal advice.

Threats: comments containing threats of public fear, terrorism or threats towards any individual are not permitted.  

Copyright: ensure that you own the copyright to any material you put on the site - especially if you have copied it from another source. If we are in doubt about the ownership of content we will remove it from the site. 

Further information

When you make a comment you will be asked to either create an NHS Choices account or, for comments on hospitals, GP practices, dental practices and other NHS service, to provide a valid email address. Your details will only be used to contact you about services you have expressed an interest in or to contact you about your comment should there be any concern about it. NHS Choices will not pass on your details to any other party unless permitted or required by the 1998 Data Protection Act, or required by order of a court.  

Copyright of your contributions
Your contributions to the NHS Choices website are published to the general public. In submitting your comments you assign all rights to NHS Choices for use and publication of your contribution (further information can be found in terms and conditions). If you are unwilling to grant NHS Choices copyright to your contribution you should not submit it to the site. 

Action we may take
A breach of any of our rules can lead to your comment being rejected. Repeated or serious breaches of our rules may lead to NHS Choices blocking contributions from your email address or suspending your NHS Choices account. NHS Choices reserves the right to delete any content at any time for any reason and is under no obligation to publish any contributions. NHS Choices reserves the right to alter or update the house rules or terms and conditions at any time.

Page last reviewed: 08/12/2015

Next review due: 08/12/2018

Manage user feedback

This section provides detailed advice on how to deal with patient comments on NHS Choices

NHS complaints

If you're not happy with the care or treatment you've received, you have the right to complain. Find out how

Online patient feedback: making it count

Get tips and advice on how to make sure you're heard when giving online patient feedback.

Media last reviewed: 23/05/2016

Next review due: 23/05/2019