Raise a concern

Use this form to raise a fitness-to-practise concern about a person registered with HPAC. All fields marked required must be completed.

About you and the concern

Please be aware that unless there are mitigating circumstances, like most regulators we are not usually able to take forward a concern that is made anonymously, or if the person making the complaint (complainant) wants to stay anonymous. This is because we want to operate a fair and transparent process. The name of the person making the referral must be provided, as well as their date of birth, do not use your organisation's name. There is a separate section for that. Failure to comply will result in your complaint not being progressed. Additionally, we can not accept anecdotal or hearsay reports. Evidence will be required to verify your concern. If a concern relates to sexual safeguarding, a signed statement from the alleged victim or the alleged victim's carer will meet the threshold to trigger an investigation. If you are a current or previous employer you will have to show that you conducted your own investigation and share your investigation process and evidence of your findings with us. If you believe the individual you are reporting has committed a crime, in addition to raising this concern you should inform the police directly.

Please select a description which best describes who you are *

Date and time when incident occurred

The time is optional — leave it blank if you only know the date.

Is HPAC currently investigating the registrant concerned? *

The incident

Incident location (please provide specific details) *

Do you believe the incident to be of a criminal nature? *

YesNoUnsure

Have you made a barring referral to the Disclosure & Barring Service

YesNoI intend to

Description of incident *

Supporting evidence (optional)

Attach any evidence supporting your concern — documents, reports, photos. PDF, DOC, DOCX, PNG, JPG, WEBP, HEIC or TXT; up to 5 files, 10 MB each.

Choose files

Your details

In order to proceed please tell us who you are. You must supply your current legal name as it appears on your passport / driving licence / birth certificate

Your name as it appears on your passport or driving licence *

You may not enter an organisation name. As the person making the referral, you must provide us with your legal name and surname. If this is not provided, we cannot proceed with your concern.

Your date of birth *

Phone number *

Email *

Further comments

I certify that the above information is true and correct to the best of my knowledge. I am aware that the registrant being reported will be provided with an unedited copy of this referral, including my name as the person who has raised the concern. The only information that will NOT be shared with the registrant I am reporting is my date of birth, my contact number and my email address. If I am found to have deliberately made a false or malicious report legal action may taken against me and my information will be shared with the police. By clicking "Report Now!" I fully accept these terms regardless of any comments I may have made in previous sections of this form.