Patient Questionnaire

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1 Patient Questionnaire Have a say on the services we provide by completing the following survey. Please tick the relevant box. Please note that we do not require your name. Appointments 1. How do you usually make an appointment to see a doctor or nurse? (Please tick all relevant boxes). In person By telephone Doesn t apply 2. In the past 6 months how easy have you found the following? Getting through on the phone Speaking to a doctor on the phone Speaking to a nurse on the phone Obtaining test results Are you able to see a doctor on the same day easy Fairly easy t very easy Difficult t tried How easy is it to book appointments ahead 3. How often have you experienced this problem? Regularly Occasionally rarely 4. What time of day have you been trying to contact us? Early morning Late morning Early afternoon Late afternoon

2 Access to Doctors Surgery 5. How quickly are you able to be seen by a GP at the surgery? Same day Next day 2 4 days 5 days or more t tried 6. Once you have arrived at the surgery how long after your appointment time do you usually wait in the waiting room to be seen? rmally on time Less than 5 minutes 5 15 minutes minutes Over 30 minutes 7. How do you feel about how long you normally have to wait to be seen? Don t normally have to wait long About right Usually have to wait a little too long I have to wait far too long t applicable 8. How satisfied are you with the opening hours at the surgery? satisfied Fairly satisfied t at all satisfied Why do you feel like this?.

3 9. How satisfied were you with your last appointment with a doctor at the surgery? Allowed you enough time Asked about your symptoms Listened to you Explained about tests & treatments Involved you in decisions about your care Treat you with care and respect Took your problems seriously Did you have trust & confidence in the doctor you saw Were you happy with the privacy of your conversation with the doctor satisfied Fairly satisfied Neither satisfied or 10. Which doctor did you see? Dr Khan Dr ble Locum Dr 11. Telephone consultations Can you book a telephone consultation at your practice? Have you ever had a telephone consultation? Following the telephone consultation did you require a follow up? Would you use a telephone consultation again? Access to Practice Nurses 12. How easy is it for you to make an appointment with a Practice Nurse at your surgery/clinic? easy Fairly easy t at all easy

4 13. During August & September we were working with locum nurses as our nurse departed unexpectedly. Did you have the problem during this period? If yes, what were the problems that you experienced? 14. Please rate your last appointment with a nurse at the surgery/clinic Allowed you enough time Asked about your symptoms Listened to you Explained about tests / treatments Involved you in decisions about your care Treat you with care and respect Took your problems seriously Did you have trust and confidence in the nurse you saw Were you happy with the privacy of your conversation with the nurse Fairly Neither satisfied or 15. Which nurse did you see? Jennifer Clews Locum nurse Jo Tinkler Lisa Debono

5 In your GP practice 16. Overall how well does your practice help you to: Understand your health problems Cope with your health problems Keep yourself healthy Find information about services they provide i.e. test results, repeat prescriptions etc. Understand the practice s compliment & complaint procedure? Access information about staying healthy & preventing illness Well Well Unsure t very well t applicable 17. How helpful do you find the receptionists at the surgery? helpful Fairly helpful t very helpful t at all helpful Environment 18. Can other patients overhear private conversations with receptionists? but I don t mind and I m not happy about it, other patients can t hear An area is provided for confidentiality 19. We have moved the prescription box to the entrance in order to reduce queues & fitted glass in the reception area to improve confidentiality. Are there any other changes that you would suggest?

6 20. Regarding your practice building? How clean is the surgery? Fairly t very t at all, please explain below How easy is it to get into the surgery building? How comfortable is the waiting area? How clear are the signs inside & outside the building? 21. Generally how would you rate your overall satisfaction? 22. Do you have any suggestions how the practice can make any improvements to their service? Do you have any suggestions how the doctor / nurse could improve? What do you think is important in the surgery?.. Do you ever visit our website at The information that you have provided in this questionnaire will not identify you and only provides us with general information which will be used to monitor and improve our services. The findings of this questionnaire on the practice website and copies will also be available in the surgery.

7 About you Are you:- How old are you Male Under 16 Female and over What is your ethnic group White Black or Black British Asian or Asian British Mixed Chinese Other ethnic group How would you describe how often you come to the practice? Regularly Occasionally Rarely rarely Specific questions relating to GP led commissioning and commissioning intentions 1. Have you given feedback to your GP on the level of satisfaction or experience of a service that they have referred you to (e.g. in hospital or a community service) in the last year? 2. If so, did you feel this feedback was listened to (and therefore may feature in discussion regarding the planning or management of this service in the future)? 3. Would you like a greater say in how the NHS services that you receive outside of the GP Practice are planned or commissioned?

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