61
Dear Patient,
Thank you for taking part in this survey. We want to ensure that our practice is listening to you, and all our patients, understands their needs, improves the experience at our surgery, and establishes whether you spend your time caring for others and how this affects you.
Your responses will shape the future of your healthcare, and help us to better meet your requirements.
To receive the results of this survey and to help again in possible future surveys, please enter your email address in the box below. (Your answers are always completely confidential.)
Please answer all of the questions and click 'Send' when completed.
Q1. Are you:
Q2. Please select the age group that best represents you:
Q3. Which of these best describes what you are doing at present? If more than one applies to you, please select the main one only.
Q4. If you are employed, roughly how long is your journey to work (door to door)?
Q5. If you need to see a doctor at your GP Surgery during your typical working hours, can you take time away from your work to do this?
Q6. In general, would you say your health is:
Q7. Do you have any of the following conditions? Please include problems due to old age and tick all those that apply to you
Q8. Do you look after children, a partner or dependent adults in your family on a daily basis?
Q9. Do you have carer responsibilities for anyone in your household with a long-standing health problem or disability?
If you answered yes to Q9, please answer the following questions about caring responsibilities.
Q10a. Are you registered as an official carer, or in receipt of carers allowances?
Q10b. Have you informed us at the GP surgery that you are a carer for someone else?
Q10c. Do you provide personal care for someone who lives with you, such as your partner, unofficially, for example: you do not receive carers allowances and are not known to social services?
Q10d. Do your caring responsibilities mean that you have little or no time to look after your own health, do your hobbies or interests, or have 'me-time'?
Q10e. If you could meet with other people in a similar position locally, to talk about the issues around caring full-time, offload and unwind for a small period of time on a regular basis and make new friends, is this something you would be interested in?
Q12. How long have you been a patient of Crondall New Surgery?
Q13. In general, how satisfied are you with the care you get at the surgery?
Q14. Would you recommend the surgery to someone who has just moved to your local area?
How can we improve?
Would you be interested in joining a Patients Group, where you would be able to shape the services and future of your surgery? Select all the ways you would be happy to do this.
ACCESS
Q15. When did you last see a Doctor at the GP Surgery?
Q16. If you haven't seen a Doctor in the past 6 months, why is that? Please tick all that apply
Q17: Did you know that you can already book appointments online, or via a free app called Patient.co.uk, to see a doctor?
Q18. How do you normally book your appointments to see a doctor or nurse at the surgery? Please tick all that apply
Q19. Which of the following would you prefer to use to book an appointment at the Surgery? Please tick all that apply
Q20. How easy do you find getting into the building at the surgery?
THE SURGERY IS OPEN FROM 8AM to 6.30PM MON TO FRI (AND UNTIL 8PM ON TUESDAYS)
Q21. How satisfied are you with the Opening Hours at the Surgery?
Q22. Would you like the surgery to be open at any other times
Please specify
PATIENT EXPERIENCE
Q23. Cleanliness - Is your experience of our GP surgery that it is?
Q24. How helpful do you find the receptionists at the Surgery?
Q25. How long after your appointment time do you normally wait to be seen?
Q26.How do you feel about how long you normally have to wait?
Crondall Surgery makes changes to its practice and processes based on patient and staff feedback.
In the last year, several changes have been made to the patient environment to improve confidentiality.
Q27. In your opinion, is the surgery environment confidential?
Q28. Do you feel that confidentiality in the waiting area has improved in the last year?
Q29. Are you concerned in any way that you could be overheard in a consultation room?
Q31.What is your ethnic group?
Please expand on any of your previous answers, or tell us about your experience of the surgery as a patient -
Your email address, if you wish to hear back with the survey results, and/or be involved in any future surveys which will be helping to shape the future healthcare provision at your surgery and in your local area.