The Mote Medical Practice

GP Practice Survey – Have Your Say (2014)

We would be grateful if you could answer some questions about your general practice. This survey has been developed with the Patient Participation Group (The Mote PRG) for the St Saviours Road and Loose practice. We want to provide the highest standard of care, and feedback to this short survey will help us identify areas that could be improved. The findings of the survey will be discussed at the next PRG Meeting and an action plan will be developed based on the feedback we receive. A summary of the findings will be published on the practice website.

Please complete the survey by Friday 31^st October 2014. Please be assured this information will be kept confidential.

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Q1 We would like you to think about your recent experiences of our service. How likely are you to recommend our GP practice to friends and family if they needed similar care or treatment?

Extremely Likely 

Likely 

Neither Likely nor unlikely 

Unlikely 

Extremely Unlikely 

Don’t know 

Q2 Which of the following do you use to find information about the practice and the services they provide? Please tick all that apply.

Practice website 

Telephone 

Practice leaflet 

Notice Board 

Other 

If other, please specify:

Q3 Please tell us whether you are aware of the following:

The GP Practice opening hours

Not Aware of 

Aware Of 

That there are extended hours GP clinics

Not Aware of 

Aware Of 

Commuter Clinics (Tuesday AM @ our Branch Surgery)

Not Aware of 

Aware Of 

The GP Practice website

Not Aware of 

Aware Of 

That you can order repeat prescriptions online

Not Aware of 

Aware Of 

That you can ring the practice for test results, after 3pm

Not Aware of 

Aware Of 

Q4 Does the practice provide the range of health services you need?

Yes 

No 

Don’t know 

Q5 Please describe what you think is missing.

Helping the practice identify priorities

Q6 How are we performing? Please rate the following in order of importance.
1 = the most important
12 = the least important
You may give the same scoring more than once.

Being treated with respect and courtesy

1 

2 

3 

4 

5 

6 

7 

8 

9 

10 

11 

12 

The quality of care received from the practice nurses

1 

2 

3 

4 

5 

6 

7 

8 

9 

10 

11 

12 

The way you are treated by the receptionist

1 

2 

3 

4 

5 

6 

7 

8 

9 

10 

11 

12 

The level of privacy at the reception desk

1 

2 

3 

4 

5 

6 

7 

8 

9 

10 

11 

12 

Being able to see a doctor quickly if it is urgent

1 

2 

3 

4 

5 

6 

7 

8 

9 

10 

11 

12 

The importance of having continuity of care and seeing the same GP each visit

1 

2 

3 

4 

5 

6 

7 

8 

9 

10 

11 

12 

To provide extended hours GP sessions, such as commuter clinic (varying times with each GP)

1 

2 

3 

4 

5 

6 

7 

8 

9 

10 

11 

12 

Choice of hospital and Choose and Book referral to hospital-after initial referral by GP

1 

2 

3 

4 

5 

6 

7 

8 

9 

10 

11 

12 

Being able to order repeat prescriptions online

1 

2 

3 

4 

5 

6 

7 

8 

9 

10 

11 

12 

Multiple prescriptions for stable chronic conditions For 6 months. [for example Blood pressure]

1 

2 

3 

4 

5 

6 

7 

8 

9 

10 

11 

12 

Providing more information about the GP practice to patients e.g. opening hours, services etc

1 

2 

3 

4 

5 

6 

7 

8 

9 

10 

11 

12 

The physical environment within the surgery

1 

2 

3 

4 

5 

6 

7 

8 

9 

10 

11 

12 

Q7 From the priorities you have listed from above, please describe what improvements you would like the practice to consider.

Q8 Would you be interested in being part of the Patient Participation Group at The Mote Surgery. This is a group of patients who help the surgery improve the service provided to patients.

If Yes please CLICK HERE

Your Overall satisfaction with the practice

Q9 Any other comments:

About you

The next few questions help us to understand more about the local community and help us to respond to the needs of the community more effectively. Please be assured this information will remain confidential. If you would prefer not to answer then please tick ‘prefer not to answer’.

QD1 Please indicate your gender below:

Male 

Female 

Prefer not to answer 

QD2 Which of the following age groups do you fall into?

16-24 

25-34 

35-44 

45-54 

55-64 

65-74 

75+ 

Prefer not to answer 

QD3 Do you have any children under 16 years old living at home?

Yes 

No 

Prefer not to answer 

QD4 Do you or anyone else in your household have any long standing illness, disability or infirmity?

Yes, I do 

Yes, someone in my household 

No 

Prefer not to answer. 

Thank you for your time and feedback

Please return your completed survey to the surgery