This survey is now closed

Croft Patient Participation Group - Patient Survery 2016

1) The Patient Participation Group

a) Are you aware of the Patient Participation Group and its purpose?

 
 

b) Do you read the Newsletter?

 
 

c) Do you find it useful?

 
 

2) The Appointment System

Urgent Appointments - Each day one doctor will be on duty. They will respond to all calls from those who feel they must have attention that day.

a) Have you used the urgent appointment system? IF NO, GO TO 2d

 
 

IF YES, what do you think of the current appointment system for urgent appointments

b) response time?

 
 
 
 
 

c) Medical advice?

 
 
 
 
 

Comments on the Urgent Appointment System

Routine Appointments

d) What do you think of the current appointment system for routine appointments?

 
 
 
 
 

e) What is your preferred method of making routine appointments? PLEASE ONLY TICK ONE BOX

 
 
 

f) Have you had any difficulty getting through on the phone?

 
 

g) Are you aware that you can also book appointments on-line? IF NO, GO TO 3

 
 
 

h) Have you had any difficulty using the on-line booking system?

 
 

Comments on the Routine Appointments system:

The Blood Test Service

a) Are you aware that there is now a 'walk-in' service?

 
 

b) Have you used it? IF NO, GO TO SECTION 4

 
 

c) What do you think of the new Blood Test system?

 
 
 
 
 

Comments on the Blood Test System

3) Flu Jab Clinics - these are now an established Autumn routine:

d) Are you aware of the service?

 
 

e) Are you aware of the other vaccinations offered routinely to some groups of patients? e.g. shingles, meningitis?

 
 

f) Have you used it? IF NO, GO TO SECTION 5

 
 

g) What do you think of the flu clinic?

 
 
 
 
 

Comments on the flu jab clinic

4) Clinical Staff

Seeing a doctor;

a) How would you rate the doctor during your last visit?

 
 
 
 
 
 

Seeing a nurse

b) How would your rate the nurse during your last visit?

 
 
 
 
 
 

5) Reception Staff - communication with The Croft

How would you rate the reception staff last time you spoke to them?

 
 
 
 
 

6) The Premises

How would you rate the premises last time you were at the surgery?

 
 
 
 
 

7) Your experience with The Croft

In General, how would you rate the quality of service you receive from The Croft Surgery?

 
 
 
 
 

General Comments - not about individual members of staff. Thank

Thank you for completing this questionnaire. We will report back on the results and on any decisions made. To help us analyse the results, it would be extremely helpful if you would complete the attached equality monitoring form. The information you provide will be kept confidential and will help us to identify if any groups of people are experiencing any particular problems.

Are you male of female?

 
 
 

How old are you?

 
 
 
 
 
 
 
 

Which Ethnic group do you belong to?

 
 
 
 
 
 

Would you say English was your first language?

 
 

Overall how good or bad would you say your health is?

 
 
 
 
 

Do you have any of the following conditions?

 
 
 
 
 
 
 

How many children aged under 16 are living at home with you?

 
 
 
 
 

Do you have carer responsibilities for anyone with ongoing health problems or a disability?

 
 

Is your accomodation:

 
 

Which of the following best describes you?

 
 
 
 
 
 
 

This survey is now closed