Lombard Medical Centre

Survey 2017/2018

This survey is now closed

Lombard Medical Centre Patient Reference Group Survey 2017/18

Part one - Access to your medical records

1. Who do you think is allowed to see your medical records?

a. Other GP Practices

Yes

No

With your permission

b. Out of Hours Service

Yes

No

With your permission

c. Nottingham University Hospitals Trust (Queens Medical Centre & City Hospital)

Yes

No

With your permission

d. East Midlands Ambulance Service

Yes

No

With your permission

e. Sherwood Forest Hospitals Foundation Trust (King's Mill & Newark)

Yes

No

With your permission

f. 111 (non-emergency care line)

Yes

No

With your permission

g. District Nurses and Other Community Health Services

Yes

No

With your permission

h. Social Services

Yes

No

With your permission

2. Who should decide if your GP medical record can be shared with any other outside organisation?

a. Your GP

Yes

No

b. Only You

Yes

No

c. A close relative

Yes

No

With power of attorney

3. Who do you think should be allowed to see your medical records?

a. Other GP Practices

Yes

No

With your permission

b. Out of Hours Service

Yes

No

With your permission

c. Nottingham University Hospitals Trust (Queens Medical Centre & City Hospital)

Yes

No

With your permission

d. A health insurance company you have applied to for health/death cover?

Yes

No

With your permission

e. East Midlands Ambulance Service

Yes

No

With your permission

f. Sherwood Forest Hospitals Foundation Trust (King's Mill & Newark)

Yes

No

With your permission

g. 111 (non-emergency care line)

Yes

No

With your permission

h. Your pharmacy/chemist

Yes

No

With your permission

i. District Nurses and Other Community Health Services

Yes

No

With your permission

j. Social Services

Yes

No

With your permission

k. Your Dentist

Yes

No

With your permission

l. Your Optician

Yes

No

With your permission

m. The department of Vehicle Licensing so they can check if you are fit to drive?

Yes

No

With your permission

n. Your bank, building society or credit card company if you have applied?

Yes

No

With your permission

PART TWO - Carers

Who is a carer?

A carer is someone who looks after a spouse, partner, parent, child or other relative, friend or neighbour who needs help because of illness, disability or age. All the care they give is unpaid and may only be required sometimes.

1. Does this apply to you?

Yes

No

Sometimes

If your answer is NO go to PART THREE

a. Have you let your surgery know that you are a carer or sometimes a carer so that it can be added to YOUR medical record?

Yes

No

b. Do you feel that you are receiving the support you need?

Yes

No

c. Are you aware that Lombard Medical Centre offers help to Carers?

Yes

No

PART THREE - General

If you have been attending this Medical Centre for a year or more please answer this additional question: Comparing the last twelve months with the previous twelve months do you believe that overall there have been improvements in any of the services provided by the:

Doctors

Yes

No

Nurses

Yes

No

Admin Staff

Yes

No

1. Are you male or female?

Male

Female

2. How old are you?

Under 16

17-25

26-35

36-45

46-55

56-65

66-75

76+

3. What is your ethnic group?

White - Britsih

White - European

Mixed

Asian or Asian British

Black or Black British

Chinese

Other

This short survey is being carried out by the Patient Representative Group on behalf of Lombard Medical Centre. For more information about our role within the Surgery, please see details on the main Notice Board in the waiting room.

THANK YOU FOR COMPLETING THIS QUESTIONNAIRE

This survey is now closed