Shawbirch Medical Centre Patient Survey 2018

As you probably know, Shawbirch Medical Practice is planning to move to a new purpose-built centre in the next couple of years. There is obviously a limited amount of funding available for this, so only some features can be afforded. The Practice needs your views to help the architects to choose what to include.

Section A. In terms of where the new surgery should be, please choose the three most important from the list below:

 
 
 
 
 
 
 

2. There are other important factors [please detail]


Section B. How important is it for the new building to have the following features? Please choose the three most important from the list below:

 
 
 
 
 
 
 
 
 
 
 
 
 
 

4. Other important features [please detail]


Section C. How important is it for the following services to be provided at the new surgery? Please choose the three most important from the list below:

 
 
 
 
 
 
 
 
 
 
 
 
 
 

6. Other services that it is important should be provided [please detail]


Section D. If the reception area were to be decorated with a local feature, what would you choose?

 
 
 
 
 

8. Other idea [please detail]


Section E. If an area can be retained for the future expansion of the building, how should it be used?

 
 
 
 
 
 

10. Your own idea [please detail]


SELF CARE

Section F. The NHS wants to encourage patients to seek advice or treatment from places other than GP surgeries for minor problems. How do you feel about using the following services instead of going to the surgery?

11. Local pharmacist/chemist

 
 
 
 
 

12. NHS 111 advice phone number

 
 
 
 
 

13. NHS Choices website, health A-Z

 
 
 
 
 

14. patient.co.uk website

 
 
 
 
 

15. Mental health direct access advice lines

 
 
 
 
 

16. Shawbirch Medical Centre Directory of Voluntary Services, available in the waiting room

 
 
 
 
 

17. Your own suggestion [please detail]


Section G. Similarly, how do you feel about using one or more of the services listed in section F for the following problems instead of going to the surgery?

18. Skin rash / fungal infections

 
 
 
 
 

19. Sore throat/coughs and colds/flu like symptoms/nasal congestion

 
 
 
 
 

20. Sprains and strains

 
 
 
 
 

21. Earache

 
 
 
 
 

22. Sickness/diarrhoea

 
 
 
 
 

23. Bites and stings

 
 
 
 
 

24. Conjunctivitis

 
 
 
 
 

25. Hay fever

 
 
 
 
 

26. Infant colic / teething / nappy rash

 
 
 
 
 

27. Cystitis / Vaginal thrush

 
 
 
 
 

28. Threadworms

 
 
 
 
 

29. Headlice

 
 
 
 
 


Section H. Some questions about you:

30. Gender?

 
 
 
 

31 Age?

 
 
 
 
 
 
 
 
 
 
 

32 Postcode? [optional]

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