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Who is your usual doctor?
Which practice do you usually attend?
1. In the past 12 months how many times have you seen a doctor?
2. How do you rate the way you are treated by the reception staff?
3. At times you have wanted to see a particular doctor how quickly have you been able see that doctor?
4. At times you are willing to see any doctor, how quickly have you been able to see a doctor?
5. If you need to be seen urgently have you been seen on the same day?
6. In an urgent situation have you:
7. How satisfied were you with this response?
8. When you telephone the practice how do you rate the following?
a) Ability to get through
b) Ability to speak to a doctor for medical advice
9. How often do you see your usual doctor?
10. On your last visit did you see the doctor or the emergency practitioner?
11. On your last visit how were the following?
a) How well you were listened to
b) How well you were put at ease during a physical examination
c) How well you felt you were involved in decisions about your care or treatment
d) How well your problems and treatment were explained to you
e) How satisfied were you with your treatment?
12. Have you seen a practice nurse in the last twelve months?
If yes how do you rate the following?
a) How well you were listened to
b) How well you were put at ease during a physical examination
c) How well you felt you were involved in decisions about your care or treatment
d) How well your problems and treatment were explained to you
e) How satisfied were you with your treatment?
Do you have any other comments about the Rame Group Practice or suggestions for improving the services offered?
You can also provide feedback, positive or negative, on any matters concerning the practice and on patient needs and concerns by contacting the Patient Participation Group via the Antony Road Branch – see below.
If you have any actual complaints please contact:
The Practice Manager
Antony Road Branch
16 Antony Road
Torpoint
Cornwall
PL11 2JW
Tel: 01752 813277
EQUALITY monitoring form
In order to help the practice understand the needs of its patients and to make sure that all patients have access to services and to fair treatment it is helpful if you can answer these questions.
Are you?
What is your age?
What is your ethnic origin?
What is your religion?
Do you have a long term condition or disability?
What is your sexual orientation?
Is your accommodation?
Are you homeless or at risk of homelessness?
What is your employment status?
Are you caring for someone who is ill of disabled?
Do you have a disability or long term medical condition?