Chronic Disease Management Survey-Jan 2013 (copy)

Number of Responses: 7

PENN SURGERY

2a Coalway Road

Penn

Wolverhampton

West Midlands WV3 7LR

Surgery Telephone: 01902 333408

Website: www.pennsurgery.co.uk

Principal GP Dr. D. M. Bush MB, ChB, DRCOG, DFSRH, DCH D.OccMed (Male)

Salaried Doctors Dr. E. J. Axon MB ChB, DRCOG, MRCGP (Female)

Dr. M. Pamma MB ChB, BSc. (Hons), DRCOG, DFSRH, MRCGP (Female)

Penn Surgery In - House Patient Survey

Re : Chronic Disease/Long Term Condition Management – January 2013

We would be grateful if you would complete this short survey, which has been devised by our Patient Reference Group for patients suffering from a Long Term Medical Condition. Your comments are invaluable and will help us to ensure that we are truly responsive to your needs.

Please answer all of the questions that apply to you, or ask a member of your family to complete it for you.

All responses to this survey are anonymous and our staff will not be able to identify your individual responses. (Submissions via our website are subject to our privacy policy).

We would be most grateful if you could complete the survey and reply by no later than Friday 18 January 2013 .

The results of the survey will be published on our website and will also be available for viewing at the Practice before the end of March 2013.

Thank you.

1. Which, if any of the following medical conditions do you have?

Alzheimer’s disease or Dementia 0%

Angina or long term heart problem 14%

Arthritis or long term joint problem 14%

Asthma or long term chest problem 57%

Cancer in the last 5 years 0%

Blindness or severe visual impairment 0%

Diabetes 14%

Deafness or severe hearing impairment 0%

Epilepsy 0%

High Blood Pressure 57%

Kidney or Liver Disease 0%

Learning Disability 0%

Long term back problem 14%

Long term mental health problem 0%

Long term neurological problem 0%

Autism 0%

Any other long term condition – please specify 57%

2. How good is your understanding of your condition?

Very good 14%

Poor 14%

Fairly good 71%

Very Poor 0%

Neither good nor poor 0%

Does not apply 0%

3. When first diagnosed with your condition, do you feel you were given enough support via the following services and how would you rate the support given?

(a) Your GP

Very good 42%

Poor 0%

Fairly good 28%

Very Poor 0%

Neither good nor poor 28%

Does not apply 0%

(b) The Hospital

Very good 14%

Poor 0%

Fairly good 28%

Very Poor 0%

Neither good nor poor 28%

Does not apply 28%

(c) Your Pharmacist

Very good 57%

Poor 0%

Fairly good 0%

Very Poor 0%

Neither good nor poor 28%

Does not apply 14%

(d) Social Services

Very good 0%

Poor 0%

Fairly good 0%

Very Poor 0%

Neither good nor poor 0%

Does not apply 85%

No response 15%

4. Did your GP ask how this diagnosis would impact on the following:

(a) Your family

Yes 14%

No 85%

(b) Your work

Yes 28%

No 57%

No response 15%

(c) Your finances

Yes 0%

No 85%

No response 15%

5. If you have a long standing health condition, how confident are you that you can manage your own health to ensure you take ownership in terms of booking / having regular checks at the Surgery?

Very confident 57%

Not very confident 14%

Fairly confident 28%

Not at all confident 0%

6. Has your GP or the Practice Nurse encouraged you in self - management skills?

Yes 85%

No 14%

7. Do you feel you would you benefit from attending an Expert Patient Programme if you were given details / made aware of these?

Please see Symptom Cycle below

Yes 42%

No 57%

8. In the last 6 months, have you had any support from local services or organizations to help you to manage your long-term health condition(s)?

Yes 0%

No 85%

Some 14%

9. Would you be willing to offer help and advice to other patients newly diagnosed with suffering a similar illness to yourself ?

Yes 14%

No 85%

Some questions about you:-

Are you?

Male 42%

Female 57%

Transgender 0%

How old are you?

Under 16 0%

17 – 24 0%

25 - 34 0%

35 – 44 28%

45 – 54 14%

55 - 64 28%

65 - 74 28%

74 – 84 0%

over 84 0%

What is your ethnic group?

A. White

British Group 100%

Irish 0%

Scottish 0%

Any other white background 0%

B. Mixed

White & Black Caribbean 0%

White & Black African 0%

White & Asian 0%

Any other mixed background 0%

No response 100%

C. Asian or Asian British

Indian 0%

Pakistani 0%

Other 0%

Mixed – Any other Asian mixed background 0%

No response 100%

D. Chinese

Chinese 0%

No response 100%

E. Other ethnic group

Arab 0%

Any other ethnic group 0%

No response 100%

Which of the following best describes your smoking habits?

Never Smoke 28%

Former Smoker 57%

Occasional Smoker 0%

Regular Smoker 14%

Please return this questionnaire to Penn Surgery by no later than Friday 18 January 2013

SYMPTOM CYCLE

Long Term Condition → Tense Muscles → Pain → Stress/Anxiety → Difficult Emotions → Depression → Shortness of breath → Fatigue