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ACCESSING THE PRACTICE:
When did you last see a Doctor or a Nurse at the GP surgery?
How do you normally book your appointments to see a doctor or Nurse at the surgery?
Which of the following methods would you prefer to use to book an appointment at the surgery?
If you contacted us by telephone in the last 6 months, how was your experience in getting through:
If you contacted us by telephone in the last 6 months, how was your experience in speaking to a doctor on the phone?
If you contacted us by telephone in the last 6 months, how was your experience in speaking to a nurse on the phone:
If you contacted us by telephone in the last 6 months, how was your experience in getting test results on the phone?
WHAT COULD BE BETTER:
Thinking about the GP practice, which of these listed below are areas where improvements could be made? (please pick 5 only)
If you feel there are any other areas where improvements can be made that are not listed previously, please state below:-
APPOINTMENT SYSTEM:
Are you aware that for non-urgent medical conditions, appointments with GPs can be pre-booked up to 6 weeks in advance?
For non urgent medical conditions, how long would you consider a reasonable wait for an appointment?
Are you aware that any medical condition that you feel is urgent, will be dealt with on the same day?
Have you ever had a medical urgency that was not dealt with appropriately on the same day?
If you have experienced a medical urgency that was not dealt with on the same day, was it due to any of the following:-
WAITING AT THE SURGERY:
At your last appointment, did you feel the wait in the waiting room to be seen by a health care professional was:
SEEING A CLINICIAN:
When seeing a GP/Nurse, did you have confidence and trust in the person you saw?
In any circumstance where there was potential for embarrassment or for you to feel "ill at ease", were you treated respectfully?
When seeing a GP/Nurse and undergoing an intimate examination, was a chaperone offered?
When seeing a GP/Nurse, were you given helpful information about the different options, choices or treatments available to you?
When seeing a GP/Nurse, were you involved as much as you wanted to be in decisions about your care and treatment?
Did the person you saw on your last visit know about any previous care or treatments you had received?
Were you given enough time to discuss your health or medical condition?
Did the person you saw explain the reasons for any treatment or action in a way that you could understand?
Overall, how do you feel about the length of time your health professional spent with you?
On a scale of 1-10, how much confidence and trust do you have in the health care professional that treated you on your last visit? (1 being no confidence or trust, 10 being full confidence or trust)
If you needed any interpreting support to communicate, was this provided or offered for you by the practice?
If yes, please indicate whether it was British sign language or a foreign language below:
ACCESSING THE PRACTICE:
How easy did you find getting into the building?
If you found getting into the building difficult, please tell us why below:
How satisfied are you with the opening hours of the practice?
IN THE SURGERY:
At your last visit, how helpful were the staff?
Did any member of staff provide customer care at a level above and beyond what you expected? If so, please detail the staff member below:
Are you aware that you can request to speak to a Receptionist privately, aware from the front desk area?
How would you rate the comfort of the waiting area?
How would you rate the cleanliness of the surgery?
How would you rate the "tannoy system" used by GPs and Nurses to call patients into their rooms?
How satisfield are you with the general condition of the practice building?
REPEAT PRESCRIPTION SERVICE:
Are you aware of the methods that you can order your repeat prescription by? (fax, in person, post, online, through a pharmacy)
Are you aware that for patients with stable medical condition, taking stable medication we have a facility to provide all 12 monthly prescriptions at one time? These are then taken to your nominated pharmacist who will provide the medications monthly to you without you having to order them monthly.
If you are interested in this, please discuss this with a Receptionist.
Are you aware that repeat prescriptions take 48 working hours to prepare?
Do you regularly experience any of the following difficulties when ordering prescriptions?
Please use the space below to inform us of any other issues that you regularly experience when ordering prescriptions:
OVERALL
On a scale of 1-10, would you recommend this service to your friends or colleagues? (1 being that you would definately not recommend this service, 10 being that you definately would recommend it)
Overall, how satisfied are you with the service you receive?
Please use the space below to tell us how your experiences may have affected your answers:
PROVIDING FAIR AND ACCESSIBLE SERVICES
Are you:
What is your age?
What is your ethnic origin?
Do you consider yourself to have a long term disability?
What is your religion or beliefs?
What is your sexual orientation?