4

Patient Feedback Survey 2014/2015

We would like you to think about your recent experiences of our service.

How likely are you to recommend our GP Surgery to friends and family if they needed similar care or treatment?

  50%
  50%
  0%
  0%
  0%
  0%

If we could change one thing about your care or treatment to improve your experience what would it be?

You told us GPs sometimes run behind impacting on your appointment time. Whilst GPs experience emergencies in surgery, we have revised our appointment structure. Thinking about your last appointment with a GP please indicate how long you waited to be seen?

  25%
  75%
  0%

If you waited more than 20 minutes, were you informed of the delay?

  0%
  0%
  100%

If you answered ‘yes’ were you given the opportunity to rebook your appointment or speak to a Supervisor?

  0%
  0%
  100%

We have recently changed our cleaners and The Care Quality Commission Inspectors rated us as compliant with national standards. How would you rate our premises?

  75%
  0%
  25%
  0%

If you have ticked needs improvement, please tell us what areas of our premises we need to improve.

Thinking about either your last telephone call to the Surgery or your last visit where you spoke to the Receptionist, how would you rate the service you received?

  75%
  25%
  0%
  0%

Please indicate if this was

  50%
  25%
  25%

If you have ticked needs improvement, please tell us how you think this could be better.

This form should remain anonymised, however if you would like a response to the comments you have made above please leave your name and contact number.

We would like to publish your comments in our report but if you would prefer that they remain confidential please indicate below.

  50%
  0%
  50%

Are you male or female?

  25%
  50%
  25%

Please indicate your current age band below.

  0%
  0%
  25%
  0%
  25%
  50%
  0%
  0%
  0%

Are you interested in being part of our Patient Participation Group?

  0%
  50%
  50%

If yes please supply your current email address.

To ensure that our contact list is representative of our local community please indicate which of the following ethnic background you would most closely identify with.

  100%
  0%
  0%
  0%
  0%
  0%
  0%
  0%
  0%
  0%
  0%
  0%
  0%
  0%
  0%
  0%
  0%
  0%

Please tick the boxes that apply.

  25%
  0%
  0%
  25%
  25%
  0%
  0%

If you have a condition that is making the completion of this form difficult please contact the surgery on 01202 974700 and request a call back from the Management Team to assist you with this.

Thank you for completing this from on behalf of Moordown Medical Centre.