Patient Survey for Pharmaceutical Needs Assessment

There are a number of community pharmacies (sometimes called chemists) in your council area and they may all be very different. Pharmacies can be found in shopping centres, local high streets, inside supermarkets or based within local health centres, but they are all NHS pharmacies.

Local Health and Wellbeing boards in Middlesbrough & Redcar and Cleveland are preparing new reports on pharmacy services called 'Pharmaceutical Needs Assessments'. This looks at what local people might need from these services, what is already available and suggests improvements that might be made now or in the near future.

We need your views

It is very important for us to understand patient experience and public views of pharmacy services. Completing this survey will help us to do that. Later in the year there will also be a full consultation on the draft Pharmaceutical Needs Assessments when patients and the public will be able to contribute again.

Please take a few minutes to complete this survey- it will help us to understand where pharmacy services are good and if there are any areas that could be improved. No need to give your name; all your answers will be confidential and only used for statistical purposes.

Closing date: 30th September

Question Title

* 1. Which Local Authority area do you live in?

I live in Middlesbrough

I work in Middlesbrough

I live in Redcar and Cleveland

I work in Redcar and Cleveland

I don't live or work in either Middlesbrough or Redcar and Cleveland

Question Title

* 2. Please tick the box to indicate your home postcode

TS1

TS3

TS5

TS6

TS7

TS8

TS9

TS10

TS11

TS12

TS13

TS14

My postcode is not shown here

I don't know my postcode

Question Title

* 3. Please answer the following questions:

	Yes	No	Don't Know
Do you usually use a pharmacy in the area in which you live?	Do you usually use a pharmacy in the area in which you live? Yes	Do you usually use a pharmacy in the area in which you live? No	Do you usually use a pharmacy in the area in which you live? Don't Know
Are there pharmacies near where you live (or work) that you could get to by walking for less than 15 minutes?	Are there pharmacies near where you live (or work) that you could get to by walking for less than 15 minutes? Yes	Are there pharmacies near where you live (or work) that you could get to by walking for less than 15 minutes? No	Are there pharmacies near where you live (or work) that you could get to by walking for less than 15 minutes? Don't Know
Are there pharmacies near where you live (or work) that you could get to by a short bus ride?	Are there pharmacies near where you live (or work) that you could get to by a short bus ride? Yes	Are there pharmacies near where you live (or work) that you could get to by a short bus ride? No	Are there pharmacies near where you live (or work) that you could get to by a short bus ride? Don't Know

Question Title

* 4. What do you usually go to the pharmacy for?

	A prescription	A service they provide	Advice	Something else
For you	For you A prescription	For you A service they provide	For you Advice	For you Something else
For someone else	For someone else A prescription	For someone else A service they provide	For someone else Advice	For someone else Something else

Question Title

* 5. If you have a minor health problem

	Yes	No
Would you visit a pharmacy before you went to A&E, a walk-in centre or your GP	Would you visit a pharmacy before you went to A&E, a walk-in centre or your GP Yes	Would you visit a pharmacy before you went to A&E, a walk-in centre or your GP No

Question Title

* 6. If you received advice from a pharmacy about a minor health problem, but the pharmacy medicines were too expensive for you to buy, what do you think that you would do?

	Yes	No
Do without the treatment	Do without the treatment Yes	Do without the treatment No
Go to your GP	Go to your GP Yes	Go to your GP No
Go to A&E	Go to A&E Yes	Go to A&E No
None of the above	None of the above Yes	None of the above No
Has this ever happened to you?	Has this ever happened to you? Yes	Has this ever happened to you? No

Question Title

* 7. How often do you go to use a pharmacy in person?

More than once a week

Weekly

Monthly

Fortnightly

Quarterly (4 times per year)

Less often than 4 times per year

Question Title

* 8. Do you visit the same pharmacy?

Always

Usually

Rarely

Never

Question Title

* 9. If or when you go to a pharmacy in person, how do you usually get there?

Walk

Public transport (bus or train)

Taxi

Drive in my own car

Get a lift in somebody else's car

Other (please specify)

Question Title

* 10. Is it easy for you to use a pharmacy if, or when, you need to? Please choose any box that applies to you.

Yes, it is usually easy to use a pharmacy service if I need to

No- because I have a disability or mobility issues

No- because my caring responsibilities make it difficult

No- because I don't know where my local pharmacies are

No- because I don't know when local pharmacies are open

No-because of my work; I don't think there is a pharmacy open at a time when I can get there

No- because of some other reason

Question Title

* 11. Do you have your prescription medicine delivered by a pharmacy?

Always

Sometimes

Never

Doesn't apply to me

Question Title

* 12. Tick below the main reason why you get them delivered?

None of these apply, I don't usually get them delivered

Mostly for convenience

Mostly because I would find it difficult to collect them myself

Mostly because it is a free service

Question Title

* 13. Your local community pharmacy is not paid by the NHS to deliver prescription medicines. If the service was withdrawn or your pharmacy started charging for this service

	Yes	No	Not applicable
I would be able to manage without it	I would be able to manage without it Yes	I would be able to manage without it No	I would be able to manage without it Not applicable
I know other people who could NOT manage without it	I know other people who could NOT manage without it Yes	I know other people who could NOT manage without it No	I know other people who could NOT manage without it Not applicable
I would be prepared to pay if the charge was affordable	I would be prepared to pay if the charge was affordable Yes	I would be prepared to pay if the charge was affordable No	I would be prepared to pay if the charge was affordable Not applicable
I would NOT be able to pay any delivery charge	I would NOT be able to pay any delivery charge Yes	I would NOT be able to pay any delivery charge No	I would NOT be able to pay any delivery charge Not applicable