Patient Satisfaction Survey

We’d really appreciate your input to helping us improve our services for our older patients.

Our recent inspection by our regulator, the Care Quality Commission (CQC) rated us “good” in all areas - and we want to build on this further. In conjunction with our Patient Group, we are running the following survey to gauge current views on the services we provide for our older patients - and to give you an opportunity to tell us where you think we could improve - from YOUR point of view.

Thanks - we really appreciate you taking the time to complete this survey.

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* 1. Are you:

Male

Female

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* 2. What is your age range?

<75

75-80

80-85

85-90

>90

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* 3. How satisfied are you with each of the following aspects of our service:

	Very Satisfied	Fairly Satisfied	Fairly Dissatisfied	Very Dissatisfied
The GP Team	The GP Team Very Satisfied	The GP Team Fairly Satisfied	The GP Team Fairly Dissatisfied	The GP Team Very Dissatisfied
The Practice Nurse Team	The Practice Nurse Team Very Satisfied	The Practice Nurse Team Fairly Satisfied	The Practice Nurse Team Fairly Dissatisfied	The Practice Nurse Team Very Dissatisfied
The Reception / Admin Teams	The Reception / Admin Teams Very Satisfied	The Reception / Admin Teams Fairly Satisfied	The Reception / Admin Teams Fairly Dissatisfied	The Reception / Admin Teams Very Dissatisfied
Our Prescription Service	Our Prescription Service Very Satisfied	Our Prescription Service Fairly Satisfied	Our Prescription Service Fairly Dissatisfied	Our Prescription Service Very Dissatisfied
Our Appointment Service	Our Appointment Service Very Satisfied	Our Appointment Service Fairly Satisfied	Our Appointment Service Fairly Dissatisfied	Our Appointment Service Very Dissatisfied
Our Online Service	Our Online Service Very Satisfied	Our Online Service Fairly Satisfied	Our Online Service Fairly Dissatisfied	Our Online Service Very Dissatisfied

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* 4. Please can you tell us here the main reason(s) for any dissatisfaction:

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* 5. What's the one thing the Practice could do to improve our services for you personally?

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* 6. Would you be interested in any of the following potential new services (please choose your choice of YES/NO for each option):

	Yes	No
A courtesy "check-up" phone call from a nurse if we haven't heard from you for over a year?	A courtesy "check-up" phone call from a nurse if we haven't heard from you for over a year? Yes	A courtesy "check-up" phone call from a nurse if we haven't heard from you for over a year? No
Telephone reminders for your booked GP/Nurse appointments?	Telephone reminders for your booked GP/Nurse appointments? Yes	Telephone reminders for your booked GP/Nurse appointments? No
A courtesy phone call from a nurse if you miss a booked appointment, just to check you're ok?	A courtesy phone call from a nurse if you miss a booked appointment, just to check you're ok? Yes	A courtesy phone call from a nurse if you miss a booked appointment, just to check you're ok? No
A courtesy phone call from a nurse a few months after the bereavement of a live-in partner, jut to check you're ok?	A courtesy phone call from a nurse a few months after the bereavement of a live-in partner, jut to check you're ok? Yes	A courtesy phone call from a nurse a few months after the bereavement of a live-in partner, jut to check you're ok? No
An "older people" day in Runcorn with events and activities throughout the town?	An "older people" day in Runcorn with events and activities throughout the town? Yes	An "older people" day in Runcorn with events and activities throughout the town? No
Educational/support sessions at the surgery around health issues affecting older people?	Educational/support sessions at the surgery around health issues affecting older people? Yes	Educational/support sessions at the surgery around health issues affecting older people? No