Have your say on telephone/video outpatient clinics at Calderdale and Huddersfield NHS Foundation Trust

Healthwatch Calderdale has been asked by Calderdale and Huddersfield NHS Foundation Trust (CHFT) to gather feedback about access to telephone and video health care (such as telephone or video appointments) from local people who:

do not speak English at all/people who have only a very basic command of English/limited English proficiency
are older and/or frail
have a disability (including people with a physical or mobility impairment, sensory impairment, mental health condition, learning disability, developmental disability, cognitive impairment or long term condition)

If you consider yourself to be in any of the above groups and live in Calderdale or Kirklees, please share your views with us. Please also talk to us if you represent a Calderdale or Kirklees resident in any of the above groups.

Everything you tell us will be anonymous – but we believe your feedback will help us shape future changes and make a positive difference.

This survey will be open until 11 October 2019.

If you wish to find out more or get in touch contact either:

Karen Huntley via karen.huntley@healthwatchcalderdale.co.uk

Jo Budgen via jo.budgen@healthwatchcalderdale.co.uk

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* 1. Are you?

A family member, carer or representative of a person with limited or no proficiency in English/ of an older person/of a disabled person.

The person who will receive the care.

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* 2. Consent:
I give my consent for Healthwatch Calderdale to use my data anonymously and to share the project’s findings with other organisations

Yes

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* 3. Telephone care
Do you feel you/person you care for would be able to access the telephone care service without difficulty?

Yes

Maybe

Don't know

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* 4. What difficulties would there be for you/the person you care for/ represent in accessing the telephone care service?

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* 5. What would make it easier for you/the person you care for/represent to access the telephone care service?

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* 6. Would you/the person you care for/represent be likely to use the telephone care service if these barriers could be overcome?

Yes

Maybe

Don't know

Please explain your answer

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* 7. Video care
Do you feel you/person you care for would be able to access the video care service without difficulty?

Yes

Maybe

Don't know

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* 8. What difficulties would there be for you/the person you care for/ represent in accessing the video care service?

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* 9. What would make it easier for you/the person you care for/represent to access the video care service?

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* 10. Would you/the person you care for/represent be likely to use the video care service if these barriers could be overcome?

Yes

Maybe

Don't know

Please explain your answer

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* 11. Equality Monitoring
What is the first part of your postcode? E.g. HD1, WF10, HX2, HX6

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* 12. Which age group are you in?

Up to 18

19-25

26-35

36-45

46-55

55-64

65+

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* 13. What is your ethnic group? (Please choose only one.)

Asian or Asian British: Indian

Asian or Asian British: Pakistani

Asian or Asian British: Bangladeshi

Asian or Asian British: Chinese

Black or Black British: Caribbean

Black or Black British: African

mixed or multiple ethnic groups: White and Black Caribbean

mixed or multiple ethnic groups: White and Black African

mixed or multiple ethnic groups: White and Asian

White: English, Welsh, Scottish, Northern Irish, British

White: Irish

White: Gypsy or Irish traveller

White: Other

Other ethnic groups: Arab

Any other ethnic group

Prefer not to say

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* 14. What language do you feel most comfortable communicating in?

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* 15. Do you feel your level of English is adequate for you to take part in (speak and understand) a telephone care call?

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* 16. Do you feel your level of English is adequate for you to take part in (speak and understand) a video care call?

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* 17. Do you consider yourself to be disabled?

Yes

Prefer not to say

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* 18. Type of disability/impairment
If you selected 'yes' to the question above, please tick all that apply

physical or mobility impairment ( such as using a wheelchair to get around, difficulty using your arms etc.)

sensory impairment (such as being blind/having a serious visual impairment or being deaf/having a serious hearing impairment)

mental health condition (such as depression or schizophrenia)

learning disability ( such as Down's syndrome or dyslexia), developmental disability ( such as autism) or cognitive impairment ( such as brain injury)

long-term condition ( such as cancer, HIV, diabetes, chronic heart disease, epilepsy)

Prefer not to say

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* 19. What is your gender?

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* 20. Is your gender identity different to the gender you were assumed at birth?

Yes

Prefer not to say

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* 21. What is your sexual orientation?

Bisexual (both sexes)

Gay/lesbian (same-sex)

Heterosexual ( opposite sex)

Other

Prefer not to say

Have your say on telephone/video outpatient clinics at Calderdale and Huddersfield NHS Foundation Trust

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* 1. Are you?

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* 2. Consent: I give my consent for Healthwatch Calderdale to use my data anonymously and to share the project’s findings with other organisations

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* 3. Telephone careDo you feel you/person you care for would be able to access the telephone care service without difficulty?

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* 4. What difficulties would there be for you/the person you care for/ represent in accessing the telephone care service?

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* 5. What would make it easier for you/the person you care for/represent to access the telephone care service?

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* 6. Would you/the person you care for/represent be likely to use the telephone care service if these barriers could be overcome?

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* 7. Video careDo you feel you/person you care for would be able to access the video care service without difficulty?

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* 8. What difficulties would there be for you/the person you care for/ represent in accessing the video care service?

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* 9. What would make it easier for you/the person you care for/represent to access the video care service?

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* 10. Would you/the person you care for/represent be likely to use the video care service if these barriers could be overcome?

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* 11. Equality MonitoringWhat is the first part of your postcode? E.g. HD1, WF10, HX2, HX6

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* 12. Which age group are you in?

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* 13. What is your ethnic group? (Please choose only one.)

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* 14. What language do you feel most comfortable communicating in?

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* 15. Do you feel your level of English is adequate for you to take part in (speak and understand) a telephone care call?

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* 16. Do you feel your level of English is adequate for you to take part in (speak and understand) a video care call?

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* 17. Do you consider yourself to be disabled?

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* 18. Type of disability/impairmentIf you selected 'yes' to the question above, please tick all that apply

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* 19. What is your gender?

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* 20. Is your gender identity different to the gender you were assumed at birth?

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* 21. What is your sexual orientation?

* 2. Consent:
I give my consent for Healthwatch Calderdale to use my data anonymously and to share the project’s findings with other organisations

* 3. Telephone care
Do you feel you/person you care for would be able to access the telephone care service without difficulty?

* 7. Video care
Do you feel you/person you care for would be able to access the video care service without difficulty?

* 11. Equality Monitoring
What is the first part of your postcode? E.g. HD1, WF10, HX2, HX6

* 18. Type of disability/impairment
If you selected 'yes' to the question above, please tick all that apply