Healthwatch Swindon Mental Health Survey

Your experiences over the last year

Healthwatch Swindon gives you the chance to say what you think about how local services are run. Your experience matters to us.

We are reaching out to people who experience mental ill health to share their experience of health and social care throughout 2021.

We want to hear your stories and work with those who commission and design services, to champion for change and improvements. Helping to ensure health and social care services are more inclusive and accessible to everyone.

By completing this survey, you consent to the information you provide to be used by Healthwatch and shared with the Care Quality Commission and NHS England, confidentially and anonymously unless instructed otherwise by yourself. The information you provide will not only help to improve services but also to ensure we are hearing from people of all ages and backgrounds.

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* 1. Do you or someone you care for suffer from mental ill health

Yes

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* 2. Did you or the person you care for need to access/receive additional support during 2021?

Yes

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* 3. If you or the person you care for did NOT receive any additional support for their health, can you please explain any reasons or factors that may have prevented you receiving help?

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* 4. If yes, would you consider your experience:

Positive

Mixed

Negative

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* 5. Can you please list the service(s)/organisation(s) you have accessed? for e.g. Old Town Surgery, Swindon

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* 6. If you feel able too, can you please share your experience of this service/services?

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* 7. What about the service(s) could be improved or worked well for you?

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* 8. When did this happen?
(if it is more than one incident please add as many dates as needed)

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* 9. Do or did you work or volunteer for this service (s)/organisation (s)?

Yes

Which service(s)/organisation(s)?

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* 10. Have you shared this with the service(s)/organisation(s)?

Yes

If Yes Which service(s) /organisation(s) did you share it with?

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* 11. Have you told the authorities?

This is asked in case what you’ve told us is about abuse or neglect. When we read your feedback, we’ll decide if we think someone is at risk. If we think they/you are at risk, we’ll need to contact the police or council. It helps if we know who you’ve already told

The Police

The Council Safeguarding Team

Both the police and the council safeguarding team

Neither of these

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* 12. Did you hear about this survey through a charity?

Yes

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* 13. If Yes, please name

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* 14. Can we contact you for more information?

Name

Organisation (if applicable)

City/Town

Postal Code

Email Address

Phone Number (optional)

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* 15. Do you consider yourself to be a carer?

Yes

Prefer not to say

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* 16. Do you consider yourself or the person you care for to have a disability?

Yes

Prefer not to say

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* 17. If you are a carer are you

Unpaid

Prefer not to say

Paid

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* 18. If you are a carer has your mental wellbeing been impacted in the last year?

Yes

If yes in what way?

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* 19. While supporting the person you care for were your thoughts and feelings considered by the health & social care service providers?

Yes

Not applicable

Any comments

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* 20. Gender: How do you identify

Man

Women

Non-binary

Prefer to self describe

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* 21. What is your age?

Under 18

18 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65 to 74

75 or older

Prefer not to say

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* 22. What is your Ethnicity?

Asian/Asian British – Chinese

Asian/Asian British – Bangladeshi

Asian/Asian British – Indian

Asian/Asian British – Pakistani

Asian/Asian British - Any other Asian background

Black or Black British – African

Black or Black British – Caribbean

Black or Black British - Any other Black Background

Any other Ethnic Groups – Arabic

Any other Ethnic Groups – Iranian

Any other Ethnic Groups - Iraqi

Any other Ethnic Groups – Kurdish

Any other Ethnic Groups – Turkish

Any other Ethnic Groups - Any other Ethnic background

Mixed/multiple ethnic groups - White and Asian

Mixed/multiple ethnic groups - White and Black African

Mixed/multiple ethnic groups - white and Black Caribbean

Any other mixed/multiple background

White – British

White - Eastern European

White – Gypsy

White – Irish

White - Irish or Scottish Traveller

White – Roma

Any other white Background

Prefer not to say

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* 23. What is your religion?

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* 24. We may use your first name and quote your story when publishing our findings. If you would prefer to remain anonymous, please indicate below.

Don't use my first name

Healthwatch Swindon Mental Health Survey

Your experiences over the last year

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* 1. Do you or someone you care for suffer from mental ill health

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* 2. Did you or the person you care for need to access/receive additional support during 2021?

Question Title

* 3. If you or the person you care for did NOT receive any additional support for their health, can you please explain any reasons or factors that may have prevented you receiving help?

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* 4. If yes, would you consider your experience:

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* 5. Can you please list the service(s)/organisation(s) you have accessed? for e.g. Old Town Surgery, Swindon

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* 6. If you feel able too, can you please share your experience of this service/services?

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* 7. What about the service(s) could be improved or worked well for you?

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* 8. When did this happen?(if it is more than one incident please add as many dates as needed)

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* 9. Do or did you work or volunteer for this service (s)/organisation (s)?

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* 10. Have you shared this with the service(s)/organisation(s)?

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* 12. Did you hear about this survey through a charity?

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* 13. If Yes, please name

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* 14. Can we contact you for more information?

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* 15. Do you consider yourself to be a carer?

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* 16. Do you consider yourself or the person you care for to have a disability?

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* 17. If you are a carer are you

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* 18. If you are a carer has your mental wellbeing been impacted in the last year?

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* 19. While supporting the person you care for were your thoughts and feelings considered by the health & social care service providers?

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* 20. Gender: How do you identify

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* 21. What is your age?

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* 22. What is your Ethnicity?

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* 23. What is your religion?

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* 24. We may use your first name and quote your story when publishing our findings. If you would prefer to remain anonymous, please indicate below.

* 8. When did this happen?
(if it is more than one incident please add as many dates as needed)