We would welcome your views on how to improve care for patients who use Physiotherapy, Orthopaedics, Podiatry, Rheumatology, and Pain services for conditions that affect muscles, joints or bones.  In the NHS we call these Musculoskeletal conditions (MSK).  Our aim is to ensure that services’ work closer together to help improve your experience including waiting times and your improvements in health.
 
Any information you provide and that is used in our review of services (including personal information and comments) will be treated with the strictest of confidentiality and handled in accordance with UK law (including the Data Protection Act 1998).  We ask for the first 4 digits of your postcode so that we can ensure we know about any different needs of different geographical areas.

* 1. Please tick which service(s) apply to you:

* 2. Please provide us with the first four characters of your postcode (i.e. BS??)

AT YOUR GP PRACTICE

This section of the questionnaire is about the care you have received for your Musculoskeletal (MSK) condition from your GP (family doctor).

* 3. Thinking about the MSK care that you have received from your GP, to what extent do you agree with the following statements: (Please tick as appropriate)

  strongly agree agree disagree strongly disagree not sure or not applicable
My MSK condition was explained to me in a way I could understand
I received all the information I needed about my condition
At the end of my appointment I knew what was going to happen next in my care and treatment
I received good care from my GP Practice

* 4. Please let us know what worked well about the care you received and how it could be improved.

(Please explain below)

* 5. Did you get referred to see someone else i.e. an MSK specialist? (physiotherapy, orthopaedics, podiatry, rheumatology, pain clinic)

* 6. Thinking about the care you got when you saw a specialist, to what extent do you agree with the following statements? (Please tick as appropriate)

  strongly agree agree disagree strongly disagree not sure or not applicable
My MSK condition was explained to me in a way I could understand
I received all the information I needed about my condition
At the end of my appointment I knew what was going to happen next in my care and treatment
I received good care

* 7. Please let us know what worked well about the care you received and how it could be improved.

* If Yes, how would you rate the communication during that process (i.e. were you kept informed of how long it would be before you received an appointment)

* 8. Have you received information about your condition? (please tick as appropriate)

  I was given this type of information I would have liked this type of information
Verbal explanation
Leaflet(s)
Website information (if applicable)
Information about patient support groups
Information regarding education sessions in a group
Information regarding exercise which can help with your condition
How to stop smoking
Weight management
Where to go if your condition changes

* 9. Do you feel that with the information you have received you are confident in managing your own MSK condition?

* 10. Please tick as appropriate.

  What currently helps you manage your own MSK condition? What could be improved to help you manage your own MSK condition?
Access to health professionals when I need advice (including by email or phone)
Monitoring of own results e.g. bloods
Self-referral options for therapies
Open access group exercise
Good information on conditions
Clear self-management plan
Access to my own medical records (by request only)
Being able to hold on to your own records
Patient Support Groups
Self-help app
Website information

* 11. Do you have any other comments regarding the MSK services which have been provided to you?

The information you provide below will help us improve the health of the whole local population. To enable us to do this, please can you complete this monitoring form.  All the information you provide anonymous and confidential and will be held in accordance with the Data Protection Act.

* Age

* Sex

* Please select the option which best describes your sexuality

* Have you gone through a gender reassignment process or do you intend to?

* Marital  status

* Are you pregnant or have you given birth in the last 26 weeks?

* Race

* White

* Asian or Asian British

* Black/African/Caribbean/ or Black British

* Mixed/Multiple Ethnicity

* Other Ethnic Group

* Please indicate your religion or belief

* Do you consider yourself to have a disability?
[under the Equality Act 2010, a person is considered to have a disability if he or she has a physical or mental impairment and the impairment has a substantial and long-term adverse effect on his or her ability to carry out normal day-to-day activities]

* It helps us to know whether we are reaching all people who have a disability. If you answered yes above, please can you tick the relevant disability group below and you are welcome to tick more than one box if applicable.

* Thank you for taking the time to complete our survey.

If you would like to be kept update on the work we are doing to improve these services, please provide contact details below, or e-mail sgccg.getinvolved@nhs.net.

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