Care services and the local NHS across Cheshire are doing everything they can to support people during this Coronavirus pandemic. They value your regular feedback on how services are being delivered. This will help them to understand directly from you what is going well in care and health services, but also what else you need and what could be improved now and, in the days ahead.

Things you need to know:

·         The survey should take no longer than 5-10 minutes to complete.

·         You can complete this survey yourself.

·         You can also complete this survey on behalf of someone else e.g. relative.

Please don’t forget you can revisit the survey as things change for you at any time, to share any additional experiences.
 
You can find all of the latest local and national advice, information and support on our websites:

www.healthwatchcwac.org.uk/coronavirus

www.healthwatchcheshireeast.org.uk/coronavirus

About you

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* 1. Are you answering this survey for yourself or on behalf of someone else?

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* 2. Do you live in?

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* 3. What is the name of your town or village?

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* 4. What is your postcode?

Coronavirus (COVID-19)

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* 5. Have you or the person you are answering on behalf of had Coronavirus (COVID-19)?

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* 6. Do you consider yourself or the person you are answering on behalf of to be at high risk from Coronavirus (COVID-19)? [Please tick all that apply]

Information and advice

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* 7. As time progresses, where are you getting information or advice about the Coronavirus (COVID-19) pandemic? [Please tick all that apply]

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* 8. Do you, or does the person you care for/support, have any additional communication needs? I/they:

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* 9. Have you been able to find information and advice in the format(s) or language(s) needed?

Accessibility of Healthcare Services

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* 10. Are you currently accessing, or have you had to access any of the following services for other conditions during the pandemic?  Please tick all that apply. If you have not had to access services, please skip to Q16

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* 11. What is the name(s) of your GP Practice, hospital or other service you have accessed? Please also include name of hospital department if you have visited a hospital.

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* 12. Thinking about these services, do you think access to them has been impacted by the Coronavirus (COVID-19) pandemic? [please tick all that apply]

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* 13. If you have had an appointment via video/phone call, how would you feel about this continuing in the future?

  I don't like it I prefer it I would be happy using it for certain appointments
Hospital based appointment
GP appointment
Other healthcare appointment
Social care assessment

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* 14. How would you rate your experience of the service you accessed?

  Very Poor Poor Fair Good Excellent N/A
GP Practice
Hospital (inc A&E, Outpatients, Surgery etc)
Ambulance/Paramedic
Mental Health Support
Community Health Services
Pharmacy
Dentists
Opticians
Podiatry
Hospice
Other

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* 15. How would you rate the communication received about the changes in accessing the service during Coronavirus (COVID-19)?

  Very Poor Poor Fair Good Excellent N/A
GP Practice
Hospital (inc A&E, Outpatients, Surgery etc)
Ambulance/Paramedic
Mental Health Support
Community Health Services
Pharmacy
Dentists
Opticians
Podiatry
Hospice
Other 

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* 16. Are you concerned about accessing healthcare services for any of the following reasons:

  I have been concerned about this during the pandemic I am currently concerned about this I am concerned about this for the future N/A
Don't feel comfortable making appointments
Don't feel comfortable travelling to appointments
Don't feel comfortable attending appointments
Don't want to overburden healthcare services
I don't feel any differently about accessing healthcare services at this time
I haven't needed to access healthcare services at this time
Care and Support

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* 17. Do any of these describe you or the person you are answering on behalf of? If you don't access care, please skip to Q21

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* 18. Please tell us if your experience of care has been affected or changed by the Coronavirus (COVID-19) pandemic, e.g. visits from care workers and personal assistants, access to residential or nursing care homes, etc.

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* 19. Do you know the name of this care/support provider?

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* 20. How would you rate the communication received about the changes in accessing care during Coronavirus (COVID-19)?

  Very Poor Poor Fair Good Excellent N/A
Live in a care home
Live in a care home with nursing
Live in sheltered or supported accommodation
Receive assistance at home from a care worker
Receive support from a personal assistant
Other
Mental Health and Wellbeing

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* 21. Do you feel that the Coronavirus (COVID-19) pandemic has affected the mental health and wellbeing of you or the person you are answering on behalf of? [Please tick all that apply]

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* 22. In the past week do you feel your mental health has:

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* 23. Have you accessed support for your mental health and wellbeing during the pandemic? (please tick all that apply)

  I have accessed support this way during the pandemic I am currently accessing support this way N/A
Yes - from family and/or friends
Yes - from a community, voluntary or charity group/organisation
Yes - from a mental health care provider
Yes - online or from an app
I haven't been able to access support
I haven't needed to seek support

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* 24. Would you like to tell us more about your answer to the previous question?

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* 25. What would help you maintain a better level of physical and mental wellbeing during the pandemic? (e.g. support from the community, resources for managing the pandemic better, etc.)

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* 26. What has had a positive effect on your mental health and wellbeing during this period? (e.g. exercise, keeping in touch with family/friends, cooking, etc.)

Other

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* 27. Do you have any current concerns, or concerns about future impact as a result of the Covid-19 pandemic? Please tick as many that apply, if any.

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* 28. Do you have any other comments about how the Coronavirus (COVID-19) pandemic is impacting upon your life and what kind of support you might need?

More about you, or the person you are answering on behalf of
By telling us more information about yourself, you can help us better understand how people's experiences may differ depending on their personal characteristics or circumstances. It also helps us to ensure we reflect the diversity of our community. You do not have to answer these questions if you do not want to.

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* 29. What is your age group?

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* 30. Gender identity - Which of the following options best describes how you think of yourself?

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* 31. Gender identity - Is your gender identity the same as the gender you were given at birth?

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* 32. Which of the following options best describes how you think of yourself?

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* 33. What is your ethnicity?

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* 34. Do you consider yourself to have any of the following?

If you would like to be contacted further by Healthwatch regarding your experiences, or if you would like to get involved with our work, please include your contact details below:

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* 35. Name:

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* 36. Telephone:

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* 37. Email:

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* 38. I am interested in:

Many thanks for providing your feedback. We value and appreciate your opinions.
If you require support during this time, you can contact the dedicated Cheshire West and Chester Council helpline on 0300 123 7031, or the Cheshire East Council support line on 0300 123 5034.

We have created dedicated pages on our website to help you find all of the latest local and national advice, information and support about coronavirus:

www.healthwatchcwac.org.uk/coronavirus

www.healthwatchcheshireeast.org.uk/coronavirus

If you have any other comments about the health and care you receive that do not fit into this survey, you can also tell us about your views and experiences on our online Healthwatch Cheshire West and Healthwatch Cheshire East Feedback Centre.

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