Did you use any NHS, health care service ( for example GP, practice nurse, hospital, mental health services, dentist) or social care service (care homes, care at home) last year?

It might be a new year but your experiences from 2019 still matter. By telling us about the care you received and what’s important to you, you can help us set our work for the coming year so that we can be more effective on your behalf. Together we can help improve care services for everyone in our community. 
 
Please take a few minutes to complete our short survey - this can be as a patient or carer. Your views will be shared anonymously and stored in line with data protection. Thank you.

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* 1. How satisfied are you with the health services (for example: GP, practice nurse, hospital, mental health services, dentist) you have used in the last 12 months?

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* 2. Have the health care services you have used over the last 12 months:

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* 3. How satisfied are you with the social care services (care homes, care at home) you have used in the last 12 months?

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* 4. Have the social care services you have used over the last 12 months:

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* 5. Please tick which services you have used in the last 12 months and how satisfied you are 

  Very satisfied Satisfied Neither satisfied nor Dissatisfied Dissatisfied Very Dissatisfied Did Not Use
Ambulance services
NHS 111 services
Urgent Care (e.g. minor fractures, wound infections, sprains)
Emergency Care (e.g. life threatening ailments like stroke, severe blood loss, heart attack)
Social Care – supported living
Care home
Support to live independently
GP services
Pharmacy
Dentist
Optician
Mental Health services
Dementia services
Hospital
Cancer services
Community based services
Children and Young People's services
Drug and Alcohol misuse services
End of Life Care
Learning disability services
Maternity services
Patient Transport
Physiotherapy
Prison Healthcare services
Sexual Health services

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* 6. If you used a hospital please give us some more details about this:

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* 7. How easy did you find it to access the services you needed? For example: getting an appointment, being referred to a service, being able to travel to services easily:

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* 8. Please explain why you said this:

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* 9. How satisfied are you with the quality of care? For example: felt like you had time to talk, were treated with respect, were happy with the care provided:

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* 10. Please explain why you said this:

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* 11. Each year we select a small number of health and social care issues to further investigate people’s experiences and make recommendations for improvements to services. For example, this year we have focussed on Children and Young People’s Mental Health services.

Please tick three areas of health and social care you think we should prioritise for further investigation and why:

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* 12. In question 11, if you chose hospital as one of your priorities please give us some more information about this:

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* 13. Finally, what would you like to tell the people who provide services about your experiences using health and/or social care over the last 12 months? Please tell us about what you think works well and/or what you think can be improved.

Please tell us a bit more about yourself. This information will be used for monitoring purposes only so we can see who our survey has reached.

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* 14. First part of postcode (e.g. NE70):

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* 15. Age:

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* 16. Gender:

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* 17. Sexual Orientation:

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* 18. Ethnicity:

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* 19. Do you consider yourself to have a disability:

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* 20. If yes, please specify:

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* 21. Do you consider yourself to be a carer:

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* 22. As part of this survey you can be entered into our free prize draw to win a £25 voucher for either Marks and Spencer or Amazon. Please tick if you give consent for Healthwatch Northumberland to contact you if you win the prize draw

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* 23. Please tick if you would like to receive news, updates, and events from Healthwatch Northumberland

If you have ticked any of the boxes above please provide your details below:

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* 24. Name:

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* 25. Email address:

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* 26. Postal address:

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* 27. Please tick to show you consent to us recording the details provided. If you provide your name and other personal details, these will be kept in the strictest confidence and not shared with anyone outside of Healthwatch

Thank you for taking the time to support us as we help ensure the health and social care needs of the people of Northumberland are heard, understood, and met by those responsible for commissioning and delivering services.
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