Thank you for agreeing to take part in this survey. The aim of the survey is to help us capture cost changes in insurance premia over the last three years; better understand how insurance is bought and managed across services; and understand the implications of cost changes since COVID-19 on running costs.

The survey should be completed by providers who have recently (i.e. in 2020) renewed insurance policies, or are in the process of renewal and therefore have the information available to answer the questions.

The survey requires a certain level of detail and will take about 20 minutes to complete. Your feedback is important to us and will be treated in the strictest of confidence in our work with the Department of Health and Social Care.

Please complete the survey by 21st September 2020.

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* 1. Name of person completing the survey

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* 2. Job title and position

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* 3. Organisation

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* 4. CPA member association (tick all that apply)

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* 5. Provider type (tick all that apply)

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* 6. Service user group (tick all that apply)

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* 7. Regions operated in (tick all that apply)

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* 9. Do you provide services across multiple locations?

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* 10. Do you typically buy insurance at company level (e.g. for all services which you also manage/run/own), or for individual locations?

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* 11. Please indicate if you would rather respond at company level, or for a particular location?

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* 12. Which liabilities do your insurance arrangements currently cover? Tick all that apply.

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* 13. Do you typically buy insurance for these liabilities separately or combined?

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* 14. If combined (e.g. you purchase Employers' liability and Public liability cover together) please provide details?

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* 15. What is the name of your current insurer?

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* 16. How do you typically pay for your insurance?

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* 17. When did you last renew your insurance? (NB: we are only looking for responses from January 2020.)

Date

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* 18. How much did you pay in total for your insurance in 2020? (please provide whole-year amount)

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* 19. How much did you pay in total for your insurance in 2019? (please provide whole-year amount.)

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* 20. How much did you pay in total for your insurance in 2018? (please provide whole-year amount.)

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* 21. When you renewed your insurance this year, were there any elements in particular that have gone up in price?

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* 22. If yes, which elements had gone up in price? Tick all that applies.

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* 23. When you renewed your insurance this year, were there any exclusions/restrictions applied (including but not limited to those related to COVID-19)

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* 24. If yes, please provide details.

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* 25. Have you been refused insurance in 2020, either by your previous insurer, or by a potential new insurer?

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* 26. If yes, please provide details.

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* 27. If your premia has increased in 2020, or you have had exclusions/restrictions applied to your policy (or policies), or both, what has been the impact on your ability to provide services?

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* 28. Have you already had claims related to COVID-19 brought against you, or are you aware of any upcoming COVID-10 related claims that could be brought against you?

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* 29. If yes, please provide details.

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* 30. Have you had any experience with your local authority asking for an increase in your Public Liability cover for specific contracts you hold with them?

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* 32. Have you considered, or will you consider, insurance risks as part of your business continuity planning?

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* 33. Please provide further details to explain your answer?

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* 34. Are you willing for us to contact you in relation to your answers in this survey?

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* 35. If yes, please provide your preferred contact details?

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