Criteria Based Clinical Treatments

Thank you for taking part in this engagement survey.

NHS Warrington Clinical Commissioning Group is running this survey to gather the views the people who live and work in Warrington.

The survey has been designed to gather your views and opinions on the harmonisation of policy across a set of procedures, known as Criteria Based Clinical Treatment, across six Clinical Commissioning Groups (CCGs). The six CCGs running this engagement are:

The six CCGs running this engagement are:

NHS Halton Clinical Commissioning Group 

NHS Liverpool Clinical Commissioning Group 

NHS Southport and Formby Clinical Commissioning Group  

NHS South Sefton Clinical Commissioning Group 

NHS St Helens Clinical Commissioning Group 

NHS Warrington Clinical Commissioning Group

Section one: About you

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* 1. Please tell us whether you are responding as a member of the public or on behalf of an organisation (private or voluntary/charity)

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* 2. If you are responding as an organisation, please state which organisation below.
Please note: If you are responding as an organisation and would like to respond as an individual (or vice versa) please complete a second questionnaire

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* 3. If you are responding as a member of the public please tell us if you are a volunteer or work for any health or social care organisation (NHS, private or voluntary).

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* 4. If you are responding as a member of the public, please provide us with the first three digits of your postcode e.g. WA3

Section two: The policies and changes
CCGs in Halton, Liverpool, Southport and Formby, South Sefton, St Helens and Warrington are currently reviewing treatments and procedures relating to:
·       Continuous glucose monitoring systems 

·       Cough assist devices 

·       Insulin pumps 

·       Secondary care peripheral steroid joint injections 

·       Surgery for Prostatism or lower urinary tract infection 

·       Transanal irrigation 

We are looking to understand the views and experiences of individuals/families who have received or are currently receiving one or more of the above treatments.  Clinicians, providers and community groups with an interest in the above treatments or policy changes, are also encouraged to share their views in the survey. 

We are also informing patients about updates to Botulinum Toxin A & B treatments to bring them in line with NICE guidance and the Pan Mersey Area Prescribing Committee (APC). 
You can find out what the differences are between the current policies and the proposed policies by visiting our website by clicking here.
Cough assist devices
These questions focus upon cough assist devices

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* 5. Have you (please tick all that apply to you):

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* 6. To what extent do you agree with the proposed criteria for this policy?

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* 7. Please explain further why you agree or disagree with the proposed policy?

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* 8. Please outline any changes to the proposed policy which you would recommend?

Secondary care administered joint injections
These questions focus upon secondary care administered joint injections

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* 9. Have you (please tick all that apply to you):

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* 10. To what extent do you agree with the proposed criteria for this policy?

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* 11. Please explain further why you agree or disagree with the proposed policy?

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* 12. Please outline any changes to the proposed policy which you would recommend?

Surgery for Prostatism or Urinary Tract Infection
These questions focus on Surgery for Prostatism or Urinary Tract Infection

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* 13. Have you (please tick all that apply to you):

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* 14. To what extent do you agree with the proposed criteria for this policy?

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* 15. Please explain further why you agree or disagree with the proposed policy?

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* 16. Please outline any changes to the proposed policy which you would recommend?

Continuous Glucose Monitoring systems for continuous monitoring in Type 1 Diabetes Mellitus
These questions focus on Continuous Glucose Monitoring systems for continuous monitoring in Type 1 Diabetes Mellitus

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* 17. Have you (please tick all that apply to you):

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* 18. To what extent do you agree with the proposed criteria for this policy?

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* 19. Please explain further why you agree or disagree with the proposed policy?

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* 20. Please outline any changes to the proposed policy which you would recommend?

Insulin pumps
These questions focus on Insulin pumps. We are seeking comments or feedback from patients who have had a pancretectomy 

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* 21. Have you (please tick all that apply to you):

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* 22. To what extent do you agree with the proposed criteria for this policy?

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* 23. Please explain further why you agree or disagree with the proposed policy?

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* 24. Please outline any changes to the proposed policy which you would recommend?

Transanal Irrigation
These questions focus on Transanal Irrigation

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* 25. Have you (please tick all that apply to you):

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* 26. To what extent do you agree with the proposed criteria for this policy?

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* 27. Please explain further why you agree or disagree with the proposed policy?

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* 28. Please outline any changes to the proposed policy which you would recommend?

Section three: Some more about you

In this section, we are going to ask a few final questions about you. It is important that we have engaged with a wide variety of people from across the local community. These questions will enable us to demonstrate which groups we have engaged with through the survey. 

The data will only be presented and reported in aggregated form and completely anonymised. This means that whatever you write in this survey will not be linked to any of your personal information.

You do not need to answer these questions if you do not wish to.

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* 29. What gender do you identify as?

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* 30. Have you gone through any part of a process (including thoughts or actions) to change from the sex you were described as at birth to the gender you identify with, or do you intend to?  (This could include changing your name, your appearance and the way you dress, taking hormones or having gender confirming surgery)?

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* 31. What is your relationship status? (Please select one)

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* 32. What is your sexual orientation?

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* 33. What is your ethnicity?

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* 34. What is your religion or belief?

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* 35. What is your age?

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* 36. Do you consider yourself to have a disability? (The Equality Act 2010 states a person has a disability if they have a physical or mental impairment which has a long term (12-month period or longer) or substantial adverse effect on their ability to carry out day to day activities.)

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* 37. We need to know we’ve spoken to women who are pregnant or have recently given birth. Please tick as appropriate

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