'Living With & Beyond Cancer' Service Mapping Survey

Tees Valley VCSE Sector Survey

Catalyst has received funding from the Northern Cancer Alliance to link up NHS Cancer Services (hospital care/secondary care), Primary Care (GP practices) and voluntary/community services to improve the quality of life for those ‘Living With & Beyond Cancer' across Tees Valley.

As part of this project, we are seeking to understand what support voluntary and community organisations/groups are currently offering to people affected by Cancer; what these services looks like; and how we can better help groups to improve the support they give to people 'Living With & Beyond Cancer'.

We would really appreciate you taking the time to complete this short survey as this will influence our future work with the Northern Cancer Alliance and health partners from across the region - alongside helping to recognise the invaluable work you do in the community.

For more information, please contact Nathan Duff at nathan.duff@catalyststockton.org or call 01642 733906. Hard copies of this survey can be returned to Catalyst House, 27 Yarm Road, Stockton-on-Tees, TS18 3NJ.

The deadline for this survey has been extended till midnight on Sunday 24th March 2019.

Question Title

* 1. Please give the name of your organisation/group.

Question Title

* 2. Please tick any of the areas below which your organisation/group provides services or support in.

Hartlepool

Stockton-on-Tees

Middlesbrough

Redcar & Cleveland

Darlington

Other (please specify)

Question Title

* 3. Does your organisation provide cancer specific services/support, non-cancer specific services/support or a mix of both?

Cancer specific services/support

Non-cancer specific services/support

A mix of both

Question Title

* 4. Please tick any of the support themes below that you feel your organisation/group provides to service users.

Emotional/Mental Health Support - E.g Counselling, group therapy, CBT, etc.

Social Support - E.g Peer Groups, social groups, activity/hobby groups, befriending etc.

Welfare, Employment & Financial Support - E.g Benefits advice, entitlements/rights, 'change of circumstances' etc.

Physical Support - E.g Physical activity/exercise, health & wellbeing, healthy eating etc.

Spiritual Support - E.g Holistic therapies, guided meditation, faith groups etc.

Relationships & Families Support - E.g Family breakdown, relationships, sexual health etc.

Carers Support - E.g Adult carers, young carers, respite services, advice & information etc.

Practical Support - E.g Shopping, washing, housework or transport

Other (please specify)

Question Title

* 5. Please tick if you provide any targeted services/support for the following groups.

Universal (Open Access) Services

Refugees and Asylum Seekers

Black and Minority Ethnic (BME) Communities

LGB+T Community

People with learning or physical disabilities

Long Term Conditions (E.g Dementia, Diabetes, COPD etc.)

Children & Young People

Older People

Long Term Unemployed

Rural Communities

Other (please specify)

Question Title

* 6. Does your organisation ask people who may need help or support a set of questions to identify their needs?
(This may be called a Needs Assessment, Initial/Health Assessment or similar).

Yes, we ask all new users a set of questions to identify their needs.

Yes, but we find out informally over a few visits what their needs are.

No, we wait for needs to surface when the person chooses.

No, people come to us for a specific activity or event.

Other (Please specify)

Question Title

* 7. Do service users/members identify any needs that you cannot help to support with? (Because they are outside of your agency's skill/knowledge area or provision).

Always

Usually

Sometimes

Rarely

Question Title

* 8. Do you make formal referrals to other organisations if you are not able to meet a person's needs?

Always

Usually

Sometimes

Rarely

Never

Question Title

* 9. Please name the 3 organisations or services that you signpost/refer people to most often.

Service 1

Service 2

Service 3

Question Title

* 10. Are there any support needs you are unable to help with AND are unaware of other organisations that could offer that support?

Yes (Please briefly describe the support need below)

Question Title

* 11. In the last 12 months, have you worked with anyone who has previously been diagnosed with, or treated for Cancer?

Yes

Unsure

Question Title

* 12. If yes to the question above, roughly how many people previously diagnosed/treated for Cancer have you worked with in the last 12 months?

None

1 - 10 people

10 - 30 people

30 - 50 people

50 - 100 people

100+ people

Question Title

* 13. Would your organisation/group benefit from more information on what local support and services are available to people 'Living With & Beyond Cancer'?

Yes

Question Title

* 14. Would your organisation/group be interested in training opportunities to better support people 'Living With & Beyond Cancer' - such as 'Talk Cancer' or 'Cancer Awareness'?

Yes

Question Title

* 15. If you would like to be involved with, or kept up to date on Catalyst's 'Living With & Beyond Cancer' project - please provide contact details below.

Service/Organisation Name

Contact Name

Phone Number

Email Address

Postcode

THANK YOU VERY MUCH FOR YOUR TIME!

Question Title

* 1. Please give the name of your organisation/group.

Question Title

* 2. Please tick any of the areas below which your organisation/group provides services or support in.

Question Title

* 3. Does your organisation provide cancer specific services/support, non-cancer specific services/support or a mix of both?

Question Title

* 4. Please tick any of the support themes below that you feel your organisation/group provides to service users.

Question Title

* 5. Please tick if you provide any targeted services/support for the following groups.

Question Title

* 6. Does your organisation ask people who may need help or support a set of questions to identify their needs?(This may be called a Needs Assessment, Initial/Health Assessment or similar).

Question Title

* 7. Do service users/members identify any needs that you cannot help to support with? (Because they are outside of your agency's skill/knowledge area or provision).

Question Title

* 8. Do you make formal referrals to other organisations if you are not able to meet a person's needs?

Question Title

* 9. Please name the 3 organisations or services that you signpost/refer people to most often.

Question Title

* 10. Are there any support needs you are unable to help with AND are unaware of other organisations that could offer that support?

Question Title

* 11. In the last 12 months, have you worked with anyone who has previously been diagnosed with, or treated for Cancer?

Question Title

* 12. If yes to the question above, roughly how many people previously diagnosed/treated for Cancer have you worked with in the last 12 months?

Question Title

* 13. Would your organisation/group benefit from more information on what local support and services are available to people 'Living With & Beyond Cancer'?

Question Title

* 14. Would your organisation/group be interested in training opportunities to better support people 'Living With & Beyond Cancer' - such as 'Talk Cancer' or 'Cancer Awareness'?

Question Title

* 15. If you would like to be involved with, or kept up to date on Catalyst's 'Living With & Beyond Cancer' project - please provide contact details below.

Question Title

* 6. Does your organisation ask people who may need help or support a set of questions to identify their needs?
(This may be called a Needs Assessment, Initial/Health Assessment or similar).