Involving local neighbourhoods in shaping the future of health and social care in Manchester

Manchester Health and Care Commissioning is committed to involving the public in shaping the future of our health and social care services.  As part of ‘A healthier Manchester’ and our Locality Plan we want to encourage and support you to lead a healthier life.  All of your responses are anonymous and we will use it to assist us to improve health and care services in the future.

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* 1. Please tell us which GP practice you are registered with:

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* 2. What could help you to lead a healthier life? 

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* 3. What would make it easier for you to access health and care services? 

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* 4. If you are using health and care services, what is working well and what do we need to improve on?

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* 5. If you live with a long term condition, what would help you manage it better?

We are committed to providing high quality services that meet the needs of Manchester people. We know that experiences vary between different groups of the population. We want to understand how things are different for different people and communities. The information that you provide below will remain confidential.

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* 6. If you would like to receive a copy of our e-bulletin, 'A Healthier Manchester' which provides up to date information from your local Clinical Commissioning Group and Manchester City Council please provide your email address below and we will add you to our mailing list (please note your email address will not be shared with any other organisation and by sharing this information you have given consent for us to contact you).

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* 7. You would be interested in volunteering opportunities with Manchester Health and Care Commissioning and would you like further information about our Expert Panel Members who provide valuable knowledge and experience to our organisation about a variety of conditions along with their experience of using different healthcare settings. If you would like further information please provide your email address below:

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* 8. What are the first 2/3 digits of your postcode? 

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* 9. How old are you?

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* 10. What sex are you?

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* 11. How would you describe your sexual orientation? (e.g.Straight/Gay/Bi-sexual/Prefer not say)

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* 12. How would you describe your ethnicity? (e.g. White-British/Black-African etc)

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* 13. What is your marital status?

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* 14. Do you consider yourself to have a disability or long lasting illness?

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* 15. If you have answered yes to the above question, please share with us your disability?

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* 16. How would you describe your religion/belief or faith? 

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* 17. Are you a military veteran? 

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