As the decision-maker for someone we have recently been working with, we would like to ask you what you think of the Asist IMCA service. It is important that we obtain your views so that we can improve how we work with the person referred, with decision-makers and others involved in their care and support.

What impact did the IMCA service have on this case?

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* 1. What impact did the IMCA service have on this case?

Would you make an IMCA referral again?

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* 2. Would you make an IMCA referral again?

Do you think that the relevant person benefitted from the involvement of an IMCA in this case?

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* 3. Do you think that the relevant person benefitted from the involvement of an IMCA in this case?

Did anything change as a result of an IMCA being involved in this case?

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* 4. Did anything change as a result of an IMCA being involved in this case?

Is there anything that you would change about the IMCA service?

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* 5. Is there anything that you would change about the IMCA service?

The IMCA helped to ensure the decision making process was in line with the Mental Capacity Act 2015

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* 6.

The IMCA helped to ensure the decision making process was in line with the Mental Capacity Act 2015

How highly would you rate the quality of the IMCA report received, in terms of clarity, content and submission time scales.

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* 7. How highly would you rate the quality of the IMCA report received, in terms of clarity, content and submission time scales.

Do you have any other comments, questions, or concerns?

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* 8. Do you have any other comments, questions, or concerns?

The information obtained from this survey is analysed and used for statistical and monitoring purposes.  It will be also be shared with Staffordshire County Council and Stoke On Trent City Council at the IMCA Steering Group.

-          Thank you for your time  -

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