Planned Care - Hospital Outpatients Clinics

We, in the local NHS, are interested in hearing about experiences people have had who have been referred and attended Hospital Outpatients clinics within this last year.

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* 1. Which practice are you from?  Please state below.

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* 2. Hospital

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* 3. Appointment

When did you have your first appointment?  Please tick appropriate box.

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* 4. Experience

Which part of your experience was most important to you?  Please indicate in order of priority from 1 to 5, with 1 being most important and 5 being least important.

  1 2 3 4 5
Timeliness of the first appointment
Timeliness of the investigations/tests
Timeliness of receiving results
Timeliness of getting the diagnosis
Timeliness of actions to resolve your problem

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* 5. Problems

Which of these, if any, gave you problems?  Please tick all that apply.

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* 6. Problems (continued)

Please indicate if any of the below are related to the problems in Question 4.  Please add any details you wish. 

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* 7. Efficiency

To make your care more helpful and efficient, which of the following would you be prepared to consider.  Please tick all that apply.

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* 8. Change

If there is anything you could change about your experience, what would that be?  Please comment below.

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* 9. If you would like us to inform you of the results of this survey and /or would be interested in taking part in future work around Outpatient Services, please leave your name and contact details below.

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