Palliative care services - Patient, carer, friends & family survey

Your views

We are asking people in Hammersmith & Fulham, Kensington & Chelsea and Westminster for your views on how well adult palliative care services are working. This is part of an independent review, for more information on this please visit our website www.centrallondonccg.nhs.uk.

We welcome views from patients, carers and families.

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* 1. Please let us know, are you a:

Patient

Carer

Family member or friend

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* 2. The following are areas that patients and families say are important to them in palliative and end of life care. Could you rate how well you think they are working?

	Very satisfied	Satisfied	Fair	Dissatisfied	Very dissatisfied
Support and information for patients, carers and families	Support and information for patients, carers and families Very satisfied	Support and information for patients, carers and families Satisfied	Support and information for patients, carers and families Fair	Support and information for patients, carers and families Dissatisfied	Support and information for patients, carers and families Very dissatisfied
Out of hours services - during the weekend, evening and overnight	Out of hours services - during the weekend, evening and overnight Very satisfied	Out of hours services - during the weekend, evening and overnight Satisfied	Out of hours services - during the weekend, evening and overnight Fair	Out of hours services - during the weekend, evening and overnight Dissatisfied	Out of hours services - during the weekend, evening and overnight Very dissatisfied
Timely access to medication	Timely access to medication Very satisfied	Timely access to medication Satisfied	Timely access to medication Fair	Timely access to medication Dissatisfied	Timely access to medication Very dissatisfied
Rapid access to urgent care	Rapid access to urgent care Very satisfied	Rapid access to urgent care Satisfied	Rapid access to urgent care Fair	Rapid access to urgent care Dissatisfied	Rapid access to urgent care Very dissatisfied
Co-ordination between different services	Co-ordination between different services Very satisfied	Co-ordination between different services Satisfied	Co-ordination between different services Fair	Co-ordination between different services Dissatisfied	Co-ordination between different services Very dissatisfied
Accessing services	Accessing services Very satisfied	Accessing services Satisfied	Accessing services Fair	Accessing services Dissatisfied	Accessing services Very dissatisfied

Comments

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* 3. What could be improved about your experience of palliative care services?

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* 4. If you would be happy to be contacted for further views on palliative care as part of this review please leave a contact telephone number or email below.