We understand you or a loved one have recently had a procedure at Basingstoke and North Hampshire Hospital (BNHH) following an initial assessment in the Emergency Department (ED) at Royal Hampshire County Hospital (RHCH), in Winchester.

As we have centralised some of our services to provide on-site consultant cover seven days a week to help reduce waiting times and improve outcomes, we would like your feedback to help us understand what went well and what we might try to improve.

We would be very grateful if you could complete this short survey, which should only take you three to five minutes to fill out.

All feedback is anonymous unless you choose to leave your name and contact details because you would like someone to contact you about your experience.

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* 1. About you and your arrival

Are you:

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* 2. How did you get to BNHH for your surgery?

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* 3. How did you arrive at RHCH ED?

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* 4. Your overall experience

Do you feel that you got enough information
about your transfer to BNHH from the ED staff?

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* 5. Were you given an ‘after your injury’ information leaflet for trauma and orthopaedic patients who need surgery and/or admission to hospital?

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* 6. If yes, was it helpful?

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* 7. How would you rate your initial assessment and treatment at RHCH?

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* 8. How would you rate your transfer arrangements to BNHH?

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* 9. How would you rate the admission arrangements at BNHH?

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* 10. How would you rate the arrangements that were made for you once you left the trauma ward (for example transfer to a rehabilitation ward and/or follow up appointments for therapy services, fracture clinic or outpatients)?

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* 11. Thinking about carers, family members and friends, how did the new ways of working impact on them?

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* 12. If you wish, please use the space below to tell us more about your experience.

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* 13. If you would like someone to call you to discuss your experience in more detail, please also leave your name and preferred contact details.

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* 14. About you (optional section)

Are you:

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* 15. Your age group:

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* 16. Your ethnic background

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* 17. Do you consider yourself to have a disability?

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* 18. Your religion or belief:

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* 19. You would describe your sexuality as:

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* 20. Are you a carer?

0 of 20 answered
 

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