Question Title Question Title * 1. Are you __? A person with a Learning Disability aged 14 or above A parent or family member of a person with a Learning Disability aged 14 or above A paid carer of a person with a Learning Disability aged 14 or above Other (Please specify your profession - if you are not a paid carer but are a professional supporting people with a Learning Disability aged 14 or above, e.g., social worker, special school staff, care coordinator, a member of Community LD Team, occupational therapist, community nurse, physio, advocate, etc.) Question Title * 2. What do you know about the Annual Health Check (AHC)? I know a lot about the Annual Health Check I know a little about the Annual Health Check I do not know what the Annual Health Check is Question Title * 3. Have you or the person you support attended the last Annual Health Check they were invited to: Yes No Not sure Not applicable for me – Although I support people with a Learning Disability, I am not responsible for supporting them to their Annual Health Check appointment What is the name of the surgery that the person you support is registered with (optional): Question Title * 4. What were the barriers that made attending the Annual Health Check difficult? Please select all options that apply. I have a Learning Disability and aged 14 years or above yet my GP has never contacted me for an Annual Health Check I am a parent/carer of a person with a Learning Disability and aged 14 or above yet have never been contacted by the GP for their Annual Health Check The Annual Health Check was due but GP practice made no contact to schedule the appointment, so I had to contact with the GP practice but had/have not been able to get the Annual Health Check appointment booked. GP failed to book the appointment despite reminding them Appointment time not suitable No support/carer available to accompany to the Annual Health Check appointment Appointment letter sent by the GP was not in an appropriate format GP did not send out the appointment reminder The GP/nurse that usually conducts the Annual Health Check was unavailable and did not want any other nurse/GP to conduct Annual Health Check Did not feel the need to attend Annual Health Check due to similar appointments with GP e.g., medication review Faced no barriers or issues Not applicable for me – Although I support people with a Learning Disability, I am not responsible for supporting them to their Annual Health Check appointment Please take the opportunity to share barriers in detail and mention if your reasons are not listed above. You could also suggest areas for improvement for GP practices to consider. Question Title * 5. About the Health Action Plan (HAP). Please select all options that apply: I do know what a Health Action Plan is I do not know what a Health Action Plan is GP provided a HAP in an accessible format at the end of the AHC appointment GP provided a Health Action Plan, but it was not in an accessible format GP promised to provide Health Action Plan shortly after the Annual Health Check, but we have not received it GP did not provide a Health Action Plan GP made contact to follow up on the progress of the Health Action Plan GP made no contact to follow up on the progress of the Health Action Plan I found the Health Action Plan useful I did not find the Health Action Plan useful I told the GP I did not want a Health Action Plan Anything you would like to share about the Health Action Plan. Question Title * 6. Rate your experience of the Annual Health Check: Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied Not applicable Please share your experience of the Annual Health Check (For example, did you find the GP practice cooperative and helpful during the appointment booking, was the Annual Health Check conducted in the manner that you would have preferred, was it a comfortable experience, did you feel rushed or uncomfortable, was there something that you wanted to ask the GP but couldn’t, was there something that the GP failed to address or if there is anything you want to share with us.) Question Title * 7. Do you think the Annual Health Check (AHC) was useful? Yes No Not applicable If you have selected Yes: Please describe the positive impact it has made in terms of health improvement and wider benefits. If you have selected No: Please state the reason(s) why the Annual Health Check has not been beneficial. Question Title * 8. Have you attended an awareness session on the Annual Health Check (AHC) and Health Action Plan (HAP) in the past? Yes No If you have any queries or require more information on Learning Disability Annual Health Checks, contact your GP practice or Rachel Johnson rachel.johnson10@nhs.net (Lead - Derbyshire Strategic Health Facilitation Team).Please contact Rachel if you are interested in attending online sessions (free of charge) on Learning Disability- Annual Health Check and Health Action Plan. Done