Introduction

Please let us know your views, by completing this short survey.  This will help us understand how we can support you, as we improve respiratory and acute medical care in the Sandwell and West Birmingham areas.  You can also let us know about any areas that you feel are not already covered in this document. 

The deadline for all responses is Friday 18 October 2019.

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* 1. Please tell us more about you:

(Please tick where applicable)

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* 2. How well do you understand why we need to make the changes?

(Please rate 1 to 5, where 1 is don't understand and 5 is fully understand)

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* 3. How well do you understand why we are bringing acute respiratory services together onto one site, as details in the document?

(Please rate 1 to 5, where 1 is don't understand and 5 is fully understand)

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* 4. To what extent do you agree with the proposals to local respiratory and acute medical services at City Hospital?

(Please rate 1 to 5, where 1 is totally disagree and 5 is totally agree)

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* 5. Please tell us how can we support you through these proposed changes?

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* 6. How can we keep you informed and promote where to go for respiratory services?

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* 7. How important are the following when working to achieve excellent respiratory services?

Please rate - 1 being not important 5 being very important (for
each option)

  1: Not important 2: 3: 4: 5: Very important
Direct (faster) access to specialist teams
Treatment by expert clinicians
Continuity of care - services together on one site
Support for visitors
Excellent communications - I am kept informed and involved in my treatment

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* 8. Closing comments

Is there anything else you would like to tell us about these changes?

The following questions will help us understand more about who has responded to this engagement exercise. This will help us to ensure we have listened to as many different groups as possible.

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* 9. Please can you indicate the first 3 characters of your postcode?  

This will help us assess whether we are receiving responses from across Sandwell and West Birmingham.

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* 10. What is your ethnic group?

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* 11. What is your gender?

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* 12. Are your day-to-day activities limited by a health problem or disability which has lasted or is expected to last over 12 months?

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* 13. Which of the following age categories do you fit into?

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* 14. What is your religion/faith?

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* 15. Which of the following options best describes how you think of yourself?

Thank you for taking part and helping us build better services for Sandwell and West Birmingham.
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