JSNA Dementia - Engagement Survey For Those Who Work With Dementia

Welcome to the stakeholder engagement survey for Joint Strategic Needs Assessment (JSNA): Dementia.

Wolverhampton City Council is currently in the process of developing a JSNA for residents with Dementia. An important part of the JSNA process is to understand what services are currently being provided, identify gaps and highlight needs. The outcomes will be used by the JSNA Steering Group to consider improvements. Your response will help us to build a comprehensive picture of the services currently available and work towards improving them.

We would like to invite you to complete this survey if you provide services to residents diagnosed with Dementia in Wolverhampton. It should take approximately 15-20 minutes to complete the survey. All responses from the survey will be analysed collectively and included in the JSNA document.

If you need any further information regarding the survey, please contact Parmdip Dhillon, parmdip.dhillon@wolverhampton.gov.uk

Thank you.

Question Title

* 1. What sector do you work in?

Hospital

Primary Care

Public Health

CCG

Social Care

Education

Employment

Criminal Justice

Information/advice/advocacy

Private Sector

Voluntary Sector

Other (please specify)

Question Title

* 2. At which level is your role?

Question Title

* 3. Brief description of service:

Question Title

* 4. The age range you work with:

18-65

65-75

75-85

85+

Question Title

* 5. How many adults diagnosed with Dementia do you work with, in a year (12 months)?

0-4

5-10

11-16

17-19

20+

Question Title

* 6. What are the referral routes into your service?

Question Title

* 7. How do you manage demand for your service (if applicable)?

Waiting lists

Criteria

Not seeing as often as preferred

Shorter appointments

Utilise varied grade of professional staff

Refer to other organisations for extra support

Not applicable

Other (please specify)

Question Title

* 8. For the adults diagnosed with Dementia you see in your service, do you think their additional needs are being met?

Yes

No, if no, explain further:

Question Title

* 9. In your view, do you provide a service which meets the needs of adults diagnosed with Dementia currently using your service?

No, if so what would improve it?

Yes, if so what allows this (i.e. what needs protecting?)

Please explain further:

Question Title

* 10. Are there any key issues or needs for the adults diagnosed with Dementia you currently work with, which you don’t provide, but wish to or someone else could deliver?

Yes (please specify):

Question Title

* 11. Are you aware of any changes or new trends in the needs for your current clients over the next 3-5 years?

Yes (please answer question 12)

No (please skip question 12)

Question Title

* 12. Has your service got the right skill mix and capacity to meet this future need?

Yes

No, if no, what will you need? Please consider training requirements too.