Hello,
 
We are Healthwatch Surrey, the independent local watchdog that gives the people of Surrey a voice to improve, shape and get the best from health and social care services. 

If you or someone you know is over the age of 65 and has been discharged from a hospital in Surrey in the past 18 months, we would like to know what happened during that process, and whether you think it could've been improved. Your feedback is important and will be used to help shape health and social care services in Surrey. We aim to create a leaflet/checklist with key information that can help local people guide conversations about their discharge, and help more people to have a good experience of hospital discharge in future.
 
This survey takes approximately 10-15 minutes to complete, depending on how much information you choose to share. Completing this survey will enter you into a prize draw for the opportunity to win one of five £20 Marks and Spencer vouchers.

All answers are anonymous. By completing this survey you are agreeing that your answers can be used anonymously to inform a report about people's experiences of hospital discharge.
 
Thank you for your time.

* 1. I am completing this survey:

* 2. Were you/the patient:

The following questions ask about what you EXPECTED your discharge to be like, before you were actually discharged.

* 3. How much time did you expect to be given to prepare for your discharge?

* 4. Where did you expect to be discharged to? (e.g. home, a relative's home, supported living)

* 5. Before you were discharged, did you expect staff to:

  1 I did not expect this at all 2 3 4 5 I definitely did expect this
ask about the support you would need to look after yourself at home
ask how you would get home
ask if there is someone who needs to be contacted to be informed of your discharge
ask if you need any emotional support once you leave hospital
explain what signs to look out for of your condition improving
explain what signs to look out for of your condition getting worse
explain what appointments you would need to have once discharged
explain whether you would need to contact your GP to inform them of your hospital stay
explain who to contact for further support
explain any new medications and how to take them
involve you in making plans/decisions about your discharge
involve you in making plans/decisions about your follow-up care

* 6. How important do you feel it was for staff to:

  1 Not important at all 2 3 4 5 Extremely important
ask about the support you would need to look after yourself at home
ask how you would get home
ask if there is someone who needs to be contacted to be informed of your discharge
ask if you need any emotional support once you leave hospital
explain what signs to look out for of your condition improving
explain what signs to look out for of your condition getting worse
explain what appointments you would need to have once discharged
explain whether you would need to contact your GP to inform them of your hospital stay
explain who to contact for further support
explain any new medications and how to take them
involve you in plans/decisions about your discharge
involve you in plans/decisions about your follow-up care

* 7. Please tell us if there is anything else you think is important to know/discuss before your discharge from hospital:

* 8. What would be the best way for you to receive information about your discharge? (conversation, with a family member present, written etc)

The following section asks about what your discharge was ACTUALLY like.

* 9. Did the discharge you experienced meet your expectations?

* 10. Did the hospital staff:

  Not applicable No, not at all Yes, but not satisfactorily Yes, absolutely
ask about the support you would need to look after yourself at home
ask how you would get home
ask if there is someone who needs to be contacted to be informed of your discharge
ask if you need any emotional support once you leave hospital
explain what signs to look out for of your condition improving
explain what signs to look out for of your condition getting worse
explain what appointments you would need to have once discharged
explain whether you would need to contact your GP to inform them of your hospital stay
explain who to contact for further support
explain any new medications and how to take them
involve you in plans/decisions about your discharge
involve you in plans/decisions about your follow-up care

* 11. If applicable, please explain how your expectations were not met:

* 12. How much time were you given to prepare for your discharge?

* 13. Was a member of your family/carer told about your discharge? (if applicable)

* 14. Were you given a paper copy of the information about your discharge and follow-up care?

* 15. Did you feel comfortable asking questions about your discharge and follow-up plan?

* 16. When you were discharged:

  Yes No Don't know Not applicable
Was your medication ready to take home?
Were you provided with any mobility aids (e.g. walker, crutches)?
Did someone make sure you had suitable transport?

* 17. Is there anything else you wish to tell us about being discharged from hospital? (What was done well? What could have been better?)

The final section asks about you and is optional.

* 18. How old are you/the patient you are answering on behalf of?

* 19. Are you:

* 20. How would you describe your ethnic origin? (e.g. White British, Asian, Asian British, Black, Black British etc)

* 21. Which hospital do your answers relate to? (optional)

* 22. Completing this survey will enter you into a prize draw for the opportunity to win one of five £20 Marks and Spencer vouchers. Please let us know how you would like to be contacted if you win (email/post):

Thank you for your time. Completed surveys will be accepted until Friday 15th December 2017.

Please press 'DONE' to complete the survey.

For more information, or to share your experience in detail, please contact:
Tel: 0303 303 0023
Email: enquiries@healthwatchsurrey.co.uk

Or visit:
www.healthwatchsurrey.co.uk

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