YOUR VIEWS OF YOUR LOCAL HOSPITAL SERVICES

West Hampshire CCG is responsible for making sure that local NHS organisations are providing high quality care for their patients.

We want to hear about your experience when you or your family last used services at our hospitals in Winchester and Southampton, Bournemouth, Salisbury or Portsmouth, or the health care provided in the community.

All these surveys are anonymous and the information will only be used to help the CCG plan healthcare.
Please complete this if you or a member of your family, a friend or someone you care for has used local healthcare services in the last six months.

If you have any questions about the survey or want to get more involved with planning local healthcare services, you can join our health involvement network. Please contact communications@westhampshireccg.nhs.uk for more information.

If you have concerns about your local health services, you can also leave comments at CQC or NHS Choices

I am

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* 1. I am

Which department was it?

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* 3. Which department was it?

What was the visit for?

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* 4. What was the visit for?

When was this?

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* 5. When was this?

How would you rate the service?

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* 6. How would you rate the service?

Was there the opportunity to rate the service using the friends and family test?

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* 7. Was there the opportunity to rate the service using the friends and family test?

To what extent do you agree with the following statements

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* 8. To what extent do you agree with the following statements

  Strongly agree Somewhat agree Neither agree nor disagree Tend to disagree Strongly disagree N/A
I had confidence in the staff providing care
The staff  cared about the patients
Staff worked together to treat all the patient’s needs
There were enough opportunities for visiting 
There was good and clear communication with the patient about their care needs  
There was good communication with friends, relatives and carers
Specific cultural or religious needs were considered   
There was clear guidance about the discharge process
The information about ongoing care needs and support was clear
Any further comments

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* 9. Any further comments

Your gender

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* 10. Your gender

Your age group

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* 11. Your age group

Do you consider yourself to have a disability?

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

If yes, please tell us what your disability is:

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* 14. If yes, please tell us what your disability is:

Are you a carer?

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* 15. Are you a carer?

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