YOUR VIEWS ABOUT PRIMARY HEALTH CARE

YOUR VIEWS ABOUT PRIMARY HEALTH CARE 1 How long have you been registered with your GP practice? 0-12 mths 1 1-5 yrs 5-10 yrs 2 Over 10 yrs 3 4 ...
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YOUR VIEWS ABOUT PRIMARY HEALTH CARE 1 How long have you been registered with your GP practice? 0-12 mths

1

1-5 yrs

5-10 yrs

2

Over 10 yrs

3

4

Not sure

5

2 (a) Please tick any of the following that you’ve consulted in the past year (for you or someone else): GP Nurse ‘Out of hours’ doctor Accident & Emergency NHS Walk-In centre

NHS Direct (24 hr telephone helpline) NHS Direct online Pharmacist for advice Other (e.g. osteopath)

1 2 3 4

6 7 8 9

5

(b) Please write here roughly how often you’ve consulted in the past year TOTAL no. of consultations like those above, but not hospital appointments THE FOLLOWING QUESTIONS ARE ABOUT THE LAST TIME YOU CONSULTED A GP PRACTICE OR AN NHS WALK-IN CENTRE, OR NHS DIRECT FOR YOU OR SOMEONE ELSE. 3 (a) Who was this most recent consultation for? (b) Was this most recent consultation (tick which applies):

self

someone else

1

2

A visit to a GP practice Telephone advice from someone at a GP practice Home visit by GP or nurse A visit to a Walk-in centre Telephone advice from NHS Direct

1 2 3 4 6

(c) Was that consultation to do with (tick all that apply): A new or recent problem Treatment, routine check or repeat prescription for a long term condition A non-routine check or new concern about a long term condition A psychological or emotional problem Health promotion /preventive treatment (eg smoking advice, immunisation) A problem not directly to do with health (eg. housing or work) Something else Extremely important

4 (a) How important was it to be able to make an appointment in advance?

1

Important 2

Slightly important 3

(b) Did you actually book an appointment in advance? (please tick yes or no) 5 (a) When did you want to consult someone? The same day Within 2 days Within 4 days Within a week Within 10 days More than 10 days None of the above

Not important 4

Yes

Does not apply

OR

8

No

1

2

(b) And how soon did you actually consult? The same day Within 2 days Within 4 days Within a week Within 10 days More than 10 days None of the above

1 2 3 5 6 7 8

Extremely 6 (a) How important was it to be able to important Important choose what type of professional to 1 2 consult (e.g. a nurse not a doctor)? (b) If important, what type of professional did you prefer?

Slightly important

Not important

3

4

Yes

1

2 3 5 6 7 8

Does not apply

OR

A GP A nurse Another type of professional

(c) Did you actually get to consult the type of professional you wanted?

1

No

8 1 2 3 2

Extremely important

7 (a) How important was it to choose a particular person (e.g. usual GP)?

Important

1

2

(b)Did you actually consult the person you wanted? Yes 8 (a) How important was it to consult someone you(or patient) already know & trust?

Slightly important

Extremely important

1

Important

1

Not important

3

No

Extremely important

Important

3

1

Slightly important

2

4

10(a) How important was it to consult someone with information about your/ the patient’s full medical history(notes/computer)?

Extremely important

Important

1

Yes Slightly important

2

OR

8

No

Not important 4

3

Does not apply

1

3

(b) Did the person you consulted actually take time to listen?

8

Not important

(b) Did you/patient actually already know & trust the person you consulted? Yes 9 (a) How important was it to consult someone who would take time to listen?

OR

Doesn’t apply

2

Slightly important

2

4

Does not apply

2

Does not apply

OR

8

No

1

Not important

2

Does not apply

OR

8

Don’t know

3

3

4

(b) Did the person you consulted actually have this full information? Yes

1

Extremely 11(a) How important was it to consult Important important someone who knows personally about 1 2 you and your medical condition(s)? (or the patient and their conditions)? (b) Did the person actually know personally about you/patient and your/patient’s medical conditions? Yes 1

12(a) How important was it to consult someone of your /the patient’s own sex?

Extremely important 1

Important

No

2

Slightly important

No

2

Slightly important

2

8

Not relevant

3

4

Not important

3

Slightly

Does not apply

OR

3

(b) Did you actually consult someone of your/ the patient’s own sex? Extremely

Not important

4

Yes

1

Does not apply

OR

8

No

Not

2

Does not

important Important important important apply 13 (a) How important was it to consult OR 1 2 3 4 8 someone of your/the patient’s own ethnic group or culture? (b) Did you consult someone of your / the patient’s own culture/ethnicity? Yes No 2 1

Yes I would consult them but they wouldn’t be my first choice No I would prefer not to consult them again OR this doesn’t apply

14 Overall, would you choose the same person again next time you consult?

15 Did you/the patient feel you were given the help, treatment or advice you needed?

Yes

To some extent No

16 Overall, were you satisfied with how things went?

Very satisfied Quite satisfied Neither satisfied nor dissatisfied Quite dissatisfied Very dissatisfied

1 2 3 4

1 2 3

1 2 3 4 5

THE FOLLOWING QUESTIONS ARE ABOUT YOU AND YOUR HEALTH. This information helps us to let the NHS know if different groups of people have different needs or requirements. 17 By placing a tick in one box in each group that follows, please indicate which statements best describe your own health state today. Mobility:

Self Care:

I have no problems walking about

1

I have some problems walking about I am confined to bed

2

I have no problems with self-care I have some problems washing or dressing myself I am unable to wash or dress myself

Usual Activities e.g. work, study, housework, family, leisure: I have no problems with performing my usual activities I have some problems with performing my usual activities I am unable to perform my usual activities Pain/discomfort:

I have no pain or discomfort I have moderate pain or discomfort I have extreme pain or discomfort

Anxiety/depression:

I am not anxious or depressed I am moderately anxious or depressed I am extremely anxious or depressed

3 1 2 3

1 2 3 1 2 3 1 2 3

18 Over the past 12 months, how would you say your health has been? Excellent

1

Very good

Good

2

3

Fair

4

Poor

5

19 Over the past year have you suffered from any long-term illness, health problem or disability? Yes No (please go to 20)

1 2

If yes, please give the name(s) of the illness(es) or condition(s):

……………………………………………………………………………………………………. If yes, does the illness/condition limit your activities or the work you can do?

Male

20 Are you male or female? 21 What is your age (in years)?

1

Yes (go to 23) 22 Do you live alone? 1 If no, do you live with (tick all that apply): Husband/wife/partner 0-4 year old child(ren) 5-10 year old child(ren)

1 5 6

Yes No

1 2

Female

2

No

2

11-18 year old (s) Parents/parents in law/ step-parents Other family or friends

7 3 4

Yes No

1

24 (a) Do you look after, or give any help or support to family members, friends, neighbours or others because of their ill health or disability?

Yes No

1

(b) Do you receive help or support from family members, friends, neighbours or others because of your ill health or disability?

Yes No

1

23 Do you need someone to translate or interpret for you at your GP practice?

3

2

2

25 Please tell us to which grouping you feel you belong. If you prefer not to, go to 26. White English, Scottish, Welsh, Irish White other Indian Pakistani Bangladeshi

Black Carribean Black African Chinese Other (write below if wished)

1 2 3 4

6 7 8 9

5

26 (a) How would you describe your own current situation (tick all that apply) Employed full time Employed part time Self employed Unemployed Retired

Unable to work due to ill health Looking after home/family etc Student Other (please specify)

1 2 3 4

7 8 9

…………………………………………………………

5

(b) If you are (or have ever been) employed, please describe your own main job (eg nurse, bus driver, civil engineer, accounts clerk, manager): ……………………………………………………………………………………………………… No (c) Do you and your household depend on your income as the main income? Yes 1 (d) If no, how would you describe the situation of the main (or other) income provider? Employed full time Employed part time Self employed Unemployed Retired

6

2

Unable to work due to ill health Looking after home/ family/ dependents Student Other (please specify)

1 2 3 4

6 7 8 9

…………………………………………………………

5

(e) If the main income earner is (or has been) employed, please describe his or her main job (eg nurse, bus driver, civil engineer, accounts clerk, manager): ……………………………………………………………………………………………………… 28 (a) Did your education continue after minimum school leaving age? Yes No

(b) Do you have a degree or equivalent professional qualification? Yes No

1 2

1 2

29 (a) Please write your post code here: ……………………………………………………………

(b) Is the house or flat or place where you live: Owned by you Rented (private landlord) Rented (housing association)

Rented (local authority or council) Residential home or sheltered housing Other

1 2 3

4 5 6

(c) Do you or your household have a car? Yes, one

1

Yes, 2 or more

2

No

3

30 How much do you agree with the following statement: ‘I feel part of the area I live in’ strongly agree

1

agree

2

uncertain

3

disagree

4

strongly disagree

5

31 How often in the last 2 weeks have you seen friends or family members you do not live with, or contacted them (by phone, letter, email etc)? not at all

1

once or twice

2

3-6 times

3

more than 6 times

THANK YOU VERY MUCH FOR YOUR HELP. PLEASE POST WITHIN ONE WEEK IN THE PRE-PAID ENVELOPE: NO STAMP NEEDED. If you have other comments about what matters to you in health care we would be glad to hear them, please include them on a separate sheet. Please remember the questionnaire is anonymous so we cannot answer individual queries.

4

This document was published by the National Coordinating Centre for the Service Delivery and Organisation (NCCSDO) research programme, managed by the London School of Hygiene & Tropical Medicine. The management of the Service Delivery and Organisation (SDO) programme has now transferred to the National Institute for Health Research Evaluations, Trials and Studies Coordinating Centre (NETSCC) based at the University of Southampton. Prior to April 2009, NETSCC had no involvement in the commissioning or production of this document and therefore we may not be able to comment on the background or technical detail of this document. Should you have any queries please contact [email protected].