We know how rapidly services have had to change over the past several months. Healthwatch Cheshire are keen to ensure that the views of people are involved in decision making and planning locally. Sharing your views and experiences in this survey will help service providers to understand directly from you what is going well and what could be improved.

Things you need to know:

·         The survey should take no longer than 5-10 minutes to complete.

·         You can complete this survey yourself.

·         You can also complete this survey on behalf of someone else e.g. relative.

Please don’t forget you can revisit the survey as things change for you at any time, to share any additional experiences.
 
You can find all of the latest local and national advice, information and support on our websites:

www.healthwatchcwac.org.uk

www.healthwatchcheshireeast.org.uk
About you

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* 1. Are you answering this survey for yourself or on behalf of someone else?

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* 2. Do you live in?

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* 3. What is the name of your nearest town or village?

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* 4. What is your postcode?

Accessibility of Healthcare Services
We know that there have been various changes to services over recent months, the following questions are designed to capture what your views and experiences are of these changes.

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* 5. How do you currently feel about accessing healthcare services? Please tick all that apply.

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* 6. Are you currently accessing, or have you had to access any of the following services since January 2020?  Please tick all that apply.

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* 7. What is the name(s) of your GP Practice, hospital or other service you have accessed? Please also include name of hospital department if you have visited a hospital.

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* 8. Have you had an appointment via video/phone call?

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* 9. Regardless of your answer to the previous question, what do you think about video/phone appointments?

  I don't like it I would prefer it I would be happy using it for certain appointments
Hospital based appointment
GP appointment
Other healthcare appointment

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* 10. Have you had any face-to-face medical appointments over the past few months?

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* 11. Have you had any issues with prescriptions or medication?

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* 12. Have you experienced any disruptions to your hospital-based treatment, outpatients appointments, or operations?

COVID-19 Vaccination

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* 13. Have you, or any of your family or friends, received a Coronavirus (COVID-19) vaccination?

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* 14. If no, will you be taking up the vaccination?

Care and Support
We know that there have been various changes to care services over recent months, the following questions are designed to capture what your views and experiences are of these changes.

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* 15. Do any of these describe you or the person you are answering on behalf of? If you don't access care, please skip to Q17

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* 16. Do you know the name of this care/support provider? If so, please write it here:

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* 17. Please tell us if or how your experience of care has been affected by changes in the past few months, e.g. visits from care workers and personal assistants, access to residential or nursing care homes, etc.?

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* 18. Are you being kept informed of any changes?

Mental Health and Wellbeing

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* 19. We are aware that the pandemic has affected people's mental health in different ways. In the past week do you feel your mental health has:

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* 20. Have you recently or currently accessed support for your mental health and wellbeing? (please tick all that apply)

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* 21. During the pandemic people have found different ways to help with their wellbeing and mental health. What do you think would help you maintain a better level of physical and mental wellbeing?

Other

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* 22. We appreciate the situation is constantly evolving. Do you have any current concerns, or concerns about future impact due to the COVID-19 pandemic? Please tick as many that apply, if any.

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* 23. Do you have any other comments about how the pandemic has impacted or is impacting you?

More about you, or the person you are answering on behalf of
By telling us more information about yourself, you can help us better understand how people's experiences may differ depending on their personal characteristics or circumstances. It also helps us to ensure we reflect the diversity of our community. You do not have to answer these questions if you do not want to.

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* 24. What is your age group?

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* 25. Gender identity - Which of the following options best describes how you think of yourself?

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* 26. Gender identity - Is your gender identity the same as the gender you were given at birth?

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

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* 28. What is your ethnicity?

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* 29. Do you consider yourself to have any of the following?

If you would like to be contacted further by Healthwatch regarding your experiences, or if you would like to get involved with our work, please include your contact details below:

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* 30. Name:

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* 31. Telephone:

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* 32. Email:

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* 33. I am interested in:

Many thanks for providing your feedback. We value and appreciate your opinions.
If you require support during this time, you can contact the dedicated Cheshire West and Chester Council helpline on 0300 123 7031, or the Cheshire East Council support line on 0300 123 5034.

We have created dedicated pages on our website to help you find all of the latest local and national advice, information and support about coronavirus:

www.healthwatchcwac.org.uk/coronavirus

www.healthwatchcheshireeast.org.uk/coronavirus

If you have any other comments about the health and care you receive that do not fit into this survey, you can also tell us about your views and experiences on our online Healthwatch Cheshire West and Healthwatch Cheshire East Feedback Centre.

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