Annual provider survey

NHS 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 for more information.

If you have significant concerns about a particular organisation, please use also use their complaints process to resolve the issue. You can also leave comments at CQC or NHS Choices

1. I am


2. Were you offered a choice of providers by your GP?


3. Which hospital or community service did you use?


4. Which department was it?


5. When was this?


6. What was the visit for?


7. How would you rate the service?


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


9. To what extent do you agree with the following statements

Strongly agreeSomewhat agreeNeither agree nor disagreeTend to disagreeStrongly disagreeN/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

10. Any further comments


11. Are you:


12. Your age group


13. Your ethnic background


14. Do you consider yourself to have a disability?


15. Your religion or belief


16. You would describe your sexuality as


17. Are you a carer?