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PPG Carers Survey
1.
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1.
Question 1.
Do you currently look after a friend, relative or neighbour who in your absence is not able to look after themselves due to physical or mental incapacity?
Yes
No
Other (please specify):
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Input box for - Other (please specify):
2.
Question 2.
Have you been made aware about registering as a carer at the practice?
Yes
No
3.
Question 3.
How might we encourage carers to identify themselves to the practice and ask for support if needed?
Publicise more information about caring in the practice
Publicise more information about benefits to carers
Knowing there would be no stigma attached
Asking carers when they attend
Other (please specify):
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Input box for - Other (please specify):
4.
Question 4.
What do you think would be the best way to involve carers in shaping the services provided at Brook Health Centre?
Carer focus group
Online questionnaire
Paper questionnaire
One to one discussions
Public meeting
Through our Patient Participation Group
Through carer support groups
Other (please specify):
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5.
Question 5.
Did you know about the following?
That we keep a register of carers
Carers are entitled to a free flu jab?
You are entitled to a Carers assessment
Northamptonshire Carers exists and provides help and support for carers
6.
Question 6.
Which of these do you see as important for GP's to provide?
Offer flexible appointments to carers
Provide someone with knowledge of carer issues and needs
Provide dedicated carer counselling support with the help of Northamptonshire Carers
Provide information and advice on support and benefits for carers
Provide access for a carers assessment by Social Services
Provide access to specialist training to help carers with caring
Provide carers annual health check appointments
Provide home visits from clinicians
Other (please specify):
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7.
Question 7.
Do you feel your role as a carer is respected/recognised by the following?
Receptionists at the Practice
Practice Nurses
GP's
District Nurses
8.
Question 8.
As a carer do you agree with the following regarding the health and care of the person you look after?
You are included in discussions with clinicians about the person you look after
You have been provided with enough information about the condition of the person you look after
You have been offered information sharing agreements between you and the person you look after
9.
Question 9.
As a carer do you find it easy to attend the practice with your own health concerns?
Yes
No
Comments:
This is required
10.
Question 10.
If the practice were to organise a carers afternoon which of the following would you be interested in having provided free of charge?
A foot check by a Podiatrist
Indian head massage
Physiotherapy session
Mindfullness for stress relief and wellbeing session
Pilates session
Reflexology session
Other (please specify):
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Input box for - Other (please specify):
Comments:
This is required
11.
Question 11.
Do you have any suggestions that we can do at the surgery to make your life as a carer easier?
12.
Question 12.
If you would like to be on our carers register please provide your details below