WHCCG Feedback Tool

 

1. What role best describes you?

 

2. Are you aware of the Feedback Tool?

 

3. How often do you use the Feedback Tool?

 

4. Why do you use the Feedback Tool? (Please choose top three options that best represent the main reasons you use the tool)

 

5. If the feedback is patient specific, has the sharing of information been discussed with and consented by, the patient?

 

6. For the Feedback Tool, how would you rate:

Very poorPoorOKGoodVery Good
The ease of using the Feedback Tool
The time taken to complete the Feedback Tool
The timeliness of response from the CCG
The quality of information provided by the CCG in response to your feedback
How well you perceive the CCG is using your feedback
 

7. If you do not use or rarely use the Feeback Tool, what are the barriers to use using it? (more than one option may apply)

 

8. The CCG would like to widen the intelligence gathered through the Feedback Tool to all WHCCG commissioned services. Would you be supportive of opening up the Feedback Tool to:

 

9. Currently, feedback shared with providers is anonymous (GP/ named contact details are removed). Would you wish feedback:

 

10. Any comments?