WHCCG Feedback Tool
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1.
What role best describes you?
GP (partner)
GP (salaried)
GP (locum)
Practice Manager
Advanced Nurse Practitioner (ANP)
Nurse Manager
Healthcare Assistant
Pharmacist
CCG employee
Other (please specify):
2.
Are you aware of the Feedback Tool?
Yes
No
3.
How often do you use the Feedback Tool?
Very frequently (several times a month)
Frequently (once per month)
Occasionally (used in the last year)
Never
4.
Why do you use the Feedback Tool? (Please choose top three options that best represent the main reasons you use the tool)
To gain general support / information from CCG regarding a patient referral pathway (patient specific)
To raise a concern about a specific patient and their treatment pathway (patient specific)
To highlight where a referral pathway isn’t working well (patient specific)
To highlight where a referral pathway isn’t working well (information sharing)
To raise quality concerns about another NHS Commissioned services (information sharing)
To highlight the impact of CCG decision making on GP practices/ patient care (information sharing)
To highlight where actions by other providers of healthcare services are impacting on patient care (information sharing)
To highlight where actions by other providers of patients registered with the practice are impacting on GP practices (information sharing)
Other (please specify):
5.
If the feedback is patient specific, has the sharing of information been discussed with and consented by, the patient?
Yes
No
6.
For the Feedback Tool, how would you rate:
Very poor
Poor
OK
Good
Very Good
The ease of using the Feedback Tool
The ease of using the Feedback Tool Very poor
The ease of using the Feedback Tool Poor
The ease of using the Feedback Tool OK
The ease of using the Feedback Tool Good
The ease of using the Feedback Tool Very Good
The time taken to complete the Feedback Tool
The time taken to complete the Feedback Tool Very poor
The time taken to complete the Feedback Tool Poor
The time taken to complete the Feedback Tool OK
The time taken to complete the Feedback Tool Good
The time taken to complete the Feedback Tool Very Good
The timeliness of response from the CCG
The timeliness of response from the CCG Very poor
The timeliness of response from the CCG Poor
The timeliness of response from the CCG OK
The timeliness of response from the CCG Good
The timeliness of response from the CCG Very Good
The quality of information provided by the CCG in response to your feedback
The quality of information provided by the CCG in response to your feedback Very poor
The quality of information provided by the CCG in response to your feedback Poor
The quality of information provided by the CCG in response to your feedback OK
The quality of information provided by the CCG in response to your feedback Good
The quality of information provided by the CCG in response to your feedback Very Good
How well you perceive the CCG is using your feedback
How well you perceive the CCG is using your feedback Very poor
How well you perceive the CCG is using your feedback Poor
How well you perceive the CCG is using your feedback OK
How well you perceive the CCG is using your feedback Good
How well you perceive the CCG is using your feedback Very Good
Comments:
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)
Not aware of the Feedback Tool
Too complex
Too time consuming to complete
Not satisfied with previous response / outcome
Access to desktop computer
Not sure of purpose
Other (please specify):
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:
Local NHS Providers (acute and community providers)
Local authorities
Nursing and Care Homes
Patients
Other commissioned services
9.
Currently, feedback shared with providers is anonymous (GP/ named contact details are removed). Would you wish feedback:
To remain anonymous
Option to remain anonymous
Details passed to providers
10.
Any comments?
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