Community Equipment Services

1. Community Equipment Services - Service User Survey
Page 1 of 2

Barking and Dagenham, Havering and Redbridge Clinical Commissioning Groups (BHR CCGs) are currently reviewing the Community Equipment Service and want feedback from service users/carers about their experience of the existing service and where improvements can be made. Community equipment may have been ordered for you by an Occupational Therapist, Physiotherapist or other healthcare professional (e.g. pressure relieving mattresses, ventilators, postural support chairs). Please complete this survey if you have accessed Community Equipment in the last two years. The survey is completely anonymous and will only be used to inform the ongoing improvements to the service. If you have further queries or feedback about the equipment service, please email bhr.equipment@nhs.net.

1. In which borough do you live?

Barking and Dagenham
Havering
Redbridge
Other (please specify):

2. In which borough is your registered GP?

Barking and Dagenham
Havering
Redbridge
Other (please specify):

3. Please list the most recent items you received

Item 1
Item 2
Item 3
Item 4
Item 5

4. Following your assessment, how long did you wait for the delivery of the piece of equipment that you received? Please tick one box per item

	Less than two weeks	Between two and four weeks	Between one and two months	Between two and four months	More than four months
Item 1	Item 1 Less than two weeks	Item 1 Between two and four weeks	Item 1 Between one and two months	Item 1 Between two and four months	Item 1 More than four months
Item 2	Item 2 Less than two weeks	Item 2 Between two and four weeks	Item 2 Between one and two months	Item 2 Between two and four months	Item 2 More than four months
Item 3	Item 3 Less than two weeks	Item 3 Between two and four weeks	Item 3 Between one and two months	Item 3 Between two and four months	Item 3 More than four months
Item 4	Item 4 Less than two weeks	Item 4 Between two and four weeks	Item 4 Between one and two months	Item 4 Between two and four months	Item 4 More than four months
Item 5	Item 5 Less than two weeks	Item 5 Between two and four weeks	Item 5 Between one and two months	Item 5 Between two and four months	Item 5 More than four months

5. Were you informed of when the equipment would be delivered? Tick one option for each item

	Yes	No	Don't remember
Item 1	Item 1 Yes	Item 1 No	Item 1 Don't remember
Item 2	Item 2 Yes	Item 2 No	Item 2 Don't remember
Item 3	Item 3 Yes	Item 3 No	Item 3 Don't remember
Item 4	Item 4 Yes	Item 4 No	Item 4 Don't remember
Item 5	Item 5 Yes	Item 5 No	Item 5 Don't remember

6. Was the person who delivered the equipment helpful? Tick one option for each item

	Yes	No	Don't remember
Item 1	Item 1 Yes	Item 1 No	Item 1 Don't remember
Item 2	Item 2 Yes	Item 2 No	Item 2 Don't remember
Item 3	Item 3 Yes	Item 3 No	Item 3 Don't remember
Item 4	Item 4 Yes	Item 4 No	Item 4 Don't remember
Item 5	Item 5 Yes	Item 5 No	Item 5 Don't remember

7. Were you informed about who to contact if the equipment failed to work properly or needed servicing? Tick one option for each item

	Yes	No	Don't remember
Item 1	Item 1 Yes	Item 1 No	Item 1 Don't remember
Item 2	Item 2 Yes	Item 2 No	Item 2 Don't remember
Item 3	Item 3 Yes	Item 3 No	Item 3 Don't remember
Item 4	Item 4 Yes	Item 4 No	Item 4 Don't remember
Item 5	Item 5 Yes	Item 5 No	Item 5 Don't remember

8. How would you like to be contacted to inform you about the delivery date/time of your equipment? Please tick all that apply

9. If you have ever requested a repair, how long following notification did it take for the replacement to arrive, or for the repair to be completed? Tick one option for each item

	Less than 2 weeks	Between 2 and 4 weeks	Between 1 and 2 months	More than 2 months	N/A
Item 1	Item 1 Less than 2 weeks	Item 1 Between 2 and 4 weeks	Item 1 Between 1 and 2 months	Item 1 More than 2 months	Item 1 N/A
Item 2	Item 2 Less than 2 weeks	Item 2 Between 2 and 4 weeks	Item 2 Between 1 and 2 months	Item 2 More than 2 months	Item 2 N/A
Item 3	Item 3 Less than 2 weeks	Item 3 Between 2 and 4 weeks	Item 3 Between 1 and 2 months	Item 3 More than 2 months	Item 3 N/A
Item 4	Item 4 Less than 2 weeks	Item 4 Between 2 and 4 weeks	Item 4 Between 1 and 2 months	Item 4 More than 2 months	Item 4 N/A
Item 5	Item 5 Less than 2 weeks	Item 5 Between 2 and 4 weeks	Item 5 Between 1 and 2 months	Item 5 More than 2 months	Item 5 N/A

10. The location and accessibility of equipment stores varies across Barking and Dagenham, Havering and Redbridge. At present all health related equipment is delivered to the patient. If you were able to, would you want the option to collect your equipment from a local equipment store?

Yes
No
Don't know

11. Based on your previous experiences of community equipment services in BHR, please can you tell us what works well or what needs improving, in just a few words? Please consider the following areas:
• Communication regarding the progress of your order
• Repairs
• Servicing
• Collection of equipment when it is no longer required
• Information provided to you regarding the use and installation of the equipment
• Waiting times

12. Would you, your family member/friend or a person who supports you, be willing to talk to us about your experiences of using the equipment service in a telephone discussion? If so, please supply us with some details so that we can contact you, your friend/family member or family carer further. Please note, these details will not be shared with anyone outside of the Community Equipment Team.

Name
Telephone number
Email address