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Disability staff network feedback
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1.
Question 1.
Would you be interested in attending a disability staff network to improve your experience of work?
Required
- Required.
Yes
Unsure
No
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2.
Question 2.
If yes how often would you like to meet
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- Required.
Monthly
Every other month
Quarterly
Not applicable
Other (please specify):
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Input box for - Other (please specify):
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3.
Question 3.
Do you your have a disability? defined as a long term condition that impacts on your day to day life
Required
- Required.
Yes and I have declared it on ESR
Yes but I have choose not to declare it on ESR
No
4.
Question 4.
If yes, which category of disability would you consider is most relevant to your condition?
Physical – loss of limb, impaired limb movement
Mental – depression / anxiety / personality disorder
Sensory – hearing / sight / speech impairment
Neuro diverse conditions such as Autism, ADHD, Dyslexia and Dyspraxia
I have a combination of conditions
A ‘other’ long term health condition that significantly impairs your day to day life
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Input box for - A ‘other’ long term health condition that significantly impairs your day to day life
5.
Question 5.
Are you a carer to someone who has a disability?
Yes – Child
Yes – Partner
Yes – Parent
No
Yes – other
This is required
Input box for - Yes – other
6.
Question 6.
Do you believe your manager would be supportive of you attending a staff network in works time?
Yes they would support it
No – I’d be expected to make up the time lost
I wouldn’t ask - my manager doesn’t know I have a disability or that I am a carer
Other (please specify):
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Input box for - Other (please specify):
7.
Question 7.
What would you be hoping to achieve through attending the network? – choose all that apply
Companionship from people in a similar experience
Confidence to share your lived experience and not face judgement
Peer support to help ‘call out’ unfair treatment in the workplace
The opportunity to shape trust policy to benefit disabled staff or staff who are carers to someone with a disability
The opportunity to raise awareness of the challenges disabled staff can face at work
The opportunity to improve your communication or leadership skills
Other (please specify):
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Input box for - Other (please specify):
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8.
Question 8.
The NHS staff survey shows that staff with a disability have less confidence in having equal opportunities for promotion / career progression – do you think this applies at our Trust?
Required
- Required.
Yes – I have personal experience of this
Yes – not personally but I’m aware of it amongst colleagues
Not sure
No
Other (please specify):
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Input box for - Other (please specify):
9.
Question 9.
The NHS staff survey shows that staff with a disability have experienced bullying in the workplace from colleagues or managers – do you think this applies at our Trust?
Yes – I have personal experience of this
Yes – not personally but I’m aware of it amongst colleagues
Not sure
No
Other (please specify):
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Input box for - Other (please specify):
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10.
Question 10.
The NHS staff survey shows that not enough staff with a disability have had reasonable adjustments put in place to allow them to fulfil their role – do you think this applies at our Trust?
Required
- Required.
Yes – no adjustments have been considered
Yes – adjustments have been recommended but they haven’t been put in place
No – reasonable adjustments have been put in place to help me to succeed in my role
Other (please specify):
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Input box for - Other (please specify):