PPG Questionnaire PPG Questionnaire Which GP Practice are you currently registered with? St Thomas Medical Group Foxhayes Which type of appointments or contact do you more frequently make with your GP Practice? Appointments I can arrange in advance with a particular GP or Practice Nurse Appointments I can arrange in advance with any GP or Practice Nurse Same day appointments for ‘urgent’ matters Use online consultations to get advice and support Contacting the Practice for prescriptions/test results or other ‘routine’ reason Please tick all that apply. Would you be happy to have an appointment outside of ‘normal hours’ at a different GP Practice in your area and with a different clinician? Yes, I would be happy to have an appointment with a clinician at a different GP Practice in my local area No, I would only want an appointment with clinicians at my own GP Practice Don’t know/Not sure what is available to me With your consent the GP or Nurse will be able to access your medical records in the same way as your own GP Would you use GP service appointments between 18:30 and 20:00 on weekday evenings if it was available? Yes No Don’t know/Not sure Which days would be most useful to you? Monday Tuesday Wednesday Thursday Friday Please tick all that apply. Would you find it useful to access GP services in appointments between 07:00 and 08:30 in the morning, during the week? Yes No Don’t know/Not sure Which days would be most useful to you? Monday Tuesday Wednesday Thursday Friday Please tick all that apply. Would you find it useful to access GP services in appointments over the weekend? No, I wouldn’t use a weekend service Yes, Saturday only Yes, Sunday only Yes, either a Saturday or Sunday Don’t know/not sure Which of the following times would you most likely to use to make an appointment? Saturday: 09:00-12:00 Saturday: 12:00-17:00 Saturday: 17:00-20:00 Sunday: 09:00-12:00 Sunday: 12:00-17:00 Sunday: 17:00-20:00 Please tick all that apply. What sort of appointment would you like to have available to you at a GP Practice? A face-to-face appointment with a member of practice staff A telephone appointment A video consultation Don’t know/Not sure what available to me Other Please tick all that apply. Please specify: What services would you like to be able to access during the enhanced access period? Appointment with a GP Appointment with a Health Care Assistant (e.g. blood tests, smoking cessation service etc) Appointment with the General Practice Nurse (e.g. support for long-term conditions, travel immunisation, wound dressing, sexual health and contraception, cervical screening etc) Appointment with a Pharmacist for health advice Other service Please tick all that apply. Please specify: If necessary, how far/long would you be willing to travel to get to an appointment at a GP Practice during the enhanced access period? 0-2 miles or 0-5mins 2-5 miles or 5-10mins 5-10 miles or 10-30mins I am not prepared to travel Travel/distance is not an issue for me Depends on distance / public transport routes Please tick all that apply. What site would be the most convenient for you to access for these appointments? St Thomas Exwick Foxhayes What do you think is the best way to promote these extra appointments to patients? Via own GP e.g. website, waiting area advertising, via receptionist Radio advertising locally Posters in other healthcare settings Other settings, e.g. post office, buses, local newspapers Other Please tick all that apply. Please specify: Is there anything else which you think is important for us to consider in terms of extending hours for GP Practices in your area? Demographic Questions To help us understand the needs of different people, we do ask for some information about you. You do not need to answer these questions, but if you do, it helps us to provide a more accurate picture of the needs of those people responding to this survey. How old are you? Under 15 15 – 19 years 20 - 49 years 50 - 64 years 65 - 79 years 80 - 89 years 90+ Prefer not to say How would you describe your ethnicity? African Bangladeshi or British Banglade Caribbean Chinese Gypsy Roma Indian or British Indian Irish Pakistani or British Pakistani White & Asian White & Black African White & Black Other Prefer not to say Please specify: How would you describe your gender? Female Male Non-binary Other Prefer not to say Is your gender the same now as the one you were assigned at birth? Yes No Prefer not to say How would you describe your sexual orientation? Bisexual Gay man Gay woman / lesbian Heterosexual / straight Other Prefer not to say Do you have a disability? Yes No Prefer not to say What type of disability do you have? Blind Cognitive disability Deaf/Blind Deaf Hearing (impairment) Learning disability Mental illness Neurodiversity (e.g. ASC, ADHD dyslexia) Physical disability Speech Visual (impairment) Prefer not to say Other Please specify: What is your religion or belief? Buddhist Christian Hindu Jewish Muslim Sikh None Prefer not to say Other Please specify: reCAPTCHA Submit
