Tell Us What You Think! UCLH NHS Equality Delivery System (EDS) Survey

Please complete this questionnaire with reference to a service at UCLH that you use most often or are most familiar with. Some of these questions only apply to members of staff. However, please comment as you feel appropriate. Please note that your responses are confidential.

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* 1. Are you a:

patient

NHS staff member

carer

third sector organisation (e.g. charity)

other

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* 2. Please name the UCLH service you would like to comment on:

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* 3. How easy was it to access this service (in terms of transport, physical access etc.)?

very easy

easy

neither

difficult

very difficult

not applicable

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* 4. Please tell us how we could improve access to this service in the box below:

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* 5. When using the service, to what extent do you think it is friendly, welcoming and safe?

always

mostly

sometimes

rarely

never

not applicable

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* 6. If you are an UCLH employee, to what extent do you find your work environment to be friendly, welcoming and safe?

always

mostly

sometimes

rarely

never

not applicable

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* 7. Do you face any language barriers/difficulties when communicating with staff or at work if you are an employee?

not at all

hardly ever

sometimes

most times

always

not applicable

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* 8. If yes, please tell us what the difficulties are:

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* 9. In our provision of this service, do you think there is any discrimination based on the following (please indicate by ticking 'yes' or 'no'):

	yes	no
age	age yes	age no
disability	disability yes	disability no
gender reassignment	gender reassignment yes	gender reassignment no
marriage and civil partnership	marriage and civil partnership yes	marriage and civil partnership no
pregnancy and maternity	pregnancy and maternity yes	pregnancy and maternity no
race (ethnicity)	race (ethnicity) yes	race (ethnicity) no
religion or belief	religion or belief yes	religion or belief no
sex	sex yes	sex no
sexual orientation	sexual orientation yes	sexual orientation no

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* 10. Do you think we discriminate when employing staff based on the following (please indicate by ticking 'yes' or 'no'):

	yes	no
age	age yes	age no
disability	disability yes	disability no
gender reassignment	gender reassignment yes	gender reassignment no
marriage and civil partnership	marriage and civil partnership yes	marriage and civil partnership no
pregnancy and maternity	pregnancy and maternity yes	pregnancy and maternity no
race (ethnicity)	race (ethnicity) yes	race (ethnicity) no
religion or belief	religion or belief yes	religion or belief no
sex	sex yes	sex no
sexual orientation	sexual orientation yes	sexual orientation no

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* 11. If you are a staff member, do you think we practice inclusive leadership where all staff feel valued and listened to regardless of their background, age etc.?

not at all

hardly ever

sometimes

most times

always

not applicable

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* 12. Please enter any comments how we can improve in the box below:

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* 13. Thinking about the main service you use, does it take account of your needs (e.g. religious requirements). Please indicate below:

	VERY UNDERSTANDING I always feel that my needs are met	SOMETIMES UNDERSTANDING Generally people try to meet my needs but it does not feel like there is a broad understanding of who I am	NOT UNDERSTANDING I often feel there is a lack of awareness and understanding of different needs	NOT APPLICABLE
religious/cultural needs	religious/cultural needs VERY UNDERSTANDING I always feel that my needs are met	religious/cultural needs SOMETIMES UNDERSTANDING Generally people try to meet my needs but it does not feel like there is a broad understanding of who I am	religious/cultural needs NOT UNDERSTANDING I often feel there is a lack of awareness and understanding of different needs	religious/cultural needs NOT APPLICABLE
disability related adjustments	disability related adjustments VERY UNDERSTANDING I always feel that my needs are met	disability related adjustments SOMETIMES UNDERSTANDING Generally people try to meet my needs but it does not feel like there is a broad understanding of who I am	disability related adjustments NOT UNDERSTANDING I often feel there is a lack of awareness and understanding of different needs	disability related adjustments NOT APPLICABLE
gender related needs	gender related needs VERY UNDERSTANDING I always feel that my needs are met	gender related needs SOMETIMES UNDERSTANDING Generally people try to meet my needs but it does not feel like there is a broad understanding of who I am	gender related needs NOT UNDERSTANDING I often feel there is a lack of awareness and understanding of different needs	gender related needs NOT APPLICABLE
language needs	language needs VERY UNDERSTANDING I always feel that my needs are met	language needs SOMETIMES UNDERSTANDING Generally people try to meet my needs but it does not feel like there is a broad understanding of who I am	language needs NOT UNDERSTANDING I often feel there is a lack of awareness and understanding of different needs	language needs NOT APPLICABLE
other needs	other needs VERY UNDERSTANDING I always feel that my needs are met	other needs SOMETIMES UNDERSTANDING Generally people try to meet my needs but it does not feel like there is a broad understanding of who I am	other needs NOT UNDERSTANDING I often feel there is a lack of awareness and understanding of different needs	other needs NOT APPLICABLE

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* 14. In general, would you like to see an improvement from that particular service? Please enter your comments in the box below:

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* 15. Do you think there are any community groups or charities who we should engage with as an organisation? Please put your comments in the box below:

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* 16. Finally, thinking about the whole of UCLH, what do you think we should prioritise to improve on in the future? Please put your comments in the box below: