NHS Kingston Community Pharmacy Services Questionnaire
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1. Community Pharmacy and You

 
Thank you for agreeing to take part in this questionnaire.

The results of this survey will be used to support the development of a Pharmaceutical Needs Assessment in NHS Kingston. This assessment is designed to review the current status of pharmacy services in the NHS Kingston area, examine gaps in provision and where necessary introduce new services to support the needs of local populations.

It likely that a final draft report will be available in late September 2010 for consultation. We would encourage you to visit the trust website at www.kingstonpct.nhs.uk for further information around this time to make your comments on the draft report.

Please answer these questions as honestly as you can. No personally identifiable data will be requested so you can be assured that anything you say will be anonymous.

Please click on the "done" button at the bottom of the page when you have completed the survey.

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1. Please enter your postcode of main residence (do not add spaces, e.g. if your postcode is NW3 3BR, then please enter NW33BR).

Note that this information is only used to establish the ward and general geographical area that you reside in and will NOT be used in any other way.

2. Please indicate whether or not you are a resident of Kingston

3. Are you on regular medication prescribed by your doctor?

(Regular means one or more medication that you take on at least a daily basis)

4. Approximately how regularly do you get prescriptions dispensed from a pharmacy?

5. Do you have a prepayment certificate or otherwise obtain prescriptions free of charge from the NHS?

6. Over the past twelve months, what services have you used your community pharmacy for?

(you may tick more than one box if needed):

7. How would you travel to your local (i.e. nearest) pharmacy from home?

8. On average, how long does it take you to travel your closest pharmacy from your home or workplace using the mode of transportation indicated above?

9. Have you had any problems in finding or accessing a pharmacy to get advice, obtain dispensed medicines or buy medicines?

10. When do you usually visit the pharmacy (you may tick more than one answer)

11. Are there any areas of Kingston that you feel may are not currently covered by adequate pharmaceutical service provision?

Please indicate an approximate geographical area in your response

12. Out of the choices listed below, please indicate what would benefit you the most if a community pharmacy were to provide these services FREE OF CHARGE?

Please tick a maximum of THREE boxes only

 Choice 1Choice 2Choice 3
Advice on finding / using other services (i.e. signposting)
Blood Testing Services (e.g. for patients with diabetes or those who require regular INR testing etc)
The "morning after" pill
Free non-prescription medicines to patients who are exempt from prescription charges
Pregnancy Testing
Delivery of dispensed prescriptions to home
An in depth medication review service
Support in stopping smoking
Obesity management services
Blood pressure monitoring and advice
Advice and support on falls prevention for the elderly
Flu vaccination services
Support for patients with drug or alcohol addiction
Provision of structured educational programmes for specific conditions (e.g. diabetes, asthma, other conditions etc)

13. Do you have any other suggestions that you feel would improve the pharmacy services you are provided with in Kingston?