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* 1. Thank you for taking part in the Whittington survey.
Are you:

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* 2. Which factors are important to you when referring a patient to the Whittington or advising a patient on their choices?

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* 3. Do you currently refer patients to us for the following day treatment?:

  Refer sometimes Refer often Refer to UCLH Refer to Royal Free Refer to North Middlesex Other
Diagnostic cardiology
Gastroenterology
Urology
General surgery
Orthopaedics
Gynaecology

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* 4. The day treatment centre offers procedures in the specialties listed below. Would you refer patients to the Whittington for the following:

  Refer sometimes Refer often Refer to UCLH Refer to Royal Free/RNENTH Refer to North Middlesex Other
Dermatology
Ophthalmology
Interventional imaging
ENT

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* 5. What factors would be most likely to make you change your established referral patterns?

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* 6. In general, based on your own views and those of your patients, what do you think are the Whittington’s strengths?

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* 7. In general, based on your own views and those of your patients, what do you think are the Whittington’s weaknesses?

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* 8. What factors, if any, would be most likely to make you change your established referral patterns?

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* 9. We are considering extending the Choose and Book scheme, to allow GPs referring a patient to the Day Treatment Centre to undertake fit for surgery, pre-assessment proformas in the surgery. Would you be interested in such a service?

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* 10. We are developing an Extranet for healthcare professionals. What services would be of most interest to you?

  Very interested Quite interested No interest Don't know
GP newsletter
Services directory
Details of clinical staff
GP and consultant forum
The Whittington's performance
Outpatient waiting times
Information on training courses

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* 11. Are you aware of the Whittington promise?

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* 12. How would you evaluate us against the following elements of the Whittington promise:

  Very good Good Average Poor Very poor Don't know about promise
We will be clean
We will be welcoming and caring
We will be well organised
We will offer the best possible treatment
We will give you information and listen to what you tell us

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* 13. Did you find the information on the Day Treatment Centre website useful?

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* 14. We would like to ask you some more research questions in the next few months. If you would be happy to be contacted, please complete your details below:

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