Information Governance Patient Survey Question Title * 1. Have you visited any pages on the Trust website which inform you about how the Trust uses your personal information and keeps this secure and confidential?If No, please go to question 8 Yes No Question Title * 2. Have you visited the Patient Information Leaflet section of the website? Yes No Question Title * 3. Have you seen the “How we use your personal information leaflet” on the website? Yes No Question Title * 4. Did you find the leaflets clear and easy to understand? Yes No N/A If No, how could these be improved Question Title * 5. Have you ever visited the Trust’s Publication Scheme on the website? If no please go to Q 8 Yes No Question Title * 6. If yes, did you find the information you were looking for? Yes No Question Title * 7. If no, what information were you trying to find? Question Title * 8. Are you aware that the Trust requires consent to share your personal information if this is not directly related to your care / or treatment, so for example we would share information with your GP about the care you receive at the hospital but we wouldn’t share with a charity if you have not consented to this. Yes, fully aware No, I don't know anything about this I would like more information and will supply my details at the end of the survey Question Title * 9. Are you aware about your choice regarding disclosure of your information? Yes, fully aware No, I don't know anything about this I would like more information and will supply my details at the end of the survey Question Title * 10. Would you like further details about how the Trust uses your personal information? Yes, I will supply my details at the end of the survey No Question Title * 11. Are you aware that if you decide to withhold information to staff who are treating you this does not affect the way they are handled by staff but it may reduce the number of treatment options available to you? Yes No I would like more information and will supply my details at the end of the survey Question Title * 12. Which of the following do you think the Trust shares personal information with without directly asking you for your consent? Department of Heath Other NHS Trusts, for example another hospital GP's Voluntary Sector Providers e.g. Age Concern Question Title * 13. Are you aware that you can request to have access to copies of your health records? Yes, fully aware No, I don't know anything about this I would like more details and will supply my details at the end of the survey Question Title * 14. On attending an appointment or admission to the hospital, were you asked if your personal details were correct such as name, address, date of birth etc? Yes No Can't remember Question Title * 15. If yes, when you were asked to check your personal details, how was this done? The staff member asked me to write down my personal details to give them to check The staff member showed me my details on a screen/file and asked me to confirm if they were correct I was asked to verbally state my details The staff member repeated my personal deatils out loud for me to confirm that they are correct Other (please specify) Question Title * 16. Did you know you can ask the Trust about any information which it holds which is about the business of the Trust (for example, minutes of meetings, policies and procedures)? Yes, I am fully aware No, I don't know anything about this I would like more information and will supply my details at the end of the survey Question Title * 17. Have you heard of Share to Care? Yes No I would like more details and have entered my details at the end of the survey Question Title * 18. Into which age bracket do you fall? 18 -30 31 - 50 51-70 71 and over Question Title * 19. If you have indicated that you would like further details about anything mentioned in the survey please enter your name and either your email address or home address in the box below. Question Title * 20. Any further comments regarding the use of your personal information Many thanks for taking the time to complete this survey, your views are important to us Done