Please tell us your experiences of health and social care services in Northumberland over the last year and help us set out priorities for the coming year. This can be as a patient or carer. Knowing what is important to you helps Healthwatch Northumberland work more effectively on your behalf. Your views will be shared anonymously and stored in line with data protection regulations.

Thank you for taking the time to support us as we ensure the health and social care needs of the people of Northumberland are heard, understood and met by those responsible for commissioning and delivering services.

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* 1) Overall how would you rate your experiences of health and social care in the last 12 months?

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* 2) Please tick which of the following services you have used in the last 12 months

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* If you haven't used any services in the last 12 months please go to question 6.

3) How often have you used these services in the last 12 months?

  1-2 times 3-5 times 6-9 times 10+ times not used
GP
Practice Nurse
Hospital (please specify below)
Pharmacy
Optician
Dentist
Emergency Ambulance
NHS 111
Patient Transport Services
Mental Health Services
Care Home (residential or nursing)
Home Care
Other 

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* 4) How would you rate your overall experience of the services you have used?

  Excellent Good Satisfactory Poor
GP
Practice Nurse
Hospital (please specify below)
Pharmacy
Optician
Dentist
Emergency Ambulance
NHS 111
Patient Transport Services
Mental Health Services
Care Home (residential or nursing)
Home Care
Other 

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* 5) How easy was it to use the services?

  Easy I had some problems Difficult
GP
Practice Nurse
Hospital (please specify below)
Pharmacy
Optician
Dentist
Emergency Ambulance
NHS 111
Patient Transport Services
Mental Health Services
Care Home (residential or nursing)
Home Care
Other

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* What made it easy or difficult to use the services?

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* 6) Please use this space to give more detail about any of your experiences of health and social care services, particularly around transport/travel,
making an appointment and being able to talk to the right member of staff. If you haven't used services recently, please tell us what's important to you about using services.

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* 7) So that we can prioritise our work around areas of health and social care that are important to you, please let us know which three of the following services you think Healthwatch Northumberland should focus on this year and why. Please tell us the order of importance to you, by ticking 1, 2 and 3 next to the service.

  1 2 3
Mental Health Services
Dementia Care/Services
Home Care
GP Services
Access to Services

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* Please tell us a bit more about yourself. This information will be used for monitoring purposes only so we can see who our survey has reached.

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* Age

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* Gender

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* Ethnicity

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* Do you consider yourself to have a disability?

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* Do you consider yourself to be a carer?

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* Sexuality

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* Religion/Belief

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* If you would like to enter our draw to win a £25 Marks & Spencer voucher, cuddly toy or family swim session, and/or receive newsletters from us, please leave your details below.

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* Please tick if you give consent for Healthwatch Northumberland to contact you if you win the prize draw

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* Please tick if you would like to receive news and updates from Healthwatch Northumberland

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