PCN Additional hours survey

The Wellcome Practice, Dartford East Health Centre and Lowfield Medical Practice will be working together from the beginning of October to offer additional appointments to their patients in the evenings (6.30pm-8pm) and on Saturdays from 9am-5pm). To help us plan these appointments we would be grateful if you could answer a few questions.

1. I would be likely to request a telephone appointment with a GP or another member of the practice team at the following times

	Very unlikely	Unlikely	Neither likely nor unlikely	Likely	Very likely
Weekday evening (Mon-Thurs) 6.30pm-8pm	Weekday evening (Mon-Thurs) 6.30pm-8pm Very unlikely	Weekday evening (Mon-Thurs) 6.30pm-8pm Unlikely	Weekday evening (Mon-Thurs) 6.30pm-8pm Neither likely nor unlikely	Weekday evening (Mon-Thurs) 6.30pm-8pm Likely	Weekday evening (Mon-Thurs) 6.30pm-8pm Very likely
Friday 6.30pm-8pm	Friday 6.30pm-8pm Very unlikely	Friday 6.30pm-8pm Unlikely	Friday 6.30pm-8pm Neither likely nor unlikely	Friday 6.30pm-8pm Likely	Friday 6.30pm-8pm Very likely
Saturday morning 9am-1pm	Saturday morning 9am-1pm Very unlikely	Saturday morning 9am-1pm Unlikely	Saturday morning 9am-1pm Neither likely nor unlikely	Saturday morning 9am-1pm Likely	Saturday morning 9am-1pm Very likely
Saturday afternoon 1pm-5pm	Saturday afternoon 1pm-5pm Very unlikely	Saturday afternoon 1pm-5pm Unlikely	Saturday afternoon 1pm-5pm Neither likely nor unlikely	Saturday afternoon 1pm-5pm Likely	Saturday afternoon 1pm-5pm Very likely

2. I would be likely to request a Face to Face appointment with a GP or another member of the practice team at the following times

	Very unlikely	Unlikely	Neither likely nor unlikely	Likely	Very likely
Weekday evening (Mon-Thurs) 6.30pm-8pm	Weekday evening (Mon-Thurs) 6.30pm-8pm Very unlikely	Weekday evening (Mon-Thurs) 6.30pm-8pm Unlikely	Weekday evening (Mon-Thurs) 6.30pm-8pm Neither likely nor unlikely	Weekday evening (Mon-Thurs) 6.30pm-8pm Likely	Weekday evening (Mon-Thurs) 6.30pm-8pm Very likely
Friday evening 6.30pm-8pm	Friday evening 6.30pm-8pm Very unlikely	Friday evening 6.30pm-8pm Unlikely	Friday evening 6.30pm-8pm Neither likely nor unlikely	Friday evening 6.30pm-8pm Likely	Friday evening 6.30pm-8pm Very likely
Saturday morning 9am-12.30pm	Saturday morning 9am-12.30pm Very unlikely	Saturday morning 9am-12.30pm Unlikely	Saturday morning 9am-12.30pm Neither likely nor unlikely	Saturday morning 9am-12.30pm Likely	Saturday morning 9am-12.30pm Very likely
Saturday afternoon 12.30pm-5pm	Saturday afternoon 12.30pm-5pm Very unlikely	Saturday afternoon 12.30pm-5pm Unlikely	Saturday afternoon 12.30pm-5pm Neither likely nor unlikely	Saturday afternoon 12.30pm-5pm Likely	Saturday afternoon 12.30pm-5pm Very likely

3. We could offer early morning phlebotomy (blood test) appointments, before 8am on weekdays. These cannot be done in the evening or weekend as we have no transport or laboratory facility for blood samples. How likely are you to use these?

4. We could offer early morning nurse appointments (eg for smear tests, immunisations, contraception), before 8am on weekdays. How likely are you to use these?

5. We could offer early morning doctor appointments, before 8am on weekdays. How likely are you to use these?

	Very unlikely	Unlikely	Neither likely nor unlikely	Likely	Very likely
If telephone appointments	If telephone appointments Very unlikely	If telephone appointments Unlikely	If telephone appointments Neither likely nor unlikely	If telephone appointments Likely	If telephone appointments Very likely
If video appointments	If video appointments Very unlikely	If video appointments Unlikely	If video appointments Neither likely nor unlikely	If video appointments Likely	If video appointments Very likely
If Face to Face appointments	If Face to Face appointments Very unlikely	If Face to Face appointments Unlikely	If Face to Face appointments Neither likely nor unlikely	If Face to Face appointments Likely	If Face to Face appointments Very likely

6. How important are the following for you

	Not at all important	Not so important	Somewhat important	Very important	Extremely important
Appointments before 8am during the week	Appointments before 8am during the week Not at all important	Appointments before 8am during the week Not so important	Appointments before 8am during the week Somewhat important	Appointments before 8am during the week Very important	Appointments before 8am during the week Extremely important
Appointments after 6.30pm on Mon-Thurs	Appointments after 6.30pm on Mon-Thurs Not at all important	Appointments after 6.30pm on Mon-Thurs Not so important	Appointments after 6.30pm on Mon-Thurs Somewhat important	Appointments after 6.30pm on Mon-Thurs Very important	Appointments after 6.30pm on Mon-Thurs Extremely important
Appointments after 6.30pm on Friday	Appointments after 6.30pm on Friday Not at all important	Appointments after 6.30pm on Friday Not so important	Appointments after 6.30pm on Friday Somewhat important	Appointments after 6.30pm on Friday Very important	Appointments after 6.30pm on Friday Extremely important
Appointments on Saturdays	Appointments on Saturdays Not at all important	Appointments on Saturdays Not so important	Appointments on Saturdays Somewhat important	Appointments on Saturdays Very important	Appointments on Saturdays Extremely important

7. Please indicate how important the follow are to you

	Not at all important	Not so important	Somewhat important	Very important	Extremely important
Having continuity of care (seeing the same doctor, nurse or other health care professional)	Having continuity of care (seeing the same doctor, nurse or other health care professional) Not at all important	Having continuity of care (seeing the same doctor, nurse or other health care professional) Not so important	Having continuity of care (seeing the same doctor, nurse or other health care professional) Somewhat important	Having continuity of care (seeing the same doctor, nurse or other health care professional) Very important	Having continuity of care (seeing the same doctor, nurse or other health care professional) Extremely important
Having access to a telephone consultation	Having access to a telephone consultation Not at all important	Having access to a telephone consultation Not so important	Having access to a telephone consultation Somewhat important	Having access to a telephone consultation Very important	Having access to a telephone consultation Extremely important
Seeing a clinician face to face	Seeing a clinician face to face Not at all important	Seeing a clinician face to face Not so important	Seeing a clinician face to face Somewhat important	Seeing a clinician face to face Very important	Seeing a clinician face to face Extremely important
Being able to send in a e-consultant and have an electronic (email/text) response	Being able to send in a e-consultant and have an electronic (email/text) response Not at all important	Being able to send in a e-consultant and have an electronic (email/text) response Not so important	Being able to send in a e-consultant and have an electronic (email/text) response Somewhat important	Being able to send in a e-consultant and have an electronic (email/text) response Very important	Being able to send in a e-consultant and have an electronic (email/text) response Extremely important

8. Please rank the following where 1 is the most important and 4 is the least important (NB when you chose the rank it will change the order of the sentences below, but will always be ordered 1-4 on the left side)

I am happy to see any GP, even if outside of my practice for a non-urgent need
I would like to see my preferred GP for a non-urgent need
I am happy to see any GP in my practice for a non-urgent need
I would like to see a GP from my surgery who I am familiar with for a non-urgent need

9. Please rank the following where 1 is the most important and 3 is the least important (NB when you chose the rank it will change the order of the sentences below, but will always be ordered 1-3 on the left side)

If I had an urgent same day clinical need, I want to be seen at my own practice
If I had an urgent same day clinical need, I would attend a setting outside of the three practices
If I had an urgent same day clinical need, I would attend one of the other two practices

10. Please indicate if you agree or disagree with the following statements

	True	False
I prefer to see a nurse from my practice	I prefer to see a nurse from my practice True	I prefer to see a nurse from my practice False
I am happy to see any nurse, even if outside my practice	I am happy to see any nurse, even if outside my practice True	I am happy to see any nurse, even if outside my practice False
I would prefer to have my blood test at my practice	I would prefer to have my blood test at my practice True	I would prefer to have my blood test at my practice False
I am happy to go anywhere in Dartford for my blood test	I am happy to go anywhere in Dartford for my blood test True	I am happy to go anywhere in Dartford for my blood test False
I am happy to go anywhere in Dartford, Gravesham or Swanley for my blood test	I am happy to go anywhere in Dartford, Gravesham or Swanley for my blood test True	I am happy to go anywhere in Dartford, Gravesham or Swanley for my blood test False

11. I would be interested in participating in group consultations for the following conditions (if appropriate to my health needs)

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