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In-Patient Satisfaction
in Belfast City Hospital 2000
Appendices
1 Questionnaire
2 Covering Letter
3 Verbatim Comments
SURVEY OF YOUR EXPERIENCE
AS A PATIENT IN THE BELFAST CITY HOSPITAL
In conjunction with the Eastern
Multifund, Eastern Health & Social Services Council and
Belfast City Hospital HSS Trust This questionnaire is part
of a study looking at the quality of care you received during
your stay in the Belfast City Hospital. It has five sections
and asks about the care you received before, during and
after your operation.
HOW TO FILL IN THIS QUESTIONNAIRE
- Most questions can be answered
by putting a tick in the box next to the answer that applies
to you. At a few questions, it says you can tick more
than one box.
- If you answer 'other' to any of
these questions, please write in what this 'other' refers
to.
- Sometimes you are asked to write
the answer in your own words. Please take the time to
do this, as your views are important.
- If you find you cannot answer
a particular question, please write in why (for example,
'don't know' or 'can't remember')
- After answering a question, you
should go to the next question, unless it does not apply
to your experience.
Thank you for your help
HOSPITAL OUT PATIENT SERVICE
1. After you were referred
by your GP, how long did you wait before you received notification
of the specific date for your appointment with the consultant?
Less than one month 1-3 months 4-6 months 6 months + Unsure
2. Do you think this time
was Very satisfactory? Satisfactory? No opinion? Unsatisfactory?
Very unsatisfactory?
3. Before you received a date
for the operation, did you, or someone else on your behalf,
contact the hospital about the appointment? Yes go to Q4]
No go to Q6] Unsure
4. If the hospital was contacted
- who was spoken to? Consultant's secretary Appointment's
office Unsure Other (please state) ________________________________________________________________
________________________________________________________________
5.(a) How helpful were they?
Very helpful Helpful No opinion Unhelpful Very unhelpful
(b) Why did you find them helpful/unhelpful? ________________________________________________________________
________________________________________________________________
6.(a) At your appointment
did you see a consultant? Yes go to Q7] No Unsure
(b) If NO, who did you see? Senior Registrar Registrar Senior
house doctor Unsure Other (please state) __________________________________________________________
__________________________________________________________
(c) How satisfied were you with this? Very satisfied Satisfied
No opinion Dissatisfied Very dissatisfied
(d) If dissatisfied or very dissatisfied, please indicate
why? _________________________________________________________
_________________________________________________________
7. Were you seen at your appointment
time? Yes go to Q10] No Unsure 8.
(a) If NO, how long did you wait after your designated appointment
time? 0 - 10 minutes 11-20 minutes 21-30 minutes 30 minutes
+ Unsure
(b) How satisfied were you with this? Very satisfied Satisfied
No opinion Dissatisfied Very dissatisfied
(c) If dissatisfied - how long do you think is a reasonable
waiting time? 0-5 minutes 6-10 minutes 11-15 minutes 16-20
minutes Other (please state) __________________________________________________________
__________________________________________________________
9. If over 30 minutes were
you provided with an explanation for the delay? Yes No Unsure
Not applicable OPERATION 10.
(a) Did you receive enough information to prepare you for
your in-patient stay? Yes No Unsure go to Q11]
(b) If YES, who provided this information? __________________________________________________________
(c) If NO, what further information would you have liked?
__________________________________________________________
__________________________________________________________
11.(a) How much notice were
you given of the date of your operation? Up to one week
2-4 weeks 4+ weeks
(b) How satisfied were you with this notice? Very satisfied
Satisfied No opinion Dissatisfied Very dissatisfied 12.
When admitted for ___________________ (please state nature
of surgery) who discussed the operation with you? Nurse
Hospital Doctor/Surgeon Anaesthetist Don't know
13.(a) How satisfied were
you with the information given? Very satisfied Satisfied
No opinion Dissatisfied Very dissatisfied
(b) If DISSATISFIED or VERY DISSATISFIED what information
would you have liked? ___________________________________________________________
___________________________________________________________
14.(a) During your stay in
hospital what aspects were you most satisfied with? ___________________________________________________________
___________________________________________________________
(b) During your stay in hospital what aspects were you most
dissatisfied with? ____________________________________________________________
____________________________________________________________
FOOD
Food and drink are important
to people in hospital. In this section we want your views
on the meals you received.
15. Were you given menus?
Yes No
16. Was the choice of food
Very good? Good ? Neither good nor poor? Poor? Very poor?
17. Did you get the food
you requested? Always Usually Sometimes Never
18. Was the amount of food
you were given ... (Tick one box for each meal). Less than
I wanted? About right? Too much for me? Breakfast Lunch
Evening Meal
19. Overall was the temperature
of the food Too hot? Just right? Too cold?
20. Did you feel you had sufficient
time to eat your meals? Always Usually Sometimes Never
21. Were the plates and cutlery
clean? Plates Cutlery Always Sometimes Never
22. Overall, how did you rate
the quality of food? Very good Good Neither good nor poor
Poor Very poor
23. Were you on a special
diet? e.g. pureed, low fat etc. Yes No go to Q25]
24.(a) If YES, did you always
get your special diet? Yes go to Q25] No (b) If NO, please
indicate the reason(s) why you did not get your special
diet. _____________________________________________________________
_____________________________________________________________
25. Did you receive a drink
with your meal? Always Sometimes Never
26. Have you any other comments
to make about the food/drink that you received? _____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
HOSPITAL STAFF AND YOUR
CARE
This section asks you about
the hospital staff and the care you received. Please answer
as carefully and honestly as you can. Remember all the information
you give us is confidential.
27. How friendly were the
nurses in your ward? Very friendly Quite friendly Not friendly
28. Did you feel the nurses
spent enough time with you while ... (Tick one box for each
option) Yes No Does not apply Carrying out your nursing
care? Talking with you? Teaching you about your condition?
29.(a) Did you ever ring the
bell for attention from the nurses? Yes No go to Q30] There
was no bell go to Q30] (b) If YES, did a nurse generally
arrive in A couple of minutes? 10 minutes? 1/2 hour? More
than 1/2 hour?
30. Did the nurses give you
as much information as you would have liked about your progress?
Yes No
31. Before the nurses carried
out any procedures, did they explain what they were going
to do? Always Usually Sometimes Never
32. Was there enough privacy
when (Tick one box for each option) There was enough privacy
There was not enough privacy Does not apply The nurse was
giving information? The nurse was carrying out procedures?
33. Were you told the name
of the nurse in charge of your care? Yes No
34. Did you know that a plan
was made for your nursing care? Yes No go to Q36] Don't
know go to Q36]
35. If YES, were you involved
in planning this nursing care? Yes No Don't know
36. Would you have liked to
have been involved in writing this plan? Yes No Don't know
37. How would you rate the
overall standard of nursing care you received? Very good
Good Neither good nor poor Poor Very poor
38. If you have other comments
about the nursing care you received, please indicate below.
________________________________________________________________
________________________________________________________________
________________________________________________________________
39. How friendly did you find
the doctors on your ward? Very friendly Friendly Not friendly
40. Were you told the name
of the consultant who would be in charge of your care? Yes
No Don't Know
41. How frequently were you
seen by the doctors? Too often About the right amount Not
often enough
42. When you were seen by
the doctors, did they take time to answer any questions
you had? Always Usually Sometimes Never
43. Did you find that there
was enough privacy (Tick one box for each area) There was
enough privacy There was not enough privacy Does not apply
When the doctor was examining you? When the doctor was giving
you information? During the ward round?
44. Did the doctors give you
as much information as you would have liked about your condition?
Yes No
45. Did you understand this
information? Always Usually Sometimes Never
46. Before the doctors carried
out any procedures, did they explain what they were going
to do? Always Usually Sometimes Never
47. If you have other comments
about the care you received from the doctor, please indicate
these in the following space. ________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
48. How would you rate the
overall standard of care you received from medical and nursing
staff ? Very good Good Neither good nor poor Very poor
49. Which of the following
were involved in your care (Tick all boxes that apply) Physiotherapists
Radiographers (X-Rays) Dietician Social Workers None of
these go to Q53]
50. Before any of the following
people carried out procedures did they explain what they
were going to do? (Tick one box as appropriate for each
of the personnel) (a) Physiotherapist (b) Radiographer Always
Usually Sometimes Never Does not apply
51. Did the following people
give you as much information as you would have liked? (Tick
one box as appropriate for each of the personnel) (a) Dietician
(b) Social Worker Yes No Does not apply
52. How would you rate the
overall standard of care you received from each of the following
people (Tick one box as appropriate for each of the personnel)
Physio-therapist Radio-grapher Dietician Social Worker Very
Good Good Neither good nor poor Poor Very poor Does not
apply
ADDITIONAL INFORMATION
53. In what ways has this
operation affected your day to day living? _______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
54. OTHER COMMENTS _______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
PATIENT'S CHARTER
The following questions relate
to your knowledge of the Patient's Charter
55. Have you heard of the
Patient's Charter? Yes No go to next page
56. If YES: (a) Following
referral from your GP how long should you have to wait before
you get a letter from the hospital telling you the date
of your appointment ? 1 week 2 weeks 1 month 6 weeks (b)
At the outpatient clinic, how long after your appointment
time should you be seen? 15 minutes 30 minutes 45 minutes
60 minutes (c) After your appointment, when should your
GP receive a report from the hospital doctor? 3 days 5 days
7 days 9 days
57. In your view has the
Patient's Charter led to an improvement or deterioration
in the standards of the Health Service? Improved No opinion
Deterioration
PERSONAL DETAILS
Sex Male Female Age group
18 - 35 35 - 65 65 + Date of Birth: ___________________________________
Your postcode ___________________________________
Name and address of your General Practitioner. ______________________________________
______________________________________ ______________________________________
______________________________________
Thank you for completing this
questionnaire.
Please return in the pre-paid
envelope provided by: 19 Bedford Street Belfast, BT2 7EJ
01232-321230
Date as postmark
Dear Patient
We hope that you are feeling
better after your recent stay in Belfast City Hospital.
The Eastern Multifund and the Eastern Health & Social Services
Council now wish to find out about your stay in the Belfast
City Hospital. Your GP belongs to the Eastern Multifund
which represents GP Fundholding Practices, while the Eastern
Health & Social Services Council is an independent organisation
set up to represent the interests of the public in health
and social services in the Eastern Board area.
We would be grateful if you
would complete the enclosed questionnaire and return it
to the Eastern Health & Social Services Council in the prepaid
envelope provided. Most questions are easily answered by
ticking the appropriate box.
The information you give will
be treated as strictly confidential. You do not have to
put your name on the questionnaire. If you have any difficulties
in completing the questionnaire or have any queries about
the project please contact Ruth Wilson at the Eastern Health
and Social Services Council at 028 9032 1230. Thank you
for your help.
Yours sincerely
CATHERINE McEVOY (Miss)
Clinical Services Co-ordinator |
JANE GRAHAM (Mrs)
Chief Officer Eastern Multifund EHSSC Enc. |
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