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Have your say

Take five minutes to share your experiences

We only deal with health and care services in the London Borough of Westminster. If you live outside Westminster, you can find your local Healthwatch here.

NHS and social care staff are doing everything they can to keep us well during these challenging times, but there might be things that can be improved for you and your loved ones. Please take five minutes to share your story with us.

To understand how we will use your information read the 'How we use this information' at the end of the page.

Complete the survey

1. Which service would you like to tell us about today? You can select more than one option.

GP Services

Dentist

Pharmacies

Hospital inpatient (day treatment or overnight)

Hospital outpatients' appointments

Mental health support

Social care eg care homes, and home care

Accident and emergency/minor injury units

Ambulances and paramedics

NHS 111

Other issue/service (if other, please tell us which issue/service you are referring to)

If other, please tell us which issue/service you are referring to

2. If your feedback applies to a specific service, please tell us which one(s). For example, the GP surgery name or hospital department.

3. Please tell us who had this experience.

I’m the person who received the care

I’m providing this feedback on behalf of a friend or relative, or because I’m their carer and I have permission to share this with you

Other

4. Please tell us what happened. Try to include as much detail as possible about what happened, when and who else was involved.

5. Do you have any suggestions about what could have been made better or changed?

6. Overall, what did you think of your experience of care?

Good

Neither good nor bad

Poor

I had a mixed experience

Don't know/not sure

Not applicable

Tell us a bit about you

It would really help to know a little more about you so that we can better understand how people's experiences may differ. These questions are completely voluntary.

7. Please tell us your age

8. Please tell us your gender

Enter other…

9. Is your gender identity the same as your sex recorded at birth?

10. Please tell us which sexual orientation you identify with

Enter other…

11. Please select your ethnicity

Enter other…

12. Please select any of the following that apply to you

13. Which of the following best describes your financial status?

I have more than enough for basic necessities, and a large amount of disposable income, that I can save or spend on extras or leisure

I have more than enough for basic necessities, and a small amount of disposable income, that I can save or spend on extras or leisure

I have just enough for basic necessities and little else

I don’t have enough for basic necessities and sometimes run out of money

I don't know/prefer not to say

How we use this information

The information you share with us helps us spot trends to identify areas for improvement.

As well as your feedback, we also ask you to volunteer some personal information. This helps us to help us understand how different groups experience local health and social care services and supports our focus on improving equality, diversity and inclusion.

If you are sharing information on behalf of another person, make sure that you have their permission to do so, or the information you do share should be anonymous.

Find out more about how we handle your information in our privacy statement.

Please select one of the options below to confirm the level of detail you are happy for us to share with local providers.

A summary of my feedback can be shared anonymously, providing an overview, removing specific detail that may lead to my identity being revealed to the service provider

My story can be fed back as written/shared with Healthwatch Westminster, without passing on my name and/or contact details (although I understand it is not possible to guarantee complete anonymity, due to the detail of events/information provided).

My story can be told as written/shared with Healthwatch Westminster, with consent to provide my name/Personal Identifiable Information to the service provider, should they wish to investigate my experience further (we will not routinely share your contact details).

Can we stay in touch?

We'd love to tell your story and keep you updated about our work.

Sign-up to our mailing list

Sign-up to our mailing list to stay up to date with what people are telling us about health and social care, our advice and information, and our latest reports. You can unsubscribe from our mailing list at any time.

Please select

I am happy for Healthwatch Westminster to contact me about my responses to this survey.

I want Healthwatch Westminster to email me about advice and information, latest news, research and updates.

I don't want Healthwatch Westminster to email me about advice and information, latest news, research and updates.

If yes, please enter your name and email address.

Name

Leave this field blank

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