Birmingham Community Healthcare Call Handling Service Patient Survey

Please note: This questionnaire is only in relation to the Birmingham Community Healthcare Call Handling Service (which is provided by CallEEAST) and not in relation to any ambulance care or transport you may have had.

How did you hear about the survey?*

If you selected the above option 'Letter', please provide below the REF1 & REF2 which can be found on the top right hand side of letter.

We would like you to think about your recent experience with the Birmingham Community Healthcare Call Handling Service:

Q1. Overall, how was your experience? *

Thinking about the service we provide...

Please confirm whether you are happy for your comments to be made public?*

Please tell us about your use of the service on this occasion:

Q2. How quickly did we answer your call?*

Quickly
It took a long time
My call was not answered
Unable to say

Q4. How did you feel once you had finished the telephone call?*

Reassured - that your problem was being dealt with
Uneasy - thinking that you might need to ring back
Concerned - that you had not been listened to and would have to access health care by other means

Q5. How would you describe the call handling service you received in relation to your expectations?*

Exceeded my expectations
Met my expectations
Barely met my expectations
Did not meet my expectations

Would you like to compliment the service or staff?

If you wish to write a separate note of thanks to the call handler or staff involved, you may add your comments to the box below, please also include your name and contact details to ensure such correspondence is passed on to the staff member.

I consent to my details being held by the East of England Ambulance Service NHS Trust and I would like for my comments to be passed on to the team:

Would you like to inform us of a concern or complaint?

All comments received are used to monitor and improve the services provided by the Trust. If you have a concern or complaint about the service you have received and would like us to contact you, please provide your details below:

I consent to my details being held by the East of England Ambulance Service NHS Trust and I would like for my comments to be passed on to the relevant team:

Equality and Diversity

The following questions are used to obtain demographic information about the patients we serve. This information can help us plan to meet the needs of the community, to ensure that everyone has equal access to the heath care provided and for the service to be delivered to a high standard for all of our patients.

What is your ethnic group?

What is your religion or belief?

Sexual orientation of the patient:

Do you have any of the following disabilities?

Are you currently pregnant or have had a child within the last 12 months?

As a protection against spam, please type the letters and/ or numbers you see: *

Please be aware that you can withdraw your consent for the East of England Ambulance Service NHS Trust to use and store the information you have provided at any time. If you wish to withdraw your consent to your details being held, please contact the patient survey team by email: surveys@eastamb.nhs.uk or phone: 01603 422757.

Thank you for taking the time to complete this questionnaire.

The information collated will be used to assist us in improving the services we provide.