Newgate Medical Group

practice level patient access questionnaire

This short Survey is designed to help us understand the routine appointment needs of our local population and help us to deliver the right services to our patients. Therefore, if you can spare a few minutes, we would appreciate it if you would complete this questionnaire. The feedback you give will help to develop a service that best meets the needs of our communities.

All responses will be anonymous, and we thank you for your valued feedback.

When was you last telephone call or face to face appointment at your practice?

a) Less than 1 week ago

b) Less than 1 month ago

c) Over a month ago

d) More than a year ago

Would you like to have the option to attend a routine appointment outside of normal surgery hours (normal hours 8am-6.30pm). Such as hours between 6.30pm - 8.30pm?

a) yes

b) no

Would you prefer to see a health care professional (e.g. A doctor, nurse, pharmacist, health care assistant) for a routine appointment on a Saturday?

a) yes

b) no

If yes, which of these times would be more convenient?

a) 9am to 1pm

b) 1pm to 5pm

Would you prefer to see a health care professional for a routine appointment on a Sunday instead of a Saturday?

a) Yes

b) No

Which of the following appointment types would you be willing to use?

a) Remote appointment (e.g. Telephone call or Video call)

b) Face to face appointments

To make sure we cater for a wide range of patients, Please tell us a little bit about yourself..

Your age:

a) under 18 years

b) 18 to 24 years

c) 25 to 49 years

d) 50 to 64 years

c) 65 to79 years

d) 80+ years

e) prefer not to say

What is your gender?

a) woman

b) man

c) non-binary

d) intersex

e) prefer not to say

f) prefer to self-describe (please state below)

What is your ethnicity?

a) white - British, Welsh, Scottish, Northern Irish

b) white - Irish

c) white - Gypsy or Irish Traveller

d) white - Roma

e) white - any other white background

f) mixed or multiple ethnic groups - white and black Caribbean

g) mixed or multiple ethnic groups - white and black African

h) mixed or multiple ethnic groups - white and Asian

i) mixed or multiple ethnic groups - Any other mixed or multiple ethnic group background

g) Asian or Asian British - Indian

h) Asian or Asian British - Pakistani

k) Asian or Asian British - Chinese

l) Asian or Asian British - Any other Asian background

m) Black, Black British, Caribbean or African - Caribbean

n) Black, Black British, Caribbean or African - African

o) Black, Black British, Caribbean or African - Any other Black ,Black British ,Caribbean or African

p)Another ethnic group- Arab

q) another ethnic group - Any other ethnic group

r) prefer not to say

Which of the following categories best describes your employment status?

a)employed - working full- time

b)employed - working part- time

c)self employed

d)not employed - looking for work

not employed - not looking for work

e)carer

f)retired

g)disabled, not able to work

h)in full time education

How do you travel to your registered GP surgery? (please tick all that apply)

a)walk

b)car

c)public transport

d)bicycle

e)taxi