Incident

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Patient Transport Service Survey

How did you hear about the online 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 contact with our Patient Transport Service.

Q1. Overall, how was your experience of our service? *
Please confirm whether you are happy for your comments to be made public: *
Q2. Are you the patient? *
Q3. How quickly did we answer your call? *
Q4. Were you clearly informed of the date and time of your booking? *
Q5. How would you rate the booking system? *
Q6. Did the service staff introduce themselves to you? *
Q7. How would you describe the length of time your journey took? *
Q8. Did you arrive on time for your appointment? *
Q9. If we were late, did we contact you? *
Q10. How long did you have to wait for your return transport after your appointment? *
Q11. How did you find the communication between the Patient Transport Service and the hospital / clinic?

Q12. How would you describe the following:

Comfort of the vehicle *
Suitability of the vehicle *
Cleanliness inside the vehicle *
Q13. How would you describe the attitude of the staff? *
Q14. Did the staff treat you with dignity and respect? *
Q15. Did the staff drive safely? *
Q16. Did the staff offer assistance if required? *
Q17. If you had not travelled with the ambulance service, how would you have travelled to hospital? *
Q18. Did you use patient transport due to any of the following? *

 

Would you like to compliment the service or staff?

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

 

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 complete the below box and provide your name and telephone number.

 

Would you like to take part in a discovery interview?

We are looking for patients or their representatives who would be willing to discuss their experience in more depth by way of a video discovery interview. The discovery interviews are used to assist us in improving the services provided through staff training and awareness raising.

Would you like to become a Patient Representative for EEAST?

If you would like to become a Patient Representative and help to shape the services provided by the Trust, please register your interest by contacting involvement@eastamb.nhs.uk

Equality and Diversity

This information can help us plan to meet the needs of the community, to ensure that everyone has equal access to the health care provided and for the service to be delivered to a high standard for all our patients. 

What age are you?
What best describes your gender?
What is your ethnic group?
What is your religion or belief?
Sexual orientation of the patient:
Do you (the patient) have any of the following disabilities?
Are you married or in a civil partnership?
Are you currently pregnant or have had a child within the last 12 months?
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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 either via email: surveys@eastamb.nhs.uk or by telephone 01603 422757. 

If you would like to become involved, represent your community and feel you can be an ambassador for EEAST research, then we would love to hear from you, please register your interest

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.