Extended Hours Questionnaire Attenborough Surgery currently offers the following combination of appointments: A commuter surgery (Appointments before 8am) Late evenings up until 8pm or 10pm (depending on staff availability) Saturdays 9-1pm and 3-7pm and Sundays 9-1pm NHS England have advised general Practice they must offer appointments between 8am and 8pm Monday to Friday and Saturdays 9-5pm We would like to find out what our patients want. Do you find it difficult to attend appointments, in person or by telephone during the hours of 8.00am – 6.30pm Monday – Friday? Yes No If YES, please indicate why this is:Which surgery do you normally attend? Bushey Carpenders Park Branch Holywell Branch Tudor Branch Any of the above Would you be willing to attend an out of hours appointment, even if they were not at your usual branch surgery? Yes No Which of the following would you find the most useful? I am content with existing arrangements Early morning commuter appointments Early morning (Before 8am) Evening [6.30pm-8pm] Saturdays [9am-5pm] Which of the following would you find the most useful? Physiotherapy Screening [for example Smear Clinics] Health Checks Blood Test Clinic Vaccination Clinics Nursing Appointments Chronic Disease Management, e.g Asthma, Diabetes The new service must provide a GP clinic alongside other healthcare professional, please select what other services you would like us to set up. Telephone Video calls Face-to-face Pre-bookable [2 weeks in advance] Urgent on the day [Monday-Friday 6.30-8pm] Contacting the practice using an online method rather than by phone ‘E-Consult’ Age Under 18 18-24 years 25-34 years 35-44 years 45-54 years 55-64 years 65 or above Prefer not to say Employment Status Employed Full-Time Employed Part-Time Self Employed Not Employed Home Maker Retired Carer Prefer not to answer EthnicityWhite – English, Welsh, Scottish, Northern Irish, or BritishWhite – IrishWhite – Gypsy or Irish TravellerWhite – RomaAny other White backgroundBlack – CaribbeanBlack – AfricanAny other Black, Black British, or Caribbean backgroundAsian or Asian British – IndianAsian or Asian British – PakistaniAsian or Asian British – BangladeshiAsian or Asian British – ChineseAny other Asian backgroundMixed or multiple ethnic groups – White and Black CaribbeanMixed or multiple ethnic groups – White and Black AfricanMixed or multiple ethnic groups – White and AsianAny other Mixed or multiple ethnic backgroundAnother ethnic groupIf another ethnic group, please specify Please join our Patient Participation Group. What is a Patient Participation Group (PPG)? A group of registered patients and practice staff who meet frequently to discuss and make decisions about the practice and how it is able to service the community with improved healthcare services and facilities. No time to attend meetings. If you would like to get involved but are unable to attend meetings, why not join our virtual Patient Participation Group? Members can receive regular updates on practice developments and can give us views and suggestions. I would like to come to meetings at the surgery to give my input on services and improvements. Optional I would like to join the virtual group. OptionalPlease add your name and contact number below Optional