Richmond Medical Patient Survey: report of findings There were 6 groups of questions on the survey relating to priorities chosen by the Patient Participation Group including 1. 2. 3. 4. 5. Demographic information Booking an appointment How to help non English speaking patients Health problems you would like to know more about How satisfied you are with our services A bilingual member of our Patient Participation Group who has training as a link worker handed out the survey in the waiting room to everyone over 16 who attended the practice, during a week in February. She offered help with translation and completing the responses if people requested this. Results: 286 questionnaires were completed. Results are from analysis of the first 249. 1. Demographics The responses were from a representative sample of the demographics of our patient population: Gender: 58% female 42% male Ethnicity: 34% British 53% Pakistani Long-term condition: 11% British Asian 2% other 36% First language: The first language of half our patients is not English 49% English (E) 14% Urdu (U) 35% Punjabi (P) 2% other Dr Fiona Ford March 2012 2. Booking an appointment a. Which type of appointments are most useful? (249 analysed) Appointments Needed 200 180 160 140 120 100 80 60 40 20 0 Appointments On the day: 184 Advance Series1 any dr/nurse: 92 Advance particular dr/nse: 93 Telephone: 24 Specific problem: 30 Long/complex: 49 O n th Ad e d ay va n Ad ce a v pa ny rti c Te ula r le ph on Sp e ec if i c F Lo am ng /c ily om pl ex Family: 32 This shows that patients are asking for a different pattern of appointment availability from what we currently offer: particularly for more pre-bookable appointments and longer consultations for complex problems. b. Getting an Appointment Booking Appointments 160 140 Phone: 26 Reception: 141 Online: 88 120 100 80 Series1 60 40 20 0 Telephone Reception Online This shows that telephone booking is not very popular, possibly because of language barriers Dr Fiona Ford March 2012 and difficulty getting through. A substantial number of people requested online booking (including people whose first language is not English). As we are currently setting up a practice website, it will be possible to offer this option in future. c. Remembering Appointments Remembering Appointments 90 80 70 60 50 40 30 20 10 0 card letter phone Reminder Appointment card: 22 Letter: 85 Phone: 70 Text: Series1 79 text This suggests ways we could help people to remember to attend their appointments, which would be particularly useful if we consider offering more pre-bookable slots, which people are more likely to forget. Dr Fiona Ford March 2012 3. Crossing the language barrier: what would help? Crossing the Language Barrier % of respondents requesting % 70 60 50 40 Bilingual Dr: 20 Bilingual nurse: 58 Bilingual receptionist: 55 Series1 30 Bilingual telephonist: 59 20 Relative/friend: 46 Language line: 30 Practice translator: 26 Booked translator: 41 10 lin Bi Bi lin gu al Dr Bi gu lin a ln gu ur al se Re ce Bi lin pt io gu ni al st te le ph on Re ist la tiv e/ fr i en La d ng ua Pr g ac e lin tic e e tr a ns Bo la ok to ed r tr a ns la to r 0 This shows a clear preference for bilingual staff rather than any form of translation. We continue to seek to appoint bilingual staff, particularly in reception and nurses, as we already offer the option of bilingual doctors. The requests for a booked translator were explained as nurses/doctors offering a regular session with a translator/link worker present, so non-English speaking patients could book those times. This would be relatively easy to organize, as almost all our non-English speakers’ first language is Urdu/Punjabi. However, we would need to find funding to pay the link worker. Dr Fiona Ford March 2012 4. Health Topics people would like to know more about. Patient Education % of Respondents wanting information on: D He ia b et ar es t As di se th m a BP a & se c & ch hes o t Sk les te in pr rol ob le Ho m w s th e bo TB dy w or ks 35 30 25 20 15 10 5 0 % Diabetes: Series1 Heart disease: 15 Asthma/chest problems: 21 High BP/cholesterol: 24 Skin problems: 31 TB: 16 How the body works: 13 27 Other subjects requested include womens’ problems, depression, hepatitis, diet/nutrition, arthritis, urinary problems, thalassaemia. Information: the majority of respondents asked for leaflets in English/Urdu, group talks in a local centre and a Q&A facility on the website. Self help/support groups were requested for families with disabled children and diabetes. Dr Fiona Ford March 2012 5. Satisfaction with services 1 = poor, 2 = fair, 3 = good, 4 = very good, 5 = excellent Premises Doctors Nurses Reception Dr Fiona Ford March 2012 Management/Admin Suggestions: what is good, and what needs improvement. We have a lot of comments to consider, and need to take time to do this properly. Dr Fiona Ford March 2012