You feedback counts!

You are receiving this survey as you are registered as a patient with Bolton General Practice.

We have written to NHS Bolton Clinical Commissioning Group (CCG) to apply to change the location of services to be delivered by Bolton General Practice from its current location.

The new location is diagonally across from the current location, a distance of less than 100 metres. (see attached letter)

Bolton General Practice – Relocation to 2-4 Moor Lane, Bolton – 100m from current location

Your opinion is important to us and we would like to seek your views regarding the proposed relocation.

Thank you for taking the time to let us know your views.

This survey will close on Wednesday 3rd April 2018.

1: Have we kept you fully informed of our proposed move?

Yes No

2: Have you got any concerns about the proposed move?

Yes No

3: Please rank the following things in order of how important they are to you –

(1 - Most important, 2 – Very important, 3 – Important, 4 – A little bit important, 5 – Not at all important)

Seeing the same doctor/nurse every time–

Being seen in a building which is fit for purpose –

Being able to use public transport to your practice –

Being able to get an appointment easily –

Parking –

Friendly staff –

High level of care -

Other –

4: Is your practice easy to get to from where you live?

Yes No

5: Is there anything you would like to suggest about the building your practice will be moving to?

Yes No

What are your suggestions?

6: Anything else you would like to add?

7: Are you responding as a?(Please tick any box that applies to you)

Patient Carer

Member of staff On behalf of an organisation

8: Do you know of any reason why these proposed changes would affect you more than any other person, and how we could solve this? (For example, due to your gender, disability, race, religion etc.)

Demographics

9: Are you?

Male Female Intersex Prefer not to say

10: What was your age on your last birthday?

18-25 25-34 35-44

45-54 55-64 65-74

Over 75 Prefer not to say

11: What is your sexual orientation?

Heterosexual/Straight Gay/Lesbian

Bisexual Prefer not to say

Other –

12: Do you consider yourself disabled?

Yes No Prefer not to say

13: What is your religion?

Buddhist Christian Hindu Jewish

Muslim Sikh None Prefer not to say

Other –

14: What is your ethnic group?

White British Mixed or multiple ethnic groups

Asian or Asian British Black, African, Caribbean or Black British

Any other ethnic group Prefer not to say

Other -

If you have any questions, please contact Jane Wallace, Practice Manager at Bolton General Practice on 01204 521000 or on