UKTS Parent- Carer Experience Survey

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Q1. Are you a?
ParentCarerOther
Parent
Carer
Other
Q2. What is your gender?
FemaleMaleNon-BinaryPrefer not to say
Female
Male
Non-Binary
Prefer not to say
Q3. What is the gender of the patient with thalassaemia?
FemaleMaleNon-BinaryPrefer not to say
Female
Male
Non-Binary
Prefer not to say
Q4. How old is the patient with thalassaemia?
0-56-1011-1516-1818-2526-4040+
0-5
6-10
11-15
16-18
18-25
26-40
40+
Q6. Did members of staff (treating the person with thalassaemia) give you enough information about thalassaemia in a way that you could understand?
YesNo
Yes
No
Q7. How hard did you find coming to terms with your child/ loved one’s diagnosis of diagnosis? (Please tick all that apply)
Q8. Are you aware of the health care staff involved in the patient’s thalassaemia care and know how to contact them (excluding GPs)?
YesNo
Yes
No
Q9. Are you aware of the community services and know how to contact them?
YesNo
Yes
No
Q10. Do you feel you have adequate support and information available at the patient’s unit on managing thalassaemia?
YesNo
Yes
No
Q12. How do you rate the level of support that is given by the hospital to patients with thalassaemia and their families or carers?
GoodFairPoor
Good
Fair
Poor
Q13. Are you aware of the signs/symptoms of infection, pain, sepsis…etc and when to seek emergency care?
GoodFair
Good
Fair
Q16. Do you use the internet to learn more about thalassaemia?
YesNo
Yes
No
Q17. Do you receive copies of the patient’s medical letters sent to their GP?
YesNo
Yes
No
Q18. Do the patient’s thalassaemia team discuss potential clinical trials with you?
YesNo
Yes
No
Q20. Do you feel the thalassaemia team has a good understanding/ specialist knowledge about the patient’s condition?
YesNo
Yes
No
Q21. Do you feel you are being heard or listened to when you voice your worries or concerns?
YesNo
Yes
No
Q22. Were both you and the patient treated with dignity and respect by the thalassaemia team?
Yes, alwaysYes, sometimesNo
Yes, always
Yes, sometimes
No
Q23. Do you have confidence in the thalassaemia team?
YesNo
Yes
No
Q24. Is the unit well equipped for the patient’s needs (chairs comfortable etc)?
YesNo
Yes
No

Blood Transfusions

Q26. Thinking about the patient’s most recent transfusion, how long after the initial appointment time, did their blood transfusion start?
Seen on time/ earlyWithin 15 minsWithin 30 minsWithin 45 minsOver 60 mins
Seen on time/ early
Within 15 mins
Within 30 mins
Within 45 mins
Over 60 mins
Q27. How would you rate the care during the patient’s blood transfusion and why you chose this rating?
Bad careModerate careGood carevery good careExceptional care
Bad care
Moderate care
Good care
very good care
Exceptional care
Q28. Would you like to extend opening hours for blood transfusion?
YesNo
Yes
No

Specialist Care and Monitoring

Q29. How often the patient is reviewed by their haematology team?
Twice a yearOnce a yearOnce every two yearsOther (please specify)
Twice a year
Once a year
Once every two years
Other (please specify)
Q30. How often does the patient do regular blood tests to monitor their iron levels, hormone levels or any side effects from the iron chelation medication?
Every monthEvery 3 monthsOnce a yearI don’t know blood test are taken
Every month
Every 3 months
Once a year
I don’t know blood test are taken
Q31. How often does the patient have a MRI of their heart and liver?
Once a yearEvery two yearsNeverOther (please specify)
Once a year
Every two years
Never
Other (please specify)
Q32. How often does the patient see a doctor who specialises in hormones/ bone health/ reproductive health?
Once a yearEvery two yearsNeverOther (please specify)
Once a year
Every two years
Never
Other (please specify)
Q33. How often does the patient have an appointment with an eye doctor in hospital?
Once a yearEvery two yearsNeverOther (please specify)
Once a year
Every two years
Never
Other (please specify)
Q34. How often does the patient have an appointment to check your hearing in hospital?
Once a yearEvery two yearsNeverOther (please specify)
Once a year
Every two years
Never
Other (please specify)
Q35. Do you think you are given enough information about the patient’s possible response to iron chelation medication and other treatment?
YesNo
Yes
No
Q36. Did any member of staff tell you about iron chelation medication side effects to look out for?
YesNo
Yes
No
Q37. Have you been involved in the decision as much as you wanted about what iron chelation medication the patient should be on?
YesNo
Yes
No
Q38. Do you feel you know enough about iron chelation therapy?
YesNo
Yes
No
Q39. Do you receive any of the iron chelation medication (for the patient) from delivery companies?
YesNo (please go to Q42)
Yes
No (please go to Q42)
Q40. How would you rate their service?
PoorFairGoodVery GoodExceptionally good
Poor
Fair
Good
Very Good
Exceptionally good

Thalassaemia Clinic Appointments

Q42. Can you rate your experience of making clinic appointments?
Very difficultDifficultFairEasy
Very difficult
Difficult
Fair
Easy
Q43. Did you have enough time to discuss the patient’s thalassaemia care with their doctor?
YesNo
Yes
No
Q44. Did the patient’s doctor explain reasons for any new treatments or investigations in a way you could understand?
YesNoTo some extent
Yes
No
To some extent
Q45. Do you feel the patient is being referred to specialists outside of their thalassaemia team in a timely manner?
YesNo
Yes
No

Accident and Emergency

Q46. In the last 12 months, how many times has the patient visited the emergency department?
Once2- 3 times4-7 timesOver 8 timesNever (please go to question 56)
Once
2- 3 times
4-7 times
Over 8 times
Never (please go to question 56)
Q47. How would you rate the experience?
PoorFairGoodVery goodExceptionally good
Poor
Fair
Good
Very good
Exceptionally good
Q48. Did the health care professionals treating the patient in A&E have any knowledge of thalassaemia?
YesNo
Yes
No
Q49. Do you feel confident going back to A&E?
YesNo
Yes
No

Inpatient care / Ward

Q50. In the last 12 months as the patient been admitted to an inpatient ward?
YesNo (Please go to Q54)
Yes
No (Please go to Q54)
Q51. How would you rate the patient’s care on the ward?
PoorFairGoodVery goodExceptionally good
Poor
Fair
Good
Very good
Exceptionally good
Q52. Do you feel the staff on the wards were adequately trained to look after them?
YesNo
Yes
No

Support

Q54. Do you have access to? Tick all that apply

Thank you for participating in this survey!