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GP Feedback Survey – Central London NHS Acupuncture Service
GP Feedback Survey
For GP's participating in the SWPCN Central London Acupuncture Clinic Pilot Service
Step
1
of
5
20%
Thank you for taking the time to answer this brief questionnaire. Your input is valuable and much appreciated.
Your Practice Details
(Required)
The Belgravia Surgery
Belgrave Medical Centre
Victoria Medical Centre
Pimlico Health @ The Marven
Kings College Health Centre
Millbank Medical Centre
Dr Hickey Surgery
If you had sessions in multiple surgeries, please select the main, or all.
Name
First
Last
If you wish, you can submit your feedback anonymously.
Did you refer patients to the Acupuncture Clinic?
(Required)
Yes
No
What was the reason that you did not refer?
(Required)
I was not aware of the service
I did not know how to refer
Referral process was too cumbersome or unclear
I did not have patients who were suitable for Acupuncture treatment
I don't think Acupuncture is an effective treatment
Waiting times were too long
Other
(Select all that apply)
Please specify
What kinds of conditions would you tend to refer to the Acupuncture Service?
(Required)
Section A: Clinical Impact (Patient Health Benefits)
How would you rate the clinical benefit observed in patients who received acupuncture?
(Required)
1 (No benefit)
2
3 (Some benefit)
4
5 (Significant benefit)
Did you observe improvements in any of the following for your patients after acupuncture treatment?
(Required)
Pain levels
Mobility/function
Mental wellbeing
Reduced medication use
(Select all that apply)
Do you believe acupuncture contributed to improved quality of life for your patients?
(Required)
Yes
No
Not sure
Please explain briefly?
Did you find that acupuncture was particularly helpful with certain (types of) conditions? Please describe.
(Required)
Were there (types of) conditions you found acupuncture was NOT helpful with? Please describe.
(Required)
Did your patients report any side effects or adverse events to you?
(Required)
Yes
No
Not sure
Please describe
Any other comments on the clinical impact of acupuncture, based on your experience and observations?
(Required)
Section B: Economic Impact
Did acupuncture lead to a reduction in follow-up consultations for the same issue?
(Required)
Yes
No
Not sure
Did you notice a reduction in prescriptions, imaging requests, or referrals to secondary care for these patients?
(Required)
Yes
No
Not sure
If yes, please provide an example
Section C: Experience of the Service
How easy was it to refer patients to the acupuncture service?
(Required)
1 (Very difficult)
2 (Somewhat difficult)
3 (Neutral)
4 (Easy)
5 (Very easy)
How could the referral process be improved?
Were the inclusion/exclusion criteria clear and appropriate?
(Required)
Yes
No
If no, please comment
How satisfied were you with communication from the acupuncture team?
(Required)
1 (Very satisfied)
2 (Satisfied)
3 (Neutral)
4 (Dissatisfied)
5 (Very dissatisfied)
Please comment
How satisfied were you with communication from the acupuncture practitioner?
(Required)
1 (Very satisfied)
2 (Satisfied)
3 (Neutral)
4 (Dissatisfied)
5 (Very dissatisfied)
Please comment
Section D: Improvements and Future Development
What aspects of the service worked particularly well?
(Required)
What improvements would you suggest for the service?
(Required)
Would you support the continuation or expansion of the service?
(Required)
Yes
No
Not sure
Please explain your response
Any other comments?
(Required)
Can we contact you for further clarification on your experience?
(Required)
No
Yes
Would you like to be informed when the Service Evaluation report is finished?
(Required)
No
Yes
The report will contain: 1. Statistics of referrals and appointments 2. Clinical outcomes data collected from patients 3. Experience of participating GP's 4. Observations of the acupuncture practitioner 5. Conclusions and suggestions arising from the above
Your Email
(Required)
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