Have you been referred for specialist tests or treatment?

Take 5 minutes to complete our survey

Share your experience of referrals – from Adult Social Care/GP/Community Clinic/Hospital to any other service providing your treatment.

Over the last 2 years have you been referred for specialist tests or treatment by adult social care, mental health services, your GP, the hospital, or any other service? If so, please take 5 minutes to complete our survey. 

This survey is about people’s experiences of a recent referral. The information you share with us helps us to spot trends to identify areas for improvement. 

To understand how we will use your information read the 'How we use this information' at the end of the page. 

3. How many appointments about your issue did you need before you were referred for tests, diagnosis or treatment?
4. When you were referred, what information about your referral did you receive?
5. How long did you have to wait between being referred (e.g. by the hospital/community clinic/adult social care/mental health service/GP and getting specialist treatment?
You might want to tell us about any delays to the referral, if the referral was lost or rejected, and / or whether you had to chase anyone up for information about the referral. You may also want to tell us about the communication from your GP or the hospital / community clinic, any support they gave you, etc. You might want to tell us about any positive and negative impacts on your ability to do your day-to-day activities, your ability to work, your emotional wellbeing, your relationships, etc.

Your overall referral journey

The next question is about your overall referral journey (i.e. from booking an appointment(s) through to when you had your referral appointment, or through to today if you have not had your appointment yet).

7. How would you describe your experience of referral from appointment(s) to referral appointment for the specialist treatment?

Tell us a bit about you 

It would really help to know a little more about you so that we can better understand how people's experiences may differ. These questions are completely voluntary. 

How we use this information 

Your answers will help NHS and care services. The information you share with us helps us spot trends to identify areas for improvement. We may use quotes in our reports, but we will not use any information that will identify you. We will log your feedback and share what you tell us with the organisations who make decisions about local health and care services. We take out any information that could identify you when we do this.

As well as your feedback, we also ask you to volunteer some personal information. This helps us to understand how different groups experience local health and social care services and supports our focus on improving equality, diversity and inclusion.

If you are sharing information on behalf of another person, make sure that you have their permission to do so, or the information you do share should be anonymous.

Find out more about how we handle your information in our privacy statement. 

9. Where do you live?
11. Please tell us your gender
13. Please tell us which sexual orientation you identify with
14. Please select your ethnicity
15. Please select any of the following that apply to you

How we use this information

Your answers will help NHS and care services. The information you share with us helps us spot trends to identify areas for improvement. We may use quotes in our reports, but we will not use any information that will identify you. We will log your feedback and share what you tell us with the organisations who make decisions about local health and care services. We take out any information that could identify you when we do this.

As well as your feedback, we also ask you to volunteer some personal information. This helps us to understand how different groups experience local health and social care services and supports our focus on improving equality, diversity and inclusion. 

If you are sharing information on behalf of another person, make sure that you have their permission to do so, or the information you do share should be anonymous.

Find out more about how we handle your information in our privacy statement. 

Can we stay in touch? 

We'd love to tell your story and keep you updated about our work and the difference sharing your experiences with us can make. 

Using your story for media

To promote our campaigns we use people's stories to show what needs to change. The media (newspapers, radio or TV) ask if we have people who can their story when we publish a press release about our research. 

Would you be happy for us to contact you about your experience for media purposes or to use your story as a case study in our material? We won’t pass on your name and contact details to the media without speaking to you first about what it involves. If you agree, this means we will keep your details on file for 2 years. 

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Help if you need it 

Do you want our Information and Signposting team to contact you? This is so they can give you information about services that could help. 

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If yes, enter your name and email address.

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