Referring hospital staff feedback

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* 1. Did you use the CoMET transport hotline 0300 300 0023 for the referral and was the call answered in an appropriate time scale?

Yes

If not please explain why:

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* 2. Were you given advice about treatment prior to the team arriving?

Yes

No

Details:

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* 3. Were you able to implement this advice?

Yes

If not please explain why:

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* 4. How long did the transport team take to arrive after accepting the patient?

<1 hour

1-2 hours

>2 hours

Do you feel this was an acceptable time frame?

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* 5. Did you feel the team respected the care/treatment you had given and were you happy about handing over the care of this child?

Yes

No

Please provide details:

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* 6. Did you feel involved in the continued stabilisation and preparation for the transfer of the child after the team arrived?

Yes

No

Please provide details:

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* 7. Were there any disagreements about medical management?

No

If yes please explain:

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* 8. Were there any aspects of medical management or advice that you would like education about?

No

If yes please specify

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* 9. Is there anything else you would like to comment?

No

If yes please give details

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* 10. This information is optional but it would be helpful if you could let us know the name of the referring hospital, date of the referral and names of CoMET team, thank you :0)