Welcome to the stakeholder engagement survey for Joint Strategic Needs Assessment (JSNA): Dementia. A JSNA is an area of work that looks at the current and future health needs of the local population to inform and guide the planning of health, wellbeing and social care services within Wolverhampton.

As part of the JSNA, Wolverhampton City Council is conducting a study on services supporting residents with Dementia. An important part of the study is to understand what services are currently being used, peoples experiences of these services and highlight the unmet needs of residents with Dementia. The outcomes will be used by the JSNA Steering Group to recommend ways in which services can be improved. Your response will help us to build a picture of the services currently used and work towards improving them.

We would like to invite you to complete this survey if you care for people diagnosed with Dementia living in Wolverhampton. It should take approximately 10 minutes to complete the survey. All responses from the survey will be analysed together and overall findings will be presented in the final report to the JSNA Steering Group. We can also provide a summary of findings from the survey upon request. All survey responses will be kept confidential and no identifiable information will be collected.

If you need any further information regarding the survey, please contact Parmdip Dhillon, by email: parmdip.dhillon@wolverhampton.gov.uk or by phone: 01902 551846

Thank you.

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* 1. What is your relationship to the person with Dementia?

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* 2. How long have you been caring for the person with Dementia?

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* 3. How old is the person with Dementia?

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* 4. How would you rate your experience of getting information on services to support you when caring for a person with Dementia?

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* 5. If you found getting information on services difficult, why?

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* 6. Which Dementia support services have you used?

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* 7. Did you find accessing any of these services difficult?

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* 8. What type of Dementia support have you found most useful and why?

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* 9. Do you think there are any needs that are not being met by Dementia services?

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* 10. Are there any cultural or social barriers affecting the care you provide? E.g. Lack of understanding of the condition within the community.

e.g. a lack of understanding of the condition within our community, services too far away or not easy to get to?

To complete this survey, we would like to ask the following set of questions because it will help us understand your answers and to ascertain whether the current Dementia services provided in Wolverhampton are fair and accessible to a diverse range of people with dementia.

Under the Equality Act 2010, the council has a responsibility to ensure that we do not unfairly discriminate in the services we provide and to ensure that our Equal Opportunities policy is working. Providing the information below is optional, but this information will be treated in the strictest confidence and will only be used for statistical monitoring, to help ensure services are accessible and caters for the needs of all people with Dementia and those that cares for them.

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* 11. Gender?

  Carer? Person cared for?
Gender

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* 12. Is your gender identity the same as the gender you were assigned at birth?

  Carer? Person cared for?
Gender Identity

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* 13. How old are you, the carer?

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* 14. Marital Status?

  Carer? Person cared for?
Marital Status

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* 15. Do you have a disability which affects your day to day activities, which has lasted, or you expect to last, at least a year?

  Carer? Person cared for?
Disability

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* 16. What is your ethnicity?

  Carer? Person cared for?
Ethnicity

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* 17. Which religion do you belong to?

  Carer? Person cared for?
Religion

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