We want everyone to have a positive experience of health services in Milton Keynes. Listening to the experience of patients, carers and staff can help us to improve local health services and how people experience them. 

Please share your experience with us. We will use this valuable insight to raise awareness across the local health care system.  

Please note we will be unable to respond individually. If you have complaints or concerns that you require investigating, please approach the provider of your healthcare directly.
 
To obtain a copy of this form in large print, audio, Braille, easy read (or other format or language) or if you prefer to speak with someone to share your experience, please telephone 01908 278703.

We want your comments to be shared anonymously so please be aware that this survey does NOT collect the IP address of the device completing the form.  If you wish to have your details removed at any time, please email miltonkeynes.ccg@nhs.net
 

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* 1. When was the episode of care you are sharing?

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* 2. Who was the provider of the healthcare

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* 3. Were you a patient or carer of a person during this healthcare experience?

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* 4. Please give a brief description of the healthcare experience you are sharing

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* 5. What worked well?

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* 6. What didn’t work so well?

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* 7. How could your experience of healthcare have been improved?

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* 8. What is most important to you that should always happen to make a positive experience of healthcare services?

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* 9. Could we use quotes from your experience for the purposes of raising awareness, training/development/service improvements and change?

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