This survey is designed to provide a snapshot of elective surgery pressures during the current winter period. Please answer the questions with reference to how your Trust was performing as of Thursday 12 January. We would be grateful if you could complete this survey by 9.00 am Monday 16 January as any meaningful results are likely to be released to the media.

Please note that all responses are anonymous.

Any queries can directed to publicaffairs@rcseng.ac.uk

Please note that all fields must be completed in order to submit the survey.

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* 1. Since the start of January has a blanket ban on all elective surgery, regardless of specialty, been imposed in your hospital?

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* 2. Has there been a ban on day surgery on at least one occasion?

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* 3. Have you or your colleagues had to cancel elective surgery due to pressures, such as bed shortages or lack of ITU facilities, in your hospital during January?

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* 4. Have you or your colleagues had to cancel cancer surgery due to pressures, such as bed shortages or lack of ITU facilities, in your hospital during January?

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* 5. Please specify whether you are a:

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* 6. Please state the NHS Trust or Health Board you primarily work for (this is anonymous):

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