Palliative Care Issued FP10s – Pharmacy Satisfaction Survey

As part of a service evaluation I would like to collate views of community pharmacies on hand written green FP10s issued by St Luke’s Hospice Community Prescribing.

Could you please complete the attachedquestionnaire.It should only take a few minutes to complete. All responses are anonymous and confidential.

If you require any further information on the service please contact Liz Miller on or 0114 2357539. For further information on individual prescriptions presented to the pharmacy please contact the prescriber.

Many thanks for your co-operation.

Yours sincerely

Liz Miller

Advanced Clinical Pharmacist – Palliative Care

St Luke’s Hospice and Sheffield Teaching Hospitals NHS Trust

Community Pharmacy Questionnaire

  1. Are you aware community palliative care doctors in Sheffield can issue hand written green FP10 prescriptions? (Practice code Community Prescribing at St Luke’s Hospice (SLH)) Yes / No
  1. Has a patient presented to your pharmacy with a Community Prescribing at SLH prescription? Yes / No

If No please go to Q9, if Yes continue to Q3

  1. Do you feel you were given adequate information to enable the prescription to be dispensed? Yes / No

If No please go to Q3a, if Yes continue to Q4

  1. Can you remember what information was missing?
  1. How did you go about obtaining the information to enable dispensing?
  1. Can you estimate the time delay for the patient to get their medicine(s) due to this? (please circle)

< 5mins <15mins<30mins 30mins - 3 hrs >3 hrs

  1. Was there a phone number for the doctor?Yes / No

A GMC number?Yes / No

Was the doctor’s name clearly printed? Yes / No

  1. Is there any additional information you feel you should have been given to provide clarity when dispensing orcounselling the patient/carer? Yes / No

If Yes provide further details (e.g. indication for when required medicines)

  1. Do you consider the introduction of this service has had a positive impact on

patient(s)/carers:Yes / No / No opinion / Can’t tell

If No can you explain further:

  1. What describes your level of satisfaction with the Service?

Very dissatisfied ……………………………………………………

Dissatisfied …………………………………………………………

Satisfied ……………………………………………………………

Very satisfied ………………………………………………………

Don’t know …………………………………………………………

No opinion …………………………………………………………

  1. Is there anything that you feel would make the service better?Yes / No
  1. Tell me a little more about yourself:

Are you (tick one):

Pharmacist (owner)

Pharmacist (employee)

Pharmacy technician

Other (specify)……………………………………

What type of pharmacy do you work in(tick as applicable):

Multiple

Independent

Small Chain

 Locum

Other (specify)……………………………

  1. Does the pharmacy participate in the assured supply of palliative medicines scheme? Yes / No / Don’t know

THANK YOU FOR YOUR TIME