Our next survey is designed to help us better understand more about your experience of applying for or receiving CHC funding. NHS Continuing Healthcare (NHS CHC) is a package of care for adults aged 18 or over which is arranged and funded solely by the NHS. If you’re eligible for NHS Continuing Healthcare, the care services are funded by the NHS at no cost to you. The information you provide within this survey will help us better understand what is working well and highlight any areas of improvement you might feel are required. How did you hear about CHC funding? Social worker Hospital staff Care home staff Palliative care staff GP Other… Enter other… Did you have to ask the social worker/other health professional to apply for CHC funding or did they tell you about it? I had to ask about it Social worker suggested it Other health professional suggested it Who? How long did the whole process take from completing the application to the funding being awarded? Upto 4 weeks 1-3 months Longer than 3 months Don't know Were you/your loved one put forward for fast-track CHC funding? Yes No Don't know If you answered yes to the previous question, how quickly was it processed and awarded? Within a week Within 2 weeks Within a month Longer than a month Do you feel you/loved ones needs were listened to and you were able to contribute to the assessment? Yes No Somewhat Don't know Do you feel the funding which was awarded for you/loved one was fair and met your/their needs? Yes No Don't know Were you informed what CHC was and the process explained to you? Yes No Somewhat explained Unsure Were there any barriers throughout the process? Yes No If you answered yes to the previous question, please explain what barriers you faced. Is there anything else you would like to tell us about your experience relating to CHC funding? Which of the following options best describe how you think of yourself? Man (including trans man) Woman (including trans woman) Non-binary Other... You can use this space to describe your gender in your own terms. Is your gender identity the same as it was at birth? Yes No Your age group 0-12 13-15 16-17 18-24 25-49 50-64 65-79 80+ Prefer not to say Not known Ethnicity Ethnicity - None -ArabAsian / Asian British: BangladeshiAsian / Asian British: ChineseAsian / Asian British: IndianAsian / Asian British: PakistaniAsian / Asian British: Any other Asian / Asian British backgroundBlack / Black British: AfricanBlack / Black British: CaribbeanBlack / Black British: Any other Black / Black British backgroundMixed / Multiple ethnic groups: Asian and WhiteMixed / Multiple ethnic groups: Black African and WhiteMixed / Multiple ethnic groups: Black Caribbean and WhiteMixed / Multiple ethnic groups: Any other Mixed / Multiple ethnic groups backgroundWhite: British / English / Northern Irish / Scottish / WelshWhite: IrishWhite: Gypsy / Traveller / Irish Traveller White: RomaWhite: Any other White backgroundPrefer not to sayNot knownOther ethnic group… Please use this space to describe your ethnicity Sexual Orientation Heterosexual / Straight Gay Man Gay Woman / Lesbian Bisexual Asexual Prefer not to answer Prefer to self descibe Please use this space to describe your sexual orientation Do you have a disability? Yes No Prefer not to say Not known Town or area you live in Town or area you live in - None -ChaddertonColdhurstDelphDenshawDiggleDobcrossFailsworthGlodwickGrasscroftGreenfieldHathershawHollinwoodMoorsideOldhamRoytonSaddleworthSpringheadShaw & CromptonWaterheadWernethWestwoodOther… Please use this space to tell us what town or area you are in Submit Leave this field blank
