Thank you for taking part in this short survey. Healthwatch England will launch in October 2012, with local Healthwatch organisations coming into being in April 2013.

Healthwatch will make the NHS and social services accountable to their local communities and make sure that people can access information and get their voices heard when services are being planned and delivered.

We want to ensure that how Healthwatch looks and sounds suits its public-facing function.Your input at this stage will help us to understand the tone we need to strike in order to help Healthwatch deliver what it should for the public, patients, and anyone who needs to access health or social care services.

We have developed some key messages about Healthwatch - about what we do, how we do it and why. These have been developed with key stakeholders, now we need your views to help us refine these messages and make sure that what we're focussing on resonates with you.

This questionnaire has 21 questions and should take no more than 10-15 minutes to complete and is your chance to give input at a really crucial stage of work on all our communications into the future. We will not contact you as a result of your participating and all responses are anonymous and confidential.

Many thanks

Healthwatch team
Care Quality Commission

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* 1. When you hear the name 'Healthwatch'...
what is the first thought or image that comes to mind?

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* 2. Before we move on, please tell us a bit about you.
Please tick the description that most closely matches you.

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* 3. Please give us your main job title, if appropriate.

Thanks. One of the main roles of Healthwatch at a local level is to be an open and accessible community organisation.
So how should we talk about local Healthwatch?

Please look at the following key messages and rate how well you feel they capture the essence of (or 'sum up') each of the different aspects of local Healthwatch.

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* 4. How strongly do these statements sum up what local Healthwatch should be doing?

  Very strongly Strongly OK Weakly Very Weakly
Helping you to get the best out of our local health and social care services
Driving quality and equality in our local health and social care services

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* 5. How strongly do these statements sum up what local Healthwatch's ambition should be?

  Very strongly Strongly OK Weakly Very weakly
Putting people's needs at the heart of improving local health and social care
To shape health and social care services to give us what we need, where we need it, when we need it

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* 6. How strongly do these statements sum up what local Healthwatch's role should be?

  Very strongly Strongly OK Weakly Very weakly
Local voices improving local health and social care
Our health and social care champion

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* 7. How strongly do these statements sum up the principles that should drive local Healthwatch?

  Very strongly Strongly OK Weakly Very weakly
Improvement through involvement
Collective experiences driving changes where they're needed most

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* 8. How strongly do the following statements sum up the impression local Healthwatch should make?

  Very strongly Strongly OK Weakly Very weakly
Local Healthwatch...making your voice count
Local Healthwatch...improvement when and where it matters most

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* 9. What are the strengths of any of the statements above?

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* 10. What are the weaknesses?

Thinking about Healthwatch England now...

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* 11. How strongly do you feel the following statement sums up what Healthwatch England's role should be?

  Very strongly Strongly OK Weakly Very weakly
The public's health and social care champion?

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* 12. How strongly do the following statements sum up what Healthwatch England should be doing?

  Very strongly Strongly OK Weakly Very weakly
Improving local health and social care nationally
The national voice for improving health and social care

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* 13. How strongly does the following statement sum up what Healthwatch England's ambition should be?

  Very strongly Strongly OK Weakly Very weakly
For you to get the best out of your health and social care

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* 14. How strongly does the following statement sum up the impression Healthwatch England should seek to make?

  Very strongly Strongly OK Weakly Very weakly
Collective experience influencing change
In the previous statements we have been using a number of different words to describe what Healthwatch will do - 'influencing', 'changing', 'improving', 'shaping', 'helping you get the best out of your health and social care'.

Which words best describe the function of Healthwatch for you?

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* 15. Please rate the following words based on what you would like to see local Healthwatch doing.

  Yes, absolutely Mostly agree Don't know Mostly disagree No, not at all
Improving
Shaping
Changing
Influencing
Championing
Helping (you get the best out of your health and social care)

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* 16. Please rate the following words based on what you would like to see Healthwatch England doing.

  Yes, absolutely Mostly agree Don't know Mostly disagree No, not at all
Improving
Shaping
Changing
Influencing
Championing
Helping (you get the best out of your health and social care)

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* 17. How did you hear about Healthwatch?

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* 18. In your view, what is the difference that Healthwatch can make?

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* 19. How optimistic are you about the difference that Healthwatch will make?

  Extremely hopeful Very hopeful Moderately hopeful Slightly hopeful Not at all hopeful
I am...

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* 20. What are your concerns?

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* 21. What signs will you be looking out for to feel confident that Healthwatch is successfully delivering its role?
Please give examples.

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* 22. Finally, can you sum up Healthwatch in 6 words or less?

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