Dr Sood's Practice closure December 2022

Dr Sood's Practice Engagement Survey
Dr Sunil Sood is retiring from Dr Sood's Practice. As a result, the practice will be closing on 31 December 2022.

You can register with a new GP of your choice near to where you live. To find a surgery near you, either look at the list of local surgeries listed in your letter or click here to visit the NHS services directory. You will need to choose a surgery and contact them directly to register with them. If you do not register with a practice by 31 December 2022 we will register you at a practice close to where you live.

There will be one online drop-in session for patients who wish to share their comments. This will be held via Microsoft Teams on Wednesday 9 November 2022, 2-3pm. Join the meeting by clicking here at the event start time.

We will also hold one in-person drop-in session at the GP practice on Tuesday 8 November 2022, 2-3pm. You do not need to register for this event, you are welcome to come to the practice within this allotted hour.

In response to this change, we want to hear your views and questions regarding access to GP services going forward. You can this by completing this short survey below.

When completing the survey, please provide your email address if you are happy to receive a response following your submission.
Share your views:
Do you require additional information about the surgery closure?

YesNo
If yes, what additional information do you need?
Do you need support registering with another GP?

YesNo
If yes, what support do you need to help you register with another GP practice?
Please provide any additional comments

Section 2 - Equality and diversity monitoring form
Why we are asking you to complete this form

NHS North West London is committed to promoting equality and eliminating unlawful discrimination, and we are aiming to achieve diversity in the range of people we involve. You do not have to answer these questions, and we understand that some of this information is personal and sensitive in nature. However, gathering this data helps us to know if we are succeeding in involving different groups of people, and to change our approach if some groups are not represented.

Data protection

The information you provide is anonymous and will not be stored with any identifying information about you. We may use anonymised statistics and data to inform discussions about improving the diversity of our patient safety partners and inclusivity of participation opportunities, but no information will be published or used in any way which allows an individual to be identified. All details are held in accordance with the Data Protection Act 1998.

The information that we are asking you to provide is informed by our duties under the Equality Act 2010, and includes information about your age, race, sex and sexual orientation.
General Data Protection Regulation (GDPR)
Please indicate your consent for your responses to be shared with partner organisations and NHS North West London. Please note: if consent is not given, the responses cannot be utilised in this process.

I consent for the information in this form to be shared with partner organisations, and NHS North West LondonI do not consent for the information in this form to be shared
1. Which borough in North West London do you live in?

BrentEalingHammersmith and FulhamHarrowHillingdonHounslowKensington and ChelseaWestminsterPrefer not to say
2. If you do not live in the NW London, please can you tell us where you live and why you are completing this survey?
3. What age group do you belong to?

18-2526-3636-4546-5556-6565+Prefer not to say
4. Are your day-to-day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months (include any problems related to old age)?

Yes, limited a lotYes, limited a littleNoPrefer not to say
5. If you answered yes, please indicate your disability:

Vision (due to blindness or partially sighted(Hearing (due to deafness or partial hearing)Mobility, such as difficulty walking short distance, climbing stairs, lifting and carrying objectsLearning, concentrating or rememberingMental healthStamina or difficulty breathingSocial or behavioural issues (e.g. due to autism/ASD or ADHD)Prefer not to sayOther
6. What is your ethnic group?

Choose one of the sections and select the appropriate box to indicate your ethnic group.
Asian or British Asian

BangladeshiChineseIndianPakistaniOther
Black or Black British

AfricanCaribbeanOther
Mixed

White and Black CaribbeanWhite and Black AfricanWhite and AsianOther
White

Welsh/English/Scottish/Northern Irish/British IrishGypsy or Irish Traveller
Please write in any other ethnic group
Prefer not to say

Prefer not to say
7. What is your gender?

FemaleMalePrefer to self identifyPrefer not to say
8. What is your marital or civil partnership status?

DivorcedFormerly in a registered civil partnership which is now dissolvedIn a registered civil partnershipMarriedNever married and never registered a civil partnershipSeparated but still in a registered civil partnershipSeparated, but still legally marriedWidowedPrefer not to say
9. What is your religion?

No religionAtheistBuddhistChristian (including Church of England, Catholic, Protestant and all other Christian denominations)HinduJewishMuslimSikhPrefer not to sayOther
10. Which of the following options best describes your sexual orientation?

Hetrosexual/straightLesbianGayBisexualPrefer to self identifyPrefer not to say
11. Do you look after, or give any help or support to family members, friends, neighbours or others because of either long-term physical or mental ill-health/disability, or problems related to old age?

NoYes, 1-19 hours per weekYes, 20-49 hours per weekYes, 50 hours a week or morePrefer not to say
Provide your email address if you wish to be contacted regarding your submission:
example@example.com
Should be Empty:

Dr Sood's Practice Engagement Survey

Share your views:

Section 2 - Equality and diversity monitoring form

General Data Protection Regulation (GDPR)