Primary Care Consultation form

Please take a few moments of your time to help us get your views on the Primary Care Consultation

1. Please complete this section

1. Which of the following applies to you?

I am a member of the public, resident on the Isle of Wight
I am a carer responding on behalf of someone who is resident on the Isle of Wight
I am a health or social care professional (e.g. GP, AHP, Care Manager, Nurse, Consultant or other allied health professional)

2. If you would like to comment on the Primary Care consultation please send your comments to: emily.galt@iow.nhs.uk

or you can add them below (you can scroll down to add more comments within the box).

All comments will be anonymised. We would like to obtain views through this survey from all parts of our community, and to help with this, we would be grateful if you could state the following information. Any information you provide will remain anonymous. This information is reviewed to see if we are gaining the views of a cross-section of the population (Equality Act).

Please tell us in the box below:

Your age
Your gender
Your ethic origin
If you have a disability
Your religion or belief
How would you describe your sexual orientation

3. A consultation report will be published on the CCG website which will be used to inform the IW CCG Governing Body to enable a decision to be made on any next steps. If you cannot access the website and would like us to provide an update on this consultation by mail, please also supply a name and address where you would like to receive the report.