Air Ambulance Partners Survey

Should you experience any problem with this questionnaire please contact Bob Johnston at bobjohnston@nhs.net

Please answer as many questions as possible.

1. Can you please indicate in which capacity you are responding to the questionnaire?

	General Practitioner
	Hospital Based Consultant/Doctor
	Nurse/Midwife
	Special Services
	Other

2. Based on the Scottish Government Urban/Rural classification (below), please indicate the type of environment in which you operate.

Large Urban: Settlements of over 125,000 people

Other Urban: Settlements of 10,000 to 125,000 people

Accessible Small Town: Settlements of between 3,000 and 10,000 people and within 30 minutes drive time of a settlement of 10,000 or more

Remote Small Town: Settlements of between 3,000 and 10,000 people and with a drive time of over 30 minutes to a settlement of 10,000 or more

Accessible Rural: Settlements of less than 3,000 people and within a 30 minutes drive of a settlement of 10,000 or more

Remote Rural: Settlements of less than than 3,000 people and a drive time of over 30 minutes to a settlement of 10,000 or more

	Large Urban Area
	Other Urban Area
	Accessible Small Town
	Remote Small Town
	Accessible Rural Area
	Remote Rural

3. Can you please indicate your general geographic location?

	Orkney Islands Group
	Shetland Islands Group
	Grampian
	Highlands
	Western Isles
	Greater Glasgow and Clyde
	Ayrshire and Arran
	Forth Valley
	Lanarkshire
	Dumfries and Galloway
	Argyll and Bute
	Tayside
	Fife
	Lothian
	Borders

4. Can you please indicate, on average, how often you use the Air Ambulance Service per month?

	Once or Twice
	3 - 6 times
	7 - 12 times
	13 - 20 times
	21 - 25 times
	More than 25 times a month

5. Would you say that YOUR use of the Air Ambulance Service has increased in the past 12 months?

	Yes
	No

6. If you answered YES to question 5, can you indicate what you believe is the main reason for the increase?

7. Taking into consideration your operating environment, can you please indicate the overall importance of the Air Ambulance Service to you and your patients?

	Not important at all
	Quite unimportant
	Quite important
	Very important
	Vital

8. When ordering an Air Ambulance the calls must go through your 'local' Emergency Medical Dispatch Centre (EMDC). Based on your experience over time, how would you describe the following qualities of EMDC staff who have answered your calls?

9. If you responded 'Very poor or Quite Poor' to any part of question 8 can you briefly indicate why?

10. Based on your experience over time, how would you describe the following features of Service to you under the current structure for requesting Air Ambulance Transport?

11. If you answered 'Very poor or Quite poor' to any part of question 10, can you briefly indicate why?

12. How do you rate the FIXED WING aircraft currently being used by the Scottish Ambulance Service under the existing contract?

	Very Poor
	Quite Poor
	Neither Good Nor Poor
	Quite Good
	Very Good
	Never Use/Not Available
	Don't Know

13. If you answered 'Very poor or Quite poor' to question 12, can you briefly indicate why?

14. How do you rate the AMBULANCE SERVICE HELICOPTERS currently being used by the Scottish Ambulance Service under the existing contract?

	Very Poor
	Quite Poor
	Neither Good Nor Poor
	Quite Good
	Very Good
	Never Use/Not Available
	Don't Know

15. If you answered 'Very poor or Quite poor' to question 14, can you briefly indicate why?

16. How do you rate the MOD HELICOPTERS currently being used by the Scottish Ambulance Service?

	Very Poor
	Quite Poor
	Neither Good Nor Poor
	Quite Good
	Very Good
	Never Use/Not Available
	Don't Know

17. If you answered 'Very poor or Quite poor' to question 16, can you briefly indicate why?

18. How do you rate the COASTGUARD HELICOPTERS currently being used by the Scottish Ambulance Service?

	Very Poor
	Quite Poor
	Neither Good Nor Poor
	Quite Good
	Very Good
	Never Use/Not Available
	Don't Know

19. If you answered 'Very poor or Quite poor' to question 18, can you briefly indicate why?

20. How do you rate BP JIGSAW HELICOPTERS currently being used by the Scottish Ambulance Service?

	Very Poor
	Quite Poor
	Neither Good Nor Poor
	Quite Good
	Very Good
	Never Use/Not Available
	Don't Know

21. If you answered 'Very poor or Quite poor' to question 20, can you briefly indicate why?

22. To what extent are the aircraft suitably equipped for your purposes?

23. Taking into consideration your level of use and the type of patient you use it for, how would you rate the CABIN SIZE of the FIXED WING AIRCRAFT currently in use?

	Very Poor
	Quite Poor
	Neither Good nor Poor
	Quite Good
	Very Good
	Never use/Not available to me
	Don't know

24. If you answered 'Very poor or Quite poor' to question 22, can you briefly indicate why?

25. Taking into consideration your level of use and the type of patient you use it for, how would you rate the CABIN SIZE of the AMBULANCE SERVICE HELICOPTERS currently in use?

	Very Poor
	Quite Poor
	Neither Good nor Poor
	Quite Good
	Very Good
	Never use/Not available to me
	Don't know

26. If you answered 'Very poor or Quite poor' to question 24, can you briefly indicate why?

27. Taking into consideration your level of use and the type of patient you use it for, how would you rate the CABIN SIZE of the MOD HELICOPTERS currently in use?

	Very Poor
	Quite Poor
	Neither Good nor Poor
	Quite Good
	Very Good
	Never use/Not available to me
	Don't know

28. If you answered 'Very poor or Quite poor' to question 26, can you briefly indicate why?

29. Taking into consideration your level of use and the type of patient you use it for, how would you rate the CABIN SIZE of the COASTGUARD HELICOPTERS currently in use?

	Very Poor
	Quite Poor
	Neither Good nor Poor
	Quite Good
	Very Good
	Never use/Not available to me
	Don't know

30. If you answered 'Very poor or Quite poor' to question 28, can you briefly indicate why?

31. Taking into consideration your level of use and the type of patient you use it for, how would you rate the CABIN SIZE of the BP JIGSAW HELICOPTERS currently in use?

	Very Poor
	Quite Poor
	Neither Good nor Poor
	Quite Good
	Very Good
	Never use/Not available to me
	Don't know

32. If you answered 'Very poor or Quite poor' to question 30, can you briefly indicate why?

33. Based on your overall experience of the Air Ambulance Service, how would you rate HEALTH & SAFETY ISSUES on or around the Aircraft?

	Very Poor
	Quite Poor
	Neither Good nor Poor
	Quite Good
	Very Good
	Don't know

34. If you answered 'Very poor or Quite poor' to question 32, can you briefly indicate why?

35. Based on your overall experience of the Air Ambulance Service, how would you rate PATIENT SAFETY in the aircraft?

	Very Poor
	Quite Poor
	Neither Good nor Poor
	Quite Good
	Very Good
	Don't know

36. If you answered 'Very poor or Quite poor' to question 34, can you briefly indicate why?

37. Based on your overall experience of the Air Ambulance Service, how would you rate SPACE & LAYOUT in the Aircraft?

	Very Poor
	Quite Poor
	Neither Good nor Poor
	Quite Good
	Very Good
	Don't know

38. If you answered 'Very poor or Quite poor' to question 36, can you briefly indicate why?

39. Based on your overall experience of the Air Ambulance Service, how would you rate the CLINICAL EQUIPMENT carried in the aircraft?

	Very Poor
	Quite Poor
	Neither Good nor Poor
	Quite Good
	Very Good
	Don't know

40. If you answered 'Very poor or Quite poor' to question 38, can you briefly indicate why?

41. Considering the whole ordering process from your initial contact to the completion of your requests, can you please indicate how well the Air Ambulance Service meet your NEEDS?

	Consistently fails to meet my needs
	Occasionally fails to meet my needs
	Neither fails to meet my needs nor meet my needs
	Consistently meets my needs
	Exceeds my needs

42. If you answered 'Very poor or Quite poor to question 40, can you briefly indicate why?

43. Considering your experiences with the Air Ambulance Service, how would you rate your overall level of satisfaction with the Service we provide?

	Very dissatisfied
	Quite dissatisfied
	Neither satisfied nor dissatisfied
	Quite satisfied
	Very satisfied

44. If you answered 'Very poor or Quite poor to question 42, can you briefly indicate why?

45. On behalf of your patients, how would you rate the quality of the service they recieved from the Air Ambulance Service?

	They appear to be very dissatisfied
	They appear to be quite dissatisfied
	They appear neither satisfied nor dissatisfied
	They appear to be quite satisfied
	They appear to be very satisfied
	I feel I am unable to comment on behalf of patients

46. Do you have any areas of concern in relation to the operation of the current service we provide?

	Yes go to question 47
	No go to question 48

47. If you answered YES to Q45 can you please indicate areas of concern below.

48. If you have any other comments or suggestions of a general nature that you would like to make in relation to the Air Ambulance Service please include them below.

Further Participation

49. Would you be interested in taking part in further research in this area possibly through a focus group or through a telephone depth interview?

	Yes	No
Focus Group
Depth Interview

50. If you answered YES to either of the above can you please provide your details below.

Name
Address
Postcode
Telephone Number
Mobile telephone number
Email address