Yes, definitely Yes, completely 1 1 Yes, to some extent Yes, to some extent 2 2 No No 3 3 If you needed attention, were you able to get a member of medical or nursing staff to help you? Yes, always 1 Before you left the emergency department, did Yes, sometimes 2 you get the results of your tests? No, I could not find a member of staff to help 3 me Yes Go to 28 1 A member of staff was with me all the time No Go to 29 4 2 I did not need attention I was told that the results of the tests would be 5 3 given to me at a later date Go to 29 Sometimes, a member of staff will say one thing and another will say something quite different. know / remember Go to 29 Don’t can’t 4 Did this happen to you in the emergency Did a member of staff explain the results of the department? tests in a way you could understand? Yes, definitely 1 Yes, definitely 1 Yes, to some extent 2 Yes, to some extent 2 No 3 No 3 Were you involved as much as you wanted to be Not sure / remember can’t 4 in decisions about your care and treatment? Yes, definitely 1 Yes, to some extent Were you in any pain while you were in the 2 emergency department? No 3 I was not well enough to be involved in Yes Go to 30 1 4 decisions about my care No Go to 33 2 If you were feeling distressed while you were in Did you request pain relief medication? the emergency department, did a member of staff Yes Go to 31 help to reassure you? 1 No Go to 32 2 Yes, definitely 1 I was offered or given pain relief medication 3 Yes, to some extent 2 without asking Go to 32 No 3 How many minutes after you requested pain I was not distressed 4 relief medication did it take before you got it? Not sure/ remember can’t 5 0 minutes / right away 1 1 5 minutes – 2 6 10 minutes – 3 11 15 minutes – Did you have any tests (such as x-rays, scans 4 or blood tests) when you visited the emergency  16 30 minutes – 5 department? More than 30 minutes 6 Yes Go to 26 1 I asked for pain relief medication but wasn’t 7 No Go to 29 given any 2 Did a member of staff explain why you needed these test(s) in a way you could understand?
1 Yes, definitely 2 Yes, to some extent 3 No If you needed attention, were you able to get a member of medical or nursing staff to help you? 1 Yes, always 2 Yes, sometimes 3 No, I could not find a member of staff to help me 4 A member of staff was with me all the time 5 I did not need attention Sometimes, a member of staff will say one thing and another will say something quite different. Did this happen to you in the emergency department? 1 Yes, definitely 2 Yes, to some extent 3 No Were you involved as much as you wanted to be in decisions about your care and treatment? 1 Yes, definitely 2 Yes, to some extent 3 No 4 I was not well enough to be involved in decisions about my care If you were feeling distressed while you were in the emergency department, did a member of staff help to reassure you? 1 Yes, definitely 2 Yes, to some extent 3 No 4 I was not distressed 5 Not sure/ can’t remember Did you have any tests (such as x-rays, scans or blood tests) when you visited the emergency department? 1 Yes Go to 26 2 No Go to 29 Did a member of staff explain why you needed these test(s) in a way you could understand? 1 Yes, completely 2 Yes, to some extent 3 No Before you left the emergency department, did you get the results of your tests? 1 Yes Go to 28 2 No Go to 29 3 I was told that the results of the tests would be given to me at a later date Go to 29 4 Don’t know / can’t remember Go to 29 Did a member of staff explain the results of the tests in a way you could understand? 1 Yes, definitely 2 Yes, to some extent 3 No 4 Not sure / can’t remember Were you in any pain while you were in the emergency department? 1 Yes Go to 30 2 No Go to 33 Did you request pain relief medication? 1 Yes Go to 31 2 No Go to 32 3 I was offered or given pain relief medication without asking Go to 32 How many minutes after you requested pain relief medication did it take before you got it? 1 0 minutes / right away 2 1 – 5 minutes 3 6 – 10 minutes 4 11 – 15 minutes 5  16 – 30 minutes 6 More than 30 minutes 7 I asked for pain relief medication but wasn’t given any
AE16_Questionnaire_with_CQC_copyright.docx