Thank you for taking the time to complete this feedback form about your neonatal experience. It’s important we understand families’ experiences of neonatal care so we can make improvements where required and ensure we deliver the highest standard of care to babies and their families. The survey will take approximately 10 minutes to complete.
- This feedback form is anonymous. We will not be asking for any identifiable details about you or your baby.
- Taking part is voluntary.
- By completing this feedback form you are consenting to us using your responses to evaluate services in neonatal units in the South West. Results from feedback forms will be shared with neonatal units and their NHS Trust. We may use anonymous quotes from your responses in our reports and presentations to help illustrate particular issues. You will not be able to be identified from these quotes.
- Please note that individual responses cannot be followed up, therefore, this is not a place to raise a new complaint or to follow up an unresolved/ongoing complaint. Please contact the Neonatal Unit directly or the
hospital PALS service if you wish to raise a formal complaint. You can find details on our website: (swneonatalnetwork.co.uk) - If you have any questions or would like help to complete this form, please contact swneonatalnetwork@uhbw.nhs.uk
Thank you for completing this survey.
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1.Please enter the month and year your baby was born:
The Unit▲
2.Were you offered a tour of the neonatal unit? (tick all that apply)
Please indicate below whether you agree or disagree with the following statements about your stay on the Unit▲
3.I was made to feel welcome on my baby’s admission.
4.I was shown where to find the unit facilities such as coffee room, toilets, milk kitchen.
5.I was happy with the parental facilities provided.
6.I was happy with the cleanliness of the unit.
7.I found accessing the unit quick and easy (Waiting for doorbells etc.)
The Staff
Please indicate below whether you agree or disagree with the following statements about your neonatal experience.▲
8.I felt the staff were approachable if I had any concerns
9.I had an opportunity to meet with the Consultant if I wished to.
10.I felt welcome during the daily ward rounds
Baby's care and your well-being.
Please indicate below whether you agree or disagree with the following statements about your neonatal experience.▲
11.My baby’s care and treatment were explained to me in a way I could understand
12.I felt able to ask questions about my baby’s care and treatment
13.I felt involved in making decisions in my baby’s care and treatment.
14.I felt listened to by the neonatal staff
15.I was treated with kindness and compassion
16.I was involved as much as I wanted to be in my baby's care
17.I felt supported to feed my baby in the way I wished.
18.I felt supported by unit staff to have skin-to-skin/cuddles with my baby as much as I wished.
19.I felt that privacy and dignity was maintained for me and my baby.
20.I felt the Neonatal Unit enabled my family and/or friends to support me in my neonatal journey as much as I would have liked?
Please indicate below whether you agree or disagree with the following statements about your neonatal experience.▲
22.When I was away from the unit, I felt happy with the level of communication (Phone call, V-Create)
23.I received the emotional and mental health support I needed whilst on the neonatal unit.
Moving on.▲
25.During your neonatal stay, did your baby require a transfer to another unit?
Please indicate below whether you agree or disagree with the following statement about your neonatal experience.▲
26.I was given enough information to prepare for my baby’s transfer?
27.Were you and your baby cared for in a transitional care setting before being discharged home (this could be on a dedicated transitional care ward, a postnatal ward or on the neonatal unit).
28.On a scale of 1 to 5 (where 1 is dissatisfied and 5 is very satisfied), overall, how satisfied were you with your experience of transitional care?
30.Has your baby been discharged from the neonatal unit /transitional care?
31.When leaving neonatal care, where were you discharged to:
32.Will you be followed up by the Neonatal Outreach Team
Please indicate below whether you agree or disagree with the following statement about your neonatal experience.▲
33.I felt the unit staff prepared me well for going home with my baby
34.I know what to do if I need to seek help at home for my baby.
35.I received face to face BLS ( Basic Life Support) training and it gave me confidence to use these skills if necessary
36.I know where to go for emotional and mental health support after leaving the unit.
Overall▲
37.On a scale of 1 to 5 (where 1 is dissatisfied and 5 is satisfied), overall, how was your experience of our service?
Finally, some quick questions about yourself:▲
41.How would you describe your relationship to the baby receiving care in a Neonatal Unit?
42.Please select your age in years.
43.Please select your ethnicity.
44.Is English your first language?
45.Do you have any additional needs or disabilities?
46.If you consider yourself or your partner to have any of the following protected characteristics, do you feel this impacted on your neonatal experience or the care you received?
If ‘yes’, please provide further details in the comment box.
