Giving people a voice to influence positive change in health and social care

01225 701851 | info@evolvingcommunities.co.uk

Evolving Communities Logo
MVP Logo Icon

Have your say

Complete our feedback form

We are here to listen – tell us what has happened, good or bad, we want to know!

The feedback you provide will be shared anonymously with the Local Maternity and Neonatal System and wider health providers where appropriate.

We use your feedback to improve care and services, we are unable to reply to you or resolve complaints, if you would like to raise a complaint you will need to do this with the hospital or care provider.

You can find further information about the Evolving Communities Privacy Statement, by going to evolvingcommunities.co.uk/privacy.

 

Please start here

Somerset Maternity Voices Partnership
Somerset MNVP: Have Your Say Form
PROMPTS: During pregnancy, during birth, after the birth, consent, information sharing, pain relief, when/how long/wait; ward/department; medical condition; staff involved; environment; communication; empathy; cleanliness; what was good/bad; what could be improved; how did you feel?
Name of the hospital and ward or department, birth place, community midwife centre, GP practice etc.
4. In relation to this experience, please tick the box that best describes you:
5. Tell us more about you for equality and diversity monitoring.
We try and talk to a wide range of people from across Somerset. By asking these questions we are able to demonstrate the range of people we talk to as well as monitor for any discrimination. If you would prefer not to answer these, please indicate this by ticking 'prefer not to say'. Otherwise please answer the following questions by ticking the corresponding box. The information you provide will stay confidential and be stored securely in line with our privacy policy. This is available on our website, or you can contact us to request a copy.
6. How would you describe your gender?
7. Is your gender identity the same as the sex assigned at birth?
8. How would you describe your sexual orientation?
9. What is your marital status?
10. Age:
Tick all that apply
Tick all that apply
13. What is your ethnicity?
14. What is your religion or belief?
Please click 'submit' to complete your feedback.
Sending

Get in touch

If you have questions or feedback about any aspect of our work or maternity services in Somerset, please get in touch:
somersetMVP@evolvingcommunities.co.uk

Share This
Skip to content