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Bereavement Survey

We would greatly value your thoughts about the care your relative or friend received in the last days of their life. These will help us to ensure we provide the best possible care in the future.

The following questions and statements relate to the care given to your relative or friend in the last days of life. How strongly do you agree or disagree with each of the following statements?

Please select your answer and feel free to add any comments below each question in the space provided.

1. Which ward was your relative/friend on when they died?

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2. How long was your relative/friend in hospital before they died?

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3. Hospital staff ensured my relative/friend was comfortable during their last days of life (including pain or agitation)

4. Hospital staff gave my relative/friend the right level of emotional support

5. Hospital staff showed the right level of respect to my relative/friend including attention to their privacy and dignity

6. Hospital staff gave my relative/friend the opportunity to talk to or access religious or spiritual support

7. In your opinion, in the last days of life did your relative/friend receive the right support from hospital staff to eat or drink if they wished or were able?

8. Hospital staff gave your relative/friend regular oral and mouth care

9. Where in the hospital was your relative/friend cared for? Please select all that apply

10. How would you rate the way in which hospital staff communicated with your relative/friend?

11. Overall, how would you rate the care and support given to your relative/friend by hospital staff during the last days of their life?

12. Please tell us why you have given this score

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Support for you

13. The healthcare team explained your relative/friend’s condition and/or treatment in a way that was easy to understand

14. Hospital staff communicated sensitively and compassionately with me

15. Hospital staff helped with my practical needs e.g. parking and facilities, where I could access food

16. Hospital staff contacted me soon enough to give me time to be with my relative/friend

17. Please add any comments

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Support after your bereavement

18. If you visited the mortuary do you feel that you were treated sensitively and with compassion?

19. Did you feel that staff in Bereavement services, who contacted you to provide information and support with completing the necessary paperwork, spoke to you sensitively and gave you the opportunity to ask questions?

20. Did you feel that staff in the Medical Examiner Office, who contacted you to discuss your relative/friend’s cause of death, spoke to you sensitively and gave you the opportunity to ask questions?

21. Did you experience any unexpected delays in completion of the Medical Certificate of Cause of Death?

22. Overall, how would you rate your experience of Bereavement services?

23. Overall, how would you rate your experience of the Medical Examiner office?

24. What other comments about your relative/friend’s end of life care would you like to make?

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Can we share your comment publicly (for example, on our website or printed material such as posters)?

25. Thinking about your relative/friend, what do you consider was their ethnic background?

26. Thinking about your relative/friend, what was their religion, if any?

The answers that you give to this survey will be brought together with the answers we receive from others to help us build a complete picture of how the Trust is doing and what we need to do to improve services for individuals and their families.

The information will help us support or improve services for those during the last days of their life and to share good practice. The information will not identify you or your relative.

Please note that this is an anonymous survey and we are therefore unable to respond individually to comments. If you would like a response to your comments formally or wish to make a complaint or compliment the please contact PALS (Patient Advice and Liaison Service).

The contact details for our PALS office are:

Email: PALS@stgeorges.nhs.uk

Phone: 020 8725 2453