Patient Feedback
The trainee should ask patients to complete this feedback form. You need to ask enough patients to ensure you have at least 5 completed forms (not all will complete it). Ideally, a different staff member will give the form to consecutive patients who have been seen by the trainee as they leave the consultation. The form should be accompanied by an envelope and a pen (and ideally a clipboard).
Patients should be advised that completion of the form is voluntary but that it is confidential and an important part of Quality Improvement for both the clinician and the clinic as a whole. Once completed they should place the form in an envelope and hand it to the receptionist.
Once enough forms have been returned, the receptionist can advise the trainee/ staff member to stop handing out any more. Completed forms should be passed to the registered clinical trainer for discussion with the trainee at the earliest opportunity. You need to record the formal discussion with your trainer on e-portfolio; the anonymised forms will be returned to you to scan and upload to your e-portfolio into your personal library.
All trainees MUST use the BASHH/STIF form supplied to collect the Patient Feedback. The form is available to download from the e-portfolio.
** No other format is accepted **
PATIENT FEEDBACK ALREADY COLLECTED
If you have already collected the required number of patient feedback forms (using the BASHH/STIF form) for an earlier STIF Competency curriculum (for example you have completed Gateway or Gateway-Plus and are now on Intermediate) and these forms were collected less than 2 years before, you do not need to repeat the exercise
Multi-Source Feedback (360 degree) – Advanced pathways
The Multi-Source Feedback (MSF) tool is used to collect colleagues’ opinions on your clinical performance and professional behaviour. It provides data for reflection on your performance and self-evaluation and should be one of the topics you write about in your reflective practice.
Tips for your MSF feedback
1. Choose a range of colleagues - nursing, medical, admin/secretarial, manager, someone you are supervising. We recommend you ask 7-10 colleagues (a minimum of 5 is needed)
2. Print out the MSF and fill in your details
3. The form should be returned to your primary trainer – provide an envelope with your trainer’s name with the MSF
4. Your trainer will anonymise the results before discussion
5. You need to record the formal discussion with your trainer on e-portfolio; the anonymised forms will be returned to you to scan and upload to your e-portfolio into your personal library
All trainees MUST use the BASHH/STIF form supplied to collect the Patient Feedback. The form is available to download from the e-portfolio.
** No other format is accepted **