Public Health and Wellbeing Review 2016 - a brief survey for consultation

Prior to completing the survey please read the Consultation Paper for this review, available from the consultaton webpages: https://consultations.southglos.gov.uk/consult.ti/publichealthandwellbeing2016/consultationHome along with the Equalities Impact Assessment (EQIAA)

Q1	Exercise on Prescription: do you have any comments on the proposal for the Exercise on Prescription/Lifeshape service?

Q2	Do you have any specific comments on our proposals for individual public health services?

Q3	Do you agree with our principle of achieving the required level of savings by focussing on our priorities and delivery of mandated services?
	Yes		No

	If you ticked No, what should our focus be for achieving the required level of savings?

Q4	The review of public health functions provides an opportunity to adopt a more innovative and visionary approach to improving public health and reducing inequalities. Do you have any suggestions for how this might be achieved?

Q5	Are there any other comments you would like to add?

Equalities Impact Assessment: an Equalities Impact Assessment has been carried out for this review and is included as part of this consultation

Q6	Is our assessment and analysis of the impact of the review on specific groups accurate?
	Yes		Don't know
	No

	Comment:

Q7	Do you think the recommended actions to offset the potential impacts of the review identified in the Equalities Impact Assessment are appropriate and proportionate
	Yes		Don't know
	No

	Comment:

Q8	Are you responding as ...?
	A local resident
	On behalf of an organisation

	If you are responding as part of an organisation, please tell us which one

About You This section is really important as it helps us to understand more about the people completing the survey. Any responses to these questions will remain confidential and will only be analysed at a group level. Individuals will not be identified and personal details will not be published.

Q9	Your postcode

Q10	How old are you?
	Under 18		56 to 65
	18 to 25		66 to 75
	26 to 35		Over 75
	36 to 45		Prefer not to say
	46 to 55

Q11	Are you?
	Female		Prefer not to say
	Male

Q12	Do you consider yourself to be disabled?
	Yes		Prefer not to say
	No

	If yes, please tell us if and how your disability impacts on your use of Public Health & Wellbeing services?

Q13	Your ethnicity:
	Arab		Mixed/Multiple Ethnic Groups – White & Asian
	Asian/Asian British – Bangladeshi		Mixed/Multiple Ethnic Groups – White & Black African
	Asian/Asian British – Indian		Mixed/Multiple Ethnic Groups – White & Black Caribbean
	Asian/Asian British – Pakistani		Mixed/Multiple Ethnic Groups – Other (please state)
	Asian/Asian British – Chinese		White – English/Welsh/Scottish/Northern Irish/British
	Asian/Asian British – Other (please state)		White – Irish
	Black/African/Caribbean/Black British – African		White – Other (please state)
	Black/African/Caribbean/Black British – Caribbean		Other ethnic group (please state)
	Black/African/Caribbean/Black British – Other (please state)		Prefer not to say
	Gypsy or Traveller of Irish Heritage

	Please state which other ethnicity best describes you?

Many thanks for your feedback. Just click the SUBMIT button to send us your response.