Start Well Children’s Emergency Surgical Services Questionnaire (AV)

Resident living in North Central London or neighbouring area Patient currently receiving treatment from NHS services in North Central London Family member or caregiver of a patient receiving treatment in North Central London NHS staff member working in North Central London NHS worker outside of North Central London Healthcare professional referring patients to NHS services in North Central London Member of a local health-related community group or organisation Other

Children’s surgical services (this means your child may have had a planned or emergency operation) Children’s emergency services (this usually means attending A&E) Children’s planned services (for example, attending a clinic appointment having been referred by a GP) None of the above

University College London Hospital Great Ormond Street Hospital for Children North Middlesex University Hospital Royal Free Hospital Barnet Hospital Chase Farm Hospital Whittington Hospital Chelsea and Westminster Hospital Royal London Hospital Other (please specify for example, GP or Community Service) Not Applicable

Children’s surgical services Children’s emergency services Children’s outpatient services Children’s inpatient services Other Not Applicable