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My Mesothelioma Care Passport

My Mesothelioma Care Passport is a pack designed to help you keep up-to-date with the planned care that you have discussed and agreed with your health care professionals.

We hope that it will help you to keep track and make sense of what is happening.

It is intended to be a concise record of your care to date, enabling you to understand and discuss with anyone you choose, for example, your
GP, clinical nurse specialist physiotherapist, community nurse, consultant, emergency doctor, clinical trial advisor or anyone else in whom you wish to confide.

If you have requested access to your clinic letters, you can store them here, along with your scan and x-ray reports.

You can also keep your most up to date prescription and other documents you feel may be useful here.

There is also a section for you to store any relevant written information that has been provided to you.

A list of this available information is located at the back of the pack.

The Care Plan section is for you to use as you wish.

You may prefer to ask your nurse or health care professional to write a summary of your recent discussion/consultation, including what the next steps are for you, or you may like to make a note of any questions you have for your next appointment.

Feedback Form for Patients

Feedback form for patients (My Mesothelioma Care Passport)

Thank you for taking the time to fill out this feedback form. Your evaluation and comments will help us to develop this new resource.

Are you a patient, carer or family member? (required)
PatientCarerFamily memberOther





Where were you given the passport?
HospitalAt homeGP's surgeryOther





Rate the following on the scales below:

It was made clear to me what the passport was for
Strongly DisagreeDisagreeNeutralOtherAgreeStrongly Agree

Enough information was provided in order to use the passport
Strongly DisagreeDisagreeNeutralOtherAgreeStrongly Agree

Using the passport was helpful to me
Strongly DisagreeDisagreeNeutralOtherAgreeStrongly Agree

It was given at the right time
Strongly DisagreeDisagreeNeutralOtherAgreeStrongly Agree

It was easy to use
Strongly DisagreeDisagreeNeutralOtherAgreeStrongly Agree

I will continue to use this passport
Strongly DisagreeDisagreeNeutralOtherAgreeStrongly Agree

 

If you prefer to print out and send back a feedback form, please click here for a PDF.

Guide for Healthcare Professionals
Feedback Form for Health Professionals
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