Leeds Gynaecology/Endometriosis Petition
This is for LEEDS PATIENTS ONLY. We are putting together a petition/letter to the hospital Chief Executive alongside our MP and the Endometriosis charity to ask them to hold an urgent scrutiny meeting to review care, wait times and funding in this department due to increasing wait times since becoming a BSGE centre. The information you provide about your experience/journey will help us to put together some stats and figures as well as personal stories that can really highlight the issues and how they are affecting people. Feel free to fill in as much or as little information as you want every question is optional and it is all anonymous. 
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What is your age?
Who is/was your consultant?
How long after your referral was your 1st consultation appointment? (if still waiting indicate current wait time)
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How long after your consultation did you wait for an ultrasound or MRI (if you had one)? (indicate current wait time if still waiting) 
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Were you offered interim symptom management? 
Do you know what priority grade you were given for your surgery? 
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Has endo impacted on your fertility? 
How long after your consultation was your surgery (if you had one)? (indicate current wait time if still waiting) 
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Did you/will you require an MDT for your surgery (multiple surgeons bowel, bladder, thoracic etc)
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What grade of endo were you diagnosed with? 
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Did you end up paying for private treatment due to the wait?
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If you went private how did you fund this?
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If you went private how much did this cost you in total?
Did you have any issues on your endo journey with aftercare, staff, communication etc. 
Have you had to make a complaint at any point during your care?
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If you made a complaint were you happy with the resolution?
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Please tell us about your endo journey
What does Leeds need to do to improve patient care for endometriosis? 
If you have any positive feedback about a member of staff or the department that you would like to share please add this here:
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