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Questionnaire content
Text message
Dear Jennifer*,
Wilburton Medical Practice would like to update your ethnicity details in your medical records.
This will help the NHS to understand the needs of patients and provide you with better and more equal care.
To answer the questions, please tap here: <link>.
Introduction Screen
Dear Jennifer*,
Your GP practice would like to ask a few questions about your ethnic group or background.
This questionnaire is optional. Your answers will help the NHS to understand the needs of patients and provide better and more equal care.
The ethnic groups used in this questionnaire are based on the 2011 census of England and Wales.
Thank you,
Wilburton Medical Practice*
Questions and answers
1. What is your ethnic group?Select the option that best describes your ethnic group or background.
White
Mixed / Multiple ethnic groups
Asian / Asian British
Black / African / Caribbean / Black British
Other ethnic groups
2. Which of the following best describes your [answer to question 1] background?
**Patients see the group that’s relevant to their previous answer**White
English / Welsh / Scottish / Northern Irish / British
Irish
Gypsy or Irish Traveller
Any other White background
Mixed / Multiple
White and Black Caribbean
White and Black African
White and Asian
Any other Mixed / Multiple ethnic background
Asian / Asian British
Indian
Pakistani
Bangladeshi
Chinese
Any other Asian background
Black / African / Caribbean / Black British
African
Caribbean
Any other Black / African / Caribbean background
Other ethnic groups
Arab
Any other ethnic group [opens free text box]
Confirmation screen
Your answers have been sent to your GP
Thank you. By answering these questions, you’re helping the NHS to provide better and more equal care.
You can learn more about how and why the NHS collects information about ethnicity on the NHS Digital website.
SNOMED and READ coding
To be in line with NHS data and guidelines, our ethnicity questionnaire uses the ethnic groups and codes from the 2011 Census of England and Wales.
Code description | SNOMED | READ |
Prefer not to say |
|
|
Refusal by patient to provide information about ethnic group | 763726001 | XaE4B |
|
|
|
White |
|
|
White: English or Welsh or Scottish or Northern Irish or British | 976631000000101 | XactH |
White: Irish | 976651000000108 | XactI |
White: Gypsy or Irish Traveller | 976671000000104 | XactJ |
White: any other White background | 976691000000100 | XactK |
|
|
|
Mixed / multiple |
|
|
Mixed multiple ethnic groups: White and Black Caribbean | 976711000000103 | XactL |
Mixed multiple ethnic groups: White and Black African | 976731000000106 | Xactd |
Mixed multiple ethnic groups: White and Asian | 976751000000104 | Xacte |
Mixed multiple ethnic groups: any other Mixed or multiple ethnic background | 976771000000108 | Xactf |
|
|
|
Asian |
|
|
Asian or Asian British: Indian | 976791000000107 | Xactg |
Asian or Asian British: Pakistani | 976811000000108 | Xacth |
Asian or Asian British: Bangladeshi | 976831000000100 | Xacti |
Asian or Asian British: Chinese | 976851000000107 | Xactj |
Asian or Asian British: any other Asian background | 976871000000103 | Xactk |
|
|
|
Black / African / Caribbean |
|
|
Black or African or Caribbean or Black British: African | 976891000000104 | Xactl |
Black or African or Caribbean or Black British: Caribbean | 976911000000101 | Xactm |
Black or African or Caribbean or Black British: other Black or African or Caribbean background | 976931000000109 | Xactn |
|
|
|
Other |
|
|
Other ethnic group: Arab | 976951000000102 | Xacto |
Other ethnic group: any other ethnic group | 976971000000106 | Xactp |
How to give feedback
As always, we’d love to hear your feedback about our questionnaires.
To request a new questionnaire or suggest changes, please fill in our request form.