“your big health conversation” - portsmouth ccg bi… · an’t have everything on your...

Improving health services… Improving health services…

“Your Big Health Conversation”

Phase one – initial results

Portsmouth

Improving health services…

Background

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“Your Big Health Conversation” was launched in early February

Across Portsmouth, F&G, and SE Hampshire

Objective 1) A ‘plain English’ explanation of challenges facing the NHS

Objective 2) Getting feedback as to how the NHS should change

“Your Big Health Conversation” to date is ‘phase 1’ of a longer project

Next, the CCGs will focus on specific issues, with targeted engagement


Who responded?

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311

respondents

24%

men

73%

women

32%

18-44

46%

45-64 19%

65+

89%

white 25%

disability

38%

carer Relatively small sample (from total of 1,950) Significantly younger than the whole sample, and smaller proportion of male respondents


What the NHS could do differently...

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Strengthen community care: Both as a ‘good’ in itself, but also because of the positive service/system impact – easing pressure elsewhere

More resources: More staff, more capacity, more appointments, shorter waiting times

Other themes: Fees / charges, staff attitude, re-prioritise spending to front line services, mental health refs

Better access: Walk-in, evenings and weekends, more convenient systems


The NHS needs to change and...

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Don’t know

…the NHS does not need fundamental change

…the priority should be mental health care services

…the priority should be hospital-based care services

…the priority should be GP / community care services

64.7%

Total sample (1,950)

52.3%


Why do you say that...?

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Default preference for community-based care: It is better, should be first port of call, only use hospitals when unavoidable

Negative references to care quality: Both criticisms of quality, and resources

Concerns over primary care access: Already hard to access, already stretched, people suffering when waiting

Recognition of links between acute/community: References to bed blocking, easing pressure, promoting independence

Limited references: Physical access, mental health, social care


Helping people to stay healthy

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65% Shorter waiting

times

61% Emotional /

mental health support

38% Support

people to be active

29% New tech to

help monitoring

28% New tech for

communication 23%

Access to peer support

20% Information

about healthy lifestyle


To reduce ‘bed blocking’...

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Don’t know

…the balance of spending is about right at the moment

…it makes sense to prioritise care in major hospitals – even if that means fewer community services

…it makes sense to prioritise care close to home – even if that means fewer hospital beds


57.6%

48.8%



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Funding: More money needed, need more beds not fewer, can’t cut beds

Preference for hospital-based care: Some treatments / expertise not available / appropriate in community

Recognition of the links between acute / community: Support for community care because of the impact this sector can have elsewhere

General support for community-based care: Strong preference for localised services – as a good in itself

Other themes: Need to have both, need greater efficiency, parking/access


To ease demand on GPs...

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Don’t know …people should be encouraged to take more responsibility for their own health

…GP practices should more closely together to create a bigger pool of frontline staff

…fundamental change is not needed – the system should be able to cope

…patients with minor problems should see other NHS staff instead

50.2%


41.9%



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Pharmacies: Can go to chemist instead, pharmacies can do minor things

Self care / resilience: Need to use common sense, people too dependent, want instant fixes, need more personal responsibility

“My right to see a GP”: Should be up to me, I should see a GP if I want

GPs are not always the right option: Other staff groups can help, nurses are skilled, others can free up GP time

Other themes: Education, and information, more resources


Specialist, or local...?

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…as many services as possible should be provided at all hospitals, even if outcomes are not as good as they could be

19.7%

72.8%


Don’t know

…people can benefit from large, specialist departments – even if they are further from home

65.5% 19.7%



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Viability: Can’t have everything on your doorstep, not viable, not practical

Transport: Cost of travel, difficulty for those without cars or who are frail, stress, parking

Loss of support: Loved ones can’t visit, visitors are important, impact of isolation

Other themes: Specialisation is more efficient, all hospitals should specialise/be the same

“It’s a no-brainer”: Best outcomes is most important, centres of excellence, specialist is best


What is a ‘seven day’ NHS...?

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42.1%

33.6%


Don’t know There are enough NHS services at the weekend already

At weekends, the priority should be routine care services before expanding urgent care

At weekends, the priority should be urgent care services, before expanding routine care

All NHS services should be available, every day – Saturdays and Sundays should be like any other day

36.6%



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Already is 24/7: Already is 24/7, already enough services at the weekends

Unrealistic: Cannot be afforded, not enough staff, services can’t cope now

Routine can wait: Routine illnesses can wait until Monday, urgent care is more of a priority

All day, every day: You get ill every day of the week, illness doesn’t stop at weekends

Other themes: Hard for working people to make appts. Very few refs to safety/quality


Mental health priorities

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Resources: Need more resources, increased funding, more (trained) staff

Specialist care: More (inpatient) specialist care, more specialist units, local units

Community-based care: More help in community, care close to home, support people in their homes

Access: Shorter waiting times for appts, quicker access to support, more drop-ins and self-referrals

Other themes: Crisis response teams, staff attitude, early invention, CAMHS / younger people’s services


Social care priorities

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More time: Carers need more time, visits not long enough

Home care: Help people to stay at home, more/better community services, home care

Other themes: Better pay for carers, better working conditions, better training, listen to people, more resources

Integration: NHS and social care working together, pooled budgets, joined-up services, closer working arrangements


Next steps

• Full analysis of results

• Results published on CCG websites, and promoted using social

media and other channels

• ‘Phase two’ focus areas to be agreed – may vary across CCGs

• ‘Phase two’ engagement methods to be agreed

• Work undertaken to support the design of new models of care,

ensuring local patient needs, expectations and preferences are

considered

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“your big health conversation” - portsmouth ccg bi… · an’t have everything on your...

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