Survey of Health Leaders on Government NHS Reforms

Survey results

March 2011 Twitter: #NTSummit

Jennifer DixonNuffield Trust

3 Surveys – January and February 2011

PUBLIC• ~1000 adults in England (MORI)

GPs• 1600 GPs (DRSNET)

HEALTH LEADERS• 64 health leaders (NUFFIELD TRUST)

March 2011

Public

Which one of the following statements comes closest to reflecting your overall view of the NHS?

Thinking about the quality of NHS care over the past three years, has it…?

And, thinking about the quality of NHS care over the next few years, do you expect it to…?

To what extent do you agree or disagree with the following statement: “As long as health services are free of charge, it doesn’t matter to me whether they are provided by the NHS or a private company”

If the NHS was to face lower levels of spending, which of these, if any, would you be MOST willing to accept?

…and which, if any, would you be LEAST willing to accept?

Thinking about the treatments and services that are available on the NHS, which of these statements most closely matches your opinion?

GPs

The majority (71%) think that the priority for commissioning will focus on cost

Q7. To what extent do you think the priority for commissioning will focus on cost, leading to a restriction on, or even prevention of, hospital referrals/admissions? Q6. In what capacity are you involved in commissioning?Base: 838 (Consortium level=67, PBC level=64, Practice level=166, Not actively involved=526, Other=15)

Less than a quarter of GPs (23%) agree that the proposed reforms will improve the quality of patient care provided by their organisation/practice

Q8b. “The proposed reforms will improve the quality of the patient care which my organisation / practice provides”. Q6. In what capacity are you involved in commissioning?Base: 838 (Consortium level=67, PBC level=64, Practice level=166, Not actively involved=526, Other=15)

Overall, GPs expect that an active focus on cost is likely to lead to different types of restrictions (and possibly preventions) – along with a reduction of patient choice

Q5. If it transpires that GP-led commissioning does actively focus on cost, to what extent do you think that a focus on cost will lead to:Base: 817

Overall 50% of GPs believe that the reforms will have a major impact on viability

Q10. What, if any, impact do you think the reforms will have on the financial viability of your local hospital? Base: 817

Health leaders

Fundamental changes

Choice of levers to achieve efficiency savings by 2014

Greater competition

Main messages

Thank you

March 2011

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