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Epidemiology & Health Sciences Team (Public Health) Proposed major service change in Skye, Lochalsh and South West Ross: Analysis of the responses to the public consultation survey November 2014 CONTENTS Page 1.0 INTRODUCTION..............................................................1 2.0 RESULTS...................................................................2 2.1 Overall response rate...................................................2 2.2 Response rates by gender, age and by area...............................2 2.3 Representativeness of responses by age and gender.......................3 2.4 Ratings of aspects regarding the proposed changes (question 1 in the survey).......................................................................4 2.5 Preferred Option (question 2 in the survey).............................5 2.6 Preferred site (question 3 in the survey)...............................6 2.7 Individual direct response or on behalf of another/others/groups (question 6 in the survey)....................................................7 2.8 Self declared category of responder (question 8 in the survey)..........8 2.9 Inpatient status of the responder within the last 12 months (questions 9 & 10 in the survey)...........................................................8 2.10 Residential status of responders (question 11 in the survey)............9 2.11 Carer status of responders (question 14 in the survey)..................9 2.12 Transport and access status (questions 15; 16; 17; 18 in the survey). . .10 2.13 Self-reported prevalence of Long-term (over 12 months) conditions or disabilities amongst the responders (questions 19 & 20 in the survey). .12 Epidemiology & Health Sciences Team (Public Health)

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Page 1: Welcome To NHS Highland · Web viewThis disparity by gender was highest in Skye North and Skye Central with an almost 2:1 ratio in female to male rates (chart 1). Chart 1: Response

Epidemiology & Health Sciences Team (Public Health)

Proposed major service change in Skye, Lochalsh and South West Ross: Analysis of the responses to the public consultation survey

November 2014

CONTENTS

Page

1.0 INTRODUCTION.................................................................................................................................... 1

2.0 RESULTS............................................................................................................................................... 2

2.1 Overall response rate.......................................................................................................................... 2

2.2 Response rates by gender, age and by area......................................................................................2

2.3 Representativeness of responses by age and gender........................................................................3

2.4 Ratings of aspects regarding the proposed changes (question 1 in the survey).................................4

2.5 Preferred Option (question 2 in the survey)........................................................................................5

2.6 Preferred site (question 3 in the survey).............................................................................................6

2.7 Individual direct response or on behalf of another/others/groups (question 6 in the survey)..............7

2.8 Self declared category of responder (question 8 in the survey)..........................................................8

2.9 Inpatient status of the responder within the last 12 months (questions 9 & 10 in the survey).............8

2.10 Residential status of responders (question 11 in the survey)..............................................................9

2.11 Carer status of responders (question 14 in the survey)......................................................................9

2.12 Transport and access status (questions 15; 16; 17; 18 in the survey)..............................................10

2.13 Self-reported prevalence of Long-term (over 12 months) conditions or disabilities amongst the responders (questions 19 & 20 in the survey)...................................................................................12

3.0 SUMMARY........................................................................................................................................... 13

Epidemiology & Health Sciences Team (Public Health)

Page 2: Welcome To NHS Highland · Web viewThis disparity by gender was highest in Skye North and Skye Central with an almost 2:1 ratio in female to male rates (chart 1). Chart 1: Response

1.0 INTRODUCTION

The survey as part of the Skye, Lochalsh and South West Ross (SLSWR) public consultation on proposed changes to Health Services was undertaken during 2014 and had been designed on the recommendations of the Clinical Governance team. The Epidemiology & Health Science team were asked to analyse and report on the responses it received. The survey was sent to all households in SLSWR, providing the opportunity for as many as possible to respond to it. In the event 2,273 responded, equivalent to just under one fifth (19%) of the population aged 16 years and over. This briefing presents the results of the analysis of these responses with the following notes applying to it.

1. Responses from responders who provided addresses or the place where they live, are presented under the relevant geographies of Skye South; Skye Central; Skye North, Lochalsh or South West Ross according to the map below. Responses were also grouped as all SLSWR (n = 1,911) or overall (n = 2,273) which included the responders who did not indicate where they lived.

2. The results have been presented in the same order as they appeared in the actual survey.

3. For all questions, percentages were calculated using the numbers responding to the survey as a whole or by geographic areas and not the number responding to a particular question as the denominators. This method is appropriate to this particular survey design.

Map 1: Distribution of survey respondents by place of residence across the Skye, Lochalsh and South West Ross public consultation area

Epidemiology & Health Sciences Team (Public Health) 1

Page 3: Welcome To NHS Highland · Web viewThis disparity by gender was highest in Skye North and Skye Central with an almost 2:1 ratio in female to male rates (chart 1). Chart 1: Response

2.0 RESULTS

2.1 Overall response rate

Overall, less than one fifth (19%) of the population living in SL & SW Ross aged 16 years & over responded to the survey (table 1). The highest response rate was Skye South with 23% response rate.

Table 1: Response rate by geographical area of responders’ residence

Consultation AreaNumber of Responses

Population aged 16+ (1)

Response Rate (%)

Skye North 458 3,358 13.6Skye Central 400 2,962 13.5Skye South 546 2,391 22.8Lochalsh 389 2,217 17.5South West Ross 118 1,300 9.1Total SL&SWR 1,911 12,228 15.6Unknown/Other (2) 362 - -Total Responses 2,273 12,228 18.6

(1) NRS Small Area (data zone) populations 2013

SL&SWR - Skye, Lochalsh and South West Ross

(2) Unknown/other - includes 344 blanks, 15 prefer not to answer and 3 locations outwith the consultation area

2.2 Response rates by gender, age and by area

Although the highest response rate was from Skye South, relatively greater rates in all areas were by females. Overall the response rate of females was 22% and that of males, 14%. This disparity by gender was highest in Skye North and Skye Central with an almost 2:1 ratio in female to male rates (chart 1).

Chart 1: Response rate by area and gender

0 5 10 15 20 25 30

South West Ross

Skye Central

Skye North

Lochalsh

Skye South

Total SL&SWR

Total Responses

Response Rate (%)

All

Females

Males

Epidemiology & Health Sciences Team (Public Health) 2

Page 4: Welcome To NHS Highland · Web viewThis disparity by gender was highest in Skye North and Skye Central with an almost 2:1 ratio in female to male rates (chart 1). Chart 1: Response

Generally, the highest response rates were in the older age groups, particularly in Skye South and Skye North where the highest response rate was in the 80 years and over age group (chart 2).

Chart 2: Survey response rate by age-band within each area

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

16 - 29 30 - 39 40 - 49 50 - 59 60 - 69 70 - 79 80 +

Resp

onse

Rat

e (%

)

Age Group

Skye North

Skye Central

Skye South

Lochalsh

South West Ross

Total SL&SWR

Total Responses

2.3 Representativeness of responses by age and gender

Disproportionate to the underlying population profile, older age groups responded more, the highest percentage of total responses was by those aged 60-69 years (chart 3). This was more so in males where over 30% of male responders were aged 60-69 years compared to around 20% in the population. The 16-29 year age group was the least represented in the responses.

Chart 3: Response profile by age group and gender compared to the underlying population profile

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

% o

f tot

al

Age Group

Total responses (Males)

Responses

Population

0.0

5.0

10.0

15.0

20.0

25.0

30.0

% o

f tot

al

Age Group

Total responses (Females)

Responses

Population

Epidemiology & Health Sciences Team (Public Health) 3

Page 5: Welcome To NHS Highland · Web viewThis disparity by gender was highest in Skye North and Skye Central with an almost 2:1 ratio in female to male rates (chart 1). Chart 1: Response

2.4 Ratings of aspects regarding the proposed changes (question 1 in the survey)

The responders were asked to rate each of twelve different aspects in relation to proposed changes to the NHS Service provision in Skye, Lochalsh & South West Ross. With the exception of only one of these aspects, the majority of respondents were in support, ranging from 59% to 91% (table 2). The only aspect not associated with a majority in support was the ‘closing in-patient beds in Portree Community Hospital’. The majority (53%) of respondents did not support this aspect of the proposed change (table 2).

Table 2: Percentage ratings of aspects relating to proposed changes for all survey respondents

Support 1 NeutralDon't

support 2Not

answered

90.6 4.3 0.9 4.2

90.6 4.2 0.7 4.5

89.7 4.9 0.7 4.7

86.7 6.9 1.5 4.9

65.6 5.1 25.9 3.4

22.7 20.5 52.5 4.2

79.5 8.3 8.0 4.2

86.4 7.6 1.8 4.2

87.2 6.7 1.8 4.2

58.7 23.5 11.6 6.1

90.5 4.9 1.2 3.3

79.3 11.0 4.9 4.8

1 Support includes those answering 'Support to great extent' and 'Support to some extent'2 Don't support includes those answering 'Don't really support' and 'Do not support at all'

Rating (percentage of respondents n=2,273)

More effi cient use of resources (e.g. staff, buildings)

Developing a new hospital 'Hub' and resource centre in Broadford

Closing in-patient beds in Portree Community Hospital

Retaining Minor Injury Unit & Primary Care Emergency Centre in Portree

Developing local care homes

Providing more care-at-home

Developing telehealth services for home and hospital

Improving community transport to and from healthcare

Keeping some out-patient services in Portree

Aspect of proposed change

Improving in-patient medical cover

Providing services from modern hospitals

Better joint working across professions and services

Epidemiology & Health Sciences Team (Public Health) 4

Page 6: Welcome To NHS Highland · Web viewThis disparity by gender was highest in Skye North and Skye Central with an almost 2:1 ratio in female to male rates (chart 1). Chart 1: Response

2.5 Preferred Option (question 2 in the survey)

The options given in the public consultation for survey respondents to select their preference from were:

Option 1 Do minimumOption 2a Community resource centre and hospital 'Hub' in Broadford and 'Spoke' in PortreeOption 2b Community resource centre and hospital 'Hub' in Portree and 'Spoke' in BroadfordOption 3 Community resource centre and hospital 'Hub' - location not determinedOther* Respondent could suggest a different option

Overall for all respondents to the survey the majority (57%) had selected the Community Resource Centre and Hospital Hub in Broadford with a spoke in Portree (option 2a, chart 4). The ratio of those selecting option 2a versus those selecting option 2b (Hospital Hub in Portree and spoke in Broadford) was approximately 2:1 with support for the other options offered being much lower at 1-2%.

Chart 4: Percentage preferred option (as per Q2) of all survey respondents1

Option 11%

Option 2a57%

Option 2b29%

Option 32%

No preference2%

Other*1%

Not Given8%

1 Includes all responders to the survey whether question 2 (preferred option) of the survey was answered or not (n=2,273)

When only those respondents who gave an answer to the preferred option question (Q2) were included in the analysis, the profile of preferred options selected remained very similar. Option 2a (Community Resource Centre and Hospital Hub in Broadford with a spoke in Portree) remained as the preferred option of the majority (62%) with the ratio of those selecting option 2a versus those selecting option 2b staying at 2:1 (chart 5).

Chart 5: Percentage preferred option (as per Q2) of survey respondents who gave an answer1

Epidemiology & Health Sciences Team (Public Health) 5

Page 7: Welcome To NHS Highland · Web viewThis disparity by gender was highest in Skye North and Skye Central with an almost 2:1 ratio in female to male rates (chart 1). Chart 1: Response

Option 11%

Option 2a62%

Option 2b31%

Option 32%

No preference2%

Other*2%

1 Includes only responders to the survey who gave an answer to question 2 (preferred option) of the survey (n=2,096)

Note: All further analysis to follow will use all respondents to the survey (n=2,273) as the denominator, whether they answer the relevant question or not. This will ensure that the full picture of how people responded to the survey questions is provided.

Option 2a was also selected by the majority (i.e. >50%) of those from Skye South (92%), Lochalsh (91%) and South West Ross (80%). In contrast, for Skye Central and Skye North, the majority selection (60% & 66% respectively), was for the option 2b in which the Community Resource Centre and Hospital Hub would be in Portree and the spoke in Broadford (table 3).

Table 3: Percentage preferred option (as per Q2) of all survey respondents: overall and by area of residence

Option 1 Option 2a Option 2b Option 3No

preferenceOther* Not Given

Skye North 0.7 18.8 65.5 2.6 2.0 2.6 7.9 458Skye Central 1.0 23.0 60.0 4.0 3.3 1.8 7.0 400Skye South 0.4 91.8 1.3 1.1 0.9 0.4 4.2 546Lochalsh 0.3 90.5 1.5 0.5 0.5 1.5 5.1 389South West Ross 1.7 79.7 3.4 0.8 5.1 0.8 8.5 118Total SL&SWR 0.6 58.9 29.1 1.9 1.8 1.5 6.1 1,911Unknown/Other (1) 1.1 46.7 29.0 1.9 3.0 1.7 16.6 362Total Responses 0.7 56.9 29.1 1.9 2.0 1.5 7.8 2,273(1) Unknown/other - includes 344 blanks, 15 prefer not to answer and 3 locations outwith the consultation area

Consultation Area

Preferred Option (% of responses) Total Number of Responses

2.6 Preferred site (question 3 in the survey)

For the option of a community resource centre and hospital hub at Broadford with a spoke in Portree, one quarter of the overall responders from Skye, Lochalsh and South West Ross, selected a site on the land between the existing hospital and health centre in Broadford, (see as site 4 in Table 4). However a larger proportion had selected “no preference” (42%). Amongst the areas, the

Epidemiology & Health Sciences Team (Public Health) 6

Page 8: Welcome To NHS Highland · Web viewThis disparity by gender was highest in Skye North and Skye Central with an almost 2:1 ratio in female to male rates (chart 1). Chart 1: Response

majority of responders from Lochalsh (54%) and South West Ross (61%) had also selected no preference. The majority of responders in Skye South (53%) had selected site 4 whilst 42-43% of those from Skye North & Central had selected “no preference”.

Table 4: Percentage preferred site of option 2a selected by all respondents: overall and by area of residence

Site 1 Site 2 Site 3 Site 4No

preferenceOther* Not Given

Skye North 2.4 0.7 3.5 5.7 41.7 9.0 37.1 100.0Skye Central 2.8 0.0 2.8 8.8 42.8 6.8 36.3 100.0Skye South 3.1 1.3 5.7 52.9 29.7 0.9 6.4 100.0Lochalsh 4.1 1.0 3.9 26.2 54.2 1.5 9.0 100.0South West Ross 2.5 1.7 5.1 15.3 61.0 4.2 10.2 100.0Total SL&SWR 3.0 0.8 4.1 24.6 42.2 4.4 20.8 100.0Unknown/Other (1) 2.5 0.6 3.9 16.0 39.2 3.9 34.0 100.0Total Responses 2.9 0.8 4.1 23.2 41.8 4.3 22.9 100.0(1) Unknown/other - includes 344 blanks, 15 prefer not to answer and 3 locations outwith the consultation area

Consultation Area

Preferred Site (% of responses)

Total

Site 1 Land to the West of Broadford to the South of the main A87 trunk road at the Western extent of the villageSite 2 Land to the South of Boradford accessed from Boreraig PlaceSite 3 Broadford Industrial Estate (South), bounded by the A87 and High Road (leading to hospital)Site 4 Land between existing hospital and health centreOther* Respondent could suggest a different option

2.7 Individual direct response or on behalf of another/others/groups (question 6 in the survey)

Table 5: Status of responder (Q6)Number of

Respondents% of

Respondents2,177 95.8

43 1.953 2.3

2,273 100.0

Responding as:

IndividualOn behalf of other (individual or group)*Not inidicatedTotal

* groups noted were:

SGM CarsUig Community Council

Families (n=23)Applecross Community CouncilBroadford & Strath Community CouncilFriends of Portree HospitalKilmuir Community Council

Note: it was made clear in the consultation survey that if responding on behalf of a group, then the response and the name of that group would be published.

Epidemiology & Health Sciences Team (Public Health) 7

Page 9: Welcome To NHS Highland · Web viewThis disparity by gender was highest in Skye North and Skye Central with an almost 2:1 ratio in female to male rates (chart 1). Chart 1: Response

2.8 Self declared category of responder (question 8 in the survey)

Most of the responders indicated they were members of the community (71%) with 61% as a patient, carer or service user. As responders were asked to select as many of the categories that best described them, the frequency of responses are not mutually exclusive.

Table 6: What categories best describe you? (Q8)

CategoryNumber of

Respondents% of

Respondents*Patient/carer/service user 1,384 60.9Member of the community 1,611 70.9Community council 70 3.1Councillor/elected representative 8 0.4Voluntary organisation 79 3.5Community Group 12 0.5NHS Highland staff 178 7.8GP or GP Practice staff 29 1.3Other 54 2.4

*Note: responders could select more than one category, so these are not mutually exclusive and the percentages will not add up to 100%

2.9 Inpatient status of the responder within the last 12 months (questions 9 & 10 in the survey)

Overall, 12% of the responders had reported being an inpatient in the MacKinnon Memorial Hospital within the last 12 months (table 7). The proportion ranged from the lowest in South West Ross (7.6%) to the highest in Lochalsh (16%).

In contrast, only 4% of the overall responders had recorded having been an inpatient in Portree Community hospital (table 8). The highest percentages were amongst the responders from Skye North and Skye Central (9%).

Table 7: Have you been an inpatient in Dr Mackinnon Memorial hospital in the last 12 months? (Q9)

Yes No Not stated Yes No Not stated

Skye North 51 385 22 11.1 84.1 4.8Skye Central 38 347 15 9.5 86.8 3.8Skye South 69 463 14 12.6 84.8 2.6Lochalsh 61 316 12 15.7 81.2 3.1South West Ross 9 105 4 7.6 89.0 3.4Total SL&SWR 228 1,616 67 11.9 84.6 3.5Unknown/Other (1) 44 273 45 12.2 75.4 12.4Total Responses 272 1,889 112 12.0 83.1 4.9(1) Unknown/other - includes 344 b lanks, 15 prefer not to answer and 3 locations outwith the consultation area

Consultation Area

Inpatient at Dr Mackinnon Memorial Hospital in the last 12 months

Number of Respondents Percentage of Respondents within each area

Epidemiology & Health Sciences Team (Public Health) 8

Page 10: Welcome To NHS Highland · Web viewThis disparity by gender was highest in Skye North and Skye Central with an almost 2:1 ratio in female to male rates (chart 1). Chart 1: Response

Table 8: Have you been an inpatient in Portree Community hospital in the last 12 months? (Q10)

Yes No Not stated Yes No Not stated

Skye North 41 404 13 9.0 88.2 2.8Skye Central 35 359 6 8.8 89.8 1.5Skye South 3 532 11 0.5 97.4 2.0Lochalsh 0 378 11 0.0 97.2 2.8South West Ross 2 110 6 1.7 93.2 5.1Total SL&SWR 81 1,783 47 4.2 93.3 2.5Unknown/Other (1) 20 314 28 5.5 86.7 7.7Total Responses 101 2,097 75 4.4 92.3 3.3(1) Unknown/other - includes 344 b lanks, 15 prefer not to answer and 3 locations outwith the consultation area

Consultation Area

Inpatient at Portree Community Hospital in the last 12 months

Number of Respondents Percentage of Respondents within each area

2.10 Residential status of responders (question 11 in the survey)

Three quarters (75%) of responders indicated they did not live on their own, over one fifth (21%) lived on their own and 4% did not answer or did not wish to answer (table 9).

Table 9: Do you live on your own? (Q11)

Do you live on your own:Number of

Respondents% of

RespondentsYes 485 21.3No 1,694 74.5Prefer not to answer 26 1.1Not answered 68 3.0Total 2,273 100.0

2.11 Carer status of responders (question 14 in the survey)

Most of the responders (83%) stated they were not carers, 12% stated they were carers and of these, 60% were part-time and 40% full-time (table 10).

Table 10: Are you a carer? (Q14)

Are you a carer:Number of

Respondents% of

RespondentsYes (full-time) 110 4.8Yes (part-time) 162 7.1No 1,882 82.8Prefer not to answer 35 1.5Not answered 84 3.7Total 2,273 100.0

Epidemiology & Health Sciences Team (Public Health) 9

Page 11: Welcome To NHS Highland · Web viewThis disparity by gender was highest in Skye North and Skye Central with an almost 2:1 ratio in female to male rates (chart 1). Chart 1: Response

2.12 Transport and access status (questions 15; 16; 17; 18 in the survey)

Responders were asked about car ownership or access to a car. Overall 84% indicated they did have a car or had access to one. The proportion with access/ownership was the most in Skye South (89%) and Skye North (87%) and the least in Skye Central (84%) and Lochalsh (85%). The proportion indicating they did not have access/ownership was the highest in Skye Central and Lochalsh (13% in both areas) (table 11).

Table 11: Access to a car or car ownership (Q15)

Yes NoNot

statedYes No

Not stated

Skye North 397 43 18 86.7 9.4 3.9Skye Central 334 52 14 83.5 13.0 3.5Skye South 486 46 14 89.0 8.4 2.6Lochalsh 331 50 8 85.1 12.9 2.1South West Ross 101 13 4 85.6 11.0 3.4Total SL&SWR 1,649 204 58 86.3 10.7 3.0Unknown/Other (1) 267 63 32 73.8 17.4 8.8Total Responses 1,916 267 90 84.3 11.7 4.0(1) Unknown/other - includes 344 blanks, 15 prefer not to answer and 3 locations outwith the consultation area

Consultation Area

Car owner / have access to a car

Number of Respondents Percentage of Respondents

Responders were also asked about public transport access to Portree and Broadford. In relation to the ease of accessing public transport to and from Portree, the overall selection was one third (33%) answering “not really”, 30% answering “not at all”, one fifth answering “to some extent” and only 5% selecting “to a great extent” (table 12). Amongst the areas, Skye North and to a lesser degree, Skye Central recorded having the most access to public transport for getting to/from Portree (45% and 36% respectively) according to the selection of “to some extent” or “a great extent”. In contrast, 66 - 91% of the responses from the other areas had indicated “not really” or “not at all” for access, the highest proportion pertaining to responses from South West Ross (table 12).

Table 12: Is it easy to access public transport to get to and from Portree? (Q16)

To a great extent

To some extent

Neutral Not really Not at allNot

answered

Skye North (458) 10.3 34.3 3.3 28.8 21.8 1.5 100.0Skye Central (400) 11.0 25.3 8.5 28.0 20.0 7.3 100.0Skye South (546) 1.3 19.2 10.3 39.9 25.8 3.5 100.0Lochalsh (389) 1.0 9.8 5.9 39.1 41.6 2.6 100.0South West Ross (118) 0.0 2.5 4.2 22.9 67.8 2.5 100.0Total SL&SWR (1,911) 5.3 21.1 7.0 33.5 29.5 3.6 100.0Unknown/Other (362)1 4.4 22.4 5.5 28.5 29.0 10.2 100.0Total Responses (2,273) 5.2 21.3 6.7 32.7 29.4 4.6 100.01 Unknown/other - includes 344 blanks, 15 prefer not to answer and 3 locations outwith the consultation area

Rating (percentage of responses)

TotalConsultation Area

(number responding)

Epidemiology & Health Sciences Team (Public Health) 10

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In relation to access by public transport to Broadford, the overall selection was almost one third (32%) answering “not really”, 28% answering “not at all”, 26% answering “to some extent” and only 5% selecting “to a great extent” (table 13). Amongst the areas, Skye North and to a lesser degree, South West Ross and Skye Central recorded having the least access to public transport to/from Broadford (83%, 73% and 67% respectively) according to the selection of “not really” or “not at all”. In contrast, 50% of the responses from Skye South indicated “to a great extent” or “to some extent” (table 13).

Table 13: Is it easy to access public transport to get to and from Broadford? (Q17)

To a great extent

To some extent

Neutral Not really Not at allNot

answered

Skye North (458) 2.2 10.3 2.2 33.4 49.6 2.4 100.0Skye Central (400) 1.8 19.8 6.5 39.5 27.8 4.8 100.0Skye South (546) 9.9 40.1 10.4 24.9 10.3 4.4 100.0Lochalsh (389) 5.1 30.3 8.0 31.4 21.3 3.9 100.0South West Ross (118) 3.4 16.9 5.9 29.7 43.2 0.8 100.0Total SL&SWR (1,911) 5.0 25.3 6.9 31.6 27.6 3.7 100.0Unknown/Other (362) 1 5.0 26.5 4.1 30.7 26.5 7.2 100.0Total Responses (2,273) 5.0 25.5 6.4 31.5 27.5 4.2 100.0(1) Unknown/other - includes 344 blanks, 15 prefer not to answer and 3 locations outwith the consultation area

Rating (percentage of responses)

TotalConsultation Area

(number responding)

In relation to accessing community transport, the overall selection was one fifth (21%) answering “not really”, 28% answering “not at all”, 11% answering “to some extent” and only 2% selecting “to a great extent” (table 14). Amongst the areas, Skye North and to a lesser degree, Skye Central recorded having the least access to community transport of 66% and 56% respectively according to the selection of “not really” or “not at all”. In contrast, 53% of the responses from South West Ross indicated “to a great extent” or “to some extent” (table 14).

Table 14: Is it easy to access community transport e.g. a ‘community car’? (Q17)

To a great

extent

To some extent

Neutral Not really Not at allNot

answered

Skye North (458) 0.2 2.6 18.6 21.4 44.1 13.1 100.0Skye Central (400) 0.5 6.8 21.0 20.0 36.3 15.5 100.0Skye South (546) 2.2 17.2 31.3 19.8 17.6 11.9 100.0Lochalsh (389) 1.8 10.8 30.3 22.9 21.9 12.3 100.0South West Ross (118) 13.6 39.0 20.3 15.3 9.3 2.5 100.0Total SL&SWR (1,192) 2.0 11.6 25.2 20.6 28.2 12.5 100.0Unknown/Other (362)1 1.9 9.9 21.0 23.2 26.0 18.0 100.0Total Responses (2,273) 2.0 11.3 24.5 21.0 27.8 13.3 100.01 Unknown/other - includes 344 blanks, 15 prefer not to answer and 3 locations outwith the consultation area

Rating (percentage of responses)

TotalConsultation Area

(number responding)

Epidemiology & Health Sciences Team (Public Health) 11

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2.13 Self-reported prevalence of Long-term (over 12 months) conditions or disabilities amongst the responders (questions 19 & 20 in the survey)

Approximately 40% (n = 851) stated they had a condition or disability (table 15).

Table 15: Do you have a long-term health condition or disability (lasting or expecting to last for over 12 months)? (Q19)Do you have a long-term health condition or disability:

Number of Respondents

% of Respondents

Yes 851 37.4No 1,296 57.0Prefer not to answer 55 2.4Not answered 71 3.1Total 2,273 100.0

Those who had indicated as having a condition/disability were asked to answer question 20. The answers to this question were not mutually exclusive i.e. a responder could select one or more of the options that best described their particular long-term condition. Nearly 60% indicated a long-term illness and just under 30%, a physical disability (table 16). Nearly 9% indicated a mental health problem (table 16).

Table 16: Which conditions/disabilities apply? (Q20)

Condition / disabilityNumber of

Respondents

% of those with a condition / disability

Long term illness 481 56.5Hearing impairment 138 16.2Physical disability 254 29.8Mental health condition 73 8.6Other 72 8.5Prefer not to answer 162 19.0

Epidemiology & Health Sciences Team (Public Health) 12

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3.0 SUMMARY

Overall response rate of 19%, highest in Skye South (23%)

The female response rate (22%) was higher than that of males (14%) with the greatest disparity in Skye Central and Skye North with nearly a 2:1 ratio

Higher response rates were in older age groups ( 60y&over), particularly for Skye South and Lochalsh

Older age groups were over-represented; particularly males aged 60-69 years (30% versus 20% in the population). The 16-29y age group was the least represented in the responses.

Responders on being asked about certain aspects of the proposed changes had returned a majority response in favour (as per support to great extent or support to some extent) for eleven out of the twelve aspects. The exception was in response to closure of beds in Portree where the overall support proportion was 23%. The strongest support was returned for (1) improving inpatient medical cover (91%); (2) Providing services from modern hospitals (91%); (3) Improving community transport (91%) (4) Better joint working (90%).

The majority (57%) selected the option of a Community Resource Centre and hospital hub in Broadford with spoke in Portree. This majority selection applied to all areas other than Skye Central and Skye North in which 60% and 66% respectively preferred the Community Resource Centre and hospital hub in Portree with spoke in Broadford.

Only responders in Skye South gave a majority selection (53%) for the land between existing hospital and health centre for the Broadford Hub option. For all other areas, the majority had selected either no preference or had not given a selection.

96% of responders responded on behalf of themselves with 2% responding on behalf of others

The majority of responders considered themselves as patient/service user/carer (61%) and as a member of the community (71%).

In the last 12 months, 12% and 4% of overall responders had been an inpatient in the MacKinnon Memorial or Portree Community hospitals respectively. Amongst the areas, the highest percentage in relation to MacKinnon was 16% in Lochalsh whilst the highest percentage in relation to Portree hospital was 9% in both Skye South and Skye Central

Three quarters (75%) of responders indicated they were not living on their own, whilst over one fifth (21%) were living on their own. 4% either did not answer or preferred not to answer.

Most of the responders (83%) stated they were not carers, 12% stated they were carers and of these 60% were part-time and 40% full-time

Overall 84% had access to or ownership of a car. The highest percentage was in Skye South (89%) and Skye North (87%) and the least in Skye Central (84%) and Lochalsh

Epidemiology & Health Sciences Team (Public Health) 13

Page 15: Welcome To NHS Highland · Web viewThis disparity by gender was highest in Skye North and Skye Central with an almost 2:1 ratio in female to male rates (chart 1). Chart 1: Response

(85%). The proportion indicating they did not have access/ownership was the highest in Skye Central and Lochalsh (13% in both areas)

The majority (62%) overall indicated that access to public transport to and from Portree was either “not really” or “not at all” with only 27% indicating that to “a great extent” or to “some extent”. Amongst the areas, most access was indicated in Skye North (45%) and Skye Central (36%).

The majority (59%) overall indicated that access to public transport to and from Broadford was either “not really” or “not at all”. Amongst the areas, one half of responses from Skye South indicated that there was access. 83% of responses from Skye North indicated no or not really access.

Just under one half of responders overall had indicated that there was “not at all” or “not really” access to community transport with only 13% indicating there was. Amongst the areas, the least access was from Skye North and Skye Central (66% and 56%). SW Ross responded the most access (53%).

Approximately 40% (n = 851) stated they had a long-term condition or disability. Of these, nearly 60% indicated a long-term illness, just under 30% a physical disability and nearly 9% indicated a mental health problem. These proportions are not mutually exclusive.

Epidemiology & Health Sciences Team (Public Health) 14

Page 16: Welcome To NHS Highland · Web viewThis disparity by gender was highest in Skye North and Skye Central with an almost 2:1 ratio in female to male rates (chart 1). Chart 1: Response

As part of the Directorate of Public Health & Health Policy of NHS Highland, the Epidemiology & Health Science team provide specialist skills in the areas of:

Epidemiology, Evaluation, Literature Review, Health Economics and Database design for Public Health functions

Public Health Intelligence & EpidemiologyEpidemiology and Health Sciences Team

Directorate of Public Health and Health PolicyNHS HighlandAssynt House

Beechwood ParkInvernessIV2 3BW

Report prepared by: Susan Vaughan & Sara Huc

Email: [email protected]

[email protected]