Our Health Our Future Panel Survey Results April 2020

Our Health Our Future Panel Survey 1 results April 2020

Report structure 1 Introduction Page 2 2 Overview summary Page 6 3 Survey 1 Results Page 9 4 Appendices Panel profile Page 25 1

Section 1 Introduction 2

Section 1 - Introduction Vision and mission of the Our Health Our Future Panel The Our Health, Our Future (OHOF) Panel is a new way for us to engage with those living in Bath and North East Somerset, Swindon and Wiltshire (BSW) to get their views on health and care issues. In line with our value of "inclusive", the online panel is made up of a representative sample of the population from across our region. Panel members will take part in regular surveys throughout the year. Panel surveys will inform both strategic direction and day-to-day service delivery, particularly around proposed service change or development of new services. Anonymised feedback will be shared with project managers and senior leaders to help shape and influence partnership initiatives and programmes of work. Anonymised feedback will also be made publicly available so panel members and the wider public will have the opportunity to review the results 3

Section 1 - Introduction Recruitment methodologies - 790 panellists recruited so far 1) Core recruitment face to face 21 face to face recruitment days have taken place between January and early March 2020 A mixture of community days in town halls, libraries, community & social centres, shopping malls and cafes/inns Along with individual interviewers conducting face to face on-street shifts, among local communities in less busy locations These have been spread right across the BSW region, including Bath, Midsomer Norton Swindon Devises, Marlborough, Trowbridge, Warminster, Salisbury, Amesbury, Chippenham 2) Additional recruitment methods These have included social media advertising on Facebook and Instagram, member get member (panelists promoting to their contacts), engagement with local organisations and promotion by BSW CCG via it s website, social media and contacts 3) Pause for Covid-19 A total of 790 panelists have been recruited so far, all but 2 were recruited before the Government announced lockdown measures on March 23rd Face to face recruitment will resume when lockdown measures are eased, the target number of panellists is 1,000 An additional 48 panellists have joined via these methods F to F recruitment was the preferred core method: both to avoid self-selection and to enable specific targeting of a representative sample of citizens in many different geographic locations, a total of 742 panellists have been recruited via this method This additional recruitment allows an element of boosting of certain categories of citizen s, such as younger people and hard to reach audiences The interaction with the professional recruitment team also provides an opportunity for a clear introduction to and explanation of the Panel s purpose Panelists will complete up to 4 surveys per year online. Jungle Green also conduct some interviews by telephone and postal questionnaire if the respondent has chosen these alternative methods 4

Section 1 - Introduction We have a robust and representative sample to work from. The focus from now will be to increase the proportion in B&NES and reach the 1,000 panellist target % of BSW entire population/survey 1 participant rim weighted profile (790) % of our actual panellist profile as at April 2020 (790) 22% B&NES 10% 27% Swindon 29% 51% NB: Wiltshire 61% Survey 1 participants responses have been rim weighted to reflect the exact profile of the BSW population (according to census data and JNSA). 49% Male 37% 51% Female 63% A more detailed panel profile is given in Section 4 of this report. 15% 16-24 years 16% 32% 25-44 29% 32% 45-64 37% 11% 65-74 14% 10% 75+ years 4% 94% White 91% 6% BAME 9% 5

Section 2 Overview summary 6

Section 3 Overview summary Keeping well / Health and care experiences This clearly means that around one fifth to one quarter of BSW residents do not currently feel these ways (Jan/Feb 2020). This is notable among those in Swindon, youngpeople, those with long term conditions, lone parents and the unemployed 82% of BSW residents report that they are currently feeling healthy (Jan/Feb 2020) 79% of BSW residents currently feel in control of their lives (Jan/Feb 2020) 73% of BSW residents currently feel happy (Jan/Feb 2020) A number of factors stood out, among others, as those currently at the forefront of BSW residents minds (Jan/Feb 2020): 59%of BSW residents feel it is mainly an individual s responsibility to ensure that they are as healthy as they can be. - Staying fit and healthy --- --------- - Taking care of the family----------- - High demands on the NHS ------ - Long waits for NHS services----- - Mental health services and----- - - Environment protection 82%of BSW residents report a good service experience on the occasion of their most recent use of health and care services 15% / 3% of BSW residents report amixed/poorservice experience, mainly attributed to long waits and under- resourcing 29%feel it is an equal responsibility between the NHS/LA and oneself 7

Section 3 Overview summary GP Practices / Mental health / NHS comms / Priorities A majority of BSW residents feel it is easier these days to talk about mental health and know what steps to take, many however feel there should be more information and awareness building, especially for parents 88%of BSW residents would ideally prefer a face to face, rather than an online consultation, but speed of getting an appointment is also very important to them Email is by far the most preferred method of receiving communications from the NHS, among BSW residents Considering the three local NHS priorities, BSW residents would prioritise prevention first (40%), followed by mental health (34%) and thirdly ageing well (26%), this differs across age groups If BSW residents were in control of the health and care budget, 22% of it would be split equally between child and adult mental health A further 29% would be split between hospital care and GPs. The remaining 49% is shared among the other services. 8

Section 3 Survey 1 results 9

Section 3 Survey 1 results Keeping well Keeping well trackers 82% of BSW residents feel healthy 30% Mean = 7.9 (out of 10) 25% Those in Swindon 77% consider themselves slightly less healthy than those in Wiltshire 84% and B&NES 82% Males 83% and females 81% report very similar feelings of healthiness, as do BAME 81% and White 82% BSW residents 20% Perception of one s healthiness increases with age, 16-24 years 68%, 25-64 years 82%, 65+ years 92% 15% Those with long term conditions 44% feel much less healthy compared to those without 89% The unemployed 38% and lone parents 56% report feeling much less healthy than the average 10% Differences in blue are all statistically significant differences 5% Therefore, 18% of BSW residents, do not feel healthy, that is just under 1 in 5 panellists (ie. they gave a score of 6 or less out of 10) 0% In very poor health 0 1 2 3 4 5 6 7 8 9 In very good health 10 Q. Do you consider yourself to be Base: n=790 10

Section 3 Survey 1 results Keeping well Keeping well trackers 79% of BSW residents feel in 35% control of their lives 30% Those in Swindon 62% consider themselves less in control of their lives than those in Wiltshire 82% and B&NES 85% 25% Mean = 7.9 (out of 10) Males 80% and females 79% report very similar feelings of control, as do BAME 73% and White 79% BSW residents 20% Perception of one s control increases with age, 16-24 years 61%, 25-64 years 78%, 65+ years 93% Those with long term conditions 57% feel much less in control compared to those without 83% 15% The unemployed 40% and lone parents 65% report feeling much less in control than the average 10% Differences in orange are all statistically significant differences Therefore, 21% of BSW residents, do not feel in control of their lives, that is 1 in 5 panellists (ie. they gave a score of 6 or less out of 10) 5% 0% Not in 1 2 3 4 5 6 7 8 9 Very much in control of my life 10 control of my life at all 0 Q. Do you consider yourself to be Base: n=790 11

Section 3 Survey 1 results Keeping well Keeping well trackers 73% of BSW residents feel happy 25% Mean = 7.6 (out of 10) Those in Swindon 63% consider themselves less happy than those in Wiltshire 76% and B&NES 79% 20% Males 74% and females 74% report very similar feelings of happiness, as do BAME 73% and White 72% BSW residents Perception of one s happiness increases with age, 16-24 years 63%, 25-64 years 73%, 65+ years 81% 15% Those with long term conditions 51% feel far less happy compared to those without 78% The unemployed 30% and lone parents 56% report feeling far less happy than the average 10% Differences in green are all statistically significant differences Therefore, 27% of BSW residents, do not feel happy, that is more than 1 in 4 panellists (ie. they gave a score of 6 or less out of 10) 5% 0% Very unhappy 0 1 2 3 4 5 6 7 8 9 Very happy 10 Q. Do you consider yourself to be Base: n=790 12

Section 3 Survey 1 results Keeping well Thinking about you and those close to you, what is really important to you right now? What is currently at the forefront of your mind? Qualitatively analysed 13

Section 3 Survey 1 results Keeping well Thinking about you and those close to you, what is really important to you right now? What is currently at the forefront of your mind? Quantitatively analysed (Base n=790) Health and well-being 17% NHS Health- care 16% GP Services 9% Family health & well-being 9% Environment Mental health 6% Education Social care for elderly 5% Transport 8% 6% 5% Staying fit & healthy Diet Avoiding loneliness Work life balance Coping with stress/ bereavement High demand for services Underfunded Waiting times Accessibility Speed of diagnosis Undermanned Staff leaving 24/7 Hospital/A&E waits, parking Waiting times/ appointment availability Over- stretched Spending time together Being together, well & happy Providing for my family Taking care of my parents Plastics Renewable energy Climate change/ global warming Litter Air pollution Safeguarding green spaces Lack of recycling Awareness/ engagement Under resourced Real help needed for vulnerable Dementia Addictions Discrimination Underfunded Free school meals Bullying School places Need more schools Post 16 options Going to uni, worries Long term care Residential care Costs Independent living Taking care of parents Need improved, more reliable public transport Transport links, rail links Congestion Speed limits Cycle schemes Social care & welfare 4% Government/LA Covid-19 Financial security Employment Agriculture & Animals 2% Brexit Housing Other mentions 4% 3% 3% 2% 1% 1% 7% Homeless- ness Equality/ gap Compassion Help for vulnerable Uncertainty Economy State of the country Austerity Lack of services LA budget cuts, local amenities Keeping safe Going out Media making it worse Retirement, pensions Student loans Debt Savings, investments Job opportunities Finding a job Career progression Job security Better pay Support for farmers Animal rights Wildlife Uncertainty More affordable Lower rents Ability to get on property ladder/ first time buyers Social care for the young 1% Town/city planning/ development 1% Cost of living 1% Lack of community 1% Anti social behaviour 1% Demand for all emergency services 1% Preventative health measures better than cure 1% Global issues - Trump, Middle East, Russia 0.3% 14

Section 3 Survey 1 results Keeping well A majority (59%) of BSW residents believe that, mainly, individuals themselves are responsible for ensuring that they are as healthy and well as they can be (as opposed to NHS/LA being responsible) Mainly NHS / LA s responsibility 13% Equal Mainly an individual s responsibility 59% responsibility 29% Notably: Swindon 36% 16-44 years 36% Those with LTC s 37% Manual Workers 41% Unemployed 49% Lone parents 43% Mainly NHS/LA, notably: Swindon 17% 16-24 years 26% 75+ years 19% Lone parents 19% Q. In your frank and honest opinion, to what extent do you believe that people are responsible for ensuring that they are as healthy and well as they can be? Base: n=790 15

Section 3 Survey 1 results Health and care experiences The majority of health and care related experiences over the last 12 months, have involved a visit to the GP, followed by advice from a pharmacist or a hospital appointment 82% Visit to GP/medical centre 38% Advice from Pharmacist 34% Hospital visit to consultant/health professional (Notably: LTC s 56%) 23% NHS 111 (Notably: 25-44 years 40%, Lone parents 34%) 21% A&E (Notably: 25-44 years 28%) 8% Hospital overnight stay 7% Private health care 7% Face to face counselling (Notably: 16-44 years 10%) 6% 999 ambulance sent 0% 999 no ambulance 5% Mental health services in the community 5% Child health services 4% Health visitor 4% Specialist nurse 4% Community health/ district nurse 4% Midwifery 3% Online or telephone counselling (Notably: 75+ years 9%) 2% Social services support worker 2% Phoned a charity support service (Samaritans, Dorothy House, Age Concern, CAB, Mind, Help the Aged, Macmillan) 1% Social services payments for disability 1% Direct payments for continuing health care 0% Mental health hospital stay 12% None of these (Notably: Males 16%, 16-24 years 27%, Lone parents 32%) Q. Thinking back over the last year - which, if any, of the following health and care services have you used in the last 12 months or so? Base: n=790 16

Section 3 Survey 1 results Health and care experiences A large majority (82%) of BSW residents report that their most recent health and care service experience was a good one 3% poor experience (Notably: NHS 111 27%, A&E 20%, Private health 41%, Child services 58% Swindon residents 24% ) 15% mixed experience (Notably: GP s 83%, Pharmacist s advice 87%, Hospital visit 85%) 82% good experience Q. Was most recent health and care service you have used a good experience? Base: n=699 17

Section 3 Survey 1 results Health and care experiences Reasons for saying it was a good experience Talked things through Dorothy House Bereavement Counselling Service was exceptional especially when there were far more deserving cases My GP listened and tried several different options and approaches I was well looked after and supported through my pregnancy and had a healthy baby boy and was well cared for during the labour Quick , professional, helped me with my issue which is now better Excellent nurses Face to face counselling Appointment was on time Went to new centre at RUH for Rheumatoid review and met my new consultant who was very nice and explained everything very well GP practice/centre Midwifery Great service. So efficient. Calm and kind. Saved my grandmother s life I was listened to sympathetically They gave us information about our case quickly and clearly, giving multiple options for treatment Kind and helpful people A&E NHS 111 999 Very fast and professional Ambulance came within 10 minutes and my husbands care in A&E was excellent Invaluable service. Responsive and proactive Nursing Hospital visit Excellent. I found the referral to be quick, consultant extremely professional. Caring of my fears. Staff were brilliant very kind and professional Pharmacist had great knowledge. Got all I needed without having to visit GP The pharmacist listened to my issue and was able to make recommendations Very I have been able to get information on how healthy I can be and also the best to be able to look after my own family supportive Child health Kind and caring. Listened to. Pharmacist s advice Health visitor Mental health 18

Section 3 Survey 1 results Health and care experiences Reasons for saying it was a mixed/poor experience I was with an elderly relative, who was seen initially quite quickly but then had to wait on a trolley for several hours Long waits Long wait for an appointment There needs to be more discussions with parents to map the services on offer, so they benefit children with complex health needs Long waits Hospital visits & overnight stay GP practice/centre I used IAPT service, which seems to be very overstretched. I had to wait for ten months for an appointment after my initial session, and then was booked in for four sessions of low intensity CBT, of which my last appointment has been cancelled. I don t feel like the practitioner has really been able to listen or fully understand how I feel in such a short time, and seems much more focused on getting me to fill in worksheets at home. I would like to stress that I don t feel that this is the practitioners fault, but that of an over stretched service. Community hospital (CASH) at Devizes has been absolutely FANTASTIC, and aside from unavoidable delays, the midwifery service has been good too A&E The service was good but the follow up and information was not good Child health It was the pointless 2 year review, endless questionnaire with no opportunity to chat about what was of real concern to me I was in a bad place of mind so I needed some advice! They ended up getting a nurse to call me but I couldn't answer so ended up with the police being called and sent around to my house Private health It took several hours and many phone calls to get medical assistance for my unwell son NHS 111 It was for my daughter who was experiencing stomach pains. It was at the weekend and I wanted to get an appointment with the out of hours doctor. They called an ambulance which I believed was a waste of resource Mental health/ midwifery/ community 19

Section 3 Survey 1 results GP Practices When thinking about accessing health services, face to face is more important on balance, but speed of getting an appointment is more important than seeing a HCP already known well I see someone face to face 88% Notably: B&NES 93% Problem resolved quickly via online consultation 12% I call my own GP practice or health centre and speak to a receptionist I know Notably: those aged 65+ 72% & those with LTC s 65% 56% I have the ability to book an appointment or get my test results more quickly via a centralised system 44% I see a doctor I know very well Notably: those with LTC s 50% 33% I get an appointment very quickly 67% Q. When thinking about how you access health services can you say which is more important to you on balance? Base: n=790 20

Section 3 Survey 1 results Mental health Opinions on mental health % Agree % Neither/ nor % Disagree Those notably disagreeing/ agreeing Disagreeing Swindon 13% 16-24 years 19% 75+ years 17% Males 13% BAME 13% Those with LTC s 15% 78% I feel that it is much easier to talk openly about mental health and wellbeing these days 12% 10% Agreeing 25-44 years 84% BAME 87% Parents 84% I am personally very concerned about the mental health pressures on children and young people these days 76% 17% 7% Disagreeing Swindon 19% 16-24 years 21% Males 17% Those with LTC s 17% If I became worried about my mental health and wellbeing, I am confident that I know the steps I need to take to do something about it 74% 12% 14% 64% * I believe that there is a sufficient amount of awareness building and information about mental health and wellbeing 17% 19% Asa parent, I know what I would do and where I would go to for help if I was worried about my child s mental health (parents only, 228) Agreeing Swindon 39% BAME 25% 50% * 17% 33% (* significantly lower agreement levels than the other statements) Q. How strongly do you agree or disagree with each of the following statements relating to mental health and well-being? Base: n=790 21

Section 3 Survey 1 results NHS Communications Email is by far the most preferred method of receiving communications from the NHS, among BSW residents 81% Email (NB: 75+ years, lower at 52%) 37% Post (NB: 75+ years, higher at 61%) 27% Social media (NB: 16-44 years, higher at 41%) 24% Face to face 22% Websites Info leaflets - at surgery, community, library 19% (NB: 75+ years higher at 32%) 17% Press, radio, TV 2% APP/Text Q. What is the best way for health & care services to let people like you know about proposed service developments/how to get involved? Base: n=790 22

Section 3 Survey 1 results NHS Provision Prioritising Each panelist was given a 1,000 budget and asked to share this between a number of local health and care provision priorities Other 6% Learning disabilities 7% Hospital care 15% Hospital care 150 General practice 141 Child mental health 121 Adult mental health 100 Services for elderly 98 Child social care 89 Adult social care 86 End of life care 80 Learning disabilities 72 Other, something else 62 (Preventative education/communication, addiction, IT, NHS salaries, midwifery, ambulance service, loneliness, Cystic Fibrosis, Autism, care in the home, gender clinics) End of life care 8% Extremely consistent results across sub-regions, demographic sub-groups, ethnicities etc, with the exception of more being spent on mental health categories by the young and more on hospitals, GPs and services for the elderly by the older age groups. General practice 14% Adult social care 9% Child mental health 12% Child social care 9% Services for the elderly 10% Adult mental health 10% Base: n=790 23

Section 3 Survey 1 results NHS Local Priorities Considering the three local NHS priorities, BSW residents would prioritise prevention first, followed by mental health and thirdly ageing well Higher for older age groups, almost 40% of 65+ year olds place this as most important Ageing well 26% Higher for middle age groups, almost two thirds of 45-64 year olds place this as most important Prevention 40% (Helping you to look after yourself and keep as healthy and well as possible) Mental health well-being 34% Higher for younger age groups, two thirds of 16-24 year olds place this as most important Q. Considering the following three local NHS priorities, which do you consider to be most important to you? please indicate which is the most important to you, the next most important to you and the third most important to you? Base: n=790 24

Section 4 Appendices Panel Profile 25

Section 4 Appendices Panel profile Comparison of the profile of the entire BSW region population (according to census data/JNSA)/ our rim weighted panel profileand the actual panel profile recruited as at April 2020 22% B&NES 10% 27% Swindon 29% 51% Wiltshire 61% NB: Survey 1 participants responses have been rim weighted to reflect the exact profile of the BSW population. 49% Male 37% 51% Female 63% The sample profile relating to the findings in section 3 of this report is, therefore, exactly the same as the grey bars in the following charts. 15% 16-24 years 16% 32% 25-44 29% 32% 45-64 37% 11% 65-74 14% 10% 75+ years 4% 94% White 91% 6% BAME 9% Base: n=790 26

Section 4 Appendices Panel profile Comparison of the profile of the entire BSW region population (according to census data/JNSA)/ our rim weighted panel profileand the actual panel profile recruited as at April 2020 10% Unpaid carers 10% 90% Non carers 90% Unpaid care recipients 4% 59% Employed 58% 23% Retired 23% 7% Student 7% 11% Not working 12% 96% Main language is English 95% 4% Main language not English 5% 29% Has dependant children at home 26% Base: n=790 27

Section 4 Appendices Panel profile Comparison of the profile of the entire BSW region population (according to census data/JNSA)/ our rim weighted panel profileand the actual panel profile recruited as at April 2020 28% Living alone 18% 58% Married/civil partners/co habit 63% 10% Lone parent 5% 4% Living with parents/ student house/ shared house 14% 16% Long term health/disability (Affects me a lot 12%, affects me a little 17%) 29% 84% No LT health/disability 71% Base: n=790 28

Section 4 Appendices Panel profile Rim weighted panel profile 89% Heterosexual / straight 6% LGBTQIA 5% Prefer not to say 3% Currently pregnant 50% Follows a faith 2% Friend / member of GWH NHS Trust 1% Friend / member of RUH NHS Trust Friend / member of Salisbury NHS Trust 1% 2% PPG for GP surgery 1% PPE for Swindon CCG 1% Health watch volunteer Local volunteer / advisory body supporting health service 7% 6% Work or volunteer for NHS/LA Base: n=790 29

Any questions please contact us: Any questions please contact us: Janice Guy, Marketing Research Consultant, Jungle Green mrc janice@junglegreenmrc.co.uk , 0117 914 4921 Julie Ford, Recruitment and Data Manager, Taurus Research julie@taurusresearch.co.uk , 01275 818343