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Mid Wales Health Study Prepared by the Welsh Institute of Health and Social Studies for the Welsh Government

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Mid Wales Health Study Prepared by the Welsh Institute of Health and Social Studies for the Welsh Government Report prepared by Welshpool Town Council to inform the Mid Wales Health Study prepared by the Welsh Institute of Health and Social Studies for the Welsh Government. MID WALES HEALTH STUDY for the NORTH AND EAST MONTGOMERYSHIRE AREA served by SHREWSBURY,TELFORD AND GOBOWEN HOSPITALS FINAL REPORT 1st August 2014 Triangle House Union Street Welshpool Powys SY21 PG Tel 01938 553142 Email: [email protected] Web site: www.welshpooltowncouncil.gov.uk 1 CONTENTS No Heading Page 1. Introduction 3 2. Remit of the Study 4 3. Area for the Study 6 4. Survey methodology 7 5. Summary and results of the survey 9 6. Focus Groups 11 7. Threats and opportunities 14 8. Stories to tell 15 9. Recommendations 17 10. Signatures to the Report 20 Appendix A Area of Survey 21 B Survey results schedule 22 C Copy of poster and flyers 25 D Copy of questionnaire 26 E Cross Border NHS Protocol 31 2 1. Introduction 1.1 This report has been prepared by Welshpool Town Council in consultation with the North Montgomeryshire Local Council Forum. 1.2 The report has been completed to inform the Welsh Institute for Health and Social Care being prepared by Marcus Longley and Mark Llewelyn for the Welsh Government. 1.3 The method, area and remit of this report was approved by the Welsh Institute of Health and Social Studies and has been prepared in accordance with the Methodology Document approved on 6th May 2014. 1.4 The information set out in this report was gained over the period from 1st to 15th July 2014 and the results set out including a summary of findings and recommendations arising from the reports findings. People were still returning survey forms until 31st July 2014 and these have been included in the results and their views taken into account. 3 2. Remit of the Study 2.1 Welshpool Town Council has completed the survey in accordance with the Survey Methodology Document approved on 6th May 2014 by Marcus Longley and Mark Llewelyn. 2.2 The remit for the study and survey as agreed and for the record is: To diagnose the issues and identify potential solutions (including models) for providing accessible, high quality, safe, and sustainable healthcare services, which are best suited to meet the specific needs of those living in Mid Wales. The study should set out what could be done now and in the future, specifically considering: – including: preferences for care to be delivered close to home; tackling health inequalities; Welsh language service provision; and evidence of the effect of wider determinants of health (e.g. physical and social isolation, access to transport, lower than average earnings) observed in the population of Mid Wales; The study to include seeking out those services needed which are not provided at present. – including profile, recruitment and retention, professional standards, service implications (quality and configuration) and future models (e.g. plans for developing the rural practitioner role, generalists, buddying arrangements with tertiary centres, outreach clinics etc); – including plans and perspectives on the configuration best suited for delivering high quality, safe (in line with national agreed standards) and sustainable services for Mid Wales; – including, the extent to which there are firm proposals, or wider opportunities, for the utilisation of health technologies and telemedicine, tele-health, Skype, phone, e mail and other digital technology to improve accessibility and service quality; 4 – opportunities for strengthening partnership working, particularly the health and social care interface and voluntary sector providers; and service delivery by the Health Boards over the border. 5 3. Area for the Study 3.1 The area of the Study as agreed in the Methology Document (approved on 6th May) is as set out on the map at appendix A of this report. 3.2 The main areas from which there were responses are: Welshpool Newtown Llanfair Caereinion Llanfyllin Llanidloes Montgomery Churchstoke The overall area was North and East Montgomeryshire. 6 4. Survey methodology 4.1 The information to inform this report was gained over the period 1st to 15th July 2014 by the following methods: GENERAL area The whole of the area of the survey received publicity about the Study by the following means: Media coverage on My Welshpool and My Newtown including a banner on the home page of My Welshpool. Media coverage in the local newspapers. Facebook notifications. 10,000 bi-lingual flyers delivered in number to each Town and Community Council in the area for distribution to their local public places. On line web site for the purpose of the survey. WELSHPOOL and area In this area the following took place: The Town Council newsletter included full information on the study and was delivered door to door. There was publicity placed in the area via posters, leaflets, news web sites, facebook and local newspapers. A series of drop in days when people can come, see displays and complete their forms. (many who called were glad of help in filling in the form with their experiences.) People could collect surveys and return them to the Council Offices, Market Halls, Tourist Information Office or Local Library. There was a bespoke Web Site with online survey at www.midwaleshealthstudy.org.uk Small focus groups visited and information gained. 7 NEWTOWN and area In this areas the following took place: There was publicity placed in the area via posters, leaflets, news web sites, facebook and local newspapers. There was a bespoke Web Site with online survey at www.midwaleshealthstudy.org.uk LLANFYLLIN and area In this areas the following took place: There was publicity placed in the area via posters, leaflets, news web sites, facebook and local newspapers. There was a bespoke Web Site with online survey at www.midwaleshealthstudy.org.uk LLANFAIR CAEREINION In this area the following took place: There was publicity placed in the Institute. There was a facebook page, leaflets, web site and local newspaper. There was an open day for people to call in at the Institute. There was a bespoke Web Site with online survey at www.midwaleshealthstudy.org.uk 4.2 A copy of the poster and flyer used is included at appendix C. 4.3 There was also newspaper and internet news coverage to advertise the study. 8 5. Summary and results of the survey 5.1 The full results and analysis for each discipline have been made available to the Welsh Institute of Health and Social Studies. 5.2 Key points The key points that have come out of the survey are: 1) First Point of Contact The care received was of a high standard if the first point of administration is good. If the first point of administration is not good the whole system fails. Various departments have differing standards of administration range from 25% satisfaction to 96% satisfaction. 2) Where care is delivered A majority of respondents would like to see care delivered more locally, however people were prepared to travel a reasonable distance if the care they received was very good. 3. Administration The satisfaction level with regard as to how the administration side of the service is very mixed - for example the survey results showed the following: Urology Only 25% said they received a good service Cancer Only 37.50% said they received good service Mental Health Only 40% said they received a good service. A and E 62.86% said they received good service Doctors Surgery 70.85% said they received good service Eyes 91.30% said they received good service Orthopaedic 96.00% said they received a good service This shows a very erratic delivery of administration in some areas. 4) Travel Travel distances (with little public transport available) were highlighted. There was deep concern that Shrewsbury Hospital might be withdrawn leaving North and East Montgomeryshire with no viable Accident and Emergency Hospital. 9 5) Waiting times The waiting times differing from those in England were sighted as an issue. Many expressed the view that the Health Service should be 'National' and not treated differently in Wales and England. This was evidenced by the Cross Border issues. 6) Drugs and treatment The different drugs available was blind as a matter. There was concern among cancer patients that the life saving drugs more expensive available in England but not in Wales or indeed in English hospitals for Welsh patients. Many have expressed the view that the health service should be ' national ' and not treated in a different way in Wales and England.This was evidenced by the cross-border issues. 7) Funding of the service There was strong support for a prescription charge to provide extra funding for the NHS with a level of charge being around £3. 8) Language issues There were very few language issues identified in the area of the study. 5.2 When choosing a hospital The survey questionnaire asked what people took into account when choosing where to source their treatment. The results showed the percentage of people who thought this was important to them: Length of travel time 77% Quality of care 86% Ease of relatives to visit 62% Recommendation of healthcare professional 57% Advice of family & friends 58% Familiarity of Hospital Site 62% Reputation of hospital 76% Speed of administration of care 75% In general people felt all the reasons listed were all important to them. 5.3 Detailed results of survey The detailed results of the survey have been made available to the Welsh Institute of Health and Social Studies who are leading the Mid Wales Health Study for the Welsh Government. 10 6. Focus Groups 6.1 An offer was advertised seeking small groups to meet and discuss the issues.
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