NHS Staff Tracker Wave 9 Draft 4

USUAL SCREENER AND INTRODUCTION

A Satisfaction and optimism (core questions from previous trackers)

I’d like to start by asking you a bit about your job…

A.1 How satisfied or dissatisfied would you say you are with the service the NHS currently delivers to patients in your local area? By local area we mean all health services within your local area or across your local health economy Would you say that you are…?

READ OUT SINGLE CODE Very satisfied Quite satisfied Neither satisfied nor dissatisfied Quite dissatisfied Very dissatisfied (Don’t know)

IF MANAGER, PRACTICE MANAGER, OR CCG LEAD GO TO A2. OTHERS ANSWER A1A A.2 A1a And thinking about yourself personally, to what extent are you satisfied with the quality of care you give to patients? READ OUT SINGLE CODE

Very satisfied Quite satisfied Neither satisfied nor dissatisfied Quite dissatisfied Very dissatisfied (Don’t know)

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ASK ALL A.3 Now thinking generally about the NHS in your local area, in the past 12 months, do you think it has got better, got worse or stayed the same in terms of patient care? READ OUT IF NECESSARY: BY LOCAL AREA WE MEAN ALL HEALTH SERVICES WITHIN YOUR LOCAL AREA OR ACROSS YOUR LOCAL HEALTH ECONOMY READ OUT SINGLE CODE Got much better Got better Stayed about the same Got a bit worse Got much worse (Don’t know)

A.4 Thinking about the care the NHS delivers to patients: over the next few years do you expect it to…? READ OUT SINGLE CODE Get much better Get better Stay about the same Get worse Get much worse (Don’t know)

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Motivations and general attitudes (inc finance) A.5 I am now going to read a few things that other people have said about working in the NHS. Would you say you strongly agree/ disagree or slightly agree/disagree?

READ OUT SINGLE CODE – ROTATE STATEMENTS

 The NHS is under resourced  I am proud to work for the NHS  Patients are treated with dignity and respect in the NHS  NHS and social care services work well together to give people coordinated care Do you….? READ OUT Strongly agree Slightly agree Neither agree nor disagree Slightly disagree Strongly disagree (Don’t know)

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B Awareness of changes

ASK ALL Next I am going to read out short descriptions of SOME OF the changes that the Government has made or will be making to the NHS in the future. For each, please could you tell me how much, if at all, you know about that change . B.1 How much do you know about this? READ OUT. SINGLE CODE EACH STATEMENT. ROTATE STATEMENTS A great deal A fair amount Not very much Nothing at all/Not heard of it (Don’t know)

 There will be more NHS services provided seven days a week in primary care and hospitals;

 There will be improved access to treatment and care in the community rather than in hospitals;

 The NHS will work more closely with social care services, for example providing more support to frail older people in care homes;

 There will be a significant focus on public health improvement, including action on obesity and diabetes;

 There will be changes to how the NHS supports medical research, including faster and easier adoption routes for new treatments and technologies;

 There will be action to improve the safety of maternity care by reducing still births and neonatal deaths and injuries.

 There will be plans in place, within my local area, for the care of people in the last 3 months of life

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C Information ASK ALL READ OUT The Government is committed to making best use of technology to transform the way in which the NHS operates

C.1 How much do you know about these things: READ OUT. SINGLE CODE EACH STATEMENT. ROTATE STATEMENTS A great deal A fair amount Not very much Nothing at all/Not heard of it (Don’t know)

 What is happening in your NHS organisation to improve how patient information is shared and used by healthcare professionals

 Your NHS organisation’s plans to become paper-free at the point of care (e.g. electronic records and electronic prescriptions)

 What support/information about health is available for patients online or using apps

One way in which technology is being used is in sharing patient information within the NHS and between health and social care settings to improve patient care.

C.2 How confident do you feel about each of these things?

READ OUT. SINGLE CODE ROTATE STATEMENTS

 The right measures are in place to keep patient data secure  The right safeguards are in place to make sure that patient data is not used inappropriately  That you have the right advice and support materials to help you explain data sharing policies to your patients

Very confident Fairly confident Not very confident Not at all confident (Don’t know)

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C.3 Taking everything into account, what impact do you think better use of patient data in the NHS will have on… READ OUT. SINGLE CODE EACH STATEMENT

 Quality of patient care  How effectively the NHS operates  Your job

A great deal of positive impact A fair amount of positive impact No impact at all A fair amount of negative impact A great deal of negative impact (Don’t know)

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D Efficiency and productivity ASK ALL READ OUT I am now going to ask you some questions about maintaining and improving the quality of care given to patients by ensuring the NHS operates efficiently.

ASK ALL D.1 How much do you know about the NHS’s Five Year Forward View? Would you say you know…. READ OUT. SINGLE CODE

A great deal A fair amount Not a lot Nothing at all (Don’t know)

The Five Year Forward View is a plan for how the NHS can make the efficiency savings it needs to maintain services within the budget given by the Government. This will involve making £22 billion in efficiency savings over the next five years.

D.2 How much have you seen happening in your organisation to contribute to these efficiency savings within the NHS? Would you say you have … READ OUT. SINGLE CODE.

Seen a lot Seen a little Not seen anything at all Don’t know

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D.3 How much do you know about each of these things? READ OUT. SINGLE CODE EACH STATEMENT

 What is happening nationally to help the NHS to operate more efficiently  What is happening in your NHS organisation to improve how efficiently it operates  What you could do in your job to help improve efficiency and productivity within your team / organisation

A great deal A fair amount Not very much Nothing at all/Not heard of it (Don’t know)

D.4 Can I just check, are you aware of a plan within your NHS organisation that says what will be happening to contribute to the required efficiency savings? PROBE TO PRECODES Yes – have seen/read Yes – have heard about but don’t know detail No – not heard of at all

D.5 How confident are you that your organisation will be able to deliver the efficiencies it has set itself? Would you say you are …. READ OUT. SINGLE CODE

Very confident Fairly confident Not particularly confident Not confident at all Don’t know

D.6 Taking everything into account, what impact do you think this focus on efficiency will have on…  Quality of patient care  How effectively the NHS operates  Your job

A great deal of positive impact A fair amount of positive impact No impact at all A fair amount of negative impact A great deal of negative impact

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(Don’t know)

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E Seven Day Services

The Government wants more NHS services available 7 days a week across primary and secondary care. It has pledged that all parts of the country will offer improved access to services 7 days a week by 2020.

E.1 How much do you know about any plans within your organisation or wider area to implement 7 day services? Would you say you know… READ OUT. SINGLE CODE

A great deal A fair amount Not a lot Nothing at all (Don’t know)

E.2 How much do you know about what this will mean for your role personally? Would you say you know… READ OUT. SINGLE CODE

A great deal A fair amount Not a lot Nothing at all Don’t know

E.3 How likely do you think it is that the NHS will be able to offer improved access to services 7 days a week by 2020? Would you say it was… READ OUT. SINGLE CODE

Very likely Fairly likely Not very likely Not likely at all (Don’t know)

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E.4 Taking everything into account, what impact do you think the initiative to introduce seven day services in the NHS will have on… READ OUT. SINGLE CODE EACH STATEMENT

 Quality of patient care  How effectively the NHS operates  Your job

A great deal of positive impact A fair amount of positive impact No impact at all A fair amount of negative impact A great deal of negative impact (Don’t know)

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F Winter

F1 Before the interview today, which, if any, of the following initiatives were you aware of? READ OUT AND CODE ALL THAT APPLY

The Stay Well This Winter campaign The vaccination programme for NHS staff (NHS staff are offered the flu vaccine for free) Neither of these Don’t know

F2 Thinking about this winter, how well prepared do you think your organisation was to cope with the extra demand on services? Would you say your organisations was…….. READ OUT. SINGLE CODE

Extremely well prepared Quite well prepared Not particularly well prepared Not at all well prepared (Don’t know)

F4 Compared to last winter (2014/15), how well do you think your organisation has handled the extra demand this winter (2015/16)? Would you say…. READ OUT. SINGLE CODE

A lot better A litter better About the same A little worse A lot worse (Don’t know) F5 How easy would you say your organisation has made it for you to get the flu vaccination as part of the vaccination programme for NHS Staff? Would you say they have made it…

READ OUT. SINGLE CODE Very easy Fairly easy Not very easy

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Not at all easy Don’t know ASK ALL

F6 Have you personally had the flu vaccination? IF YES, PROBE TO ESTABLISH WHETHER THIS WAS AS PART OF THE STAFF VACCINATION PROGRAMME, OR IN SOME OTHER WAY

Yes – as part of the vaccination programme for NHS staff Yes – because eligible in some other way Yes – paid to have vaccination privately No (Don’t know)

IF YES AT F6 ASK F7. IF NO GO TO F8

F7 Why did you decide to have the flu vaccination this year?

DO NOT READ OUT. CODE FROM BELOW. SINGLE CODE ONLY

I have an existing health condition which makes me more susceptible to catching flu I live with someone with an existing health condition which makes them more susceptible to catching it To prevent spreading the virus to patients To protect my own health / stop myself from getting the flu Saw flu advert(s) News coverage My organisation backed the campaign My manager promoted the idea Other (specify) Don’t know Refused

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F8 Why did you decide against having the flu vaccination this year? DO NOT READ OUT. CODE FROM BELOW. SINGLE CODE ONLY

I am generally healthy and I am not concerned about catching flu I don’t know enough about the vaccine I am concerned over how safe the vaccine is I am concerned about how effective the vaccine is Other people have said to me that they don’t plan to be vaccinated I do not like having vaccinations I have a condition which means I cannot be vaccinated I have already had swine flu / already had suspected flu I have already taken Tamiflu Other (specify) Don't know Refused

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G PERCEPTIONS OF NHS ENGLAND

G 1 Have you heard of an organisation called NHS England?

IF YES TO G1, GO TO G2. IF NO TO G1, GO TO H1

G 2 How much do you know about what NHS England does? Would you say you know…

READ OUT. SINGLE CODE

A great deal A fair amount Not a lot Nothing at all (Don’t know)

Ask G2 to those who say they know a great deal or a fair amount

G2 And to what extent do you agree or disagree that NHS England acts as an advocate for the NHS (e.g. developing the strengths of the NHS thro ugh increased investment or developing an agreed vision for the NHS)? Would you say you….

READ OUT. SINGLE CODE

Strongly agree Slightly agree Neither agree nor disagree Slightly disagree Strongly disagree (Don’t know)

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H DEMOGRAPHICS Finally, I’d like to ask a few questions about you.

H1 Where do you mainly work? READ OUT

In the community (e.g. in people’s homes, community settings) In a hospital In a surgery In an office Somewhere else (specify) (Don’t know)

ASK ALL IN CLINICAL ROLES AND CLINICAL MANAGERS H2 How long ago did you qualify as a ? READ OUT AS NECESSARY. Less than 2 years ago 2 years but less than 5 years ago 5 years but less than 10 years ago 10 years but less than 20 years ago 20 years but less than 30 years ago 30 years ago or more (Don’t know) ASK ALL H3 How long have you been working for the NHS in your current role? READ OUT AS NECESSARY Less than 2 years 2 years but less than 5 years 5 years but less than 10 years 10 years but less than 20 years 20 years but less than 30 years 30 years or more (Don’t know)

ASK GPS ONLY H4 Are you salaried, or a partner in your practice? Salaried Partner Other (specify) (Don’t know) (Refused to answer)

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H5 The Department of Health may wish to undertake further research with health professionals on these issues in the future. Would you be willing to be contacted again?

Yes (ENSURE NAME AND CONTACT NUMBER ARE RECORDED) No Thank and close H6 INTERVIEWER CODE SEX OF RESPONDENT

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