Report on Survey to Plan for Future Health and Care Needs in Wantage and Grove (OX12)

Report on survey to plan for future Health and Care needs in Wantage and Grove (OX12)

Contents 1. Purpose ...... 4 2. Background ...... 4 3. Process and method ...... 5 4. Wantage Campaign Group ...... 8 5. Key findings ...... 9 5.1 Current services and asset mapping ...... 9

5.2 Themed responses ...... 10 6. Full analysis of survey 6.1 Question 1: Please tell us if you or the person you are responding on behalf of use any of the services below for children (aged 0 - 5) ……… 13 6.2 Question 2: Please tell us if there are children (aged 5 to 18) in your household using any of the services below? ...... 15 6.3 Question 3: If you are over 18 or responding on behalf of someone over 18, please could you tell us what services you use?...... 17 6.4 Question 4: Please could you tell us about any other groups that you (or the person you are responding on behalf of) go to? …………………..20 6.5 Question 5: Are any other NON NHS services/activities or groups that you or the person you are responding on behalf of, go to that benefit your physical and mental health? ...... 23 6.6 Question 6: Do you access the services, groups and activities that you (or the person you are responding on behalf of) go to in any of the locations below? ...... 24 6.7 Question 7: Have you or any person you are responding on behalf of, accessed the following NHS services, in the last 2 years? ...... 25 6.8 Question 8: Thinking about the NHS, social care or leisure activities run by the Vale of White Horse District Council, are there any services that you or the person you are responding on behalf of, have used in the last two years, not covered in the questions already asked?...... 28 6.9 Question 9: Thinking about the services that you or your family have used in the last two years, which top three services have benefited your health and wellbeing the most? ...... 29 6.10 Question 10: Please could you tell us how you travel to the health and wellbeing services you or your family go to? ...... 31 6.11 Question 11: Is there anything else that would help you and your family to access health and wellbeing services? ...... 33 6.11.1 Travel/Transport ...... 38 6.11.2 GP services ...... 40 6.11.3 Housing and Population Growth ...... 40 6.11.4 NHS Dentist ...... 40 6.12 Question 12: Thinking about all the services that you (or the person you are responding on behalf of) use, are there any services that you would like to have access to that are not currently available to you and why? ...... 42 6.12.1 Travel ...... 46 6.12.2 GP services ...... 47 6.12.3 Housing and Population Growth ...... 47 6.12.4 NHS Dental services ...... 48 7. Next Steps………………………………………………………………………………………………………………………………………….....………………50

Appendix 1: Survey to Plan for the future Health and Care needs in Wantage and Grove (OX12) ...... 50 Appendix 2: Survey to Plan for the future Health and Care needs in Wantage and Grove (OX12) ...... 65 Appendix 3: Distribution of survey…………… …………………………………………………………………………………………………………….………… 68 Appendix 4: Campaign group poster...... 70

1. Purpose The purpose of this report is to present the results of a public survey undertaken by the OX12 Stakeholder Reference Group.

The purpose of the survey was to find out what services (NHS, social care, local authority and voluntary sector) are currently being used by people living and working in the OX12 postcode area, where those services are provided from and where people have to travel to access them.

The information from this survey will be used alongside additional data, to help shape the way services are planned and delivered to more effectively meet people’s health and care needs in the future.

The OX12 stakeholder reference group will share the report with the OX12 Project Group, which is the team responsible for planning and delivering services for OX12. It will also be published on the Oxfordshire Clinical Commissioning Groups (OCCG) website.

2. Background

Oxfordshire Clinical Commissioning Group has been working with partners to develop a framework to review and plan for future health and care needs. The framework has been agreed at the Oxfordshire Health and Wellbeing Board (HWB) and is intended to be delivered by working in each locality with the local residents, communities and stakeholders, including local councils. The local plan will be based on the needs of that community and will recognise the assets that already exist in the community.

The new framework to plan future health and care provision is first being implemented in the area of OX12 (Wantage and Grove). As part of this work a Stakeholder Reference Group was set up to bring together patients, carers and the public from the local community with partners of the Health and Wellbeing Board to ensure public views and experiences are taken into account in the implementation of the framework in OX12. The OX12 Stakeholder Reference Group consists of members of the public and patient representatives and is working with local councils, NHS Oxfordshire Clinical Commissioning Group (OCCG), Oxford Health NHS Foundation Trust and the wider health and care system.

The OX12 Stakeholder Reference Group covers: Wantage, Grove and the surrounding villages.

The survey was designed by members of the OX12 Stakeholder Reference Group to map the assets within the OX12 postcode area.

A community asset (or community resource) is anything that can be used to improve the quality of community life. This means:

 It can be a person: residents can be empowered to realise and use their abilities to build and transform the community - the stay-at-home mum or dad who organises a playgroup; the informal neighbourhood leader; the fire-fighter who risks his life to keep the community safe. These are all community assets.  It can be a physical structure or place – a school, hospital, church, library, recreation centre, and social club. It could be a town landmark or 4

symbol. It might also be an unused building that could house a community hospice, or a second floor room ideal for community meetings. Or it might be a public place that already belongs to the community - a park, a wetland, or other open space.  It can be a community service that makes life better for some or all community members - public transportation, early childhood education centre, community recycling facilities, cultural organisation.  It can be a business that provides jobs and supports the local economy.

3. Process and method A quantitative and qualitative approach to the survey was taken with a number of rating questions as well as five open ended questions which enabled respondents to expand on their patient experience. The final survey (Appendix 1) was developed by a small task and finish group of the OX12 Stakeholder Reference Group, including professional input from OCCG staff. It was important however, to ensure that the survey reflected the wishes of the members of the OX12 Stakeholder Reference Group. Appendix 2 shows the first iteration of the survey without professional input. The surveys, leaflets, boards and promotion activities cost £7,077.00 (this does not include venue hire). 3.1 Promotion of the survey and roadshows The survey was launched on 2 April 2019 and was available on OCCG’s online consultation and engagement tool Talking Health until 6 May 2019.  2000 printed copies were distributed by members of the OX12 Stakeholder Reference Group alongside 300 leaflets to explain and promote the survey.  Seven roadshows were held in a variety of locations, which were identified by members of the OX12 Stakeholder Reference Group.  A further 500 surveys and 500 leaflets were printed to support the roadshows  Five display boards were developed for the roadshows

3.2 Paid for advertising  A paid for advertising campaign was undertaken with the Herald Series and Oxford Mail for 4 weeks (w/c 3, 10, 17 and 24 April) as well as display adverts on www.heraldseries.co.uk  A paid for Facebook campaign reached 28,000 people with a conversion of 143 people clicking through to the survey. The click through rate of 0.50% is above the national average of 0.07%.

 A second paid for advertising campaign for the roadshows was undertaken again in the Herald Series and Oxford Mail, including the use of their websites, during the weeks commencing 17 April, 24 April and 1 May.

3.3 Non paid for advertising Three press releases were issued 2 April 2019, 24 April 2019, 26 April 2019, which generated coverage in the Oxford Mail and BBC Radio Oxford:  Thursday 4 April:  An article in the Oxford Mail – Wantage OX12 stakeholder group launch health survey https://www.oxfordmail.co.uk/news/17551472.wantage-ox12-stakeholder-group-launch-health-survey/  Monday 29 April:  An article in the Oxford Mail – Wantage health services: CCG set up ‘OX12 Roadshows’ - https://www.oxfordmail.co.uk/news/17600008.wantage-health-services-ccg-set-up-ox12-roadshows/  Article in the Oxford Mail on the OX12 road shows (Sat 27 April) ‘Drop in events will help arm residents with key info on local health services’ (hard copy)  The OX12 project lead was interviewed on BBC Radio Oxford (Sat 27 April) about the OX12 roadshows

 Friday 3 May:  An article in the Oxford Mail and The Herald publicising the last of the OX12 project roadshows.

3.4 Targeted social media on Facebook and Twitter:  https://www.facebook.com/groups/WantageAndGroveCommunity  https://www.facebook.com/spottedwantage  https://www.facebook.com/wantageandgroveevents  https://www.facebook.com/WantageOxfordshire  https://www.facebook.com/groups/eastandwesthanney  https://www.facebook.com/groups/EastHanneyparish Council  https://www.facebook.com/groups/letcombe

3.5 Distribution A comprehensive distribution list was developed to cascade an electronic link of the survey, and promotion of the roadshows. This included (a full list is available in Appendix 3):  all Parish Councils, Town Council, County and District Councillors  all primary, secondary, independent and special schools servicing the OX12 Postcode  Sovereign Housing and SOHA  19 Groups/voluntary organisations listed on https://livewell.oxfordshire.gov.uk/  7 contacts listed on https://fisd.oxfordshire.gov.uk  9 contacts listed on http://www.communitynetworkdirectory.org.uk/  170 businesses and employers listed on https://www.wantage.com/wantage-directory/.

In addition to these we also shared hard copy surveys with:  Wantage Fine Arts Group  Wantage Food Bank  GroW (60 families)  Wantage Repair Café

We had three requests for hard copies to be posted to individuals.

4. Wantage Campaign Group The Wantage Campaign Group is represented in the OX12 Stakeholder Reference Group and members have contributed to the development and distribution of the survey. Individuals have also helped to staff the roadshows. The Campaign Group, also developed their own leaflet, which they distributed alongside the survey (a copy is available in Appendix 4). The leaflet signposts people to answer Question 12 ‘Please remember our Community Hospital when completing this question’. It also highlights a list of other services ‘As you know Wantage Hospital has been temporarily closed to in-patients for more than 2 years, other than Maternity, its services won’t be included in the survey. It used to provide minor injuries, X-ray, physiotherapy, respite care and rehabilitation services, including end of life care. Tell the survey how these services, if they had been provided by the hospital, might have affected you differently or could affect you in the future’. The Campaign Group also issued their own press coverage, as follows:  Tuesday 16 April: article in the Oxford Mail Hospital campaigners ‘let down’ by Wantage survey: https://www.oxfordmail.co.uk/news/17576987.hospital-campaigners-let-down-by-wantage-survey/?ref=ar It should be noted, that the survey does reference Wantage Hospital in Question 6, alongside other physical assets in the community. The services listed above are also detailed in Question 7, with the opportunity for other services to be listed in Question 8.

5. Key findings In total 1303 responses were received to the survey, 920 (71%) were online and 383 (29%) were paper responses. Section 6 of this report outlines the full analysis of responses. The main services that people listed that they wanted to see in the local area, or in Wantage Hospital were:

 Physiotherapy  A Minor Injury Unit  X-Ray  Respite/Rehabilitation  Maternity. The reasons given for wanting these services were Travel and Transport, Use of Wantage Hospital, demand on GP services, Housing and Population growth. The other key area raised related to NHS Dentistry services. 5.1 Current services and asset mapping

 Services for children aged 0 – 5: Between 35% - 50% of those answering did not use the services listed. 85 people attended toddler groups, 67 baby groups and 52 informal mother meet ups.  Services for children aged 5 – 18: Between 25% - 50%of those answering did not use the services listed. 157 people used sport centres, 111 after school activities, 20 accessed sport centres outside OX12.  Services over 18: Between 30% - 55% of those answering did not use the services listed. 35% (465) used a sports centre, and 25% (338) attended exercise classes.  Other groups: Between 40% and 56% of respondents did not use the services listed. 276 attend fitness classes, 264 go to pub meet-ups and 139 attend the Women’s Institute  Other Non-NHS Services: 50 comments related to sport, 46 comments related to faith groups and 45 comments to volunteering activities.  Where people access services: 63% (822) access Wantage Health Centre, 56% (730) access The Beacon, and 45% (629) access Village Halls. 18% (247) said they accessed Wantage Hospital.  Accessing NHS Services: Between 17% and 58% of those answering had not accessed the services listed. 63% (831) had accessed NHS Pharmacy services, 54% (705) had used a Dentist, 44% (578) an Optician, including the Minor Eye Condition Service.  Additional services accessed: 23 comments related to specialist clinics, 21 for musculoskeletal services, 21 for X-ray and 18 listed GP services.  Top three services to benefit health and wellbeing: 485 comments related to GP services, 214 related to sport, 172 related to NHS Dental care.  How people access services: 1139 access by car, 522 on foot, 243 by public transport.

5.2 Themed responses Question 11 and Question 12 were open questions where people were asked what would help them or their family to access health and wellbeing services. For both questions people listed services that they wanted to see in the local area, or in Wantage Hospital. The full analysis shows this break down. However, it is clear from the results that there were a significant number of comments relating to the local provision of Physiotherapy, A Minor Injury Unit, X-Ray, Respite/Rehabilitation and Maternity.

The full detail is shown in section 6. People qualified their responses highlighting the following areas:

5.2.1 Travel and Transport Across both question 11 and question 12, 433 comments were received that related to travel and transport. Concerns related to the availability, frequency and complexity of public transport to access services outside of OX12. Parking was a concern raised across all NHS sites, but specifically at the John Radcliffe Hospital (Oxford University Hospitals NHS Trust). People felt that the distance to travel to services outside OX12 was too far and that travel times should be considered when providing services.

5.2.2 Wantage Hospital Across both Question 11 and Question 12, 387 comments were received specifically about the current Wantage Hospital facility. People stated that they wanted the hospital to be re-opened, and for services to be re-instated. Some people identified specifically that they wanted Physiotherapy, Maternity, End of Life care, Respite, Rehabilitation and Minor Injuries Unit to be returned to the hospital. There were comments that noted that the hospital was not currently open at all.

5.2.3. GP Services 151 comments related to GP services, specifically with concerns relating to waiting times to see a GP. It was felt that the Health Centre at Mably way, should be expanded and more GPs recruited. People felt that more services could be provided at the health centre to reduce travel times.

5.2.4. Housing and Population Growth 109 comments related to the increased housing growth in the local area. People noted that the number of new houses being built would increase the population and create more demand on services. It was felt that there needed to be more infrastructure to support the housing growth and that services should be more local because of this.

5.2.5. NHS Dentistry 48 comments related to NHS Dentistry - people felt that NHS Dentists in OX12 were at capacity and there needs to be more provision in the area.

6. Full analysis of survey

In total 1303 people responded to the survey. People were asked to provide their postcode to ensure that we had a wide geographical spread of responses from within the OX12 area. This question was the only compulsory question in the survey. The chart below shows the spread of responses received.  1,141 people responded as an individual living in the OX12 postcode area  79 identified themselves as a carer of someone else  434 responded on behalf of their family  42 identified that they were an NHS staff member living in OX12 area  15 (1.15%) were a GP/Clinician living in the OX12 area  18 (1.3%) of people said that they did not live or work in the OX12 area but that they were responding as they are interested  1,255 identified as White British  10 (0.7%) were White Irish and 28 (2%) preferred not to say.

Number of postcode responses 500 440 450 400 350 292 300 249 250 213 200 Series1 150

100 59 50 20 5 12 1 1 1 3 2 1 1 1 1

SN6 SN7

RG7

OX5

PO33

OX12 OX13 OX10 OX11 OX14 OX18

NR16

OX127 OX128 OX129 OX120

The chart below shows the age versus gender breakdown of respondents:

 597 respondents were over the age of 65  and 215 of them were men.

In addition to this, 214 respondents said that they had a disability and 140 of those were aged 65 and over.

6.1 Question 1: Please tell us if you or the person you are responding on behalf of use any of the services below for children (aged 0 - 5)

For those individuals that responded online, 551 individuals were routed to answer questions 1 and Question 2, based on whether or not they have children. Those that answered on paper would not necessarily have skipped this question. In view of this, the numbers of responses does not relate to the total number of people that answered the survey.

The chart below shows that a large proportion of respondents did not access any of these services. Approximately between 35% and 50% of those with children, did not use any of the services listed below.  85 people attended Toddler groups with OX12  67 attended Baby groups  52 participated in Informal mother meet-ups within OX12.

In addition a small number of people provided some written feedback in the ‘other’ category, six people named their baby and toddler classes, three referred to mental health services and three identified specific support groups, as shown below:

Series1

3 3 2 2 1 1

6.2 Question 2: Please tell us if there are children (aged 5 to 18) in your household using any of the services below?

For those individuals who responded online, 551 individuals were routed to answer questions 1 and question 2, based on whether or not they have children. Those who answered on paper would not necessarily have skipped this question. In view of this, the numbers of responses does not relate to the total number of people that answered the survey.

Between 25% and 50% of those respondents with children did not use the services listed above.

 157 people used the Sports centre in OX12  111 people used after school activities  20 (3.6%) of those that responded to this question accessed a Sports centre elsewhere in Oxfordshire.

A smaller number of people provided a response to ‘Other’, providing other activities that they attend, the majority of those (36 comments) related to Sport activities:

Frequency

40 36 35 30 25 20 16 15 11 11 11 9 10 3 5 1 1 1 2 1 2 2 1 0

6.3 Question 3: If you are over 18 or responding on behalf of someone over 18, please could you tell us what services or activities are used by you or the person you are responding on behalf of?

For those individuals that responded online, 427 individuals were routed to answer this question, skipping questions 1 and 2. Those that answered on paper would not necessarily have skipped questions 1 and 2, therefore the numbers of responses does not relate to the total number of people that answered the survey.

Between 30% and 55% of respondents did not use any of the services listed.

 35% of all respondents used a Sports Centre in OX12  25% attended exercise classes  16% attend a Private Gym.

In addition to the activities listed, people also provided their own responses in the ‘other’ category. The chart below shows that:

 36 comments related to faith groups  37 comments were about singing group/choir groups  34 comments identified some form of sport.

Frequency

40 37 37 36 35 34

25 25 24

20 18 16 15 15 15 14 13 12 12 11 10 10 10 9 8 7 7 7 7 6 5 5 5 5 4 4 4 3 2 1 1 1

Golf

UA3

Gym

Sport

Music

Other

Singing

Cultural

Medical

Dancing

Education

Socialising

Gardening

Weightloss

MartialArts

CameraClub

FaithGroups

Volunteering

Youthgroups

Mental Health

Scouts/Guides

Eating/Drinking

SupportGroups

ExerciseClasses

Reading/Literacy

Running/Walking

HolisticTherapies

CommunityEvents

Recreational Spaces

Art/CreativeGroups

TwinningAssociation

MusculoskeletalServices CommunitySpace/Village Hall 19 MembershipClubs/Organisations

6.4 Question 4: Please could you tell us about any other groups that you (or the person you are responding on behalf of) go to?

Between 40% and 56% of respondents did not use any of the services listed in the question. Of those that did access the services, highest attendance related to activities within OX12, as follows: o 276 attend fitness classes o 264 go to pub meet-ups o 139 attend the Women’s Institute o 109 go to a Cinema Club o 107 go to a Book Club o 100 attend a Gardening Club o 241 go to a personal club

6.5 Question 5: Are any other NON NHS services/activities or groups that you or the person you are responding on behalf of, go to that benefit your physical and mental health?

In total 1303 people responded to the survey. 450 people answered this question. People were able to provide a free text response to this question, and the responses were categorised.

 50 comments related to sport type activities  46 comments related to faith groups  45 comments related to volunteering.

Series1

50 46 45

35 26 27 27 23 23 22 22 20 15 12 14 12 9 9 10 10 6 8

5 5 3 4 4 3

Golf

Gym

Sport

Music

Other

Scouts

Dental

Singing

Dancing

Education

gardening

Socialising

Weight loss Weight

membership…

FaithGroups

Pets/animals

Volunteering

YouthGroups

SupportGroups

ExerciseClasses

Reading/Literacy

Running/Walking

HolisticTherapies

Eatingdrinking and

CommunityGroups

Art/CreativeGroups Private MSK Private services Mental Healthsupport

6.6 Question 6: Do you access the services, groups and activities that you (or the person you are responding on behalf of) go to in any of the locations below?

The chart below shows which locations people use to access the services, groups and activities identified

 63% (822) of all respondents access Wantage Health Centre  56% (730) access The Beacon  45% (629) access Village Halls  18% (247) said they access Wantage Hospital.

6.7 Question 7: Have you or any person you are responding on behalf of, accessed the following NHS services, in the last 2 years? Between 17% and 58% of all respondents (1303) had not used the services listed. The chart below shows the responses from those that had used services in OX12. 63% (831) of all respondents had used NHS Pharmacy services, 54% (705) of all respondents had used a Dentist and 44% (578) of all respondents had used an Optician including the Minor Eye Condition service. 2% (38) of all respondents did not know how to access extended hours GP clinics.

The chart shows services accessed in OX12 by age. 409 people aged under 65 accessed dental services compared with 290 over 65yrs. 132 over 65s accessed Podiatry compared with 75 under 65 year olds. It is not clear from this data what services people specifically were accessing when they referred to Minor Injury Units and First Aid Units, as these are not currently available in OX12, despite people responding to that effect.

Under 65 Over 65

428 409 392

290 282289

192 176 165 132 153 142 118 125 105 109 112 102 95 81 85 51 77 68 75 55 59 60 67 45 45 43 37 33 35 1 38 33 40 2528 26 25 7 23 14 17 15 21 22 19 16 3 11 6 6 6 7 10 3 4 8

Interestingly the difference between the age ranges increases for those accessing services outside of OX12. The table below shows across all services that a greater proportion of under 65s were travelling to services outside of the OX12 area compared with the over 65s. Notably 250 under 65s accessed Minor Injury Units and First Aid Units outside OX12 compared with 103 people aged over 65. 117 under 65s accessed dental care outside OX12 compared with 57 people over 65. Excluding Minor Injury Units and First Aid Units, the majority of these services still had a higher number of people accessing them within the OX12 postcode area.

Under 65 Over 65

215

134 117 99 104 89 7067 57 60 46 49 45 37 4344 39 38 39 41 35 30 33 35 31 33 29 23 17 23 23 19 18 20 14 12 14 13 14 15 10 9 16 9 9 13 15 3 4 6 5 2 1 1 1 3 5 2 5 2 1 7

6.8 Question 8: Thinking about the NHS, social care or leisure activities run by the Vale of White Horse District Council, are there any services that you or the person you are responding on behalf of, have used in the last two years, not covered in the questions already asked? This question was answered by 351 individuals. In total 288 comments were received that listed additional services that people used in the last two years.  23 comments related to specialist clinics  21 comments listed musculoskeletal services (MSK)  21 comments listed X-ray  18 comments listed GP services.

Series1 23 21 21 18 14 13 12 13 9 8 9 7 6 7 7 6 7 6 6 6 5 4 4 4 5 4 4

3 2 2 2 3 3 2 2 2 2 2 3 3 2 2 2 2

X-ray

Scans

Other

Nurse

Travel

Dental

Health…

Hospital

Daycare

Screening

Pharmacy

Maternity

Gardening

Cardiology

GP servicesGP

Eyehospital

Faithgroups

Schoolnurse

MSKservices

Social groups

Haematology

Healthcentre

Advicegroups

Mental health

Social services

Art Art andculture

Cancer services

Carer'sservices

BloodDonation

Weightservices

Specialistclinics

Diabetesservices

Outdoor activitiesOutdoor

Women'sservices

Dementiaservices

Children'sservices

Emergencyservices

Ambulanceservices

Communityhospital

Occupational therapy

Sports/activitygroups

Minor Injuries/First Aid… Gastrointestinal services

Baby/breastfeedinggroups

6.9 Question 9: Thinking about the services that you or your family have used in the last two years, which top three services have benefited your health and wellbeing the most? In total 964 people responded to this question. These generated 2439 comments, which for the purpose of the chart we have broadly themed, as follows:  485 comments related to GP services, which includes extended hours services, clinics held in GP surgeries, and GP practices in OX12 and areas outside such as Faringdon.  214 comments related to sport. This was a wide range of activities, including gyms, Wantage Leisure Centre, swimming, grass sports and classes.  172 comments related to accessing an NHS Dentist and Private Dental Care.

600

485 500

400

300 214 200 172 146 143 118 94 85 91 100 65 62 76 50 46 48 56 48 34 30 23 34 25 26 21 22 6 8 17 14 19 6 13 12 18 8 19 9 18 16 5 7 9 16 5

A&E

Sport

Carer

X-Ray

Other

Clinics

Social

Physio

CAHMS

Surgery

Podiatry

EyeCare

Diabetes

Foot Care

Pharmacy

GP ServiceGP

Cardiology

DayCentre

Ultrasound

YouthClubs

Dental Dental care

Out hours of

FaithGroups

HospitalCare

Mammogram

HearingClinic

HealthVisitor

Mental Health

Rheumatology

StrokeServices

Cancer services

Family Planning

WantageHospital

Local NHSServices

MaternityServices

Bladder andBowel

Ambulanceservices

Minor InjuriesClinic

Earand Nose Throat

CommunityFacilities

OrthopeadicServices

Altermativetherapies

Parent andtoddler groups TelephoneSupport 111/999

Series1

6.10 Question 10: Please could you tell us how you travel to the health and wellbeing services you or your family go to?

 87% (1139) of all respondents access health and wellbeing services by car  40% (522) access on foot and 18% (243) access services on public transport  Less than 1% claim through the NHS Healthcare Travel Scheme.

The data has been further broken down to show how transport is used based on people’s age profiles, which shows a greater dependency on public transport and Volunteer car driver schemes for the 65 and Over group. 668 respondents aged under 65s use a car to access services compared to 477 over 65s.

800 700

600 500 400

300 Axis Axis Title 200 100 0 Car, but I claim my travel Volunteer Car, I have a Public through the On foot Bicycle car driver Taxi Car disabled Ambulance transport NHS scheme badge Healthcare Travel scheme Under 65 324 99 14 112 27 668 38 5 47 65 and over 202 41 63 137 56 477 66 3 41

6.11 Question 11: Is there anything else that would help you and your family to access health and wellbeing services?

617 people responded to this question, generating 573 thematic comments. Some responses were not valid, although counted in the automated response rate. The question has been thematically analysed based on the number of times a topic or comment was raised. Therefore the number of comments does not necessarily relate to the number of people, as some people wrote more than others. The majority of comments listed activities and services that would help them or their family to access health and wellbeing services. In some cases these comments were qualified with additional opinion.

We have listed in the table below the activities and services that people highlighted. This has been broken down into two distinct areas, as identified by the respondents.

Chart 1 below, shows suggested services to be provided in the local Wantage area. These are responses where people were not specific about where in the local area they wanted to receive the services, just that they wanted them to be local. The top three services that people felt the most strongly about were Physiotherapy services (39 comments), X-Ray (23 comments) and Minor Injury Unit (20 comments). A small number of people said they wanted more services (5) and mental health (counselling and Cognitive Behavioural Therapy) had 9 comments.

Chart 1: Suggestions for services to be provided to local to Wantage

Series1

23 20

12 7 6 5 5 3 1 1 1 2 1 1 2 2 1 1 1 2 2 1 2 1 1 1

Chart 2 below shows services which respondents suggested should be provided in Wantage Hospital/Local Hospital. 46 comments related to accessing GP services, 41 comments related to wanting a Minor Injury Unit, 26 comments relating to wanting a local hospital with beds and 12 comments related to wanting an A&E in Wantage Hospital.

Chart 2: Suggested Services to be provided in Wantage Hospital

Series1

46 41

12 11 11 7 5 5 3 3 3 4 3 1 1 1 1 1 1

In addition to the suggestions provided on provision of services in the community, there were a number of comments that specifically related to the existing Wantage Hospital (Chart 3 below). 58 comments stated that they wanted Wantage Hospital to re-open. 22 comments wanted all previous services to be returned to Wantage Hospital and 12 people stated that they wanted to access Wantage Hospital.

Chart 3: Feedback specific to Wantage Hospital

Series1

22 8 12 1 4

Local people Re-open Return all Return Should Want paid for Wantage previous Maternity benefit local Wantage Wantage Hospital services service people Hospital Hospital

In addition to the suggested NHS services, people also provided suggestions for other community based services (Chart 4 below), such as an improved leisure centre/gym facilities, more social facilities and support for condition specific disabilities.

Chart 4: Suggestions for Community Service provision

Series1

5 4 4 4 3

1 1 1 1 1 1

People also provided feedback relating to areas that would help them to access health and wellbeing services. These relate to four main topics:

6.11.1 Travel/Transport Aside from the services that people highlighted above, the theme that gave the highest number of responses to this question was travel and transport.

197 comments were received relating specifically to concerns about travel and transport and access to services. People felt that they wanted services to be more local, because of:

 pollution  parking difficulties  expense  congestion  stress  distance

‘Not having to go to Oxford for clinics, it is extremely stressful trying to attend appointments on time, in particular for elderly relatives’

‘More access to local services. Travel to the JR (and other Headington hospitals) is incredibly time consuming, and the long journey/wait-to- park time has a negative effect on physical and mental health when attending outpatients follow-up and check-up appointments’

A range of comments related to public transport and bus services from villages to Oxford, Reading, Swindon and Abingdon. There were some very specific concerns relating to:

 limited bus service routes through Ardington, Childrey and Grove  concerns that other rural areas had infrequent bus services, or none at all, which meant accessing services in Oxford, Reading, Swindon or Abingdon is challenging if you don’t have access to a car.  concern about having to access multiple buses to be able to get to the John Radcliffe Hospital (the JR), the Royal Berkshire Hospital and the Great Western Hospital.  For some people even accessing services within OX12 via public transport was challenging.

There was concern that where there are bus routes, these may be infrequent or not available at times that are convenient to access services further afield. It was noted that there is no direct bus service to the John Radcliffe Hospital.

‘Public Transport which doesn't exist at the moment’

‘The drive to the John Radcliffe is long and difficult; parking there is so scarce and unreliable that it is impossible; there is no public

transport option that would not take several hours’

People felt that they wanted local services that were accessible by foot, with improved footpaths and cycle ways. They felt that having services more locally would improve missed appointments, reduce traffic and be better for the environment.

There were some suggestions that there should be free travel or subsidised travel to access services outside of OX12, and improved transport schemes.

‘A local service to get to medical centre.’ ‘Free travel to any venues outside Wantage, as even community transport is too expensive.’

People also commented on improving access for disabled people, both for those with mobility wheelchairs but also for those who are blue badge holders.

There was strong feeling that travelling to Abingdon in urgent situations was too far, and that travel times should be considered in the location of services.

‘It is crazy that we have to travel to the JR when a crisis happens. (Especially when small children are involved.)’

‘Having them nearer! It is quite difficult to get to Abingdon with a minor injury’.

Another area of concern highlighted was the ability to park. People felt that parking was limited at hospital sites and the GP practices, and therefore unreliable.

‘I really cannot understand the logic of closing local services like Xrays, hospital physiotherapy in Wantage and any other services that we have to DRIVE to. We are told to use buses but that can take ages. The roads are clogged up. The JR Hospital car park is a nightmare’.

6.11.2 GP services

63 comments related to GP services, 34 of which related to waiting times at the surgery, and concerns with waiting to see a named GP.

 14 comments related to wanting more clinics

 16 comments related to wanting more appointment times at the surgeries

 a smaller number of people referenced the need to increase the size of the building at Mably way to increase capacity

 some suggested that there was a need for more GPs or another GP practice in OX12.

‘Getting an appointment to see my own GP quickly. Too much is done via telephone and surgery nurses’.

‘Better access to GP services and more GPs’.

‘there are long waits to get an appointment with a GP. In view of the expanding population in this area, the Wantage health Centre needs expanding with more doctors available’.

6.11.3 Housing and Population Growth 15 comments related to the increasing housing growth and development in the OX12 area, and concerns that the population is increasing as a result. People felt that there needed to be better infrastructure in place for new housing developments and that services should be more local to meet this rising demand.

‘It would be much better to have a minor injuries unit in Wantage, especially with the burgeoning population and congested roads’.

‘need access to local hospital services, especially with number of new housing estates being built - there is insufficient infrastructure to cope BUT this has been neglected in planning - lack of joined up approach which is unforgiveable and will cause problems’

6.11.4 NHS Dentist 18 comments were received relating to NHS Dentistry in the local area. People felt that there was a lack of NHS Dentist provision in OX12, and that private dental care was too expensive.

‘Having more NHS dentists in the area, I can't find one taking new patients...’

‘more doctors and dentists. It's very difficult to get an appointment’

In addition to the themes above a smaller number of comments were received relating to the following areas:

o The funding of services and a perception that there isn’t sufficient funding available in Oxfordshire. o Waiting times: . Child and Adolescent Mental Health Service waiting times . Waiting times to see specialists . Some people weren’t specific about particular services and just highlighted waiting times generally as a concern o A small number of comments related to receiving a poor physiotherapy service

6.12 Question 12: Thinking about all the services that you (or the person you are responding on behalf of) use, are there any services that you would like to have access to that are not currently available to you and why? 869 people responded to this question. The question has been thematically analysed based on the number of occurrences a topic or comment was raised. In total 832 comments were received. Therefore the number of comments does not necessarily relate to the number of people, as some people wrote more than others. The majority of comments listed activities and services that would help them or their family to access health and wellbeing services. In some cases these comments were qualified with additional opinion. Chart A below, shows services that were suggested to be provided in the local Wantage area. 67 comments mentioned Physiotherapy.49 related to accessing a Minor Injury unit and 29 were suggesting X-ray facilities.

Chart A: suggested services to be provided in the local Wantage area

Series1

29 21 19 22 12 14 14 7 5 5 7

1 2 3 1 1 1 1 1 1 2 3 2 2 1 2 1 1 3 1 2 1 1 1

X-Ray

Footcare

Paediatrics

HomeCare

Osteopathy

Orthadonist

DayCentres

MoreClinics

RespiteCare

Out Hours of

Local services

Rehabilitation

Physiotherapy

Hernia Repairs Hernia

DementiaCare

Dialysis service Dialysis

Endof Lifecare

Mammography

District Nursing

Cancer Services

Family Planning

SpecialistAccess

DiabeticServices

GeriatricServices

MedicineReviews

Minor InjuryUnits

RoutineCheck ups

SensoryImpairment…

Occupational Health

Minor Minor Skin Condition…

HealthVisitor service

Specialneeds support

OphthalmologyClinics

Mental Healthservices Exercise for Parkinsons BoneDensity Screening

Chart B below shows services suggested to be provided in Wantage Hospital/Local Hospital.  257 comments related to Physiotherapy  245 comments referred to needing a Minor Injury Unit  181 comments wanted X-Ray facilities.

Chart B: suggested services to be provided in Wantage Hospital/Local Hospital

Series1

245 257

181

72 66 64 55 37 44 21 18 19

5 3 1 14 3 1 1 1 1 2 4 7 2 4 1 4 1 1

Scans

Clinics

X-Rays

Dietician

Footcare

Checkups

Screening

Local A&E

Inpatients

Neurology

Cardiology

Endoscopy

Paediatrics

Diagnostics

Outpatients

Fallsservice

RespiteCare

Bed BlockingBed

Gynaecology

Local Hospital

Physiotherapy

Minor Surgery

MaternityUnit

District Nursing

Ophthalmology

Endof LifeCare

Minor InjuryUnit

Rehabilitationservices Older People'sOlderservices Mental HealthServices

In addition to the suggestions around services there were a number of comments received that were very specific to Wantage Hospital and the current temporary closure of inpatient facilities. Chart C below shows:  132 commented that the Hospital should be re-opened  46 comments said that all previous services should be returned  38 comments cited travel and access as a reason for re-opening the Hospital  18 comments said that it should be available for local people.

Chart C

Series1 132

46 38

14 15 18 10 10 11 7 10 9 1 1 1 1 1 3 1 2 5 2 5

Comments were also received about further services that could be provided in the community. Chart D shows:  12 comments related to additional leisure facilities  9 comments wanted additional facilities for children  8 comments related to additional exercise groups  8 comments wanted more older people’s services.

Chart D: suggested services to be provided in the community

Series1

9 8 8

4 3 2 2 1 1 1 1 1 1 1 1 1 1 1 1 1

In addition to the suggested services, people also qualified their responses and raised a number of concerns and points relating to the following areas:

6.12.1 Travel 236 comments related to travel and access. The comments broadly reflected those from Question 11, with 41 comments citing bus services, including:

 the frequency of buses  availability of buses  routes of bus journeys  the complexities of multiple bus journeys to access services located in Oxford, Reading or Swindon.

‘Have the bus that runs from Redbridge P&R direct to the JR. It stopped running last year and we now have to bus into Oxford and change buses’

‘Bus service direct to JR/Churchill’

Comments also related to the distance of journeys, being made by car to Oxford, Wallingford, Banbury, Didcot, Abingdon, Henley, Thatcham, Reading and Witney.

 29 comments related to concerns about parking  121 comments specifically related to travel between OX12 and Oxford  54 comments related to travel between OX12 and Abingdon, highlighting the need for services to be more local.  27 comments stated that services were too far.

‘Travel into Oxford is difficult by bus and expensive by taxi. Parking at the Oxford Hospitals is a nightmare.’

‘Wantage community hospital should be reopened. The John Radcliffe is too far from Wantage, and parking there is well nigh impossible, making any visit there extremely stressful’

In addition there were a smaller number of comments that highlighted:

 congestion and traffic challenges outside OX12 46

 emotional impact of travelling to get to services  disability access and difficulties for those that don’t drive  environmental impact of travelling to services  time involved in travelling to services  impact of loneliness and isolation for those that can’t travel.

6.12.2 GP services 88 comments related to GP services, primarily within the OX12 postcode area, provided at the health centre at Mably way. 46 of those comments related to concerns around waiting times to see a GP.

‘Only 2 GP surgeries - often long appointment wait times’

‘Very frustrating not to be able to get an appointment with a go when you need one .. waiting time for an appointment is unacceptable!

‘Appalling that it takes 3 to 4 week to get an appointment at local doctors (Wantage Health Centre). Third world provision in Wantage (yet more people to come with over the top house building)’.

32 comments related to the capacity at the Health Centre, with suggestions that it should be expanded, with more services provided and more GPs recruited.

‘The doctors’ surgery seems to be under massive strain when we have a building not being used in the middle of the town’

‘Easier access to GP and other health care services. The Health Centre in Wantage must be expanded urgently as it is becoming increasingly difficult to access these services’.

9 comments related to wanting a local out of hours GP service in Wantage and 5 people suggested longer opening times.

‘Out of hours GP service and Minor accident unit. Time is of the essence when an emergency occurs and local provision can be a lifesaver’.

‘Out of hours GP cover eg: evening weekend or an emergency help line for the GP rather than using 111’

6.12.3 Housing and Population Growth 94 comments related to increase housing development. People were concerned that due to the increase in housing development in the OX12 area,

there would be an increase in population, creating a greater demand and need for services in the local area.

‘Also the Drs surgery needs expanding because of all the new houses being built in Wantage and Grove’

‘Minor injuries, physiotherapy, x-ray, respite care, rehabilitation services, end of life care. With all the new build houses being built in and around Wantage and Grove, it would benefit all the residents in and around the Wantage area. Also it would relieve the stress, waiting time and parking at Abingdon and other NHS sites.

People felt that this growth would add additional pressure to services that are already perceived to be difficult to access, alongside a lack of infrastructure to support the new housing.

‘Minor injury clinic, minor procedures services such as ultra sound, MRI, minor operations, pregnancy services. It is really simple Grove and Wantage are going to double in size. We will need the appropriate infrastructure to support this growth. Hospital, schools, fitness centres, parking, train station, investment in roads and public transport’.

6.12.4 NHS Dental services 30 comments were received relating to NHS Dental service provision within the OX12 area. There was concern that the NHS Dentists in the area are over-subscribed and not taking new patients. People felt that there was a need for more provision in the local area.

‘Dentist. Only very limited provision in OX12 - again despite the housing situation (At present we have to go private)’

‘Local dental services! Currently registered with dentist in Oxford and unable to transfer to local services having moved to area 9 months ago’.

In addition to these main themes there were other comments raised:

 28 comments related to the NHS and Local Authority system, specifically the need to increase staffing in the county, concerns around the privatisation of the NHS, economic impact of travelling to appointments (time off work, impact on families/carers, missed appointments)  10 comments related to isolation and the need to consider services for those that are housebound, vulnerable and older. There was a suggestion that Stirlings Day Centre should be re-opened.  A small number of comments related to Abingdon Hospital, noting that X-ray is often closed.  A small number of comments related to a lack of information and people not knowing what services are available to them.

7. Next Steps

There were some models of care highlighted in the feedback provided:

 West Berkshire Hospital in Thatcham  Birmingham University study, the role of hospitals to promote health and wellbeing

There were also suggestions around facilities that could be considered an asset within the community:

 Stirlings Day Centre  Empty building in the middle of Wantage

This report will be used alongside further data gathered from Oxford Health NHS Foundation Trust, Oxford University Hospitals NHS Foundation Trust, Oxfordshire County Council, Vale of White Horse District Council and Public to create a full picture of the assets, needs and current provision within the OX12 area.

Once this data is fully gathered, further work will be undertaken to determine what services could be provided locally to meet the needs of people living in OX12. This process will be done in partnership with the OX12 Stakeholder Reference Group and scrutinised by the task and finish group of the Joint Health Overview and Scrutiny Committee.

Appendix 1: Final version of survey

Survey to Plan for the future Health and Care needs in Wantage and Grove (OX12) The OX12 Stakeholder Reference Group, covering Wantage, Grove and the surrounding villages, has been set up to support a project that will identify the health, care and wellbeing needs of local people and plan future health and care provision in the OX12 area. The group consists of members of the public, patient representatives and local councils working with NHS Oxfordshire Clinical Commissioning Group, Oxford Health NHS Foundation Trust and the wider health and care system to ensure the views of the locality are taken into account. Future health, care and wellbeing services will be based on the needs of the community and will recognise the services and assets that already exist. The first step in this process is to find out what services (NHS, Social Care local authority and voluntary) are currently being used, where those services are provided from and where people have to travel to access them. This information will be used to help shape the way services are planned and delivered to more effectively meet people’s health and care needs in the future.

The survey will be open from 2 April to 6 May 2019.

Please could you provide us with your postcode – this will help us to know that we have received responses from people who live in the OX12 postcode area and/or live outside OX12 but access services provided in this area.

Mapping your community assets A community asset (or community resource) is anything that can be used to improve the quality of community life. And this means:

 It can be a person -- Residents can be empowered to realise and use their abilities to build and transform the community. The stay- at-home mum or dad who organises a playgroup. The informal neighbourhood leader. The fire-fighter who risks his life to keep the community safe. These are all community assets.

 It can be a physical structure or place -- a school, hospital, church, library, recreation centre, and social club. It could be a town landmark or symbol. It might also be an unused building that could house a community hospice, or a second floor room ideal for community meetings. Or it might be a public place that already belongs to the community -- a park, a wetland, or other open space.  It can be a community service that makes life better for some or all community members - public transportation, early childhood education centre, community recycling facilities, cultural organisation.  It can be a business that provides jobs and supports the local economy.  You and everyone else in the community are potential community assets.

1. Please tell us if you or the person you are responding on behalf of use any of the services below for children (aged 0 - 5) (If you don’t have children please go to Question 3)? (Please tick one option per row)

Yes, in Yes, in Yes, elsewhere in No No, not aware of how to OX12 my home Oxfordshire access these services Baby groups Toddler groups Private child care Nursery groups Playgroup Pre-school groups Crèche Informal mothers meet-up group Special Educational Needs

(SEND) support group Disease specific support group

If there are other groups that you or the person you are responding on behalf of, go to, please tell us here:

2. Please tell us if there are children (aged 5 to 18) in your household using any of the services below? (If you don’t have children please go to Question 3) (Please tick one option per row)

Yes, in Yes, in Yes, elsewhere in No No, not aware of how to OX12 my home Oxfordshire access these services Sweatbox Sports Centre Football Club Rugby Club Tennis Club Silver Band Amateur Dramatics Singing Group Dance Group Cricket Club Athletics Beatbox Short Break activities (5 –

17yrs) After School Activities TOPAZ Scouts Cubs Beavers Guides Brownies Rainbows Rangers Air Cadets

Army Cadets Special Educational Needs

(SEND) support group

Are there any other groups or activities that your child or children attend?

3. If you are over 18 or responding on behalf of someone over 18, please could you tell us what services or activities are used by you or the person you are responding on behalf of? (please tick one option per row)

Yes, in No No, Don’t know how to Yes, in Yes, elsewhere in my access these services OX12 Oxfordshire home Sports Centre Football Club Rugby Club Tennis Club Silver Band Amateur Dramatics Art Group History Group Further Education Adult Day Centre Luncheon Club Afternoon Tea Club October Club Blind Club Fitness Clubs Exercise Classes

Private Gyms Special Educational Needs (SEND) support group

Are there any other services, groups or activities that are used by you or the person you are responding on behalf of?

4. Please could you tell us about any other groups that you (or the person you are responding on behalf of) go to? (Please tick one option per row)

Yes, in Yes, in Yes, elsewhere in No No, don’t know how to OX12 my home Oxfordshire access these services Book club Walking club Pub meet ups Cinema club Bowls club Nordic walking Dance group Women’s Institute (WI) Theatre group Art group, U3A Rotary Lions Fitness classes Knitting group Angling club

Gardening club Service club Athletics club Cycling club Canal group Bridge club Craft group A personal Club (These clubs are run by a few close friends. These friends or family members do things they like to do together). Professional societies (These organisations are partly social, partly professional in nature and provide professionals with opportunities for advanced education). A hobby Club (Examples include science fiction clubs, ham radio, Model Railroading, collecting, creative and artistic pursuits, making, tinkering).

5. Are any other NON NHS services/activities or groups that you or the person you are responding on behalf of, go to that benefit your physical and mental health?

6. Do you access the services, groups and activities that you (or the person you are responding on behalf of) go to in any of the locations below? (Please tick one option per row)

I can’t remember/don’t Yes No know The Beacon Wantage Library Wantage Hospital Wantage Leisure Centre Hanney War Memorial Hall St John’s Church, Grove Wantage Health Centre Village Halls Grove Library

Are there any other venues that you or the person you are responding on behalf of, regularly visit (at least once a week)?

7. Have you or any person you are responding on behalf of, accessed the following NHS services, in the last 2 years? (Please tick one option per row).

Yes, in Yes, in Yes, elsewhere in No No, don’t know how to OX12 my home Oxfordshire access these services Podiatry Dentist Ultrasound Scanning Audiology Clinic 56

Family Planning Child and adolescent mental health service (CAHMS/PCAHMS) Paediatric Physio Ophthalmology (Eye) Clinic Ear Nose and Throat (ENT)

Clinic Genetics Bladder and Bowel Clinic Heart Failure Diatetics Clinic Rheumatology Soul Mates Royal Berks Hearing Van Talking Space Mammography Diabetic eye screening Diabetes structured education MIND counsellor Health Visitor service Extended hours GP clinics GP clinics for diagnostic physio NHS Pharmacy services Opticians including MECS Midwifery Adult physio NHS 111 Minor Injury Units First Aid Unit

8. Thinking about the NHS, Social Care or Leisure Activities run by the Vale of White Horse District Council, are there any services that you or the person you are responding on behalf of, have used in the last 2 years, not covered in the questions already asked?

9. Thinking about the services that you or your family have used in the last 2 years, which top 3 services have benefited your health and wellbeing the most?

10. Please could you tell us how you travel to the health and wellbeing services you or your family go to?

No I don’t Not know applicable Yes to me and my family On foot Bicycle Volunteer car driver

scheme Public transport Taxi Car Car, I have a disabled badge Car, but I claim my travel through the NHS Healthcare Travel scheme Ambulance

11. Is there anything else that would help you and your family to access health and wellbeing services?

12. Thinking about all the services that you (or the person you are responding on behalf of) use, are there any services that you would like to have access to that are not currently available to you and why?

Thank you for completing the survey! Please could you take some time to tell us about yourself or the person you are responding on behalf of?

13. I am responding as (please tick all that apply)

As an individual, living in the OX12 area

As a carer on behalf of someone else, over the age of 18 on behalf of my family

A representative of Healthwatch Oxfordshire, living in the OX12 area

A representative of Healthwatch Oxfordshire, not living on the OX12

area A GP/clinician, living in the OX12 area

A GP/clinician, not living in the OX12 area

An NHS staff member, living in the OX12 area An NHS staff member, not living in the OX12 area

A Local Authority staff member, living in the OX12 area

A Local Authority staff member, not living in the OX12 area A District Council member of staff, living in the OX12 area A District Council member of staff, not living in the OX12 area Representing a voluntary sector organisation, providing services in the OX12 area A councillor representing the OX12 area

I do not live in the OX12 area but I work there I do not live or work in the OX12 area but I am interested Other (please provide details) ______

14. Your age

Under 16 45-54

16-24 55-64

25-34 65 and over

35-44

15. Your gender

Male

Female

Transsexual

Prefer not to say

16. Ethnicity

White British

White Irish

Mixed race

Asian or Asian British

Black or Black British

Chinese Prefer not to say

Other (please state) ______

17. Do you consider yourself to have a disability?

Yes

Prefer not to say

Data and Protection & Privacy

Under the Data Protection Act 2018, Oxfordshire Clinical Commissioning Group has a legal duty to protect any personal information we collect from you. We might publicise quotes from what you say in this survey, but we will always remove your personal data.

If you do not want all or part of your response to be made public, please state which parts you wish us to keep confidential.

Please return this survey by Monday 6 May 2019 to:

FREEPOST OXFORDSHIRE CLINICAL COMMISSIONING GROUP (No further address details required)

Or by email to: [email protected]

If you would like to hear the outcome of this work please provide your email and postal address below:

Appendix 2: First Draft of survey

Survey to Plan for the future Health and Care needs in Wantage and Grove (OX12) The OX12 Stakeholder Reference Group, covering Wantage, Grove and the surrounding villages, has been set up to look at the provision of healthcare services in OX12 in the future. The group consists of the public, patient representatives and local councils working with the CCG and the Oxfordshire Health and Wellbeing Board (HWBB) to ensure the views of the locality are taken into account. Future healthcare services will be based on the needs of the community and will recognise the assets that already exist. The first step in this process is to find out what services are currently being used and where people travel to access them. With this information, gaps in the provision can be mapped to help provide better services in the future. The survey will be open from 2nd April to 30th April. Please provide us with your postcode. How many people in your household are in the following age ranges: Under 5 5-18 18-60 61-75 95 Etc. etc. provided by Julia 1. What healthcare services have you used in the last 3 years?

Where did you access these services?

Did you pay At Elsewhere (please Healthcare Service Wantage Oxford for this home state where) service Y/N GP services (Illness or regular check-up) Pharmacy (advice and/or prescription collection) Outpatients and Clinics Accident and Emergency Dental services (emergency, or regular check-up) Minor Injuries Optician Hearing First Responders Paramedics Ambulance 999 111 GP appointment Out of hours service Wantage Hospital Eye care (not including replacement glasses) Mental Health Services Sexual Health/ Family Planning Maternity Physiotherapy Specialist treatments Counselling services Rehabilitation End of life care

Children’s services Specialist diagnostics Complex Surgery Respite care Nursing Care Other (please specify) Other (please specify)

What Healthcare Services would you like to see located in OX12?

Is there anything you want to add about our local health services and what needs to be done to improve them?

Thank you for completing the survey!

Appendix 3: Distribution of survey

Organisation Method of sharing GO Active South Oxfordshire Facebook promotion Sweatbox and Beatbox Sweatbox Union Members Attended Youth Club OXFSN Shared to their database and on Facebook SENDIASS Promoted on Facebook

MLMC Wantage Self Advocacy group Shared with the group by their organiser Be free young carers and Carers Oxfordshire Shared with database and on Facebook GroW - We have around 60 families attend 60 surveys sent in the post our groups each week, 99% live in the OX12 area.

SOHA Housing Promoted on Facebook Oxford Health NHS Foundation Trust Promoted to Health Visitors, on their website and social media https://www.oxfordhealth.nhs.uk/news/planning-for- future-health-and-care-needs-in-wantage-grove- and-the-surrounding-villages/ South Oxfordshire District Council Promoted on Facebook Healthwatch Oxfordshire Shared with database and promoted in Newsletter Oxfordshire County Council Shared with staff working with vulnerable groups Wantage and Grove babies Shared on Facebook Age UK Shared with Exercise classes for older people and their network Sovereign Housing Shared with residents and partner organisations Wantage and Grove Campaign group Promoted on their website: http://www.wantageandgrove.org/ Wantage.com Promoted on website: https://www.wantage.com/planning-for-the-future- health-and-care-needs-in-ox12/ Sparsholt and Westcott Parish Council Promoted on website:

https://www.sparsholtandwestcot.org/content/news- about-health-services-wantage-and-wantagehospital LDOX.org - an online community for people https://forum.ldox.org/t/do-you-live-or-work-in-the- in Oxfordshire who want to ensure that ox12-area/2874 adults and children with learning disabilities (including autism)

Appendix 4: Campaign Group leaflet