YOUR HEALTH, YOUR FUTURE Hywel Dda Health Board’s Listening and Engagement Process Report of Findings for Opinion Research Services July 2012 YOUR HEALTH, YOUR FUTURE Hywel Dda Health Board’s Listening and Engagement Process Report of Findings for Opinion Research Services The Strand Swansea SA1 1AF 01792 535300 | [email protected] | www.ors.org.uk As with all our studies, findings from this survey are subject to Opinion Research Services’ Standard Terms and Conditions of Contract. Any press release or publication of the findings of this survey requires the advance approval of ORS. Such approval will only be refused on the grounds of inaccuracy or misrepresentation © Copyright July 2012 Opinion Research Services Hywel Dda Health Board – Listening and Engagement Exercise Draft Report July 2012 Contents 1. Introduction ................................................................................................................................... 9 Overview of the Listening and Engagement Process .................................................................................... 9 Challenges and Changes ............................................................................................................................ 9 The Commission ........................................................................................................................................ 9 Accountability .......................................................................................................................................... 10 Interim Report ......................................................................................................................................... 11 2. Stakeholder Questionnaire ........................................................................................................... 12 Overview of Findings ................................................................................................................................... 12 Summary of Key Findings ........................................................................................................................ 12 Stakeholder Questionnaire ...................................................................................................................... 13 Questionnaire Responses ........................................................................................................................ 14 Respondent Profile .................................................................................................................................. 14 Listening and Engagement Questionnaire Results .................................................................................. 18 Care Closer to Home ................................................................................................................................ 19 Quality and Safety of Services ................................................................................................................. 21 Ageing Population ................................................................................................................................... 23 Specialised Services ................................................................................................................................. 25 Access ...................................................................................................................................................... 28 Transport ................................................................................................................................................. 31 Making Every Penny Count ...................................................................................................................... 33 Information .............................................................................................................................................. 35 Further Comments about Service Areas ................................................................................................. 37 Summary information – Significance and Freetext Comments ............................................................... 38 3. Deliberative Meetings (i) ............................................................................................................... 40 Focus Groups with members of the public ................................................................................................. 40 Introduction ............................................................................................................................................. 40 Summary of Key Findings ........................................................................................................................ 41 Listening and Engagement Process ......................................................................................................... 42 Views on Current Service Provision ......................................................................................................... 43 Introduction ......................................................................................................................................... 43 Health Service Management ............................................................................................................... 43 Staffing ................................................................................................................................................. 44 3 Opinion Research Services Hywel Dda Health Board – Listening and Engagement Exercise Draft Report July 2012 Standards ............................................................................................................................................. 45 HDdHB’s Guarantees and Aims ............................................................................................................... 45 Distance (particularly in relation to Accident and Emergency Services) ................................................. 45 Specialisation and Centres of Excellence ................................................................................................ 49 Care Closer to Home ................................................................................................................................ 53 GP and Out of Hours Services .................................................................................................................. 55 4. Deliberative Meetings (ii) .............................................................................................................. 57 Focus Groups with Members of Staff .......................................................................................................... 57 Overall Summary ..................................................................................................................................... 57 Staff Focus Groups and Discussion Agenda ............................................................................................. 58 Current Services....................................................................................................................................... 59 Recruitment Difficulties ........................................................................................................................... 61 Centres of Excellence .............................................................................................................................. 63 Accident and Emergency Centres ............................................................................................................ 67 Care Close to Home ................................................................................................................................. 69 The Problem of Demand.......................................................................................................................... 73 Listening and Engagement Process ......................................................................................................... 74 5. Submissions.................................................................................................................................. 77 Stakeholder Submissions - Selected Summaries ......................................................................................... 77 Introduction ............................................................................................................................................. 77 Hywel Dda Community Health Council, Pembrokeshire Locality ............................................................ 78 Ceredigion GPs’ Forum ............................................................................................................................ 79 Ystwyth Medical Group (YMG) ................................................................................................................ 80 Ceredigion Local Service Board (LSB) ...................................................................................................... 81 Ceredigion Voluntary Sector Representatives on the CHC ..................................................................... 81 Three Ceredigion County Councillors (on the Ceredigion CHC) .............................................................. 81 Ceredigion County Partnership Forum – staff side representatives ....................................................... 82 HDdHB Partnership Forum – staff side representatives ........................................................................