Meeting the Challenge Consultation Final Report Paper from TCC 24-06-2013 Contents Contents .................................................................................................................................. 2 List of Tables and Charts ...................................................................................................... 7 1. Summary findings ................................................................................................................ 9 1.1 Introduction ..................................................................................................................... 9 1.2 Findings ........................................................................................................................ 10 1.3 Views by service area ................................................................................................... 15 1.4 Conclusion .................................................................................................................... 20 2. Overview of the consultation process ................................................................................. 22 2.1 Summary of the changes .............................................................................................. 22 2.2 Background to the consultation ..................................................................................... 23 Breakdown summary of responses ................................................................................. 26 3. Consultation document ...................................................................................................... 29 3.1 Postal and web submissions......................................................................................... 29 Breakdown summary of responses ................................................................................. 29 Summary of key concerns ............................................................................................... 30 Different views by geography .......................................................................................... 35 3.2 Demographic, geographic and organisation breakdown of responses .......................... 37 3.3 Quantitative highlights .................................................................................................. 38 3.4 Qualitative highlights .................................................................................................... 40 3.5 Quantitative breakdown by question ............................................................................. 41 4. Telephone Poll ................................................................................................................... 62 4.1 Introduction ................................................................................................................... 62 4.2 Overview of phone poll findings .................................................................................... 62 4.3 Summary of findings by topic ........................................................................................ 63 4.4 Awareness, channels and perception ........................................................................... 67 Awareness ...................................................................................................................... 67 values first Page 2 of 217 Channels......................................................................................................................... 67 Perception of the planned changes ................................................................................. 69 4.5 Local hospital and how often services have been used in the last two years ................ 70 Local hospital .................................................................................................................. 70 Service usage ................................................................................................................. 71 4.6 Ranking priorities .......................................................................................................... 72 A&E priority features ....................................................................................................... 73 Maternity priority features ................................................................................................ 75 Children’s services priority features................................................................................. 77 Surgery priority features .................................................................................................. 79 Transport priority features ............................................................................................... 81 Patient feedback and good practice priority features ....................................................... 84 4.7 Open comment ............................................................................................................. 86 4.8 Equalities Monitoring Section ........................................................................................ 88 4.9 Phone Poll Methodology ............................................................................................... 93 5. Discussion groups. ............................................................................................................. 94 5.1 Introduction ................................................................................................................... 94 5.2 Recruitment .................................................................................................................. 95 5.3 Discussion group format ............................................................................................... 96 5.4 Main themes ................................................................................................................. 97 6. Public Meeting Summary Transcripts ............................................................................... 100 6.1 Opening event: Dewsbury .......................................................................................... 100 Changes in general ....................................................................................................... 100 NHS management structure .......................................................................................... 100 Increased travel time ..................................................................................................... 101 Maternity ....................................................................................................................... 101 6.2 Opening event: Morley ................................................................................................ 101 Dewsbury Hospital ........................................................................................................ 101 values first Page 3 of 217 Pinderfields Hospital ..................................................................................................... 101 Complications during minor surgery .............................................................................. 101 Transport ...................................................................................................................... 102 Changes ....................................................................................................................... 102 Appointments ................................................................................................................ 102 6.3 Opening Event: Pontefract .......................................................................................... 103 Hospital Discharge and Follow-up ................................................................................. 103 Pinderfields ................................................................................................................... 103 Public transport ............................................................................................................. 103 6.4 Opening event: Wakefield ........................................................................................... 104 Maternity ....................................................................................................................... 104 Staffing ......................................................................................................................... 104 Discharge and follow-up care ........................................................................................ 104 Transport ...................................................................................................................... 104 Appointment system ..................................................................................................... 104 6.5 Closing event: Morley ................................................................................................. 105 6.6 Closing Event: Dewsbury ............................................................................................ 105 Care in the community .................................................................................................. 105 Children’s services ........................................................................................................ 106 6.7 Closing Event: Pontefract ........................................................................................... 106 Maternity ......................................................................................................................