Ein cyf/Our ref: TP/elc Hywel Dda Health Board Headquarters Merlins Court, Winch Lane, Haverfordwest, Gofynnwch am/Please ask for: Trevor Purt, Chief Executive Pembrokeshire, SA61 1SB Tel Nr: (01437) 771220 Rhif Ffôn /Telephone: 01437 771220 Ffacs/Facsimile: 01437 771222 Hywel Dda Health Board Headquarters E-bost/E-mail: [email protected] Merlins Court, Winch Lane, Haverfordwest, Pembrokeshire, SA61 1SB Tel Nr: (01437) 771220 30 th January 2013 William Powell AC/AM Chair Petitions Committee National Assembly for Wales Dear Mr Powell Thank you for your letter dated 23rd January 2013. Please find attached details of the following: • Report on feedback received to the Health Board's Consultation This report, prepared by Opinion Research Services on behalf of the Health Board, analyses all the feedback received during the formal consultation process. The feedback received included a full submission by the South East Pembrokeshire Community Health Network which included the issues now being raised and the analysis records this. • Assurance Report on the Conduct of the Consultation This paper was considered by the Health Board on 15th January 2013 prior to the final decisions being made. It describes the consultation process in the round and provides assurance in relation to compliance with Ministerial Guidance on Engagement and Consultation on Service Change and the legal duties established through the Gunning Principles. It describes how feedback received was analysed and considered in preparing final recommendations for the Board. Pencadlys Bwrdd Iechyd Hywel Dda Hywel Dda Health Board Headquarters Cadeirydd / Chairman Llys Myrddin, Lôn Winch, Hwlffordd, Merlins Court, Winch Lane, Haverfordwest, Mr Chris Martin Sir Benfro, SA61 1SB Pembrokeshire, SA61 1SB Prif Weithredwr /Chief Executive Rhif Ffôn: (01437) 771220 Tel Nr: (01437) 771220 Yr Athro/Professor Trevor Purt Rhif Ffacs: (01437) 771222 Fax Nr: (01437) 771222 Bwrdd Iechyd Hywel Dda yw enw gweithredol Bwrdd Iechyd Lleol Hywel Dda Hywel Dda Health Board is the operational name of Hywel Dda Local Health Board • Recommendations Considered by the Board This report describes the themes emerging from the consultation, the process of analysis and final recommendations around each service change under consideration. It reflects on the themes heard and provides a Health Board response where appropriate and also describes how options for change have moved as a result of the feedback received. It also highlights significant submissions received from a variety of sources. The original petition submitted by Llanelli residents in relation to PPH was received during the Listening and Engagement Phase of the process. However, the views expressed in the petition were reflected upon and a change to the option for consideration was made (with the incorporation of an EMAU within PPH and the retention of the medical take). The Consultation Document included a section specific to PPH and provided a clear explanation of why the petition's demands could not be met. This included a description of there being no clinical case to revisit an earlier consultation (held in 2006) and to restore emergency surgical services at the hospital to allow a full A&E Department to be on the site. I hope this provides the necessary information for the Committee but please let me know if you require more. Yours sincerely, Trevor Purt Chief Executive Enclosures: 1. Balancing Opinions; A report by Opinion Research Services (December 21 2012) 2. Your Health; Your Future - Consulting Our Communities - Consultation Assurance Report 3. Your Health; Your Future - Consultation Final Recommendations Pencadlys Bwrdd Iechyd Hywel Dda Hywel Dda Health Board Headquarters Cadeirydd / Chairman Llys Myrddin, Lôn Winch, Hwlffordd, Merlins Court, Winch Lane, Haverfordwest, Mr Chris Martin Sir Benfro, SA61 1SB Pembrokeshire, SA61 1SB Prif Weithredwr /Chief Executive Rhif Ffôn: (01437) 771220 Tel Nr: (01437) 771220 Yr Athro/Professor Trevor Purt Rhif Ffacs: (01437) 771222 Fax Nr: (01437) 771222 Bwrdd Iechyd Hywel Dda yw enw gweithredol Bwrdd Iechyd Lleol Hywel Dda Hywel Dda Health Board is the operational name of Hywel Dda Local Health Board N:\Project Files\Housing Assessment\4076 - YOUR HEALTH, YOUR FUTURE Hywel Dda Health Board’s Consultation on Healthcare Services Balancing Opinions: a report by Opinion Research Services December 21 2012 Opinion Research Services Hywel Dda Health Board’s Consultation on Healthcare Services: Summary Report December 2012 YOUR HEALTH, YOUR FUTURE Hywel Dda Health Board’s Consultation on Healthcare Services Balancing Opinions: a report by Opinion Research Services 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 December 2012 Opinion Research Services Hywel Dda Health Board December 2012 Contents Executive Summary and Conclusions ...................................................................................................... 8 Introduction ................................................................................................................................................... 8 Public Consultation .................................................................................................................................... 8 Need for Interpretation ............................................................................................................................. 9 Executive Summary and Full Report ........................................................................................................ 10 Quantitative and focus group findings ........................................................................................................ 10 Awareness of Consultation and Proposals .............................................................................................. 10 Community Services and Primary Care ................................................................................................... 10 Community Hospitals: Mynydd Mawr ..................................................................................................... 11 Minor Injuries Services ............................................................................................................................ 12 Community Services and Primary Care Proposals: Further Comments .................................................. 13 Women and Children Services ................................................................................................................. 13 Emergency Care (Accident and Emergency)............................................................................................ 15 Planned Care (Orthopaedics) .................................................................................................................. 15 Submissions ................................................................................................................................................. 16 Introduction ............................................................................................................................................. 16 Selected Abstracts ................................................................................................................................... 17 Analysis of Submissions’ Themes and Comments ................................................................................... 19 Organisations in the Open Consultation Questionnaire ......................................................................... 19 Petitions ....................................................................................................................................................... 20 Introduction ............................................................................................................................................. 20 Overall Conclusions ..................................................................................................................................... 20 1. Introduction ................................................................................................................................. 22 Formal Consultation .................................................................................................................................... 22 Challenges and Changes .......................................................................................................................... 22 Analysis and Reporting ............................................................................................................................ 23 2. Quantitative Findings: Household Survey and Open Questionnaire Compared ............................... 25 Overview ...................................................................................................................................................... 25 The Consultation ...................................................................................................................................... 25 3 Opinion Research Services Hywel Dda Health Board December 2012 Open Questionnaire ...............................................................................................................................