Citizens panel survey report November 2010 Volunteering, effects of the economy and budgets This report was prepared by Elise Carroll Research and intelligence advisor Policy Department 01254 585693 elise.carroll@blackburn.gov.uk -0- Section Topic Page number Executive Summary 2 1 Introduction 3 2 The survey sample 3 3 Results 3.1 Volunteering 6 3.2 Impact of the current economic climate 7 Perceptions of income and financial situation 7 Council and NHS budgets 15 3.3.1 Council budget 15 3.3.5 NHS budget 20 Social Media use 25 Further information 25 3.2.1 3.3 3.4 4 -1- Executive Summary This Citizens Panel was weighted by age and geographical location of the respondents. One in five respondents stated that they had volunteered with a club or organisation for at least once a month or more People who live in the most 10% deprived areas of the borough formally volunteer less than people who live in the least deprived areas. Just under a quarter said that they were living comfortably on their current income. Over half the respondents said that they were coping Over one in five survey participants said that they were finding it difficult or very difficult on their current household income. Seven out of every ten respondents said that they were ‘fairly’ or ‘very’ concerned about their financial situating in the coming year. Three in every four respondents (74.2%) agreed (strongly or tended to) that in the last year they had been spending less, by cutting back on luxuries and some of the things they like to do. 68.4% strongly or tended to agree that they were more anxious or worried about their finances than a year ago Bin collections, libraries and museums, leisure centres and schools were the four services used most by respondents in the last six months. Just over one in six respondents (16.3%) did not list a specific council service that should be protected from cuts in spending, saying that they couldn’t say or couldn’t choose a service. Of the participants who specified a service, the most mentioned were: Education (16.3%) Bins / refuse collection (14.1%) Care Services (12.0%) Leisure services / facilities (11.2%) When asked about what services should be reduced, 57.6% could not specify specific services. When asked about what services should be cut, 77.5% did not specify any and 9.7% said that there shouldn’t be any cuts. Around four in every nine respondents said that they had used the services of a GP in the last 6 months. 15.6% of survey participants couldn’t identify particular NHS services that should be protected from the budget squeeze, 14.4% said there should be not cuts. Of those who named a service, 14.7% felt that GPs and doctors should be protected, 10.1% that hospitals should be protected. Half the respondents could not name an NHS service that they felt should be reduced. 14.2% said there shouldn’t be any cuts. Of those that did, 17.7% said that alcohol, drug or smoking services should be reduced. When asked about what the NHS should stop providing, 68.4% said they didn’t know or couldn’t say and 16.6% said there should be no cuts – 85.0% in total. -2- 1. Introduction 1.1 Blackburn with Darwen Borough Council has used a citizens panel telephone survey since 2003. The telephone survey and top up methodology was designed to address the falling response rates and the under representation of certain groups. This survey covered three key issues; volunteering, residents perceptions of the impact of the current economic climate on their own personal circumstances and questions about the council and NHS budgets. Where percentages do not add up to 100 this is due to rounding error or multiple choice questions. 1.2 1.3 1.4 2. The survey sample 2.1 Vision Twentyone21, a Manchester based research company were contracted to carry out fieldwork for the Citizens Panel for a two year period until mid 2011. The original sample for the surveys was randomly selected from a list of telephone numbers available to research companies. The recruitment was then designed to draw randomly from the sample and at the same time ensure the panel includes residents from all wards. 2.2 In addition to recruiting to the panel through telephone calls, in previous waves a more targeted recruitment for young people aged 16 to 24 has been undertaken. Flyers were distributed at college enrolment days, information was put on the Council website and homepage and most effectively, face to face recruitment took place in Blackburn and Darwen town centres. Due to the snow and ice during the fieldwork period for this survey, targeted recruitment was not undertaken in Blackburn and Darwen town centres. 2.3 To assist in making comparisons at small geographic areas, around 50 people were interviewed in each ward. In order to account for the bias this would introduce in the survey sample as a whole, a weight was applied to the results that took into account the varying population size of each ward and also the under representation of young people in the sample. 2.4 Data collection took place during November 2010. During this time the views of 1,184 people, whose demographic characteristics met the quotas set, were collected. 2.5 Gender breakdown 46.9% of the weighted sample were male and 53.1% female. -3- Age distribution The weighting applied to the survey data aimed to account for the under representation of respondents in the 16 to 24 age group and over representation of respondents in the 25 to 34, 35 to 44 and 50 to 54 age groups. Graphs below illustrate the unweighted sample compared to the population of Blackburn with Darwen and the effect of weighting to improve the representativeness of the sample. 9.2% of the sample fell into the 16 to 24 age range. Although this is below the desired 17.5%, this is an increase on the February 2009 panel where only 6.7% of the sample were in the 16 to 24 age range, but less than the 13.5% in the July 2010 panel survey. This decrease could be attributable to the fact that face to face recruitment on street was not undertaken. Age of respondents in the November 2009 Panel survey compared to 2009 Mid Year Population estimates. 25.0 17.0 6.6 6.3 7.1 7.0 7.8 10.8 9.0 17.6 19.1 20.4 16.3 9.2 5.0 17.1 10.0 19.5 15.0 9.2 Percentage 20.0 0.0 16-24 25-34 35-44 45-49 50-54 Panel Unweighted 55-59 60-64 65+ 2009 MYE Base Panel 1,184 (unweighted) Age of respondents in the November Panel survey, weighted, compared to 2009 Mid Year Population estimates. 25.0 20.0 17.0 6.6 6.6 7.1 7.1 7.8 7.8 9.0 8.9 5.0 17.0 19.1 19.2 16.3 16.4 10.0 17.1 15.0 17.0 Percentage 2.6 0.0 16-24 25-34 35-44 45-49 50-54 Panel Unweighted Base Panel 1,185 (weighted) -4- 55-59 2009 MYE 60-64 65+ 2.4 Ethnicity 75.2% of the weighted sample gave their ethnic group as ‘white’ (75.3% unweighted). This compares to 80.1% of the population aged 16 and over in the borough1. 2.5 Disability or long-term illness 23.3% of the weighted sample stated that they had a disability or long term illness (23.8% of the unweighted sample). This compares to 25.5% of those aged 16 and over in the 2001 Census. Over a third (35.8%) of respondents said that they looked after or gave help or support to family members, friends, neighbours or others because of long term physical or mental ill health or disability problems related to old age. 2.4 Children in the household 61.2% of respondents did not have any children under the age of 16 living in the household (60.1% in the unweighted sample). 2.5 Access to a car Just under half the respondents stated that their household owned one car, 45.6% (46.8% in the unweighted sample). Only 15.7% said that their household did not own a car (15.1% in the unweighted sample). Cars owned by the respondents’ household. Three or more, 10.0% No cars, 15.7% Two cars, 28.7% One car, 45.6% Base 1,185 (weighted) 2.6 Length of time in the borough Almost nine in every ten people interviewed stated that they had lived in the borough for over ten years (89.6%). 7.6% had lived in the borough for between five and ten years. 2.7 Employment status Just over a third of the sample were in full time employment (36.5%) and 14.2% employed part time. 7% were unemployed and 21.9% retired. Source: 2007 Mid year population estimates by ethnic group, experimental statistics http://www.statistics.gov.uk/statbase/Product.asp?vlnk=14238 1 -5- 3. Results All data presented in the following section are weighted. 3.1 Volunteering Firstly, respondents were asked whether they formally volunteered with any clubs or organisations. This question was asked previously in the Place Survey. As the Place Survey was administered using a telephone survey, the results are not directly comparable to this Citizens Panel. 3.1.1 Regular volunteering with a club or organisation Calculated using the same methodology as the NI6, 19.6% of respondents stated that they had volunteered with a club or organisation for at least once a month or more. Although using a different methodology, the Place Survey figure was 23% for 2008. The Citizens Panel results are just below this figure, but taking into account confidence intervals for the data, the proportions for the two years appear to show no significant change. Percentage of residents who volunteer Don’t know 0.4 I have not given any unpaid help at all over the last 12 months 68.0 I give unpaid help as an individual only and not through groups(s), club(s) or organisation(s) 4.1 Less often 7.9 Less than once a week but at least once a month 7.7 11.9 At least once a week 0 10 20 30 40 50 60 70 80 Percentage Base 1,185 (weighted) There were few differences in levels of regular volunteering by the various demographic groups. Only age and car ownership showed significant differences. Fewer residents from households that don’t have access to a car regularly volunteered, compared to households who had two, or three or more cars. Households with two cars had higher rates of regular volunteering than households with only one car. This is likely to be a reflection of levels of deprivation as people who live in the most 10% deprived areas of the borough formally volunteer less than people who live in the least deprived areas. Residents in the age ranges ‘16 to 24’ and ‘35 to 44’ had higher rates of regular volunteering compared to those aged ‘25 to 34’ and ‘45 to 54’. There were no significant differences in the older age ranges. -6- 3.2 Impact of the current economic climate Respondents were asked a series of questions that aimed to ascertain how much of an impact the current economic climate was having upon residents of the borough. 3.2.1 Perceptions of income and financial situation The first question asked related to respondent’s household income. Participants were read a series of phrases and asked to pick the one that best described their feelings about their household income. 3.2.2 Which of these phrases comes closest to describing your feelings about your household income these days? Just under a quarter said that they were living comfortably on their current income. Over half the respondents said that they were coping and over one in five survey participants said that they were finding it difficult or very difficult on their current household income. Resident’s perceptions of their current household income Prefer not to say 0.6 Finding it very difficult on present income 4.8 Finding it difficult on present income 18.1 Coping on present income 52.9 Living comfortably on present income 23.6 0 10 20 30 40 50 60 Percentage Base 1,185 (weighted) There were some differences when comparing the demographic characteristics of residents. Not surprisingly, a far lower proportion of those living in the most deprived areas of the borough said that they were living comfortably on their present income, compared to those in the least deprived areas. Likewise a higher proportion of respondents from the most deprived areas were finding it difficult to cope, than the least deprived areas. As a large percentage of the Asian / Asian British community in the borough live in some of the most deprived areas, Asian / Asian British respondents were more likely to say they were ‘finding it difficult to cope on present income’. Whilst a higher proportion of White respondents said that they were ‘living comfortably on present income’. There were no statistically significant ethnic differences between those ‘coping on present income’ or ‘finding it very difficult on present income’. -7- A greater proportion of men said that their family was living comfortably on their present income. Generally, a lower percentage of respondents aged 55 and over said that they were ‘finding it difficult on present income’ compared to the younger age ranges. Likewise, a greater proportion of those aged 55 and over said they were living comfortably than the 25 to 44 age range. Respondents who had a limiting long term illness or disability were significantly more likely than those without to say that they were ‘finding it very difficult on present income’ and a significantly lower percentage said that they were ‘living comfortably’. There were no significant differences for the other statements. 3.2.3 Compared to this time last year, would you say that you and your family are financially… People taking part in the survey were asked about how their financial circumstances had changed over the last year. Over two in every five people said that they and their family were financially ‘about the same’. Just under two in every five were ‘a little worse off’. Respondents’ perceptions of how their financial circumstances have changed over the last year 0.5 Prefer not to say Much worse off 8.6 37.5 A little worse off 43.7 About the same A little better off 7.8 1.9 Much better off 0 5 10 15 20 25 30 35 40 45 50 Percentage Base 1,185 (weighted) The characteristics of those respondents, where a significantly greater proportion said they were ‘much worse off’ compared to other groups included: Unemployed People aged 35 to 64 Disabled people: disabled respondents were more likely to say that they were ‘a little’ or ‘much worse off’ than a year ago (58.9%) compared to those without a disability (42.1%) Carers: carers were more likely to say that they were ‘a little’ or ‘much worse off’ (52.6%) than those without a caring responsibility (42.4%). -8- The characteristics of those respondents, where a significantly greater proportion said they were ‘a little worse off’ compared to other groups included: Respondents in the mid age range ‘45 to 54’, were more likely than the younger age ranges to say they were ‘a little worse off’ The characteristics of those respondents, where a significantly greater proportion said they were ‘a little better off’ compared to other groups included: Younger age ranges (16 to 24 and 25 to 34) compared to those in the eldest (55 to 64 and 65 and over) Asian / Asian British people (13.2% compared to 5.8% White respondents)*. * This result could be linked to those seen in the age analysis, Asian / Asian British respondents tended to have a younger age profile than White respondents. Interestingly, there were no significant differences by deprivation. 3.2.4 And thinking into the future, how concerned are you about you and your families financial situation in the coming year? Respondents were then asked to think into the future and say how concerned they felt about their and their families’ financial situation in the coming year. Seven out of every ten respondents said that they were ‘fairly’ or ‘very’ concerned about their financial situating in the coming year. Respondents’ level of concern about their financial situation in the coming year Prefer not to say 0.2 Don’t know 1.6 Not at all concerned 6.8 Not very concerned 20.4 Fairly concerned 43.7 Very concerned 27.5 0 5 10 15 20 25 30 35 40 45 50 Percentage Base 1,185 (weighted) The characteristics of those respondents, where a significantly greater proportion said they were ‘very concerned’ compared to other groups included: Females Those looking after family or home People with children People living in the most deprived areas Carers for disabled or ill people Asian / Asian British Unemployed Aged from 35 to 54 -9- ‘Fairly’ concerned: Disabled respondents Part time employed A large proportion of those who said that they were very concerned about their families finances in the coming year, had also said that they were much, or a little worse off than a year ago (68.6%). This compares to those who were ‘not at all concerned’ about their and their families financial situation in the coming year. Only 18.3% of these people said that they were ‘much’ or a ‘little’ worse off in the last year, 7.7% said that they were ‘much better off’. Respondents’ level of concern about their financial situation in the coming year and how their finances have changed in the last year 100% 90% 4.9% 2.3% 0.6% 5.3% 17.7% 21.4% 25.0% 20.6% 80% 40.9% Much worse off Percentage 70% A little worse off 60% 47.2% About the same 50% 57.7% 68.2% 60.8% 40% A little better off 44.9% 30% 20% 24.9% 10% 0% Much better off 4.2% 1.7% 7.8% 1.4% 13.3% 4.5% 7.7% 1.7% Very Fairly Not very Not at all concerned concerned concerned concerned (Base 326) (Base 518) (Base 241) (Base 80) - 10 - 13.2% 0.0% Don’t know (Base 19) 3.2.5 Whether respondents agreed or disagreed with the following statements about their financial circumstances. Respondents were read out a number of statements and asked whether they agree or disagree with them. Respondents agreeing or disagreeing with statements about their financial circumstances In the last year I’ve been paying off my debts, rather than spending or saving money 18.9 In the last year I’ve had to borrow money to help pay bills 10.3 10.9 I have been saving more over the last year, in case finances get tighter 21.7 15.1 20.6 22.0 32.1 In the last year I’ve been spending less, by cutting back on luxuries and some of the things l like to do 33.8 0% 20% 1.7 56.1 25.5 I feel more anxious or worried about my finances than I did a year ago 37.1 30.4 27.6 36.3 22.4 40.4 40% 0.8 1.4 8.2 17.0 60% 7.7 1.1 80% 100% Percentage Strongly agree Tend to agree Tend to disagree Strongly disagree Prefer not to say Base 1,185 (weighted) The current economic climate looks to have impacted upon a high proportion of residents of the borough. Three in every four respondents (74.2%) agreed (strongly or tended to) that in the last year they had been spending less, by cutting back on luxuries and some of the things they like to do. When asked whether they felt more anxious or worried about their finances than a year ago 68.4%, over two in three respondents agreed that they did to some extent. There was a more mixed picture in relation to respondents saving more, in case finances get tighter. 40.6% agreed to some degree, 58.0% disagreed. For breakdowns of these questions by demographic group, please contact the Corporate Research Team. The maps presented below show the unweighted data, based on the centre point of respondent’s postcodes (where available), for each of the statements. Please note that there may be more than one respondent in each postcode area and that small areas that are highlighted will not pinpoint the actual location of the respondent. The maps are presented to aid the identification of small clusters of people agreeing or disagreeing with the statements. Postcode information was only supplied by the research agency who undertook the data collection if the postcode contained more than one property. Thus, the data these maps are taken from cannot be used to identify individual people. - 11 - 0.9 - 12 - - 13 - - 14 - 3.3 Council and NHS budgets The budget questions used in the Citizens Panel survey mirrored those used in the Tough Times, Tough Choices public consultation. These were asked as open ended (literal) questions and were coded to assist in the interpretation of results. Respondents were asked to list ONE service for each of the budget questions. Where more than one service was given, the first service mentioned was classified. Please note that the coding process is subjective, it can be amended, for example to provide more detail or combine issues. As the Citizens Panel is a telephone survey, the long list of public services provided at the public event could not be presented or read out to the respondents. Instead survey participants were asked what, of a shorter list of services, they had used in the last six months. This list will have the problem of influencing participant’s responses to the questions. It is important that this is considered in the interpretation of the results. Although reading out the list will have influenced the respondents in some way, it was felt it was important that we made some effort to highlight the range of services provided by the Council. Please note that the following responses are only part of the budget consultation undertaken. More deliberative, qualitative work was undertaken in the public meetings. The report summarising the responses from all consultation activity is available from the Corporate Research Team. 3.3.1 Council budget “The government is reducing the amount of money it gives to the Council in grants and we have to change the way the Council works and the way services are provided. This will mean a £48m spending cut over the next 4 years. The Council provides around 800 different services. I’m going to read out a list of a few of these can you let me know whether you have used or benefited from them in the last 6 months?” Respondents’ perceptions of the services they have used or benefited from in the last 6 months Bin collections Libraries and Museums Leisure centres Schools Road maintenance Care for older people Other Youth services Neighbourhood teams Energy advice Planning bdirect contact centre and one stop shops Business advice Base 1,185 (weighted) - 15 - Number Percentage 942 79.4 583 49.2 516 43.5 388 32.8 334 28.2 165 13.9 158 13.3 149 12.6 139 11.8 115 9.7 95 8.0 92 7.7 35 3.0 It is useful to note that just over a fifth of respondents did not say that they benefited from or used the bin collection service in the last six months. A significantly lower percentage of people in the 16 to 24 and 25 to 34 age groups said that they had used the bin collection service. It could be that greater proportions of these age groups live with parents or others, and therefore, that others are responsible for organising their rubbish for bin collections. This may have lead to the result that greater proportions of these age groups perceive that they have not used or benefited from the bin collection service. Bin collections, libraries and museums, leisure centres and schools were the four services used most by respondents in the last six months. 3.3.2 Services that should be protected Following this question, respondents were asked which of these or other services (if any) should be protected from cuts in spending. Respondents’ coded responses outlining services that should be protected from cuts in spending Can't say Education Bins / refuse collection Care services Leisure services / facilities Children's / young people services Highways / road maintenance Libraries Bus / public transport Other Police All some cuts No cuts Street cleaning / lighting etc Community centres Emergency services Housing Neighbourhoods / community Number Percentage 194 16.3 193 16.3 167 14.1 142 12.0 133 11.2 56 4.8 49 4.1 46 3.8 40 3.4 39 3.2 35 3.0 27 2.2 19 1.6 14 1.2 12 1.0 7 0.6 7 0.6 6 0.5 Base 1,185 (weighted) Just over one in six respondents (16.3%) did not list a specific service saying that they couldn’t say or couldn’t choose a service. Of the participants who specified a service, the most mentioned services were: Education (16.3%) Bins / refuse collection (14.1%) Care Services (12.0%) Leisure services / facilities (11.2%) As would perhaps be expected, respondents tended to identify services of most use or benefit to themselves for protection. People with a caring responsibility (15.4%) and those with a limiting long term illness (16.3%) were more likely than those without to say that care services should be protected (10.2% without a caring responsibility, 10.7% without a limiting long term illness). - 16 - A greater proportion of respondents with children expressed that children and young people’s services (7.4%) and education (24.8%) should be protected compared to those without children. (Without children: 3.1% young people’s services and 10.9% education should be protected). There were no differences in services named compared to deprivation status. With the exception that the least deprived areas were more likely to note bus or public transport should be protected compared to the most deprived areas (4.9% compared to 1.4%). This is likely to be a reflection of the more rural affluent areas relying more heavily on public transport compared to the more central deprived areas. Students were least likely to say that they would like bins / refuse collection protected and more likely than a number of other groups to say that they would want leisure services / facilities protected. Retired respondents were least likely to say that they would like education services protected and most likely to say that bus / public transport should be protected. 3.3.3 Services that should be reduced After respondents had been asked what services areas should be protected, they were asked to list any service areas that they thought the council should do less of. Respondents’ coded responses outlining services that should be reduced Can't say Administration / bureaucracy Advice services Roads Leisure services / facilities Sculptures / street decoration Other Regeneration No cuts at all All make some cuts Libraries / museums Benefits Bins / refuse collection Planning Health Neighbourhoods Children / young people's services Immigrants / BME groups Community centres Parking enforcement Education Police Older people One stop shop Exclusive services Housing / homelessness Number Percentage 683 57.6 112 9.5 58 4.9 39 3.3 37 3.1 31 2.6 27 2.2 22 1.9 20 1.7 19 1.6 18 1.5 17 1.4 16 1.4 11 0.9 10 0.8 10 0.8 10 0.8 9 0.8 7 0.6 7 0.6 6 0.5 6 0.5 4 0.3 4 0.3 2 0.2 2 0.2 Base 1,185 (weighted) - 17 - Examples of responses coded under each category are presented below. These quotes do not aim to be representative of the responses received, but are provided as illustrations. Almost three in every five respondents weren’t able to specify a service that they felt the council should do less of. Some of the comments received included: “If you cut any of those services you’ll end up with problems” “Residents need lots of different services so I can’t say” “Can’t really think of a service that should have less money spent on it” “Not really, they are all valuable” “Don’t know. People in the council know more about what can be cut than I do” Just under one in ten said that there should be less administration or bureaucracy. Comments included: “Don’t think of spending less, but be more efficient” “I think that they don’t use the money they’ve got properly” “I’m not familiar with the services, but I think the public sector should not be earning as much as they do. Their salaries should be cut” “I think councillors expenses and mayors dinner parties should be reduced” Only very small numbers of respondents specified a service, the three most mentioned services were: - Advice services (4.9%) “The business ones, I know it helps businesses but I think that services would be a decent cut compared to schools and libraries” “I think they reduce energy advice as that information can be found elsewhere” “Business advice because it is available from other sources” - Roads (3.3%) “Road works, but only where unnecessary like speed bumps” “Traffic measures; changes to road system .Amount spent on one ways system is an eye sore and has not produced results” “Road maintenance, sometimes people are doing work on the roads and they’re not doing anything except causing traffic jams”. - Leisure services / facilities (3.1%) “Leisure centres, fitness schemes etc should not be provided because people can do it for themselves” “The children’s parks as they are constantly vandalised so it’s a waste of money” “I’d rather they didn’t cut any, but if they had to I’d say leisure” “Too much money spent on leisure facilities in deprived or poorer areas” “Free entertainment events e.g. musical performances. People should be prepared to pay for entertainment”. 3.3.4 Services that the council should stop providing all together Following the same format as the previous question, respondents were asked if there was one thing that they felt the council should stop providing altogether. When asked about what services should be cut, 77.5% did not specify any and 9.7% said that there shouldn’t be any cuts. - 18 - Over three out of every four respondents said that they couldn’t say or name a service that the council should stop providing. “I can’t think of any off the top of my head” “I can’t comment as I don’t have the information to decide what is not needed” “I hadn’t thought of that” “It’s too difficult, I need time to properly think. They can’t stop any of the services mentioned” “I do not know the full extent of council services to decide which services should be stopped” One in ten people said that the council should not stop providing any service or that there shouldn’t be any cuts at all: “The council should not stop any particular service altogether” “I don’t think so, the services are all needed - in this particular area they are not actually very good anyway” “None, keep on providing what they do” “There aren't any because they're all necessary” “No. I think what the council provides are essential and needed” Respondents’ coded responses outlining services that the council should stop providing Can't say No cuts Advice Administration / efficiencies Other Benefits Community centres / neighbourhoods Aesthetics floral / sculptures Leisure services / facilities Immigrants / BME groups All cuts Roads e.g. traffic calming, traffic wardens Libraries / museums Regeneration Bus / bus passes Police Planning Street cleaning Base 1,185 (weighted) - 19 - Number Percentage 919 77.5 115 9.7 37 3.1 16 1.4 14 1.2 13 1.1 13 1.1 10 0.8 10 0.8 10 0.8 6 0.5 6 0.5 5 0.4 4 0.4 3 0.3 2 0.2 2 0.1 1 0.1 3.3.5 NHS budget As with the council questions, respondents were read a short list of service provided by the local NHS and then asked what services they had used. However, unlike the council questions, where this was asked as a multi response question the NHS question was open, allowing participants to give their own unprompted response. “Although not facing the same reductions in funding that Councils are, to meet future challenges the NHS will need to change the way it works and the way health services are provided. NHS Blackburn with Darwen purchases many different services and programmes, and NHS care is provided by many different providers. It organises: Primary care, for example GP practices, pharmacies and dentists Specialist hospital care, both planned or emergency, medical treatment or surgery Services to help people lead healthier lives, for example drug and alcohol or stop smoking services Services for children and families, for example maternity services, childhood vaccinations and school nurses Mental wellbeing programmes and mental health services Help for people to manage long term health problems like diabetes and heart disease, including self help programmes” To enable analysis of the services used by respondents, the literal responses were coded and classified as outlined below. Please note that although people were asked to list the services they had used in the last six months, some respondents specified services that they had used in the last year. As with all information based on perceptions, not all survey participants may have responded to the survey accurately. All responses were coded. Around four in every nine respondents said that they had used the services of a GP in the last 6 months. It must be noted that not all these people had used a GP themselves as some had taken friends or relatives. Examples of the responses for these people are: “In the last 6 months I have visited my GP” “I’ve used my GP” “We’ve used the GP surgeries. My little boy uses the dentist and baby clinic” Respondents’ self reported use of NHS services in the last six months GP Other Hospital None Dentist Chemist / pharmacy A and E Diabetes Emergency Maternity All Don't know No reply Number 547 308 294 239 238 173 54 47 23 21 13 3 1 Percentage 46.1 26.0 24.8 20.1 20.1 14.6 4.6 3.9 1.9 1.7 1.1 0.2 0.1 Base 1,185 (weighted) - 20 - 3.3.6 Service that should be protected For a number of services a greater proportion than non users said that the service should be protected. Which is as would be expected. For example 29% of people who had used A and E said that they would like to see it protected and 26.5% of people who said that they had used emergency services; greater proportions than people who had not used A and E and emergency services, but had used other services, for example GPs (4.7%) or hospital (6.1%). Services for people with long term illnesses were identified as those that should have protection by a greater percentage of people who had used diabetes services than others. 46.4% of people who had used maternity services said that they should be protected, compared to 5.3% of people who had not used maternity services but used a GP for example. GPs and doctors were mentioned as a service that needed protecting by similar proportions of respondents, regardless of usage. Respondents’ coded responses outlining services that should be protected from any squeeze in spending Can't say GPs and doctors No cuts Hospitals Children / older people / vulnerable people A and E Other Maternity services Mental health Front line services Long term illnesses Dental services Cancer services Emergency services Primary care Drug / alcohol / stop smoking / healthy lives Ambulance services Home community visits Transport Cardio vascular All cuts Screening / preventable illnesses Efficiencies Number 184 174 170 119 86 74 63 50 34 31 31 27 26 24 23 20 16 8 8 7 5 3 2 Percentage 15.6 14.7 14.4 10.1 7.2 6.2 5.3 4.2 2.9 2.6 2.6 2.3 2.2 2.0 1.9 1.7 1.3 0.7 0.7 0.6 0.4 0.3 0.1 Base 1,185 (weighted) Examples of responses coded under each category are presented below. These quotes do not aim to be representative of the responses received, but are provided as illustrations. - 21 - - Can’t say (15.6%) “No nothing comes to mind, although resources should be educated- for example patients should be encouraged to use facilities properly for example unnecessary calls to the doctors or going to the doctors unnecessarily” “Not specifically. Unless a person has a specific requirement it's difficult to think of one. They're all important and I can't prioritise one over another” “Not sure difficult question.” “I don't know, I can't single one out compared to other” - GPs and doctors (14.7%) “GP services because that's universally used” “GPs; more access will help stop misuse of other areas for treatment eg. Accident and emergency” “The doctor’s surgery hours shouldn't be cut. They should be using more of the hours so people can see doctors” “I think that GP practices should be protected” - No cuts (14.4%) “All NHS services should be protected” “All of them should be kept as they are” “All of them should can’t think any that should be cut” “Don't cut back on anything because someone will need the service” “They shouldn't touch the national health” - Hospitals (10.1%) “I think that the hospital services should be protected” “Specialist hospital care” “I think that the hospitals and in particular accident and emergency” “Hospitals and doctors” 3.3.7 Service that should have less money spent on them Half the survey sample said that they couldn’t choose or think of a service in the NHS that should have less money spent on it. Of those who mentioned a service, 17.2%, said that the amount spent on alcohol, drug or stop smoking services should be reduced. - 22 - Respondents’ coded responses outlining services that should have less money spent on them Can't say Alcohol / tobacco / drugs No cuts Administration / efficiencies Other Diet and healthy lifestyles GPs Cosmetic / elective survey Fertility and contraception Dentist Less time wasting my patients Pharmacies Maternity services School services Prescriptions Immigrants / non-UK All cuts Physiotherapy Hospitals Number 595 204 169 84 32 23 15 14 12 6 6 5 5 5 3 3 3 2 1 Percentage 50.2 17.2 14.2 7.1 2.7 2.0 1.3 1.2 1.0 0.5 0.5 0.4 0.4 0.4 0.3 0.3 0.2 0.2 0.1 Base 1,185 (weighted) - Can’t say (50.2%) “I am not too sure about what money is spent on them already, I do not know enough to make one choice” “I can't say because I don't know the efficiency figures that departments are running at” “I can't think of a service that deserves less money” “I do not think any should have any less money spent on them that I am aware of” - Alcohol / tobacco / drugs (17.2%) “Campaigns to stop people smoking is a total waste of money and it would be far better directed for people who actually need medical help” “Drug and alcohol abuse; self inflicted, should not expect tax payers to pay for them getting better” “Drug and alcohol programmes” “Drug and alcohol rehabilitation; it encourages them to stay out of work and continue their lifestyle as well as anti social behaviour etc” “I think services to help people lead healthier lives, for example drug and alcohol or stop smoking services should be stopped” “Stop Smoking; people's choice to smoke, they shouldn't be funded to stop” - No cuts (14.2%) “I don't think they should cut NHS services at all” “No I don't think there should be any cuts in the NHS, it is a very important service” “I feel service comes through need, therefore all the services are required and should not have any funding reduced” “No, I don't think any services should be cut. The NHS is already stretched” “Wouldn't like to pinpoint one, as they are all needed in one way or another” - 23 - 3.3.7 Service that the NHS should stop providing Finally, respondents were asked if there was one service that the NHS should stop providing. Almost seven in every ten people said that they couldn’t name a service that the NHS should stop providing and one in six said that there shouldn’t be any cuts to the NHS. In total 85% of respondents could not name a service that should be cut. Respondents’ coded responses outlining services that the NHS should stop providing Can't say / don’t know No cuts Alcohol / tobacco / drugs Cosmetic / elective surgery Other Diet and healthy lifestyles Fertility and contraception Administration / efficiencies Immigrants / non-UK Dentist School services All cuts Transport GPs Prescriptions Health visitors Number Percentage 810 68.4 198 16.7 101 8.5 21 1.7 15 1.2 9 0.7 7 0.6 5 0.4 5 0.4 3 0.3 3 0.2 3 0.2 2 0.2 2 0.2 1 0.1 1 0.1 Base 1,185 (weighted) Very small numbers of people specified services that the NHS should cut, the top two were: alcohol / tobacco / drugs services (8.5%) and cosmetic or elective surgery (1.7%). - Alcohol / tobacco / drugs “Drugs for drugs addicts, like drug addicts who are supported by methadone” “Alcohol and drug services; they should have responsible behaviour, a lot of tax payers money is spent on these people and they haven't come to their senses” “Anything to do with smoking, it's the people's own fault, they know the implications when they start smoking and so money should not be given to people who do smoke” “I think they should stop providing for help for people with addictions” “Smoking cessation clinic” - Cosmetic / elective surgery “Cosmetic surgery (except burns, scars etc)” “Tattoo removal and cosmetic surgery things that aren't life threatening. These should be funded privately” “Cosmetic surgery like nose jobs and breast implants these should be private. Also gastric bands should not be free” - 24 - 3.4 Social media use The last few Panel surveys have included a question about use of social media. This information is collected to provide information about the developing use of this media, and support its utilisation in communications. This survey asked whether respondents had used any social media in the last 12 months. Facebook (46.2%) remains the most widely used off all the social media products listed. However, a significant proportion of the sample (41.9%) do not use any of the social media listed. Number and percentage of respondents who have used the following social media in the last 12 months Facebook Twitter My Space You Tube Bebo Blogs MSN None of the above Number Percentage 541 46.2 71 6.1 38 3.3 436 37.3 15 1.3 35 3.0 248 21.2 491 41.9 Base 1,171 (weighted) 95.5% of respondents aged 16 to 24 had used Facebook, compared to 5.2% of those aged 65 and over. Usage for all social media decreases significantly with age, 93.7% of survey participants aged 65 and over had not used any of the social media listed. Focusing on the 16 to 24 age range, there were no ethnic differences in social media use, with the exception of MSN. 73.5% of Asian / Asian British 16 to 24 year olds used MSN, compared to only 42.9% of White respondents. Percentage of respondents using social media by age range 100 90 80 70 Facebook Percentage You Tube 60 MSN Tw itter 50 My Space Blogs 40 Bebo 30 None of the above 20 10 0 16 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 and over 4 Further information and analyses Further information and analyses can be obtained from Corporate Research Joint Intelligence on request. - 25 -