NHS CAMDEN CCG Latest survey results January 2016 publication Version 1| Internal Use Only 1 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Contents This slide pack provides results for the following topic areas: Background, introduction and guidance.….…………………….……………………………………………..Slide 3 Overall experience of GP surgeries……………………………………………………………………………...Slide 8 Access to GP services………..……………………………………………………………………………………Slide 13 Making an appointment…………………………………………………………………………………………….Slide 20 Waiting times at the GP surgery.….…………………………………………………………………………......Slide 28 Perceptions of care at patients’ last GP appointment………………………………………………….........Slide 31 Perceptions of care at patients’ last nurse appointment………………………………………………….…Slide 35 Satisfaction with the practice’s opening hours.……………………………………………………………….Slide 39 Out-of-hours services.…………..…………………………………………………………………………………Slide 42 Statistical reliability..………………………………………………………………………………………………..Slide 46 Want to know more?………………………………………………………………………………………………..Slide 48 2 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Background, introduction and guidance 3 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Background information about the survey • The GP Patient Survey (GPPS) is an England-wide survey, providing practice-level data about patients’ experiences of their GP practices. • Ipsos MORI administers the survey on behalf of NHS England. • For more information about the survey please refer to the end of this slide pack or visit https://gp-patient.co.uk/. • This slide pack presents some of the key results for NHS CAMDEN CCG. • The data in this slide pack are based on the January 2016 GPPS publication. This combines two waves of fieldwork, from January to March 2015 and July to September 2015, providing practice-level data. • In NHS CAMDEN CCG, 14,102 questionnaires were sent out, and 3,205 were returned completed. This represents a response rate of 23%. • Prior to 2015 these slide packs presented Area Team averages for each CCG. These are no longer included following the integration of Area Teams into the four existing Regional Teams. However, CCGs can still see how their results compare to those of other local CCGs. 4 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Introduction • The GP Patient Survey measures patients’ experiences across a range of topics, including: - Making appointments - Waiting times • However, given the consistency of the survey across organisations and over time, GPPS can be used as one element of evidence. • It can be triangulated with other sources of feedback, such as feedback from Patient Participation Groups, local surveys and the Friends and Family Test, to develop a fuller picture of patient journeys. • This slide pack is intended to assist this triangulation of data. It aims to highlight where there may be a need for further exploration. • Practices and CCGs can then discuss the findings further and triangulate them with other data – in order to identify potential improvements and highlight best practice. • The following slide suggests ideas for how the data can be used to improve services. - Perceptions of care at appointments - Practice opening hours - Out-of-hours services • The GP Patient Survey provides data at practice level using a consistent methodology, which means it is comparable across organisations and over time. • The survey has limitations: - Sample sizes at practice level are relatively small. - The data are provided twice a year rather than in real time. The survey does not include qualitative data which limits the detail provided by the results. 5 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Guidance on how to use the data The following suggest ideas for how the data in this slide pack can be used and interpreted to improve GP services: • Comparison of a CCG’s results against the national average: this allows benchmarking of the results to identify whether the CCG is performing well, poorly, or in line with others. The CCG may wish to focus on areas where it compares less favourably. • Analysing trends in a CCG’s results over time: this provides a sense of the direction of the CCG’s performance over time. The CCG may wish to focus on areas that have seen declines over time. • Considering questions where there is a larger range in responses among practices or CCGs: this highlights areas in which greater improvements may be possible, as some CCGs or practices are performing significantly better than others nearby. The CCG may wish to focus on areas with a larger range in the results. • Comparison of practices’ results within a CCG: this can identify practices within a CCG that seem to be over-performing or under-performing compared with others. The CCG may wish to work with individual practices: those that are performing particularly well may be able to highlight best practice, while those performing less well may be able to improve their performance. 6 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Interpreting the results • • The number of respondents answering (the base size) is stated for each question. The total number of responses is shown at the bottom of each chart. • - All comparisons are indicative only. Differences may not be statistically significant – particularly when comparing practices due to low numbers of responses. • For guidance on statistical reliability, or for details of where you can get more information about the survey, please refer to the end of this slide pack. • Maps: * Trends: Latest / Jan 2016: refers to the January 2016 publication (fieldwork January to March 2015 and July to September 2015) - Jan 2015: refers to the January 2015 publication (fieldwork January to March 2014 and July to September 2014). - Dec 2013: refers to the December 2013 publication (fieldwork January to March 2013 and July to September 2013). When fewer than 10 patients respond In cases where fewer than 10 people have answered a question, the data have been suppressed and results will not appear within the charts. This is to prevent individuals and their responses being identifiable in the data. 100% - CCG and practice-level results are also displayed on maps, with results split across 5 bands (or ‘quintiles’) in order to have a fairly even distribution at the national level of CCGs/practices across each band. • For further information on using the data please refer to the end of this slide pack. 7 © Ipsos MORI More than 0% but less than 0.5% 15-032172-01 Version 1 | Internal Use Only Where results do not sum to 100%, or where individual responses (e.g. fairly good; very good) do not sum to combined responses (e.g. very/fairly good) this is due to rounding. Overall experience of GP surgeries 8 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Overall experience of GP surgery Overall, how would you describe your experience of your GP surgery? CCG’s results CCG’s results over time National results Latest 81% Good 4% 5% Poor 37% Jan 2015 Good 83% Poor 6% 85% Very good 14% Good Fairly good Neither good nor poor 5% Fairly poor Dec 2013 Very poor Poor 44% Good 81% Poor 8% Local CCG range – % Good Practice range in CCG – % Good Lowest Performing Highest Performing Lowest Performing Highest Performing 53% 95% 72% 86% Base: All those completing a questionnaire: National (836,967); CCG 2016 (3,136); CCG 2015 (3,347); CCG 2013 (3,652) Practice bases range from 20 to 124; CCG bases range from 2,612 to 8,047 9 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only %Good = %Very good + %Fairly good %Poor = %Very poor + %Fairly poor Overall experience: how the CCG’s results compare to other local CCGs Overall, how would you describe your experience of your GP surgery? Percentage of patients saying good Results range from 72% to 86% Comparisons are indicative only: differences may not be statistically significant Base: All those completing a questionnaire: CCG bases range from 2,612 to 8,047 %Good = %Very good + %Fairly good 10 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Overall experience – how the CCG’s practices compare Overall, how would you describe your experience of your GP surgery? Percentage of patients saying good Results range from 53% to 95% Comparisons are indicative only: differences may not be statistically significant Base: All those completing a questionnaire: Practice bases range from 20 to 124 %Good = %Very good + %Fairly good 11 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only 0% © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only 12 Base: All those completing a questionnaire: National (836,967); CCG (3,136); Practice bases range from 20 to 124 ST PHILIPS MEDICAL CENTRE PARK END SURGERY MUSEUM PRACTICE FOUR TREES SURGERY SWISS COTTAGE SURGERY DALEHAM GARDENS HEALTH CENTRE CCG HAMPSTEAD GROUP PRACTICE GOWER STREET PRACTICE PARLIAMENT HILL SURGERY CAMDEN HEALTH IMPROVEMENT PRACTICE Practices CHOMLEY GARDENS SURGERY BROOKFIELD PARK SURGERY CAVERSHAM GROUP PRACTICE ABBEY MEDICAL CENTRE PRINCE OF WALES ROAD PRACTICE (SINGLE) BRONDESBURY MEDICAL CENTRE ADELAIDE MEDICAL CENTRE JAMES WIGG PRACTICE CCG QUEENS CRESCENT PRACTICE FORTUNE GREEN ROAD SURGERY WEST END LANE MEDICAL PRACTICE THE REGENTS PARK PRACTICE WEST HAMPSTEAD MEDICAL CENTRE THE BLOOMSBURY SURGERY ROSSLYN HILL SURGERY BELSIZE PRIORY MEDICAL PRACTICE (GROUP) KEATS GROUP PRACTICE PRINCE OF WALES GROUP SURGERY WESTFIELD MEDICAL CENTRE HOLBORN MEDICAL CENTRE PRIMROSE HILL SURGERY GRAY'S INN ROAD MEDICAL CENTRE AMPTHILL PRACTICE GOWER PLACE PRACTICE KINGS CROSS ROAD PRACTICE BRUNSWICK MEDICAL CENTRE UHPC SOMERS TOWN MEDICAL CENTRE Overall experience – how the CCG’s practices compare Overall, how would you describe your experience of your GP surgery? Percentage of patients saying good National Average 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% Comparisons are indicative only: differences may not be statistically significant, particularly at practice level due to low numbers of responses %Good = %Very good + %Fairly good Access to GP services 13 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Ease of getting through to GP surgery on the phone Generally, how easy is it to get through to someone at your GP surgery on the phone? CCG’s results CCG’s results over time National results Latest 71% Easy 7% 23% Not easy Jan 2015 6% 73% Not easy 22% Easy Fairly easy 16% Easy 70% Very easy 24% Not very easy Not at all easy Haven't tried Dec 2013 26% 47% Easy 71% Not easy 23% Not easy Practice range in CCG - % Easy Local CCG range - % Easy Lowest Performing Highest Performing Lowest Performing Highest Performing 41% 96% 51% 81% Base: All those completing a questionnaire: National (849,770); CCG 2016 (3,181); CCG 2015 (3,414); CCG 2013 (3,729) Practice bases range from 20 to 125; CCG bases range from 2,655 to 8,185 14 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only %Easy = %Very easy + %Fairly easy %Not easy = %Not very easy + %Not at all easy 0% © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only 15 Base: All those completing a questionnaire: National (849,770); CCG (3,181); Practice bases range from 20 to 125 MUSEUM PRACTICE DALEHAM GARDENS HEALTH CENTRE PARK END SURGERY PARLIAMENT HILL SURGERY WEST END LANE MEDICAL PRACTICE PRINCE OF WALES ROAD PRACTICE (SINGLE) CCG CHOMLEY GARDENS SURGERY GOWER STREET PRACTICE SWISS COTTAGE SURGERY THE BLOOMSBURY SURGERY WESTFIELD MEDICAL CENTRE Practices FOUR TREES SURGERY HAMPSTEAD GROUP PRACTICE BROOKFIELD PARK SURGERY FORTUNE GREEN ROAD SURGERY ST PHILIPS MEDICAL CENTRE KINGS CROSS ROAD PRACTICE HOLBORN MEDICAL CENTRE PRIMROSE HILL SURGERY CAMDEN HEALTH IMPROVEMENT PRACTICE ROSSLYN HILL SURGERY KEATS GROUP PRACTICE GOWER PLACE PRACTICE JAMES WIGG PRACTICE ADELAIDE MEDICAL CENTRE QUEENS CRESCENT PRACTICE CCG BRONDESBURY MEDICAL CENTRE CAVERSHAM GROUP PRACTICE AMPTHILL PRACTICE GRAY'S INN ROAD MEDICAL CENTRE THE REGENTS PARK PRACTICE BRUNSWICK MEDICAL CENTRE UHPC WEST HAMPSTEAD MEDICAL CENTRE ABBEY MEDICAL CENTRE BELSIZE PRIORY MEDICAL PRACTICE (GROUP) PRINCE OF WALES GROUP SURGERY SOMERS TOWN MEDICAL CENTRE Ease of getting through to GP surgery on the phone: how the CCG’s practices compare Generally, how easy is it to get through to someone at your GP surgery on the phone? National Average 100% Percentage of patients saying it is ‘easy’ to get through to someone on the phone 90% 80% 70% 60% 50% 40% 30% 20% 10% Comparisons are indicative only: differences may not be statistically significant, particularly at practice level due to low numbers of responses %Easy = %Very easy + %Fairly easy Helpfulness of receptionists at GP surgery How helpful do you find the receptionists at your GP surgery? CCG’s results CCG’s results over time National results Latest Helpful 86% Not helpful 12% 87% Very helpful 9% Helpful Fairly helpful Jan 2015 40% Helpful 85% Not helpful 12% Not very helpful 11% Not at all helpful 46% Dec 2013 Don't know Not helpful Helpful 84% Not helpful 14% Local CCG range - % Helpful Practice range in CCG - % Helpful Lowest Performing Highest Performing Lowest Performing Highest Performing 53% 98% 78% 88% Base: All those completing a questionnaire: National (849,199); CCG 2016 (3,189); CCG 2015 (3,409); CCG 2013 (3,729) Practice bases range from 20 to 125; CCG bases range from 2,648 to 8,198 16 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only %Helpful = %Very helpful + %Fairly helpful %Not helpful = %Not very helpful + %Not at all helpful 0% © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only 17 Base: All those completing a questionnaire: National (849,199); CCG (3,189); Practice bases range from 20 to 125 FORTUNE GREEN ROAD SURGERY WEST END LANE MEDICAL PRACTICE PARK END SURGERY PRINCE OF WALES ROAD PRACTICE (SINGLE) CCG FOUR TREES SURGERY ST PHILIPS MEDICAL CENTRE GOWER PLACE PRACTICE DALEHAM GARDENS HEALTH CENTRE PARLIAMENT HILL SURGERY JAMES WIGG PRACTICE Practices CHOMLEY GARDENS SURGERY MUSEUM PRACTICE CAMDEN HEALTH IMPROVEMENT PRACTICE SWISS COTTAGE SURGERY WEST HAMPSTEAD MEDICAL CENTRE ABBEY MEDICAL CENTRE HAMPSTEAD GROUP PRACTICE BRONDESBURY MEDICAL CENTRE PRINCE OF WALES GROUP SURGERY CAVERSHAM GROUP PRACTICE PRIMROSE HILL SURGERY CCG QUEENS CRESCENT PRACTICE WESTFIELD MEDICAL CENTRE BROOKFIELD PARK SURGERY ADELAIDE MEDICAL CENTRE AMPTHILL PRACTICE KEATS GROUP PRACTICE BELSIZE PRIORY MEDICAL PRACTICE (GROUP) GRAY'S INN ROAD MEDICAL CENTRE THE REGENTS PARK PRACTICE ROSSLYN HILL SURGERY KINGS CROSS ROAD PRACTICE THE BLOOMSBURY SURGERY HOLBORN MEDICAL CENTRE GOWER STREET PRACTICE BRUNSWICK MEDICAL CENTRE UHPC SOMERS TOWN MEDICAL CENTRE Helpfulness of receptionists at GP surgery: how the CCG’s practices compare How helpful do you find the receptionists at your GP surgery? National Average 100% Percentage of patients saying receptionists at the GP surgery are ‘helpful’ 90% 80% 70% 60% 50% 40% 30% 20% 10% Comparisons are indicative only: differences may not be statistically significant, particularly at practice level due to low numbers of responses %Helpful = %Very helpful + %Fairly helpful Awareness of online services Percentage aware of online services offered by GP surgery As far as you know, which of the following online services does your GP surgery offer? 100 90 80 70 60 51% 51% 50 CCG 40 31% 30 Practice range within CCG National 30% 29% 23% 20 12% 10 5% 10% 4% 0 Booking Ordering repeat appointments online prescriptions online Accessing my medical records online None of these Don't know Comparisons are indicative only: differences may not be statistically significant Base: All those completing a questionnaire: National (823,614); CCG (3,070); Practice bases range from 19 to 123 18 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Online service use And in the past 6 months, which of the following online services have you used at your GP surgery? Percentage used online services in past 6 months 100 87% 90 86% 80 70 60 Practice range within CCG 50 CCG 40 National 30 20 10 9% 7% 7% 10% 1% 1% 0 Booking appointments online Ordering repeat prescriptions online Accessing my medical records online None of these Comparisons are indicative only: differences may not be statistically significant Base: All those completing a questionnaire: National (823,965); CCG (3,076); Practice bases range from 19 to 118 19 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Making an appointment 20 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Success in getting an appointment The last time you wanted to see or speak to a GP or nurse, were you able to get an appointment to see or speak to someone? CCG’s results CCG's results over time National results Latest Yes 84% No 12% 84% No 12% Yes Yes, but I had to call back closer to or on the day Jan 2015 Yes 85% Yes 5% 12% 12% No 11% Can't remember 72% Dec 2013 No Yes 81% No 14% Practice range in CCG - % Yes Local CCG range - % Yes Lowest Performing Highest Performing Lowest Performing Highest Performing 69% 96% 76% 88% Base: All those completing a questionnaire: National (815,057); CCG 2016 (3,049); CCG 2015 (3,273); CCG 2013 (3,583) Practice bases range from 20 to 119; CCG bases range from 2,562 to 7,793 21 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only %Yes = %Yes + %Yes, but I had to call back closer to or on the day 0% © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only 22 Base: All those completing a questionnaire: National (815,057); CCG (3,049); Practice bases range from 20 to 119 ST PHILIPS MEDICAL CENTRE MUSEUM PRACTICE GOWER STREET PRACTICE FOUR TREES SURGERY CCG CAVERSHAM GROUP PRACTICE PARK END SURGERY DALEHAM GARDENS HEALTH CENTRE KEATS GROUP PRACTICE BROOKFIELD PARK SURGERY Practices WEST END LANE MEDICAL PRACTICE ADELAIDE MEDICAL CENTRE PRINCE OF WALES ROAD PRACTICE (SINGLE) GOWER PLACE PRACTICE HAMPSTEAD GROUP PRACTICE SWISS COTTAGE SURGERY CHOMLEY GARDENS SURGERY ROSSLYN HILL SURGERY THE REGENTS PARK PRACTICE CCG BRONDESBURY MEDICAL CENTRE PARLIAMENT HILL SURGERY FORTUNE GREEN ROAD SURGERY ABBEY MEDICAL CENTRE QUEENS CRESCENT PRACTICE WEST HAMPSTEAD MEDICAL CENTRE JAMES WIGG PRACTICE WESTFIELD MEDICAL CENTRE BRUNSWICK MEDICAL CENTRE UHPC PRIMROSE HILL SURGERY THE BLOOMSBURY SURGERY BELSIZE PRIORY MEDICAL PRACTICE (GROUP) PRINCE OF WALES GROUP SURGERY AMPTHILL PRACTICE SOMERS TOWN MEDICAL CENTRE HOLBORN MEDICAL CENTRE KINGS CROSS ROAD PRACTICE GRAY'S INN ROAD MEDICAL CENTRE Success in getting an appointment: how the CCG’s practices compare The last time you wanted to see or speak to a GP or nurse, were you able to get an appointment to see or speak to someone? National Average 100% Percentage of patients who said they were able to get an appointment last time they tried to see or speak to a GP or nurse 90% 80% 70% 60% 50% 40% 30% 20% 10% Comparisons are indicative only: differences may not be statistically significant, particularly at practice level due to low numbers of responses %Yes = %Yes + %Yes, but I had to call back closer to or on the day Convenience of appointment How convenient was the appointment you were able to get? CCG’s results CCG's results over time National results Latest 88% Convenient 10% Very convenient 92% Fairly convenient Convenient 12% Not convenient 40% Jan 2015 Convenient 87% Not convenient 13% Not very convenient 8% Not at all convenient 48% Dec 2013 Not convenient Convenient 86% Not convenient 14% Practice range in CCG - % Convenient Local CCG range - % Convenient Lowest Performing Highest Performing Lowest Performing Highest Performing 70% 100% 85% 92% Base: All those able to get an appointment: National (703,182); CCG 2016 (2,574); CCG 2015 (2,811); CCG 2013 (3,020) Practice bases range from 19 to 108; CCG bases range from 2,133 to 6,223 23 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only %Convenient = %Very convenient + %Fairly convenient %Not convenient = %Not very convenient + Not at all convenient 0% © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only 24 Base: All those able to get an appointment: National (703,182); CCG (2,574); Practice bases range from 19 to 108 PRINCE OF WALES ROAD PRACTICE (SINGLE) ST PHILIPS MEDICAL CENTRE WEST END LANE MEDICAL PRACTICE FOUR TREES SURGERY CCG MUSEUM PRACTICE GOWER STREET PRACTICE DALEHAM GARDENS HEALTH CENTRE ROSSLYN HILL SURGERY KEATS GROUP PRACTICE Practices CHOMLEY GARDENS SURGERY HAMPSTEAD GROUP PRACTICE PARK END SURGERY HOLBORN MEDICAL CENTRE SWISS COTTAGE SURGERY ADELAIDE MEDICAL CENTRE ABBEY MEDICAL CENTRE PARLIAMENT HILL SURGERY CCG GOWER PLACE PRACTICE PRINCE OF WALES GROUP SURGERY AMPTHILL PRACTICE WESTFIELD MEDICAL CENTRE BROOKFIELD PARK SURGERY BRUNSWICK MEDICAL CENTRE UHPC CAVERSHAM GROUP PRACTICE BRONDESBURY MEDICAL CENTRE QUEENS CRESCENT PRACTICE THE BLOOMSBURY SURGERY JAMES WIGG PRACTICE FORTUNE GREEN ROAD SURGERY PRIMROSE HILL SURGERY WEST HAMPSTEAD MEDICAL CENTRE GRAY'S INN ROAD MEDICAL CENTRE THE REGENTS PARK PRACTICE BELSIZE PRIORY MEDICAL PRACTICE (GROUP) KINGS CROSS ROAD PRACTICE SOMERS TOWN MEDICAL CENTRE Convenience of appointment: how the CCG’s practices compare How convenient was the appointment you were able to get? National Average 100% Percentage of patients saying their appointment was ‘convenient’ 90% 80% 70% 60% 50% 40% 30% 20% 10% Comparisons are indicative only: differences may not be statistically significant, particularly at practice level due to low numbers of responses %Convenient = %Very convenient + %Fairly convenient What patients do when they are unable to get appointment / are offered an inconvenient appointment Percentage who went on to do something else when unable to get appointment/ offered inconvenient appointment What did you do on that occasion?* 100% 90% 80% 70% CCG 60% 50% 40% 30% National 38% 38% 23% 22% 20% 12% 10% 5% 6% 10% 12% 4% 4% 0% Went to the Got an Had a consultation appointment I was appointment for a over the phone offered different day 3% 4% 5% 13% 7% Saw a pharmacist Used another NHS Decided to contact Didn’t see or speak service my surgery to anyone another time Went to A&E * The answer codes for this question were updated for July-September fieldwork to reflect changes to service provision. As such the results shown here are based on July-September 2015 figures only. Comparisons are indicative only: differences may not be statistically significant Base: All those who were not able to get an appointment or were offered an inconvenient appointment: National (58,637); CCG (285) 25 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Overall experience of making an appointment Overall, how would you describe your experience of making an appointment? CCG’s results CCG's results over time National results Latest Good 70% Poor 13% 10% 4% 29% Fairly good Good 17% Jan 2015 73% Very good Neither good nor poor Good 69% Fairly poor Poor 12% Very poor 12% 41% Dec 2013 Poor Good 69% Poor 13% Practice range in CCG - % Good Local CCG range - % Good Lowest Performing Highest Performing Lowest Performing Highest Performing 42% 96% 59% 78% Base: All those completing a questionnaire: National (811,562); CCG 2016 (3,030); CCG 2015 (3,275); CCG 2013 (3,555) Practice bases range from 20 to 117; CCG bases range from 2,560 to 7,821 26 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only %Good = %Very good + %Fairly good %Poor = %Fairly poor + %Very poor 0% © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only 27 Base: All those completing a questionnaire: National (811,562); CCG (3,030); Practice bases range from 20 to 117 PRINCE OF WALES ROAD PRACTICE (SINGLE) ST PHILIPS MEDICAL CENTRE WEST END LANE MEDICAL PRACTICE DALEHAM GARDENS HEALTH CENTRE CCG MUSEUM PRACTICE FOUR TREES SURGERY PARK END SURGERY HAMPSTEAD GROUP PRACTICE SWISS COTTAGE SURGERY Practices ADELAIDE MEDICAL CENTRE GOWER STREET PRACTICE CHOMLEY GARDENS SURGERY PARLIAMENT HILL SURGERY BRONDESBURY MEDICAL CENTRE KEATS GROUP PRACTICE ABBEY MEDICAL CENTRE BROOKFIELD PARK SURGERY QUEENS CRESCENT PRACTICE CCG WESTFIELD MEDICAL CENTRE FORTUNE GREEN ROAD SURGERY GOWER PLACE PRACTICE ROSSLYN HILL SURGERY JAMES WIGG PRACTICE AMPTHILL PRACTICE THE REGENTS PARK PRACTICE CAVERSHAM GROUP PRACTICE PRINCE OF WALES GROUP SURGERY BELSIZE PRIORY MEDICAL PRACTICE (GROUP) PRIMROSE HILL SURGERY HOLBORN MEDICAL CENTRE WEST HAMPSTEAD MEDICAL CENTRE THE BLOOMSBURY SURGERY KINGS CROSS ROAD PRACTICE GRAY'S INN ROAD MEDICAL CENTRE SOMERS TOWN MEDICAL CENTRE BRUNSWICK MEDICAL CENTRE UHPC Overall experience of making an appointment: how the CCG’s practices compare Overall, how would you describe your experience of making an appointment? National Average Percentage of patients saying they had a ‘good’ experience of making an appointment 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% Comparisons are indicative only: differences may not be statistically significant, particularly at practice level due to low numbers of responses %Good = %Very good + %Fairly good Waiting times at the GP surgery 28 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Waiting times at the GP surgery How do you feel about how long you normally have to wait to be seen? CCG’s results CCG's results over time National results Latest Don't wait too long 55% Wait too long 37% I don't normally have to wait too long 8% 10% I have to wait a bit too long Jan 2015 Don't wait too long 53% Wait too long 40% 55% 28% Don’t wait too long I have to wait far too long No opinion/doesn't apply Dec 2013 34% Wait too long Don't wait too long 53% Wait too long 40% Practice range in CCG – % Don’t wait too long Local CCG range – % Don’t wait too long Lowest Performing Highest Performing Lowest Performing Highest Performing 26% 89% 41% 61% Base: All those completing a questionnaire: National (815,634); CCG 2016 (3,058); CCG 2015 (3,281); CCG 2013 (3,583) Practice bases range from 20 to 120; CCG bases range from 2,570 to 7,834 29 © Ipsos MORI 58% 15-032172-01 Version 1 | Internal Use Only %Wait too long= %I have to wait a bit too long + %I have to wait far too long 0% © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only 30 Base: All those completing a questionnaire: National (815,634); CCG (3,058); Practice bases range from 20 to 120 ST PHILIPS MEDICAL CENTRE WEST END LANE MEDICAL PRACTICE THE BLOOMSBURY SURGERY BROOKFIELD PARK SURGERY CCG DALEHAM GARDENS HEALTH CENTRE PRINCE OF WALES ROAD PRACTICE (SINGLE) WESTFIELD MEDICAL CENTRE MUSEUM PRACTICE JAMES WIGG PRACTICE PARK END SURGERY Practices ROSSLYN HILL SURGERY BRONDESBURY MEDICAL CENTRE PARLIAMENT HILL SURGERY THE REGENTS PARK PRACTICE QUEENS CRESCENT PRACTICE KEATS GROUP PRACTICE CHOMLEY GARDENS SURGERY FORTUNE GREEN ROAD SURGERY HAMPSTEAD GROUP PRACTICE GOWER STREET PRACTICE PRINCE OF WALES GROUP SURGERY CCG ABBEY MEDICAL CENTRE ADELAIDE MEDICAL CENTRE WEST HAMPSTEAD MEDICAL CENTRE AMPTHILL PRACTICE CAVERSHAM GROUP PRACTICE SWISS COTTAGE SURGERY BELSIZE PRIORY MEDICAL PRACTICE (GROUP) CAMDEN HEALTH IMPROVEMENT PRACTICE HOLBORN MEDICAL CENTRE FOUR TREES SURGERY GOWER PLACE PRACTICE KINGS CROSS ROAD PRACTICE BRUNSWICK MEDICAL CENTRE UHPC GRAY'S INN ROAD MEDICAL CENTRE SOMERS TOWN MEDICAL CENTRE PRIMROSE HILL SURGERY Waiting times at the GP surgery: how the CCG’s practices compare How do you feel about how long you normally have to wait to be seen? National Average Percentage of patients saying they ‘don’t normally have to wait too long’ 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% Comparisons are indicative only: differences may not be statistically significant, particularly at practice level due to low numbers of responses Perceptions of care at patients’ last GP appointment 31 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Perceptions of care at last GP appointment The last time you saw or spoke to a GP from your GP surgery, how good was that GP at each of the following?* CCG’s results Very poor Poor Neither good nor poor Good Very good National results % Poor 4% 4% 3% 5% 4% CCG results % Poor 6% 5% 3% 5% 5% 4% 11% 4% 9% 11% 3% 15% 3% 13% 39% 40% 40% 42% 42% 47% 46% 38% Very poor 38% 43% Very good Giving you enough time Listening to you Explaining tests and treatments *Those who say ‘Doesn’t apply’ have been excluded from these results. Involving you in decisions about your care Base: All those completing a questionnaire: CCG (3,042; 3,033; 2,930; 2,856; 2,996); National (812,087; 810,167; 779,287; 748,634; 797,664) 32 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Treating you with care and concern %Poor = %Very poor + %Poor Confidence and trust in the GP Did you have confidence and trust in the GP you saw or spoke to? CCG’s results CCG's results over time National results Latest Yes 90% No 4% Jan 2015 4% 5% Yes, to some extent 34% Yes 91% No 5% 92% Yes, definitely 57% Yes No, not at all Don't know/can't say Dec 2013 5% No Yes 89% No 7% Practice range in CCG - % Yes Local CCG range - % Yes Lowest Performing Highest Performing Lowest Performing Highest Performing 80% 97% 85% 93% Base: All those completing a questionnaire: National (821,488); CCG 2016 (3,081); CCG 2015 (3,317); CCG 2013 (3,615) Practice bases range from 20 to 120; CCG bases range from 2,593 to 7,939 33 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only %Yes = %Yes, definitely + %Yes, to some extent 0% © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only 34 Base: All those completing a questionnaire: National (821,488); CCG (3,081); Practice bases range from 20 to 120 PARK END SURGERY CAMDEN HEALTH IMPROVEMENT PRACTICE WEST HAMPSTEAD MEDICAL CENTRE FORTUNE GREEN ROAD SURGERY CHOMLEY GARDENS SURGERY CCG BELSIZE PRIORY MEDICAL PRACTICE (GROUP) PRIMROSE HILL SURGERY ROSSLYN HILL SURGERY SWISS COTTAGE SURGERY MUSEUM PRACTICE Practices JAMES WIGG PRACTICE HAMPSTEAD GROUP PRACTICE THE REGENTS PARK PRACTICE CAVERSHAM GROUP PRACTICE GOWER STREET PRACTICE ST PHILIPS MEDICAL CENTRE PARLIAMENT HILL SURGERY BROOKFIELD PARK SURGERY ADELAIDE MEDICAL CENTRE HOLBORN MEDICAL CENTRE CCG DALEHAM GARDENS HEALTH CENTRE FOUR TREES SURGERY PRINCE OF WALES ROAD PRACTICE (SINGLE) KEATS GROUP PRACTICE ABBEY MEDICAL CENTRE AMPTHILL PRACTICE BRONDESBURY MEDICAL CENTRE WEST END LANE MEDICAL PRACTICE GRAY'S INN ROAD MEDICAL CENTRE SOMERS TOWN MEDICAL CENTRE THE BLOOMSBURY SURGERY PRINCE OF WALES GROUP SURGERY KINGS CROSS ROAD PRACTICE QUEENS CRESCENT PRACTICE GOWER PLACE PRACTICE BRUNSWICK MEDICAL CENTRE UHPC WESTFIELD MEDICAL CENTRE Confidence and trust in the GP: how the CCG’s practices compare Did you have confidence and trust in the GP you saw or spoke to? National Average Percentage of patients saying they have trust and confidence in their GP 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% Comparisons are indicative only: differences may not be statistically significant, particularly at practice level due to low numbers of responses %Yes = %Yes, definitely + %Yes, to some extent Perceptions of care at patients’ last nurse appointment 35 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Perceptions of care at last nurse appointment The last time you saw or spoke to a nurse from your GP surgery, how good was that nurse at each of the following?* CCG’s results Very poor Poor Neither good nor poor Good Very good National results % Poor 2% 2% 2% 3% 2% CCG results % Poor 4% 4% 4% 5% 5% 3% 3% 3% 12% 11% 11% 13% 43% 44% 40% 42% 41% 42% 18% 39% 37% Very poor 42% 41% Very good Giving you enough time Listening to you Explaining tests and treatments *Those who say ‘Doesn’t apply’ have been excluded from these results. Involving you in decisions about your care Base: All those completing a questionnaire: CCG (2,283; 2,263; 2,196; 2,050; 2,229); National (728,958; 721,085; 701,838; 638,362; 710,955) 36 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Treating you with care and concern %Poor = %Very poor + %Poor Confidence and trust in the nurse Did you have confidence and trust in the nurse you saw or spoke to? CCG’s results CCG's results over time National results Latest 84% Yes, definitely 69% Yes 27% 4% No Yes, to some extent Yes 43% Jan 2015 Yes 72% No 4% No, not at all 4% Don't know/can't say 26% Dec 2013 3% No Yes 75% No 4% Practice range in CCG - % Yes Local CCG range - % Yes Lowest Performing Highest Performing Lowest Performing Highest Performing 27% 94% 69% 84% Base: All those completing a questionnaire: National (796,042); CCG 2016 (2,832); CCG 2015 (2,973); CCG 2013 (3,225) Practice bases range from 17 to 117; CCG bases range from 2,483 to 7,607 37 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only %Yes = %Yes, definitely + %Yes, to some extent 0% © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only 38 Base: All those completing a questionnaire: National (796,042); CCG (2,832); Practice bases range from 17 to 117 CAMDEN HEALTH IMPROVEMENT PRACTICE ABBEY MEDICAL CENTRE CHOMLEY GARDENS SURGERY DALEHAM GARDENS HEALTH CENTRE CCG GOWER PLACE PRACTICE GRAY'S INN ROAD MEDICAL CENTRE BRONDESBURY MEDICAL CENTRE CAVERSHAM GROUP PRACTICE FORTUNE GREEN ROAD SURGERY THE BLOOMSBURY SURGERY Practices BELSIZE PRIORY MEDICAL PRACTICE (GROUP) KEATS GROUP PRACTICE PARLIAMENT HILL SURGERY JAMES WIGG PRACTICE ADELAIDE MEDICAL CENTRE PARK END SURGERY BRUNSWICK MEDICAL CENTRE UHPC AMPTHILL PRACTICE CCG KINGS CROSS ROAD PRACTICE HOLBORN MEDICAL CENTRE WEST HAMPSTEAD MEDICAL CENTRE BROOKFIELD PARK SURGERY HAMPSTEAD GROUP PRACTICE SWISS COTTAGE SURGERY PRINCE OF WALES GROUP SURGERY THE REGENTS PARK PRACTICE QUEENS CRESCENT PRACTICE PRIMROSE HILL SURGERY FOUR TREES SURGERY SOMERS TOWN MEDICAL CENTRE GOWER STREET PRACTICE WESTFIELD MEDICAL CENTRE ROSSLYN HILL SURGERY MUSEUM PRACTICE PRINCE OF WALES ROAD PRACTICE (SINGLE) ST PHILIPS MEDICAL CENTRE WEST END LANE MEDICAL PRACTICE Confidence and trust in the nurse: how the CCG’s practices compare Did you have confidence and trust in the nurse you saw or spoke to? National Average Percentage of patients saying they have trust and confidence in their nurse 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% Comparisons are indicative only: differences may not be statistically significant, particularly at practice level due to low numbers of responses %Yes = %Yes, definitely + % Yes, to some extent Satisfaction with the practice’s opening hours 39 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Satisfaction with opening hours How satisfied are you with the hours that your GP surgery is open? CCG’s results CCG's results over time Latest National results 75% Very satisfied Satisfied 71% Dissatisfied 12% 4% 5% 8% Fairly satisfied 28% Satisfied Neither satisfied nor dissatisfied 13% Jan 2015 Satisfied 71% Dissatisfied 13% Fairly dissatisfied Satisfied 71% Dissatisfied 15% 10% Very dissatisfied 42% Dec 2013 Practice range in CCG - % Satisfied Local CCG range - % Satisfied Lowest Performing Highest Performing Lowest Performing Highest Performing 51% 86% 68% 79% Base: All those completing a questionnaire: National (837,583); CCG 2016 (3,147); CCG 2015 (3,344); CCG 2013 (3,660) Practice bases range from 20 to 125; CCG bases range from 2,611 to 8,048 40 © Ipsos MORI Dissatisfied I'm not sure when my GP surgery is open 15-032172-01 Version 1 | Internal Use Only %Satisfied = %Very satisfied + %Fairly satisfied %Dissatisfied = %Very dissatisfied + %Fairly dissatisfied 0% © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only 41 Base: All those completing a questionnaire: National (837,583); CCG (3,147); Practice bases range from 20 to 125 ST PHILIPS MEDICAL CENTRE FOUR TREES SURGERY MUSEUM PRACTICE CAMDEN HEALTH IMPROVEMENT PRACTICE CCG CAVERSHAM GROUP PRACTICE BRONDESBURY MEDICAL CENTRE HAMPSTEAD GROUP PRACTICE SWISS COTTAGE SURGERY PARK END SURGERY PRINCE OF WALES ROAD PRACTICE (SINGLE) Practices WESTFIELD MEDICAL CENTRE PARLIAMENT HILL SURGERY ADELAIDE MEDICAL CENTRE ABBEY MEDICAL CENTRE JAMES WIGG PRACTICE GOWER PLACE PRACTICE CCG KINGS CROSS ROAD PRACTICE WEST END LANE MEDICAL PRACTICE QUEENS CRESCENT PRACTICE WEST HAMPSTEAD MEDICAL CENTRE BROOKFIELD PARK SURGERY THE BLOOMSBURY SURGERY AMPTHILL PRACTICE BRUNSWICK MEDICAL CENTRE UHPC THE REGENTS PARK PRACTICE PRINCE OF WALES GROUP SURGERY BELSIZE PRIORY MEDICAL PRACTICE (GROUP) HOLBORN MEDICAL CENTRE KEATS GROUP PRACTICE CHOMLEY GARDENS SURGERY GRAY'S INN ROAD MEDICAL CENTRE DALEHAM GARDENS HEALTH CENTRE PRIMROSE HILL SURGERY ROSSLYN HILL SURGERY SOMERS TOWN MEDICAL CENTRE GOWER STREET PRACTICE FORTUNE GREEN ROAD SURGERY Satisfaction with opening hours: how the CCG’s practices compare How satisfied are you with the hours that your GP surgery is open? National Average 100% Percentage of patients saying they are ‘satisfied’ with the hours their GP surgery is open 90% 80% 70% 60% 50% 40% 30% 20% 10% Comparisons are indicative only: differences may not be statistically significant, particularly at practice level due to low numbers of responses %Satisfied = %Very satisfied + %Fairly satisfied Out-of-hours services 42 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Use of out-of-hours services* Considering all of the services you contacted, which of the following happened on that occasion? CCG 60% 61% I contacted an NHS service by telephone 22% 26% A health professional called me back A health professional visited me at home 5% 6% 46% I went to A&E 33% 13% 9% I saw a pharmacist 12% I went to another NHS service Can't remember National 23% 4% 4% *The out of hours questions were redesigned for July - September fieldwork to reflect changes to service provision. As such the results shown here are based on July-September 2015 figures only. Base: All those who tried to contact an NHS service when GP surgery closed in past 6 months: National (67,889); CCG (327) 43 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Use of out-of-hours services* How do you feel about how quickly you received care or advice on that occasion? It was about right 8% It took too long 37% Base: All those who tried to contact an NHS service when GP surgery closed in past 6 months: National (68,038); CCG (326) Considering all of the people you saw or spoke to on that occasion, did you have confidence and trust in them? 56% Don't know/Doesn't apply National results 62% 32% About right Took too long Yes, definitely 7% 10% 35% Yes, to some extent No, not at all 47% Base: All those who tried to contact an NHS service when GP surgery closed in past 6 months: National (68,118); National results CCG (331) Don't know/can't say 86% 9% Yes No *The out of hours questions were redesigned for July - September fieldwork to reflect changes to service provision. As such the results shown here are based on July-September 2015 figures only. %Yes = %Yes, definitely + % Yes, to some extent 44 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Overall experience of out-of-hours services Overall, how would you describe your last experience of NHS services when you wanted to see a GP but your GP surgery was closed?* CCG’s results CCG's results over time Latest 5% Good 54% Poor 22% National results Very good 5% 23% Fairly good 17% Neither good nor poor 67% Good Fairly poor Very poor 18% Don't know/can't say 32% 15% Poor Local CCG range - % Good Lowest Performing Highest Performing 49% 71% *The out of hours questions were redesigned for July-September fieldwork to reflect changes to service provision. As such the results shown here are based on July-September 2015 figures only. As the results shown are only for one wave of the survey, comparisons between practices will not be shown until the July 2016 publication. Base: All those who tried to contact an NHS service when GP surgery closed in past 6 months: National (68,172); CCG (327); CCG bases range from 233 to 728 45 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only %Good = %Very good + %Fairly good %Poor = %Fairly poor + %Very poor Statistical reliability 46 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Statistical reliability Participants in a survey such as GPPS represent only a sample of the total population of interest – this means we cannot be certain that the results of a question are exactly the same as if everybody within that population had taken part (“true values”). However, we can predict the variation between the results of a question and the true value by using the size of the sample on which results are based and the number of times a particular answer is given. The confidence with which we make this prediction is usually chosen to be 95% – that is, the chances are 95 in 100 that the true value will fall within a specified range (the “95% confidence interval”). The table below gives examples of what the confidence intervals look like for an ‘average’ practice and CCG, as well as the confidence intervals at the national level. An example of confidence intervals (at national, CCG and practice-level) based on the average number of responses to the question “Overall, how would you describe your experience of your GP surgery?” Approximate confidence intervals for percentages at or near these levels Average sample size on which results are based Level 1: Level 2: Level 3: 10% or 90% 30% or 70% 50% +/- +/- +/- National 836,967 0.09 0.13 0.15 CCG 4,000 1.18 1.86 2.07 Practice 100 5.05 9.41 11.3 For example, taking a CCG where 4,000 people responded and where 30% give a particular answer, there is a 95% likelihood that the true value (which would have been obtained if the whole population had been interviewed) will fall within the range of +/-1.86 percentage points from that question’s result (i.e. between 28.14% and 31.86%). When results are compared between separate groups within a sample, the difference may be “real” or it may occur by chance (because not everyone in the population has been interviewed). Confidence intervals will be wider when comparing groups, especially where there are small numbers e.g. practices where 100 patients or fewer responded to a question. These findings should be regarded as indicative rather than robust. 47 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Want to know more? 48 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Further background information about the survey • Across both waves of the research the survey was sent to c.2.4 million adult patients registered with a GP practice. • Participants are sent a postal questionnaire, also with the option of completing the survey online or via telephone. • Results are available every six months for every practice in the UK and date back to 2007, allowing meaningful comparisons of patients’ experiences. • For more information about the survey please visit https://gp-patient.co.uk/. • The overall response rate to the survey is 36%, based on 854,032 completed surveys. • 854,032 Weights have been applied to adjust the data to account for potential age and gender differences between the profile of all eligible patients in a practice and the patients who actually complete a questionnaire. Since the first wave of the 2011-2012 survey the weighting also takes into account neighbourhood statistics, such as levels of deprivation, in order to further improve the reliability of the findings. Completed surveys in the Jan 2016 publication 2.4m Surveys to adults registered with an English GP practice 36% National response rate 49 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only Where to go to do further analysis … • For reports which show the National results broken down by CCG and Practice, go to https://gp-patient.co.uk/surveys-and-reports - you can also see previous years’ results here. • To analyse the survey data for a specific participant group (e.g. by age), go to http://results.gp-patient.co.uk/report/1/rt1_profiles.aspx • To break down the survey results by survey question as well as by participant demographics, go to http://results.gp-patient.co.uk/report/6/rt3_result.aspx • To look at trends in responses and study the survey data by different participant groups, go to http://results.gppatient.co.uk/report/12/rt1_profiles.aspx 50 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only For further information about the GP Patient Survey, please get in touch with the GPPS team at Ipsos MORI at GPPatientSurvey_Enquiry@ipsos.com We would be interested to hear any feedback you have on this slide pack, so we can make improvements for the next publication (July 2016). 51 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only