NHS NORTH KIRKLEES 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 NORTH KIRKLEES 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 NORTH KIRKLEES CCG, 9,351 questionnaires were sent out, and 3,100 were returned completed. This represents a response rate of 33%. • 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 83% Good 5% 6% Poor 85% Very good 11% Good Fairly good Jan 2015 40% Good 82% Poor 6% Neither good nor poor Dec 2013 Very poor 43% Good 83% Poor 6% 5% Fairly poor Poor Local CCG range – % Good Practice range in CCG – % Good Lowest Performing Highest Performing Lowest Performing Highest Performing 63% 96% 70% 95% Base: All those completing a questionnaire: National (836,967); CCG 2016 (3,053); CCG 2015 (3,298); CCG 2013 (3,317) Practice bases range from 61 to 122; CCG bases range from 1,370 to 9,364 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 70% to 95% Comparisons are indicative only: differences may not be statistically significant Base: All those completing a questionnaire: CCG bases range from 1,370 to 9,364 %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 63% to 96% Comparisons are indicative only: differences may not be statistically significant Base: All those completing a questionnaire: Practice bases range from 61 to 122 %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 (3,053); Practice bases range from 61 to 122 WINDSOR MEDICAL CENTRE HALIFAX ROAD SURGERY Practices CHERRY TREE SURGERY SCRIVINGS CLECKHEATON HLTH CTR THE PADDOCK SURGERY BROOKROYD HOUSE PARKVIEW SURGERY DR CHANDRA & PARTNERS BATLEY HEALTH CENTRE SURGERY KIRKGATE SURGERY GREENSIDE SURGERY GROVE HOUSE SURGERY WELLINGTON HOUSE THE ALBION MOUNT MEDICAL PRACTICE UNDERCLIFFE SURGERY BLACKBURN RD.MEDICAL CTR. EIGHTLANDS SURGERY CCG HEALDS ROAD SURGERY ST JOHN'S HOUSE DR MAHMOOD & PARTNERS SAVILE TOWN MEDICAL CTR. ALBION STREET SURGERY LIVERSEDGE MEDICAL CENTRE SLAITHWAITE ROAD SURGERY BROUGHTON HOUSE SURGERY MOUNT PLEASANT MED CENTRE DOCTOR LANE HEALTH CENTRE THE NEW BREWERY LANE SURG VICTORIA MEDICAL PRACTICE Overall experience – how the CCG’s practices compare Overall, how would you describe your experience of your GP surgery? Percentage of patients saying good CCG 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 66% Easy 11% 32% Not easy 70% Very easy 22% Easy Fairly easy Jan 2015 Easy 67% Not easy 30% Not very easy 21% Not at all easy Haven't tried Dec 2013 44% Easy 71% Not easy 26% Not easy Practice range in CCG - % Easy Local CCG range - % Easy Lowest Performing Highest Performing Lowest Performing Highest Performing 36% 98% 52% 87% Base: All those completing a questionnaire: National (849,770); CCG 2016 (3,078); CCG 2015 (3,366); CCG 2013 (3,377) Practice bases range from 64 to 123; CCG bases range from 1,392 to 9,505 14 © Ipsos MORI 26% 15-032172-01 Version 1 | Internal Use Only %Easy = %Very easy + %Fairly easy %Not easy = %Not very easy + %Not at all easy 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? Practices National Average CCG Percentage of patients saying it is ‘easy’ to get through to someone on the phone 100% 90% 80% 70% 60% 50% 40% 30% 20% WINDSOR MEDICAL CENTRE PARKVIEW SURGERY CHERRY TREE SURGERY GREENSIDE SURGERY BATLEY HEALTH CENTRE SURGERY THE PADDOCK SURGERY ST JOHN'S HOUSE HEALDS ROAD SURGERY HALIFAX ROAD SURGERY LIVERSEDGE MEDICAL CENTRE DR CHANDRA & PARTNERS SCRIVINGS CLECKHEATON HLTH CTR GROVE HOUSE SURGERY EIGHTLANDS SURGERY THE ALBION MOUNT MEDICAL PRACTICE KIRKGATE SURGERY ALBION STREET SURGERY BLACKBURN RD.MEDICAL CTR. CCG BROUGHTON HOUSE SURGERY BROOKROYD HOUSE DR MAHMOOD & PARTNERS WELLINGTON HOUSE MOUNT PLEASANT MED CENTRE SLAITHWAITE ROAD SURGERY VICTORIA MEDICAL PRACTICE SAVILE TOWN MEDICAL CTR. DOCTOR LANE HEALTH CENTRE UNDERCLIFFE SURGERY 0% THE NEW BREWERY LANE SURG 10% Comparisons are indicative only: differences may not be statistically significant, particularly at practice level due to low numbers of responses Base: All those completing a questionnaire: National (849,770); CCG (3,078); Practice bases range from 64 to 123 15 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only %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 85% Not helpful 14% 5% 87% Very helpful 9% Helpful Fairly helpful Jan 2015 40% Helpful 82% Not helpful 15% Not very helpful 11% Not at all helpful Don't know 45% Dec 2013 Not helpful Helpful 84% Not helpful 14% Local CCG range - % Helpful Practice range in CCG - % Helpful Lowest Performing Highest Performing Lowest Performing Highest Performing 61% 100% 75% 93% Base: All those completing a questionnaire: National (849,199); CCG 2016 (3,078); CCG 2015 (3,364); CCG 2013 (3,377) Practice bases range from 64 to 122; CCG bases range from 1,393 to 9,527 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 (3,078); Practice bases range from 64 to 122 WINDSOR MEDICAL CENTRE HALIFAX ROAD SURGERY Practices BROOKROYD HOUSE BATLEY HEALTH CENTRE SURGERY DR CHANDRA & PARTNERS PARKVIEW SURGERY KIRKGATE SURGERY CHERRY TREE SURGERY THE ALBION MOUNT MEDICAL PRACTICE BLACKBURN RD.MEDICAL CTR. DOCTOR LANE HEALTH CENTRE LIVERSEDGE MEDICAL CENTRE SLAITHWAITE ROAD SURGERY WELLINGTON HOUSE THE PADDOCK SURGERY SCRIVINGS CLECKHEATON HLTH CTR GROVE HOUSE SURGERY CCG ST JOHN'S HOUSE GREENSIDE SURGERY ALBION STREET SURGERY DR MAHMOOD & PARTNERS EIGHTLANDS SURGERY SAVILE TOWN MEDICAL CTR. BROUGHTON HOUSE SURGERY HEALDS ROAD SURGERY VICTORIA MEDICAL PRACTICE UNDERCLIFFE SURGERY MOUNT PLEASANT MED CENTRE THE NEW BREWERY LANE SURG Helpfulness of receptionists at GP surgery: how the CCG’s practices compare How helpful do you find the receptionists at your GP surgery? CCG 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 30 Practice range within CCG 30% 29% 27% National 30% 20 11% 10 3% 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 (3,001); Practice bases range from 63 to 122 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 89% 90 86% 80 70 60 Practice range within CCG 50 CCG 40 National 30 20 10 6% 7% 8% 10% *% 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 (3,004); Practice bases range from 63 to 119 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 82% No 15% 4% 85% Yes 15% Yes Yes, but I had to call back closer to or on the day Jan 2015 Yes 82% No 13% No 14% 68% 11% Can't remember Dec 2013 No Yes 84% No 12% Practice range in CCG - % Yes Local CCG range - % Yes Lowest Performing Highest Performing Lowest Performing Highest Performing 60% 94% 70% 93% Base: All those completing a questionnaire: National (815,057); CCG 2016 (2,944); CCG 2015 (3,244); CCG 2013 (3,232) Practice bases range from 63 to 118; CCG bases range from 1,329 to 9,138 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 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? Practices CCG National Average 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 100% 90% 80% 70% 60% 50% 40% 30% 20% CHERRY TREE SURGERY BATLEY HEALTH CENTRE SURGERY WINDSOR MEDICAL CENTRE HALIFAX ROAD SURGERY PARKVIEW SURGERY SCRIVINGS CLECKHEATON HLTH CTR EIGHTLANDS SURGERY THE PADDOCK SURGERY BROOKROYD HOUSE DR CHANDRA & PARTNERS KIRKGATE SURGERY THE ALBION MOUNT MEDICAL PRACTICE LIVERSEDGE MEDICAL CENTRE DOCTOR LANE HEALTH CENTRE UNDERCLIFFE SURGERY BLACKBURN RD.MEDICAL CTR. CCG GROVE HOUSE SURGERY GREENSIDE SURGERY SLAITHWAITE ROAD SURGERY WELLINGTON HOUSE DR MAHMOOD & PARTNERS HEALDS ROAD SURGERY MOUNT PLEASANT MED CENTRE ST JOHN'S HOUSE BROUGHTON HOUSE SURGERY SAVILE TOWN MEDICAL CTR. ALBION STREET SURGERY THE NEW BREWERY LANE SURG 0% VICTORIA MEDICAL PRACTICE 10% Comparisons are indicative only: differences may not be statistically significant, particularly at practice level due to low numbers of responses Base: All those completing a questionnaire: National (815,057); CCG (2,944); Practice bases range from 63 to 118 22 © 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 Convenience of appointment How convenient was the appointment you were able to get? CCG’s results CCG's results over time National results Latest Convenient 93% Not convenient 7% 7% Very convenient 92% Fairly convenient Convenient 44% Jan 2015 Convenient 92% Not convenient 8% Not very convenient 8% 48% Not at all convenient Dec 2013 Not convenient Convenient 91% Not convenient 9% Practice range in CCG - % Convenient Local CCG range - % Convenient Lowest Performing Highest Performing Lowest Performing Highest Performing 77% 98% 88% 97% Base: All those able to get an appointment: National (703,182); CCG 2016 (2,446); CCG 2015 (2,757); CCG 2013 (2,756) Practice bases range from 47 to 107; CCG bases range from 1,191 to 7,831 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 (2,446); Practice bases range from 47 to 107 Comparisons are indicative only: differences may not be statistically significant, particularly at practice level due to low numbers of responses WINDSOR MEDICAL CENTRE PARKVIEW SURGERY Practices SLAITHWAITE ROAD SURGERY SCRIVINGS CLECKHEATON HLTH CTR THE ALBION MOUNT MEDICAL PRACTICE KIRKGATE SURGERY LIVERSEDGE MEDICAL CENTRE UNDERCLIFFE SURGERY BATLEY HEALTH CENTRE SURGERY ALBION STREET SURGERY EIGHTLANDS SURGERY GROVE HOUSE SURGERY BROOKROYD HOUSE CHERRY TREE SURGERY BROUGHTON HOUSE SURGERY DOCTOR LANE HEALTH CENTRE WELLINGTON HOUSE CCG GREENSIDE SURGERY VICTORIA MEDICAL PRACTICE THE PADDOCK SURGERY BLACKBURN RD.MEDICAL CTR. HEALDS ROAD SURGERY MOUNT PLEASANT MED CENTRE HALIFAX ROAD SURGERY DR MAHMOOD & PARTNERS ST JOHN'S HOUSE THE NEW BREWERY LANE SURG DR CHANDRA & PARTNERS SAVILE TOWN MEDICAL CTR. Convenience of appointment: how the CCG’s practices compare How convenient was the appointment you were able to get? CCG National Average Percentage of patients saying their appointment was ‘convenient’ 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% %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 34% 38% 22% 22% 17% 20% 10% 4% 6% 12% 9% 4% 3% 4% 3% 5% 0% Went to the Got an Had a consultation appointment I was appointment for a over the phone offered different day Went to A&E Saw a pharmacist 13% 13% Used another NHS service Decided to contact Didn’t see or my surgery speak to anyone another time * 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 (279) 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 68% Poor 16% Jan 2015 7% 73% Very good 10% 31% Fairly good Good Neither good nor poor 16% Good 70% Fairly poor Poor 14% Very poor 12% 37% Dec 2013 Poor Good 70% Poor 14% Practice range in CCG - % Good Local CCG range - % Good Lowest Performing Highest Performing Lowest Performing Highest Performing 35% 95% 56% 90% Base: All those completing a questionnaire: National (811,562); CCG 2016 (2,944); CCG 2015 (3,218); CCG 2013 (3,211) Practice bases range from 62 to 116; CCG bases range from 1,324 to 9,119 26 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only %Good = %Very good + %Fairly good %Poor = %Fairly poor + %Very poor Overall experience of making an appointment: how the CCG’s practices compare Overall, how would you describe your experience of making an appointment? Practices CCG National Average Percentage of patients saying they had a ‘good’ experience of making an appointment 100% 90% 80% 70% 60% 50% 40% 30% 20% WINDSOR MEDICAL CENTRE HALIFAX ROAD SURGERY BATLEY HEALTH CENTRE SURGERY PARKVIEW SURGERY CHERRY TREE SURGERY SCRIVINGS CLECKHEATON HLTH CTR GROVE HOUSE SURGERY EIGHTLANDS SURGERY BROOKROYD HOUSE KIRKGATE SURGERY GREENSIDE SURGERY DR MAHMOOD & PARTNERS DR CHANDRA & PARTNERS ALBION STREET SURGERY THE PADDOCK SURGERY SLAITHWAITE ROAD SURGERY CCG THE ALBION MOUNT MEDICAL PRACTICE LIVERSEDGE MEDICAL CENTRE ST JOHN'S HOUSE BLACKBURN RD.MEDICAL CTR. WELLINGTON HOUSE HEALDS ROAD SURGERY MOUNT PLEASANT MED CENTRE UNDERCLIFFE SURGERY BROUGHTON HOUSE SURGERY DOCTOR LANE HEALTH CENTRE SAVILE TOWN MEDICAL CTR. VICTORIA MEDICAL PRACTICE 0% THE NEW BREWERY LANE SURG 10% Comparisons are indicative only: differences may not be statistically significant, particularly at practice level due to low numbers of responses Base: All those completing a questionnaire: National (811,562); CCG (2,944); Practice bases range from 62 to 116 27 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only %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 60% Wait too long 33% I don't normally have to wait too long 7% 9% I have to wait a bit too long Jan 2015 Don’t wait too long I have to wait far too long Don't wait too long 56% Wait too long 37% 24% 60% No opinion/doesn't apply Dec 2013 34% Wait too long Don't wait too long 59% Wait too long 35% 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 27% 90% 44% 69% Base: All those completing a questionnaire: National (815,634); CCG 2016 (2,959); CCG 2015 (3,252); CCG 2013 (3,230) Practice bases range from 64 to 119; CCG bases range from 1,338 to 9,145 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 (2,959); Practice bases range from 64 to 119 CHERRY TREE SURGERY HALIFAX ROAD SURGERY Practices PARKVIEW SURGERY DR CHANDRA & PARTNERS BROOKROYD HOUSE GROVE HOUSE SURGERY KIRKGATE SURGERY WINDSOR MEDICAL CENTRE BLACKBURN RD.MEDICAL CTR. THE ALBION MOUNT MEDICAL PRACTICE UNDERCLIFFE SURGERY BATLEY HEALTH CENTRE SURGERY WELLINGTON HOUSE CCG MOUNT PLEASANT MED CENTRE SCRIVINGS CLECKHEATON HLTH CTR EIGHTLANDS SURGERY ST JOHN'S HOUSE GREENSIDE SURGERY THE PADDOCK SURGERY SLAITHWAITE ROAD SURGERY ALBION STREET SURGERY LIVERSEDGE MEDICAL CENTRE DOCTOR LANE HEALTH CENTRE BROUGHTON HOUSE SURGERY SAVILE TOWN MEDICAL CTR. THE NEW BREWERY LANE SURG DR MAHMOOD & PARTNERS VICTORIA MEDICAL PRACTICE HEALDS ROAD 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? CCG 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 3% 4% 3% 5% 4% 10% 3% 8% 11% 4% 3% 11% 43% 40% 40% 43% 48% 45% 16% 39% 40% Very poor 40% 45% 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 (2,932; 2,919; 2,818; 2,730; 2,893); 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 94% No 4% 4% 92% Yes, definitely Yes, to some extent Yes 32% Jan 2015 No, not at all Yes 91% No 5% 62% Don't know/can't say Dec 2013 5% No Yes 93% No 4% Practice range in CCG - % Yes Local CCG range - % Yes Lowest Performing Highest Performing Lowest Performing Highest Performing 78% 100% 86% 97% Base: All those completing a questionnaire: National (821,488); CCG 2016 (2,962); CCG 2015 (3,263); CCG 2013 (3,250) Practice bases range from 63 to 117; CCG bases range from 1,341 to 9,216 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 (2,962); Practice bases range from 63 to 117 THE PADDOCK SURGERY DR CHANDRA & PARTNERS Practices SCRIVINGS CLECKHEATON HLTH CTR WINDSOR MEDICAL CENTRE EIGHTLANDS SURGERY WELLINGTON HOUSE PARKVIEW SURGERY KIRKGATE SURGERY BROUGHTON HOUSE SURGERY GREENSIDE SURGERY THE NEW BREWERY LANE SURG SLAITHWAITE ROAD SURGERY MOUNT PLEASANT MED CENTRE BATLEY HEALTH CENTRE SURGERY HALIFAX ROAD SURGERY LIVERSEDGE MEDICAL CENTRE CCG THE ALBION MOUNT MEDICAL PRACTICE SAVILE TOWN MEDICAL CTR. BLACKBURN RD.MEDICAL CTR. GROVE HOUSE SURGERY CHERRY TREE SURGERY ALBION STREET SURGERY DOCTOR LANE HEALTH CENTRE BROOKROYD HOUSE HEALDS ROAD SURGERY ST JOHN'S HOUSE UNDERCLIFFE SURGERY DR MAHMOOD & PARTNERS VICTORIA MEDICAL PRACTICE 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? CCG 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 2% 2% 2% 3% 2% 6% 7% 9% 13% 39% 39% 39% 52% 52% 50% 7% Very poor 39% 38% 45% 51% 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 (2,732; 2,706; 2,642; 2,460; 2,668); 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 86% Yes 12% 3% No 84% Yes, definitely 3% Yes, to some extent Yes Jan 2015 24% Yes 86% No 2% No, not at all 62% Don't know/can't say Dec 2013 3% No Yes 87% No 3% Practice range in CCG - % Yes Local CCG range - % Yes Lowest Performing Highest Performing Lowest Performing Highest Performing 71% 99% 80% 91% Base: All those completing a questionnaire: National (796,042); CCG 2016 (2,922); CCG 2015 (3,189); CCG 2013 (3,156) Practice bases range from 64 to 117; CCG bases range from 1,306 to 8,949 37 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only %Yes = %Yes, definitely + %Yes, to some extent 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? Practices CCG National Average Percentage of patients saying they have trust and confidence in their nurse 100% 90% 80% 70% 60% 50% 40% 30% 20% WINDSOR MEDICAL CENTRE BROUGHTON HOUSE SURGERY DOCTOR LANE HEALTH CENTRE DR CHANDRA & PARTNERS LIVERSEDGE MEDICAL CENTRE SCRIVINGS CLECKHEATON HLTH CTR MOUNT PLEASANT MED CENTRE CHERRY TREE SURGERY THE NEW BREWERY LANE SURG SLAITHWAITE ROAD SURGERY BROOKROYD HOUSE PARKVIEW SURGERY UNDERCLIFFE SURGERY THE ALBION MOUNT MEDICAL PRACTICE HALIFAX ROAD SURGERY CCG WELLINGTON HOUSE DR MAHMOOD & PARTNERS GREENSIDE SURGERY ST JOHN'S HOUSE THE PADDOCK SURGERY EIGHTLANDS SURGERY KIRKGATE SURGERY HEALDS ROAD SURGERY VICTORIA MEDICAL PRACTICE BLACKBURN RD.MEDICAL CTR. ALBION STREET SURGERY GROVE HOUSE SURGERY SAVILE TOWN MEDICAL CTR. 0% BATLEY HEALTH CENTRE SURGERY 10% Comparisons are indicative only: differences may not be statistically significant, particularly at practice level due to low numbers of responses Base: All those completing a questionnaire: National (796,042); CCG (2,922); Practice bases range from 64 to 117 38 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only %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 Satisfied 76% Dissatisfied 10% 75% Very satisfied 4% 4% 6% Fairly satisfied 33% 10% National results Satisfied Neither satisfied nor dissatisfied Jan 2015 Satisfied 73% Dissatisfied 11% Fairly dissatisfied Satisfied 75% Dissatisfied 11% 10% Very dissatisfied 43% Dec 2013 Practice range in CCG - % Satisfied Local CCG range - % Satisfied Lowest Performing Highest Performing Lowest Performing Highest Performing 62% 90% 70% 83% Base: All those completing a questionnaire: National (837,583); CCG 2016 (3,052); CCG 2015 (3,292); CCG 2013 (3,317) Practice bases range from 63 to 121; CCG bases range from 1,374 to 9,366 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 Satisfaction with opening hours: how the CCG’s practices compare How satisfied are you with the hours that your GP surgery is open? Practices CCG National Average Percentage of patients saying they are ‘satisfied’ with the hours their GP surgery is open 100% 90% 80% 70% 60% 50% 40% 30% 20% HALIFAX ROAD SURGERY WINDSOR MEDICAL CENTRE DR CHANDRA & PARTNERS BROOKROYD HOUSE THE PADDOCK SURGERY SCRIVINGS CLECKHEATON HLTH CTR CHERRY TREE SURGERY PARKVIEW SURGERY WELLINGTON HOUSE EIGHTLANDS SURGERY SAVILE TOWN MEDICAL CTR. GREENSIDE SURGERY BATLEY HEALTH CENTRE SURGERY DR MAHMOOD & PARTNERS HEALDS ROAD SURGERY CCG MOUNT PLEASANT MED CENTRE BLACKBURN RD.MEDICAL CTR. GROVE HOUSE SURGERY THE ALBION MOUNT MEDICAL PRACTICE VICTORIA MEDICAL PRACTICE LIVERSEDGE MEDICAL CENTRE DOCTOR LANE HEALTH CENTRE ALBION STREET SURGERY ST JOHN'S HOUSE KIRKGATE SURGERY UNDERCLIFFE SURGERY THE NEW BREWERY LANE SURG SLAITHWAITE ROAD SURGERY 0% BROUGHTON HOUSE SURGERY 10% Comparisons are indicative only: differences may not be statistically significant, particularly at practice level due to low numbers of responses Base: All those completing a questionnaire: National (837,583); CCG (3,052); Practice bases range from 63 to 121 41 © Ipsos MORI 15-032172-01 Version 1 | Internal Use Only %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 49% I contacted an NHS service by telephone 61% 16% A health professional called me back A health professional visited me at home 26% 6% 6% 43% I went to A&E I saw a pharmacist 33% 7% 9% 17% I went to another NHS service Can't remember National 23% 6% 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 (274) 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? Considering all of the people you saw or spoke to on that occasion, did you have confidence and trust in them? It was about right 7% It took too long 33% 59% Base: All those who tried to contact an NHS service when GP surgery closed in past 6 months: National (68,038); CCG (274) 62% 32% About right Took too long Yes, definitely 5% 41% Yes, to some extent No, not at all 47% Don't know/doesn't apply National results 6% Base: All those who tried to contact an NHS service when GP surgery closed in past 6 months: National (68,118); National results CCG (275) 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 3% Latest Very good 12% Good 65% Poor 15% National results Fairly good 29% Neither good nor poor 67% Good Fairly poor 18% Very poor Don't know/can't say 36% 15% Poor Local CCG range - % Good Lowest Performing Highest Performing 53% 80% *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 (274); CCG bases range from 89 to 730 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