dan wellings: public confidence in the nhs: where are we now?
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Public Confidence in the NHS: where are we now? Dan Wellings, Research Director @danwellings
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Base: representative sample of c.1,000 British adults age 18+ each month, interviewed face-to-face in home Source: Ipsos MORI Issues Index
Issues Facing Britain: Long Term Trends
What do you see as the most/other important issues facing Britain today?
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May 1997
May 1998
May 1999
May 2000
May 2001
May 2002
May 2003
May 2004
May 2005
May 2006
May 2007
May 2008
May 2009
May 2010
May 2011
May 2012
Unemployment
NHS Crime/ Law & Order
Race / immigration
Economy
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Base: representative sample of c.1,000 British adults age 18+ each month, interviewed face-to-face in home Source: Ipsos MORI Issues Index
Worth reflecting on what has happened since May 2010 What do you see as the most/other important issues facing Britain today?
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May 1997
May 1998
May 1999
May 2000
May 2001
May 2002
May 2003
May 2004
May 2005
May 2006
May 2007
May 2008
May 2009
May 2010
May 2011
May 2012
Blair tells doctors “not enough” has been done for the NHS –
allocates extra £20 billion. Report says waiting lists have doubled
under Labour
Blair – “We have underfunded the NHS for years and we are paying the price for
it” – BBC NHS day
Alan Milburn promises 35,000 more nurses, 40 new hospitals and
development of foundation trusts as part of NHS plan
General Election – “Battle of
Margaret’s shoulder”
Hewitt heckled at UNISON conference – fears over NHS
job cuts
Lowest score since
December 1985
London Bombs
Brown becomes PM
Cameron becomes PM
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69
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52
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Q Overall, how satisfied or dissatisfied are you with the running of the National Health Service nowadays?
Satisfaction with the NHS has held up remarkably well, what impact will Mid Staffs have?
Base: Adults aged 16+ in England (c. 1000 per wave) Source: Ipsos MORI/DH Perceptions of the NHS Tracker
% Satisfied
Dissatisfied
Net satisfied
Net satisfaction scores are calculated by subtracting the proportion of people who are dissatisfied from the proportion of people who are satisfied.
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Q. Overall, how satisfied are you with the running of the National Health Service nowadays? (Ipsos MORI) Q. How satisfied or dissatisfied would you say you are with the way in which the National Health Service is run nowadays? (BSAS)
It is not only the question but also the context that is important. What else is the survey about?
Source: Ipsos MORI/The King’s Fund
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Sat
isfie
d (%
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Ipsos MORI NHS Tracker British Social Attitudes Survey
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Source: Ipsos MORI/The King’s Fund
88 70
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Overall, how would you describe your experience of your GP surgery?
Overall, how satisfied or dissatisfied are you with the running of the National
Health Service nowadays?
How satisfied or dissatisfied would you say you are with the way in which the
National Health Service runs nowadays?
% S
atis
fied/
Goo
d
Base: GPPS: 1,037,946 respondents surveyed between July 2011 and March 2012; Public Perceptions of the NHS and Social Care Tracker: 1,001 respondents interviewed between 14th November and 9th December 2011; British Social Attitudes Survey: 3,311 respondents interviewed between 4th July and10th November 2011
GPPS Public Perceptions of the NHS and Social
Care Tracker
British Social Attitudes Survey
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Q To what extent, if at all, do you agree or disagree with the following statements?
This illustrates how important the question is
Base: Adults aged 16+ in England (c. 1000 per wave) Source: Ipsos MORI/DH Perceptions of the NHS Tracker
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The government has the right policies for the NHS
The NHS is providing a good service nationally
My local NHS is providing me with a good service % Agree
75 65
22
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Do we have different expectations of the NHS? A generational shift BSA 1983-2010
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-40%
-20%
0%
20%
40%
60%
80%
1983 1984 1986 1987 1989 1990 1991 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Pre War (born before 1945) Baby Boomers (born 1945-1965) Generation X (born 1966-1979) Generation Y (born 1980 onwards)
Data: BSA 1983-2010. Each data point represents >100 respondents
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10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
83 84 85 86 87 89 90 91 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10
% sample universe from pre war generation
% Generation Y
% Generation x
% Baby boomers 1983: All adults aged 39 and over
Proportion of UK population from each generational grouping
Source: Eurostat
2010: All adults aged over 66
1983: All adults aged under 39
2010: All adults aged between 45
and 65
2010: All adults aged between 44
and 31
2010: All adults aged under 31
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Q Overall, how satisfied or dissatisfied are you with the running of the National Health Service nowadays?
Is this about service received or expectations?
Base: Adults in England aged 16+, Summer 2012: Ipsos MORI aggregate analysis (22422)
% Satisfied
Source: Ipsos MORI/DH Perceptions of the NHS Tracker
North East North West
Yorks & Humber
South West
East Midlands
West Midlands London Eastern
South East
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As you may know, a report was published this week into problems at Mid Staffordshire hospital that said this led to between 400 and 1,200 more deaths than expected between 2005 and 2009. Who of the following, if any, do you think was most to blame for the patient care problems at Mid Staffordshire hospital?
Who was most to blame for Mid-Staffs?
Base: Adults aged 18+ in Great Britain, 1018 Respondents – Telephone Source: Ipsos MORI Political Monitor, 9th-11th Feb 2013
52%
16%
11%
7%
3%
9%
0 10 20 30 40 50 60
NHS Managers
Government Ministers
Health Regulators
Nurses
Doctors
None
Don't Know
*
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What impact does our proximity to the NHS have on our perception of satisfaction?
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here What you see is all there is
“The confidence that individuals have in their beliefs depends mostly on the quality of the story they can tell about what they see, even if they see little. We often fail to allow for the possibility that evidence that should be critical to our judgement is missing – what we see is all there is”
Daniel Kahneman Thinking, Fast and
Slow
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Q How much do you feel you know about the changes the government is making to the NHS?
We really did not know very much about the reforms…
Base: Adults aged 16+ in England (c. 1000 per wave) Source: Ipsos MORI/DH Perceptions of the NHS Tracker
December 2010
December 2011
Spring 2012
73%
67%
67%
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Our pride in the NHS is seemingly unwavering…
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Q Please tell me whether on the whole you agree or disagree with each of the following statements:
Pride in the NHS is the highest it’s ever been
Base: Adults aged 16+ in England (c. 1000 per wave) Source: Ipsos MORI/DH Perceptions of the NHS Tracker
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30
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60
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90
100% agree
Britain’s National Health Service is one of the best in the world
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79
51
51
39
21
10
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9
4
*
1
The NHS/health care Schools
Care for the elderly The Police
Social services Benefit payments
Local authority services Defence
Overseas aid None of these
Don't know
NHS is the area of public spending that we most want protected
Base: All who think some services should be protected (809) Source: Ipsos MORI/Nuffield Trust
Q. “Which TWO or THREE, if any, of the following main areas of public spending do you think should be protected from any cuts?”
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-7
+5 +4 +6
+2
+4 -4 -1
Change from June ‘09
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0
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Which two or three of the following, if any, would you say makes you most proud to be British?
In the “marrow of our bones”
45 40
38 36
16 10
6 6
4 4
3 2
1 6
5
0 10 20 30 40 50
The NHS The Armed Forces
Team GB The Royal Family
BBC Nothing
British Business Houses of Parliament
Marks & Spencer John Lewis
Oxfam Women's Institute
Tesco's Other
Don't Know
Base: 2515 British Adults 16-75, Online Fieldwork conducted between 23rd-27th November 2012 Source: British Future Polling – State of the Nation 2012/3, Ipsos MORI
%
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here Conclusions and thoughts for the panel
• What impact will Mid Staffs have on perceptions and for how
long?
• Are patient expectations as high as we think or do we just hear about those that are?
• What is the difference between vocal minority and overall views?
• How do you get people to expect more?
• Does our devotion to the NHS make change more difficult?