nhs leicester city residents survey · nhs leicester city residents survey research among leicester...

Research conducted on behalf of

NHS Leicester City Residents Survey Research among Leicester City residents 4 December 2008

Research conducted on behalf of:

Legal notice © 2009 Ipsos MORI – all rights reserved. The contents of this report constitute the sole and exclusive property of Ipsos MORI. Ipsos MORI retains all right, title and interest, including without limitation copyright, in or to any Ipsos MORI trademarks, technologies, methodologies, products, analyses, software and know-how included or arising out of this report or used in connection with the preparation of this report. No license under any copyright is hereby granted or implied. The contents of this report are of a commercially sensitive and confidential nature and intended solely for the review and consideration of the person or entity to which it is addressed. No other use is permitted and the addressee undertakes not to disclose all or part of this report to any third party (including but not limited, where applicable, pursuant to the Freedom of Information Act 2000) without the prior written consent of the Company Secretary of Ipsos MORI.

Contents

Executive Summary........................................................................ 3

Introduction .....................................................................................7

Background & Context................................................................................7

Methodology ...............................................................................................7

Sample Profile ............................................................................................8

Chapter 1: Satisfaction with health services.............................. 10

Knowledge about & satisfaction with health organisations in Leicester ....14

General satisfaction with NHS services ....................................................16

Areas for improvement .............................................................................19

Satisfaction with specific services.............................................................20

Priorities for improvement.........................................................................26

Service usage: scenarios..........................................................................28

Chapter 2: Communications ........................................................ 32

Information sources about primary care services .....................................32

Most trusted information sources about healthcare ..................................33

Information from Leicester City healthcare organisations .........................34

Chapter 3: Health & wellbeing ..................................................... 38

Threats to health of Leicester residents....................................................38

Physical activity ........................................................................................40

Eating Fruit & vegetables..........................................................................44

Drinking alcohol ........................................................................................47

Smoking....................................................................................................49

Appendix A: Guide to Statistical Reliability ............................... 56

Appendix B: Definition of Social Grades .................................... 58

Appendix C: Topline Report......................................................... 55

© 2009 Ipsos MORI. Contains Ipsos MORI confidential and proprietary information Not to be disclosed or reproduced without the prior written consent of Ipsos MORI.

Executive Summary

NHS Leicester City Residents Survey


3

Executive Summary This report summarises the findings of research conducted by Ipsos MORI on behalf of

NHS Leicester City between 2 July and 24 September 2008. The research comprises

2,305 face-to-face interviews across the Leicester City region, with interviews

distributed proportionally across the city’s wards to represent the population of each.

The overall objective of the research is to deliver robust and reliable management

intelligence to establish credible baseline measures of public satisfaction and

confidence in services and also prevalence of and attitudes towards various lifestyle

behaviours across the Leicester City region.

Overall perceptions of the local NHS services are positive, with most believing local

NHS services are providing healthcare users with a good service. These results

compare favourably with those of the Department of Health ‘Public perceptions of the

NHS’ Survey, also conducted in 2008, and suggest that satisfaction with services within

the Leicester City region are largely in line with public expectations nationally.

More residents think that services will get better over the next few years compared to

those who feel that they will get worse (30% versus 23% respectively). The majority

(two in five of respondents) think that services will stay the same over the next few

years.

Awareness among respondents of their PCT is high, almost three-quarters of

respondents claim to have heard of their PCT, although just one in five say they know a

great deal or fair amount about it.

Respondents were asked how satisfied they are with 12 of their local NHS services

and GP and Pharmacist services receive the highest levels of satisfaction, followed by

Leicester NHS Hospital outpatient services. Satisfaction is lowest for mental health

services, followed by local NHS dentists and walk-in surgeries services; however some

of these results e.g. mental health services are likely to reflect low usage, rather than

particularly strong dissatisfaction.

The local NHS services that respondents have used “in the last year or so”, and the

frequency in which they have used these services, is also examined in this report.

The most heavily used services (used by 8 in 10 residents in the last years or so) are

NHS GP practices and NHS dentists (used by 2 in 5 respondents). In terms of the least



4

used services, only one in twenty respondents have used advisory services (e.g.

sexual health or stop smoking), and 1 in 9 have used ‘walk-in’ surgeries.

Analysis also indicates that there is a positive relationship between service use and

satisfaction: those who have used a service in the last year or so tend to be more

satisfied with that service than those who have not used it. This is a strong pattern that

emerges for all of the services asked about. However, ratings among users of

Leicester’s GP, outpatient and A&E services are a little lower than the national

average, as measured by the DH tracker survey.

Based on responses regarding a need for improvement for particular services, the ease

of registering with an NHS dentist and availability of dentists ‘out of hours’, waiting time

in A&E, GP availability ‘out of hours’ and the cleanliness of hospitals are all priorities for improvement.

In terms of key information sources about NHS services in their local area,

respondents indicate that GPs are the most used source. They are followed by friends

and family, leaflets/posters in GP practices and websites (defined as both NHS and

‘other’ sites). These most used sources are also the most trusted.

Around two-thirds of Leicester residents perceive drugs, drinking and smoking as

major threats to the health of people in their local area. Residents are less

concerned about lack of exercise, wealth or good quality housing. Perceptions about

the severity of these threats vary across the wards and various demographic sub-

groups in Leicester.

Over nine in ten of Leicester residents say they currently participate in one or more

physical activities for at least 30 minutes at a time. The most common activities are

walking, housework and gardening. Just over 8 in 10 of these respondents say they do

this exercise either daily or at least 3 times a week. Those who do not exercise often

say that time, motivation, health constraints and disabilities / injuries are the key

reasons for this. Smoking prevalence is lower in Leicester than the national average

and positively, the majority of those who currently smoke say they would like to stop.

The most common reasons for doing so are worries about the health implications on

themselves and others.



5

Since this is the first comprehensive public satisfaction with health services survey

conducted among local residents of Leicester City, these findings serve as an

important benchmark against which future findings can be compared. It is thus vital to

consider the service areas that show lower satisfaction, and highest need for

improvement ratings, in order that they may be developed and improved. These

include:

Dentists;

Attending A&E;

GP out of hours services; and

Waiting times for services in general – including A&E, hospital consultants, non-

emergency operations and GP appointments.



6

Introduction



7

Introduction

Background & Context

This report presents the findings from a survey conducted by the Ipsos MORI Social

Research Institute on behalf of NHS Leicester City. NB – The questions asked of

residents in this survey often refer to ‘Leicester City PCT’, which became NHS Leicester City on 1st September 2008 (two-thirds of the way into fieldwork for this

survey).

The study set out to assess residents’ usage of and attitudes towards healthcare

services in Leicester. More specifically, this survey examines:

• Satisfaction with healthcare services in Leicester and with NHS services generally;

• Usage of healthcare services in Leicester;

• Usage of and trust in information sources about healthcare in Leicester;

• Health and wellbeing e.g. physical activity, eating well, smoking and drinking; and

• Getting involved in improving local health services in Leicester.

Methodology

Ipsos MORI Social Research Institute carried out 2,305 interviews with residents aged

16+ across Leicester City. Interviews were carried out face-to-face, in home, via

Computer Aided Personal Interviewing (CAPI), between 2nd July and 24th September

2008.

At the analysis stage, data were weighted by ward area, gender, age, ethnicity and

work status to the overall profile of Leicester City using 2001 Census data for ward and

work status and 2006 mid-year estimates for age, gender and ethnicity.



8

Report Layout

Following this introduction section, this report is split into three chapters comprising:

usage of and satisfaction with local healthcare services, communications and

information provision, and health and well being.

Presentation and Interpretation of Quantitative Findings

It should be remembered at all times that a sample and not the entire population of

Leicester City residents has taken part in the survey. Consequently, all results are

subject to sampling tolerances, which means that not all differences are significant. A

guide to statistical reliability is appended.

Where percentages do not sum to 100, this may be due to computer rounding, the

exclusion of ‘don’t know/not stated’ response categories, or multiple answers.

Throughout the volume an asterisk (*) denotes any value of less than half of one

percent, but greater than zero.

In this report (and in the separate volume of computer tables), reference is made to

‘net’ figures. This represents the balance of opinion on attitudinal questions, and

provides a particularly useful means of comparing the results for a number of variables.

In the case of a ‘net satisfaction’ figure, this represents the percentage satisfied on a

particular issue or service, less the percentage dissatisfied. For example, if a service

records 40% satisfied and 25% dissatisfied, the ‘net satisfaction’ figure is +15 points.

Publication of the Data

As part of our standard terms and conditions, the publication of the findings of this

research is subject to the advance approval of Ipsos MORI. Such approval would only

be refused on the grounds of inaccuracy or misrepresentation.

Sample Profile

Please see Appendix C in this report for the demographic profile of Leicester residents

interviewed in this survey.



9

Chapter 1

Satisfaction with health services



10

Chapter 1: Satisfaction with health services General satisfaction with the running of healthcare in Leicester

Around two thirds (67%) of residents are satisfied with “the running of healthcare in

Leicester, nowadays”, while around one in six (17%) is dissatisfied – a net satisfaction

rating of +501.

17%

50%

13%

11%6%

2%

Satisfaction with healthcare in Leicester

Neither/nor

Very satisfiedDon’t know

Fairly dissatisfied

Fairly satisfied

Very dissatisfied

Net Satisfied +50

Q Overall, how satisfied or dissatisfied are you with running of healthcare in Leicester nowadays?

Base: 2,305 residents, fieldwork dates: 2 July – 24 September 2008

The table overleaf shows that these results compare favourably with those of the

Department of Health ‘Public perceptions of the NHS’ Survey (which asked a similar

question of residents in England in March 2007) and found that, at a national level 57%

are satisfied with the running of the NHS nowadays.2 The findings therefore may

1 Net satisfaction scores are derived by subtracting the proportion of residents who say they are ‘Very/ Fairly’ dissatisfied from the proportion who say they are ‘Very/Fairly’ satisfied 2 1,013 interviews conducted among a representative sample of adults, aged 16+, in England. Interviews conducted face-to-face in-home between 3 March – 2 April 2007. Identical question wording.



11

suggest that, compared to the national picture, satisfaction with NHS services within

Leicester is above the national average.

NHS Leicester City 2008 DH March 2007

% % Satisfied 67 57 Dissatisfied 17 26 Net satisfied +50 +31 DH: 1,013 interviews conducted among a representative sample of adults, aged 16+, in England. Interviews conducted face-to-face in-home between 3 March – 2 April 2007

Leicester: 2,305 residents, fieldwork conducted 2 July – 24 September 2008

Subgroup differences

This high level of satisfaction is relatively constant across the different subgroups of the

Leicester population. Groups particularly likely to be satisfied are those in the oldest

age group – aged 65+ (79%) - and those living in Thurncourt (77%) and Beaumont

Leys wards (77%).

Residents most likely to be dissatisfied are:

Women (19%);

Those aged 35-54 (21%);

Residents of Abbey ward (26%);

Residents of Braunstone Park & Rowley Fields ward (29%); and

Residents of Fosse ward (29%)



12

One in three (30%) Leicester residents believe local health services will get better over

the next few years, and a similar (but lower) proportion – 23% – believe they will get

worse. While views are optimistic on balance, most (40%) believe services will remain

about the same.

28%

40%

19%

4%8%

2%

Optimism about the future

Stay about the same

Get much betterDon’t know

Get worse

Get betterGet much worse

Net Better +7

Q Thinking about health services in Leicester City over the next few years do you think they will . . . .?


In comparison to the Department of Health ‘Public perceptions of the NHS’ Survey

(March 2007) residents of Leicester are more optimistic about NHS services than the

national average, with a ‘net better’ rating that is several percentage points higher.


% % Better 30 21 Worse 23 43 Same 40 29 Don’t know 8 6 Net better (better – worse) +7 -22

DH: 1,013 interviews conducted among a representative sample of adults, aged 16+, in England. Interviews conducted face-to-face in-home between 3 March – 2 April 2007




13


The youngest age group (those aged 16-24) are most likely to say health services in

Leicester city will get better over the next few years (36%) as are those who are not

working (32%) and those living in Castle (41%) and Spinney Hills wards (48%).

Groups most likely to say services will get worse are:

Women (25%);

Those aged 35-54 and 55-64 (both 29%);

Those in employment (27%);

Social grades C2 (27%);

White residents (25%); and

Residents of New Parks (37%), Eyres Monsell (35%) and Braunstone Park &

Rowley Fields wards (33%).

Among the 555 people who said services will worsen, a wide variety of reasons were

given as to why they think this will happen. The top ten reasons, given by at least 20

people are shown in the chart below.

Q Why do you think it will get worse?

27%25%

20%14%13%

10%10%9%9%5%

Reasons for pessimism

People from abroad/ foreigners/ asylum seekersLess money

Growing population/ too many peopleToo much money wasted

More bureaucracyAlready getting worse

Staff shortages/ fewer doctors/ nursesLack of organisation/ badly run/ poor management

Longer waiting timesCleanliness/ MRSA

Base: 555 who say Leicester health services will get worse, fieldwork dates: 2 July – 24 September 2008

Top 10 mentions



14

Among those who say health services will get worse in Leicester, there are few sub-

group differences of note in their reasons why they think this will be the case. Older

residents and White residents are most concerned about a potential influx of people

from abroad having a negative effect (39% and 31% respectively – compared to the

average of 27%). Asian residents are most likely to be concerned about potential

impacts of longer waiting times (19%), cleanliness (14%) and staff shortages (17%).

Knowledge about & satisfaction with health service organisations in Leicester

For all local health service organisations in Leicester (except University Hospital), over

half of residents say they either know nothing about or have never heard of them. This

lack of awareness varies between the organisations, however, and Leicester City PCT3

fares comparatively well with 45% saying that they know at least a little about it. Older

residents (aged 55-64 & 65+) and those in the higher social grade (AB) are consistently

most likely to say they know at least a fair amount about each of the five healthcare

services listed in the chart below. Looking specifically at knowledge about Leicester

City PCT, we can see that those in social grade AB (27%) and residents in Evington

(29%), Freeman (29%) and Thurncourt wards (29%) are most likely to know at least a

little about the PCT.

8

4

3

2

2

24

15

13

11

8

29

26

24

22

16

23

27

32

30

26

27%

29%

34%

48%

14%

Knowledge about healthcare services in LeicesterQ How much, if at all, you feel you know about each of the

healthcare services I am going to read out.

University Hospital Leicester

Leicester City Primary Care Trust

% Know just a little% Heard of but know nothing about% Know a great deal % Know a fair amount


% Never heard of

Nuffield Hospital

Leicester City Community Health Service

Leicestershire Partnership Trust



15

Satisfaction with these organisations is high amongst those who say they know at least

a little about them, as shown in the chart overleaf. Over three-quarters (76%) of those

who know at least a little about Leicester City PCT are satisfied with the service that it

provides, and only 6% are dissatisfied. There are no significant sub-group differences

in satisfaction with these services amongst those who are aware of them.

Q How satisfied or dissatisfied you are with the service provided by each of the healthcare organisations I am going read out.

26

12

14

11

21

54

66

62

60

45

11

10

14

18

15

3

2

4

2

2

2

2

2

3

1

3

8

4

6

16

Satisfaction with healthcare services

% Fairly dissatisfied % Very dissatisfied% Neither/nor% Very satisfied % Fairly satisfied% Don't know

Netsatisfied

University Hospital of Leicester




Nuffield Hospital

Base: All who know at least a fair amount about healthcare organisation mentioned, fieldwork dates: 2 July – 24 September 2008

+75

+74

+70

+66

+63

Base

742

307

425

232

355

3 Renamed to NHS Leicester City on 1st September 2008



16

General satisfaction with NHS services

When asked specifically whether the NHS is providing a good service nationally, just

under two-thirds (63%) of Leicester residents agree and just one in five (18%)

disagree. Reiterating a view often found by Ipsos MORI, Leicester residents are more

positive when considering the service provided by their local NHS – almost three-

quarters (71%) agree that their local NHS provides them with a good service, including

one in five (21%) who strongly agree. Just one in seven (14%) disagree. This level of

agreement remains consistent across all demographic subgroups, with the exception of

older residents (aged over 65) who are most likely to agree that their local NHS

provides a good service (86%).

Views on NHS service provision

Don't knowTend to agreeStrongly agree

Tend to disagree Strongly disagreeThe NHS is providing a good service

nationally

15%

48%14%

13%5%

6%

Net Agree +45 Net Agree +57

Neither/nor

My local NHS is providing me with a good service

21%

50%

12%

10%4%

2%

Q And, to what extent, if at all, do you agree or disagree with each of the following statements?


The table overleaf shows that these results compare well with those of the Department

of Health ‘Public perceptions of the NHS’ Survey (which asked the same question of

residents in England in March 2007) and found that, at a national level 63% agreed that

their local NHS services are providing healthcare users with a good service.4 The

findings therefore may suggest that, compared to the national picture, satisfaction with

NHS services within Leicester is above the national average.

4 1,013 interviews conducted among a representative sample of adults, aged 16+, in England. Interviews conducted face-to-face in-home between 3 March – 2 April 2007. Identical question wording.



17


% % Agree 71 63 Disagree 14 19 Net agree +57 +44 DH: 1,013 interviews conducted among a representative sample of adults, aged 16+, in England. Interviews conducted face-to-face in-home between 3 March – 2 April 2007


Our recent report Frontiers of performance in the NHS II5 analyses 2005 Healthcare

Commission patient survey results and finds that the nature of PCTs’ local population

influences patient satisfaction scores. High ethnic fractionalisation6 (diversity), high

deprivation, and being located in the East of England have a negative influence on

patient satisfaction scores. The number of GPs per 100,000 population, residents aged

over 65 and being in the North West, North East or East Midlands all have a positive

influence on patient satisfaction scores.

It is also interesting to look at area performance in the context of levels of deprivation –

in our Frontiers analysis, Ipsos MORI often finds the more deprived a local population

is, the less satisfied with PCT services that population is likely to be. This is shown in

the chart overleaf, and is particularly demonstrated by Evington ward at one end of the

spectrum and Braunstone & Rowley Fields at the other. The chart below also shows

that wards below the ‘line of best fit’ perform below what we would expect, given their

comparatively low levels of deprivation, and the opposite is true for those wards above

this line.

5 http://www.ipsos-mori.com/_assets/reports/frontiers-of-health2.pdf 6 Ethnic fractionalisation of the area is calculated by taking account of the range and proportion of local residents from different ethnic groups. Areas with a high proportion of ethnic minority residents that are predominantly all from the same ethnic group will have a lower fractionalisation score than an area that has a similar proportion of ethnic minorities drawn from a wide range of different groups.



18

R2 = 0.10

50

60

70

80

90

7 17 27 37 47

Perception that local NHS services providing a good service by deprivation

Thurncourt

B’stone & Rowley Fields

Indices of Multiple Deprivation (IMD) 2004

% net agree ‘NHS providing good service locally’

Base: 1,732 Hampshire residents, 17th September – 1st October 2007, IMD 2004, ODPM

Beaumont Leys

Knighton

CharnwoodStoney Gate

FosseWestern Park

Abbey

H’stone & HamiltonEvington

Rushey Mead

Westcotes CastleEyres Monsell

New ParksAylestone

Coleman

Latimer

FreemenBelgrave

Leicester

Spinney Hills

Ward IMD Deprivation Score

% Satisfied with local NHS

Spinney Hills 46.45 62 Braunstone Park and Rowley Fields 46.34 61

Charnwood 45.60 77

Castle 44.83 68

Eyres Monsell 41.53 65

New Parks 41.32 72

Freemen 38.57 75

Abbey 37.82 58

Beaumont Leys 37.81 84

Latimer 37.52 75

Belgrave 37.34 75

Coleman 36.41 71

Westcotes 32.26 69

Stoneygate 30.04 80

Thurncourt 28.54 85

Fosse 27.45 65



19

Aylestone 22.75 73

Humberstone and Hamilton 21.94 79

Rushey Mead 21.57 77

Western Park 20.59 69

Evington 18.77 79

Knighton 11.26 70

Areas for improvement

When those who disagree that their local NHS provides a good service are asked why,

the most common responses are; long waiting times (37%); access to GPs (30%); low

quality of treatment (21%) and not enough choice in the care they receive (13%).

Q Please give up to three reasons why your local NHS does not provide a good service.

37%30%

21%13%

10%10%11%

7%6%5%

Reasons why local NHS is not providing a good service

Long waiting lists/ timesCan’t see my GP within 48 hours

Low quality of services/ treatment/ careNot enough patient choice about care/ treatment

Not enough doctors/ nurses/ understaffedPoor standards of cleanliness/

superbugs/ MRSAOverworked staff

Bureaucracy/ top heavy managementForeigners/ immigrants

Shortage of bedsBase: 327 who say local NHS does not provide good service, fieldwork dates: 2 July – 24 September 2008

Top 10 mentions



20

Satisfaction with specific services

Service usage

GP services are the most widely used NHS service asked about in this survey, used

personally by just over eight in ten residents. Half as many have visited a dentist in the

last year; slightly more than have got advice from a community pharmacist or attended

hospital as an outpatient (39% and 36% respectively).

A quarter have visited A&E (26%) and one in five (20%) has accessed NHS Direct, or

been an inpatient (also 19%). These patterns of usage are roughly in line (albeit a little

higher) than the national average as measured by the DH tracker survey.



21

82%

40%

39%

36%

26%

20%

19%

12%

11%

9%

8%

6%

6%

4%

Q Which of these health services, if any, have you personally used in the last year or so?

Usage of health services in Leicester

Visited a NHS GP in Leicester


Visited a NHS dentist in LeicesterGot advice from a chemist or

community pharmacists

Attended a NHS hospital in Leicester as an outpatient

Attended A&E department in Leicester

NHS DirectBeen an inpatient at a NHS

hospital in Leicester

999

Walk-in surgeries

Preventative services e.g. screening and immunisation

School nurses and Health Visitors

Community nursing services

Advisory services (eg Sexual health, smoking etc)

Mental health services

DH March 2007

67

n/a

n/a

40

25

13

20

n/a

11

n/a

n/a

n/a

n/a

n/a



22


The table overleaf show how usage differs across gender, age and ethnicity groups.

Results significantly different from the total are marked in bold.



23

Health service Total Gender Age Ethnicity

Male Female 16-24 25-34 35-54 55-64 65+ White Black Asian

NHS GP 82 77 87 77 83 83 86 83 82 86 81

NHS Dentist 40 37 43 38 42 47 39 29 39 41 42

Attended an NHS hospital

(outpatient) 36 34 39 30 32 38 42 43 37 37 35

Advice from chemist/ community

pharmacist

39 34 44 35 45 41 41 36 41 32 38

NHS Direct 20 15 24 19 27 23 13 9 21 22 16

Attended A&E department 26 25 27 27 32 27 20 18 27 28 25

Attended an NHS hospital

(inpatient) 19 18 20 15 20 17 24 23 20 17 18

School nurses/ health visitors 8 5 12 12 15 8 2 1 8 19 8

Community nursing 6 5 7 4 6 6 6 9 6 10 6

Mental health 4 3 4 3 3 6 4 * 4 2 2

Walk-in surgeries 11 10 12 12 14 13 8 4 9 14 15

999 12 10 14 13 12 15 10 9 12 15 12

Advisory services 6 5 7 8 8 6 4 2 7 11 4

Preventative services 9 6 13 7 11 11 13 6 9 10 10



24

All residents were asked to rate some of these services, whether they had used them

or not in the last year or so. As indicated in the chart overleaf, GPs and pharmacists

are rated highest, however, it is also important to note that these are also the most

frequently used services. As we often find, and as can be seen in the chart overleaf,

there is a general trend showing a positive relationship between service use and

satisfaction: those who have used a service in the last year or so tend to be more

satisfied with that service than those who have not used it. Rating among users of

Leicester’s GP, outpatient and A&E services are a little lower than the national

average, as measured by the DH tracker survey.



25

n/a

n/a

n/a

80

n/a

n/a

83

-3

-3

-3

-3

75

72

52

47

45

40

39

38

31

30

24

12

13

11

1

5

20

6

3

7

% Dissatisfied

Q From your own experience, or from what you have heard or read, using this card, to what extent are you satisfied or dissatisfied with . . . ?

% Satisfied

Advice you received from a chemist or pharmacist

Satisfaction with health services in Leicester

Leicester NHS GPs

Service you received from a Leicester NHS hospital as an

outpatient

999


inpatient

Leicester Royal Infirmary accident & emergency

NHS Direct

Community nursing services

Advisory services/ clinics

Leicester NHS dentists

Walk-in surgeries

Mental health services


%satisfied(users only)

93

80

70

73

79

84

81

84

63

73

48

87

DH Tracker-

March ’07 (users only)

70

n/a

n/a

n/a

80



26

Priorities for improvement

Residents were also asked to think about the level of improvement needed in their own

local community in a number of key health service areas. The chart below ranks these

in terms of the proportion saying they are in need of “a fair amount” or a “lot of

improvement”. With the exception of ‘Access to healthcare nearer to home’, at least a

fifth of the population feels that some improvement is needed in each of these.

The area where there is the greatest need for improvement in the opinion of residents

is ease of registering with an NHS dentist. Nearly half of residents feel this is in need

of a fair amount or a lot of improvement compared a third (32%) who say who no

improvement, or a little, is needed.

47%39%

38%37%

35%36%

34%32%

26%

22%22%

21%20%20%

15%

23%

Perceived improvements needed

National benchmark*

60-

5955

51

51

-

-

33

-

21

2319

% Improvement needed

Q Based on what you know or have heard about the NHS, can you tell me whether you think the NHS in your own local community is in need of improvement: A lot, A fair amount, A little, None?

Ease of registering local NHS dentist

GP availability outside normal hoursHospital cleanlinessWaiting time to see hospital consultant

Waiting time in A&E

Waiting times for non emergency ops

Mental health care

Quality of care for long term conditions

Time to get a GP appointment

Access to good quality information about living healthier

Quality of nursing care

Quality of medical treatment by GPQuality of medical care in hospital

Dentist availability outside normal hours

Access to healthcare nearer to home

Ease of registering with a GP


-

--

*DH Tracker Spring 2006 – 1,009 adults aged 16+, England

Subgroup differences for the top five priorities for improvement:

Ease of registering for a local NHS dentist – groups most likely to rate this service

as in need of a fair amount or a lot of improvement are those aged 25-34 (51%), 35-54

(52%), social grade AB (51%), and residents of Aylestone (55%), Castle (52%),

Evington (62%), and Freemen wards (65%).



27

Availability of dentist service out of hours – groups most likely to rate this service

as in need of a fair amount or a lot of improvement are women (43%), those aged 35-

54 (46%), and residents of Aylestone (50%) and Fosse wards (53%).

Waiting time in A&E – groups most likely to rate this service as in need of a fair

amount or a lot of improvement are women (41%), those aged 16-24 (46%), Asian

residents (42%) and residents of Belgrave (44%), Charnwood (45%), Eyres Monsell

(60%), Fosse (44%), Rushey Mead (48%), Spinney Hills (49%) and Westcotes wards

(49%).

GP availability outside normal hours – groups most likely to rate this service as in

need of a fair amount or a lot of improvement are those aged 35-54 (41%), Asian

residents (43%), and residents of Rushey Mead (51%) and Spinney Hills wards (50%).

Hospital cleanliness – groups most likely to rate this service as in need of a fair

amount or a lot of improvement are women (40%), those aged 35-54 (39%), those

aged 55-64 (43%), White residents (38%) and residents of Eyres Monsell (59%), Fosse

(55%) and Humberstone & Hamilton wards (45%).

Subgroup analysis in terms of priorities for improvement for the remaining 11 service

areas tested in this survey can be seen in the data tables that accompany this report.



28

Service usage: scenarios

Residents were presented with a series of six different health scenarios and for each

they were asked what they would do in that situation. As can be seen from the chart

overleaf, going to your GP is a common first port of call in most scenarios, with the

exception of a broken arm, where residents are most likely to go to A&E. The ‘999’

emergency service is rarely used (except when chest pains are experienced) and the

scenario where people are most likely to apply treatment to themselves is when flu

symptoms occur.

Significant subgroup differences in reactions to the different scenarios are few and far

between. One exception is that across the six scenarios (except for the broken arm and

chest pain), younger residents, those from higher social grade AB and White residents

tend to be more likely to give help to people themselves or give treatment to

themselves.



29

Q Using this card I’d like you to tell me what, if anything, you would do in that situation

Service usage scenarios

Make an appointment with your GP

Give help/ treatment yourself

Go to A&E department

Phone NHS Direct

Go to a walk-in centre

Phone a friend/ family member

Dial 999

GPs out of hours service

Minor injury unit

0 20 40 60 80

Go to chemist/ community pharmacist

% SCENARIO A: Child’s high fever

% SCENARIO C: Persistent cough

% SCENARIO B: Broken arm

% SCENARIO D: Flu symptoms% SCENARIO E: Chest pains% SCENARIO F: Rash




30



31

Chapter 2

Communications



32

Chapter 2: Communications

Information sources about primary care services

The findings indicate that GPs, followed by friends and family and leaflets or posters in

GP surgeries/hospitals are the top three most mentioned sources used for information

about primary care services in the local area. Beyond these three, the proportion of

respondents who use other sources falls to relatively low levels (8% and below).

Q. From which two or three sources do you get most of your information about primary care services?Q. Which one source would you most trust to find out about healthcare generally?

56%

23%

9%

8%

6%

5%

5%

5%

4%

48%

15%

5%

5%

2%

2%

3%

5%5%

*%

1%

Information sources used to find out about health services

Directly from GP

From friends/ family

Leaflets from GP surgery

NHS websites unspecified

General conversation

From my pharmacy/ chemist

Personal experience

Local press

Internet unspecified

From people who work in the NHSBase: 2,305 residents, fieldwork dates: 2 July – 24 September 2008

Top 10 mentions

% Use% Most trust


Older residents (aged 55-64 and 65+) are most likely to get most of their information

about primary care services from various health organisations and healthcare

professionals, whilst younger residents (aged 16-24 and 25-34) are most likely to resort

to word of mouth, personal experience and the media. Those in higher social grades

are also more likely to say they get most of their information from the media.



33

Most trusted information sources about healthcare

As has been noted, GPs are the most used source of information for finding out about

local health services – and importantly, they are also the most trusted. Indeed, what

stands out in the chart below is that this group, friends and family which are also highly

used, are by far the most trusted information sources.

Q. From which two or three sources do you get most of your information about primary care services?Q. Which one source would you most trust to find out about healthcare generally?

56%

23%

9%

8%

6%

5%

5%

5%

4%

48%

15%

5%

5%

2%

2%

3%

5%5%

*%

1%

Information sources used to find out about health services

Directly from GP

From friends/ family

Leaflets from GP surgery

NHS websites unspecified

General conversation

From my pharmacy/ chemist

Personal experience

Local press

Internet unspecified

From people who work in the NHSBase: 2,305 residents, fieldwork dates: 2 July – 24 September 2008

Top 10 mentions

% Use% Most trust

Consistent with which sources of information are most used, older residents tend to be

more likely to trust health organisations and professionals than their younger

counterparts, however, young people and those in higher social grade (despite using

these sources more) are no more likely to trust information from the media or by word

of mouth.



34

Information from Leicester City healthcare organisations

Just under four in ten (38%) say they have received information from their GP within

the last year; however few say they have received anything from the other Leicester

City healthcare organisations, including Leicester City PCT7 from whom just one in ten

say they have received information in the last year.

38

18

9

7

4

4

Information from Leicester City healthcare organisationsQ Have you received any information from the following Leicester

City healthcare organisations in the last 12 months?

Your local GP

University Hospital of Leicester

% Yes




Nuffield Hospital


7 Re-named to NHS Leicester City on 1st September 2008



35

Looking at satisfaction with these sources of information amongst those who have used

them, we can see that all aspects of the information received are rated highly.

Source of information Aspects of information

Amount Availability Quality Way received

% Satisfied

Local GP (base: 907) 75 76 80 77

University Hospital of Leicester (base: 421) 80 83 83 83

Leicester City Primary Care Trust (base: 233) 85 79 85 85


(base: 167) 83 82 82 85

Leicestershire Partnership Trust (base: 107) 81 84 81 87

Nuffield Hospital (base: 92) 79 83 85 83



36



37

Chapter 3

Health & wellbeing



38

Chapter 3: Health & wellbeing

Threats to health of Leicester residents

Over two-thirds of Leicester residents perceive drugs, drinking and smoking as a ‘big

threat’ to the health of people in their local area (65%, 63% and 62% respectively).

Residents are less concerned about lack of exercise, wealth or good quality housing,

which are seen as a big threat by a third or fewer of residents.

65

63

62

50

39

34

26

21

16

21

23

35

43

46

42

41

12

13

11

12

12

14

25

32

3

6

6

4

7

3

5

7

Threats to health of Leicester residentsQ Can you tell me how big a threat you think the following things

are, if at all, to the health of people in your local area?

Using drugsBinge drinking or drinking

excessive amounts

% Don’t know

% Bigthreat

% Mediumthreat

% Lowthreat

Smoking

Being overweightAn unhealthy or unbalanced

dietNot doing regular exercise

Unemployment or lack of wealth

Poor quality housingBase: 2,305 residents, fieldwork dates: 2 July – 24 September 2008

Sub group differences

The following is a summary of subgroups most likely to see each factor as a ‘big threat’

to the health of people in their local area:

Smoking: those aged 35-54 (65%); those in work (64%); residents of Beaumont

Leys (86%), Belgrave (76%), Evington (78%), Thurncourt (75%) and Weston

Park wards (78%).

Unhealthy diet: those aged 55-64 (47%); social grade AB (45%); residents of

Abbey (53%), Aylestone (49%), Coleman (52%), Knighton (57%), Spinney Hills

(50%) and Westcotes wards (52%).



39

Not doing regular exercise: men (37%); those in employment (39%), residents

of Abbey (48%), Coleman (47%), Knighton (53%), Spinney Hills (50%) and

Westcotes wards (53%).

Being overweight: those in employment (54%), social grade AB (59%),

residents of Abbey (70%), Belgrave (61%), Coleman (65%), Knighton (79%), and

Westcotes wards (66%).

Binge drinking: residents of Abbey (73%), Beaumont Leys (80%), Belgrave

(79%), Knighton (78%), Westcotes wards (77%).

Using drugs: social grade C2 (71%); residents of Beaumont Leys (88%),

Belgrave (78%), and Knighton wards (88%).

Poor quality housing: Black residents (30%); residents with children (24%),

residents of Charnwood (32%), Coleman wards (36%) and Western Park (30%).

Unemployment/lack of wealth: those aged 35-54 (30%), unemployed residents

(37%), social grade DE (30%), residents of Charnwood (47%), Coleman (45%),

and Spinney Hills wards (40%).



40

Physical activity

Over nine in ten (91%) of Leicester residents say they currently participate in one or

more physical activity for at least 30 minutes at a time. The most common activities, as

illustrated by the chart below are walking, housework and gardening. Younger

residents and those in higher social grades are consistently more likely to say they

participate across all physical activities. White residents are most likely to do gardening

(35%) and DIY (17%) and Asian residents are more likely to partake in team sports

such as football and cricket both (12%).



41

76%47%

29%20%

17%16%14%14%12%

9%8%6%5%5%4%3%2%

9%

Q Do you do any of these types (or other similar types) of physical activity nowadays, for at least 30 minutes at a time?

Physical activity

Walking


Heavy housework

Gardening

Swimming

Cycling

Exercises, press-ups, sit-ups, etc

DIY or building

Work out at the gym/ exercise bike/ weight training

Running/jogging

Football rugby

Aerobics/ keep fit/ gymnastics/ dance for fitness

Any other type of dancing

Badminton/tennis

Yoga

Cricket

Martial Arts

Squash

None

Almost half of residents who do at least one form of physical exercise say they do so at

least once a day and a further third do so 3-6 times a week. Only a fifth exercise 1-2

times a week or less often. Those aged 35-54 (52%), the unemployed (57%), and

residents of Abbey (65%), Charnwood (73%), Evington (67%) and Thurncourt wards

(60%) are most likely to say they exercise every day.



42

48%

33%

14%

5%

Frequency of physical activity

3-6 times a week

At least once a day

Don’t know *%Less often

Q And, overall, how often do you undertake physical activity nowadays?

1-2 times a week




43

When those who exercise 1-2 times a week or less were asked why they do not get

more exercise; time, motivation, health constraints and injury / disability are the most

common answers. Encouragingly, lack of facilities or information available are not

common answers.

28%22%

18%15%15%15%

14%8%

7%6%

3%3%

2%1%

Q W hat in your opinion, i f anything, stops you from getting enoughexercise?

Reasons for not getting enough exercise

I don’t have the time

Base:389 who exercise once or less a week, fie ldwork dates: 2 July – 24 Septem ber 2008

I lack motivation

My health is not good enough

I have an injury or disability that stops me

I am not a sporty type

I cannot afford it

I don’t have the tim e because of work comm itm ents/ pressures

There is a lack of facilities locally

I do not enjoy physical activity

Lack of inform ation about what is available

I don’t need to exercise

Safety, e.g. walking and cycling

Local transport m akes it d ifficult to travel to sports facilities

I do not have the confidence to take part in sports activities



44

Eating Fruit & vegetables

Two-thirds of Leicester residents say they eat fruit or vegetables at least once a day

and only one in ten (10%) say they eat such foods 1-2 times a week or less.

65%

23%

8%

2%

Fruit & veg – how often?

3-6 times a week At least once a day

Don’t know *%Less often

Q How often do you eat fresh fruits, dried fruits, vegetables, salads, tinned fruit and vegetables and/or smoothies?

1-2 times a week


Never 1%



45

Just over a quarter of Leicester residents say they eat the recommended five or more

portions of fruit and vegetables a day; over three-quarters eat three or more portions a

day. Women (31%), those aged 65+ (32%) and those in social grade AB (39%) are

most likely to say they eat the recommended 5 portions per day.

7%

15%

28%

20%

27%

2%

*%

Fruit & veg – how many?

One

Base: 2,283 who eat fruits and vegetables, fieldwork dates: 2 July – 24 September 2008

Q And how many portions of fruit and vegetables do you eat per day, if any?

Two

Three

Four

Five+

None

Don’t know



46

Comparative data

Eating 5+ fruit and veg a day in Leicester is a little below the national average as

measured by the DH’s Health Survey for England but is higher than the DH’s Model

Based Estimate for the proportion of the Leicester population who do so given the

area’s demographic characteristics. For more information, please see the weblinks

below.

Portions of fruit/veg per day

Leicester City Residents 2008

(NHS Leicester City/ Ipsos MORI)

Health Survey for England 2006

(The Information Centre)8

DH Model-Based Estimate 2007

(Leicester)9

None/ less than one 2% 9% n/a

One 7% 15% n/a

Two 15% 17% n/a

Three 28% 17% n/a

Four 20% 14% n/a

Five + 27% 30% 23%

NB – The DH Synthetic Estimates are not estimated counts of the number of people or

prevalence eating 5-a-day. They are estimates based on a model and represent the

expected prevalence of eating 5-a-day in Leicester, given the demographic and social

characteristics of the local population.

8 Please see www.ic.nhs.uk/statistics-and-data-collections/healthand-lifestyles-related-surveys/health-survey-for-england for more details 9 Please see www.dh.gov.uk/en/Publicationsandstatistics/Statistics/StatisticalWorkAreas/Statisticalworkareaneighbourhood/DH_4116713 for more details



47

Drinking alcohol

The Leicester population is almost equally split between drinkers and non-drinkers.

Men (60%), those in employment (61%), higher social grades (66%), White residents

(68%) and those without children in their household (57%) are most likely to drink

alcohol.

52%48%

*%

Drinking alcohol

Yes

Don’t know

Q Do you ever drink alcohol nowadays including drinks you brew at home?

No




48

In terms of quantity, just under two-thirds (65%) of Leicester residents say they drink 9

units or less a week, a quarter (27%) drink 10-24 units and less than one in ten (8%)

drink more than 25 units per week. Again, men and the employed tend to drink more.

43%

22%

14%

7%

6%

4%

1%

1%

1%

*%

Drinking alcohol – how much?

Less than five units

Base: 1,226 who drink alcohol, fieldwork dates: 2 July – 24 September 2008

Q Roughly how many units of alcohol do you drink in a week?

5-9 units10-14 units15-19 units20-24 units25-39 units

40-44 units

45-49 unitsOver 50 units

Don’t know



49

Smoking

A quarter of Leicester residents are current smokers, and these residents are most

likely to be aged 35-54 (28%), unemployed (48%), in social grade DE (32%) and White

(32%).

53%22%

24%

*%

Smoking prevalence

I have never smoked

Don’t know

Q Which of these statements, if any, best describes your experience of smoking?

I used to smoke

I am a current smoker




50

Comparative data

Smoking prevalence in Leicester is a little below the national average as measured by

the DH’s Health Survey for England and also lower than the DH’s Model Based

Estimate for the proportion of current smokers in Leicester given the area’s

demographic characteristics. For more information, please see the weblinks below.

Smoking prevalence

Leicester City Residents 2008

(NHS Leicester City/ Ipsos MORI)

Health Survey for England 2006

(The Information Centre)10

DH Model-Based Estimate 2007 (Leicester)11

Never smoked 53% 46% n/a

Used to smoke 22% 25% n/a

Current smoker 24% 29% 30%

NB – The DH Synthetic Estimates are not estimated counts of the number of people or

prevalence of smoking. They are estimates based on a model and represent the

expected prevalence of smoking in Leicester, given the demographic and social

characteristics of the local population.

10 Please see www.ic.nhs.uk/statistics-and-data-collections/healthand-lifestyles-related-surveys/health-survey-for-england for more details 11 Please see www.dh.gov.uk/en/Publicationsandstatistics/Statistics/StatisticalWorkAreas/Statisticalworkareaneighbourhood/DH_4116713 for more details



51

Encouragingly, the majority of those who currently smoke say they would like to stop.

The most common reasons for doing so are worries about the health implications on

themselves and others. Older residents (65%) and those without children (45%) are

most likely to say they do not want to stop smoking.

57%41%

3%

Stopping smoking

Yes

Don’t know

Base: 564 who currently smoke Leicester PCT, fieldwork dates:2 July – 24 September 2008

Q Would you like to stop smoking altogether?

No



52

63%30%

20%17%

10%9%

5%3%2%1%1%

Reasons for wanting to stop smoking

Fear of becoming ill

Base: 311 who want to stop smoking, fieldwork dates: 2 July – 24 September 2008

Q Why do you want to stop smoking?

Having more money to spend on other things

OtherDon’t know

Protect children from smokeWatching a decline in own health

Found out about the health implications of smoking

Anti-social aspectPressure from family and friendsWatching a sick friend or relative

Pregnancy/ birth of a child



53

Most residents say they are confident of being able to stop smoking on their own, whilst

a quarter say they would like to do so with the help of nicotine patches/gum, and fifth

would use a clinic, GP or hypnosis to help them.

42%

24%

22%

21%

21%

1%

4%

Methods of stopping smoking

On my own

Base: 311 who want to stop smoking, fieldwork dates: 2 July – 24 September 2008

Q How would you like to stop smoking?

Other

Don’t know

Hypnosis

Using nicotine patches/gum

Visiting stop smoking clinic

Talking to GP/practice nurse



54



55

Appendices



56

Appendix A: Guide to Statistical Reliability It should be remembered at all times that a sample, and not the entire population of

Leicester, has taken part in the survey. In consequence, all results are subject to

sampling tolerances, which means that not all differences are significant.

We cannot be certain that the figures obtained are exactly those we would have if

everybody had been interviewed (the ‘true’ values), however, we can predict the

variation between the sample results and the ‘true’ values. This is based on a

knowledge of the size of the samples on which the results are based and the number of

times that a particular answer is given. The confidence with which we can 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 table below illustrates the predicted

ranges for different sample sizes and percentage results at the ‘95% confidence

interval’:

Approximate sampling tolerances Size of sample on which applicable to percentages survey result is based at or near these levels

10% or 90% 30% or 70% 50% + + + 100 interviews 6 9 10 200 interviews 4 6 7 500 interviews 3 4 4 800 interviews 2 3 4 1,000 interviews 2 3 3 2,305 interviews 1 2 2

For example, with a sample size of 2,305 where 30% give a particular answer, the

chances are 19 in 20 that the ‘true’ value (which would have been obtained if the whole

population had been interviewed) will fall within the range of +3 percentage points from

the sample result.



57

When results are compared between separate groups within a sample, different results

may be obtained. The difference may be ‘real’, or it may occur by chance (because not

everyone in the population has been interviewed). To test if the difference is a real one

- i.e. if it is ‘statistically significant’, we again have to know the size of the samples, the

percentage giving a certain answer and the degree of confidence chosen. If we

assume ‘95% confidence interval’, the differences between the results of two separate

groups must be greater than the values given in the table below:

Differences required for significance Size of samples compared at or near these percentage levels 10% or 90% 30% or 70% 50% + + + 100 and 100 7 13 14 100 and 200 7 11 12 200 and 200 7 10 11 250 and 400 5 7 8 100 and 400 6 9 10 200 and 400 5 8 9 500 and 500 4 6 6

All results are tested for statistical significance. Please note that statistical reliability

tests work on the basis of a pure random sample. This survey uses quotas to obtain a

sample that is closely representative to the population, so our survey does not use

a completely random sample. Nonetheless good quality quota sampling has been

found to be as accurate.



58

Appendix B: Definition of Social Grades The grades detailed below are the social grade definitions as used by the Institute of Practitioners in Advertising, and are standard on all surveys carried out by Ipsos MORI.

Social Grades

Social Grade Occupation of Chief Income Earner

Percentage of Population

A Upper Middle Grade

Higher managerial, administrative or professional

2.9

B Middle Grade

Intermediate managerial, administrative or professional

18.9

C1 Lower Middle Grade

Supervisor or clerical and junior managerial, administrative or professional

27.0

C2 Skilled Working Grade

Skilled manual workers 22.6

D Working Grade Semi and unskilled manual workers

16.9

E Those at the lowest levels of subsistence

State pensioners, etc, with no other earnings

11.7


55

55

Appendix C: Topline Report NHS LEICESTER CITY RESIDENTS SURVEY 2008

Final Topline Results, 04 December 2008

• Results are based on 2,305 responses

• Data are weighted to ward area, age, sex, working status, and ethnicity

• Fieldwork between 2nd July – 24th September 2008

• Where results do not sum to 100, this may be due to multiple responses, computer rounding or the exclusion of don’t knows/not stated

• Results are based on all respondents unless otherwise stated

• An asterisk (*) represents a value of less than one half or one percent, but not zero

• Base is 2,305 unless otherwise stated

INTERVIEWER CODE MAIN/BOOSTER SAMPLE %

Main 89 Priority Neighbourhood Booster 11

Gender %

Male 49 Female 51

Exact Age %

16-24 23 25-34 19 35-44 18 45-54 14 55-59 4 60-64 5

65+ 17 Refused *

Working Status of Respondent:

%

Working - Full time (30+ hrs) 30 - Part-time (9-29 hrs) 8 Unemployed - seeking work 7

- not seeking work 3 Not working - retired 20

- looking after house/children 14 - disabled 5

Student 13 Other 1

Class %

A 1 B 11

C1 23 C2 20

D 23 E 22

Respondent is: %

Chief Income Earner 63 Not Chief Income Earner 37

QA Which of the groups on this card do

you consider you belong to?

% White 62

- British 58 - Irish 1

- European 3 - Other white background *

Black 5 - Caribbean 2

- African 3 - Somali *

- Other black background * Asian 29

- Indian origin 22 - Pakistani origin 3

- Bangladeshi origin 1 - Other Asian background 3

Mixed 3 - White and Black 1

- White and Black African * - White and Asian 1

- Other Mixed background 1 Chinese *

Other ethnic group 1


56

56

QB How would you describe the composition

of your household? %

Single adult under 65 yrs 10 Single adult over 65 yrs 8

Two adults both under 65 yrs 17 Two adults at least one aged over 65 yrs 10

3+ adults all over 16 yrs 15 1-parent family with children, at least one

under 16 yrs6

1-parent family with children, at least one under 16 yrs and other adults

4

2-parent family with children, at least one under 16 yrs

28

Other * Don’t know 1

QC Are there any children in the

household aged....? %

Aged 0-5 22 Aged 6-9 15

Aged 10-15 18 Aged 16-17 8

No child under 18 57 QD Home Ownership

% Owned outright 28

Buying on mortgage (privately) 28 Buying on a mortgage from 1

Rented from Council 19 Rented from Housing Assoc. 8 Rented from private landlord 15

Other * QE Do you have any long-term illness,

health problem or disability which limits your daily activities or the work you can do?

% Yes 23 No 77

QF Do you provide regular care and

support on a long-term basis to another person who is elderly or ill? By regular care, I mean care and support more than once a week.

% Yes 11 No 89

Don’t know *

QH

Which of the following statements best describes you?

%

Bisexual man 4 Bisexual woman 5

Gay woman * Gay man *

Heterosexual (Straight) man 40 Heterosexual (Straight) woman 46

Other (please specify) - Refused 4

QI Which religion or belief describes

you best? %

Agnostic 3 Atheist 4 Bahai -

Buddhist *Christian 41

Hindu 13Jain *

Jewish - Muslim 13 Pagan *

Sikh 3No Religion 20

Other * Refused 3

QJ I would like to know about your overall

HOUSEHOLD income from all sources in the last 12 months. PROMPT IF NECESSARY: This information is needed to ensure we speak to a variety of different residents in your area and for analysis purposes only.

% Under £5,000 7

£5,000-£9,999 18 £10,000-£19,999 19 £20,000-£29,999 12 £30,000-£49,999 8 £50,000-£69,999 2 £70,000-£99,999 1

£100,000 or more * Nothing *

Don’t know 17 Refused 16


57

57

NHS LEICESTER CITY QUESTIONS

SATISFACTION WITH HEALTH SERVICES

QPCT1. Using this card, please indicate how much, if at all, you feel you know about each of the healthcare services I am going to read out.

Know a

great deal

Know a fair

amount

Know just a little

Heard of but know nothing

about

Never heard

of

Don’t know

% % % % % % Nuffield Hospital 3 13 24 32 29 * Leicester City Community Health

Service 2 11 22 30 34 1

Leicestershire Partnership Trust 2 8 16 26 47 1 University Hospital of Leicester 8 24 29 23 15 1 Leicester City Primary Care Trust 4 15 26 27 27 1

QPCT2. Using this card, please indicate how satisfied or dissatisfied you are with the service

provided by each of the healthcare organisations I am going to read out.

Very satisfied

Fairly satisfied

Neither satisfied nor dissatisfied

Fairly dissatisfied

Very dissatisfied

Don’t know

Base: % % % % % % 355 Nuffield Hospital 21 45 15 2 1 16 307 Leicester City

Community Health Service

12 66 10 2 2 8

232 Leicestershire Partnership Trust

11 60 18 2 3 6

742 University Hospital of Leicester

26 54 11 3 2 3

425 Leicester City Primary Care Trust

14 62 14 4 2 4

QPCT3. Overall, how satisfied or dissatisfied are you with running of healthcare in Leicester nowadays?

% Very satisfied 17 Fairly satisfied 50 Neither satisfied nor dissatisfied 13 Fairly dissatisfied 11 Very dissatisfied 6 Don’t know 2

QPCT4-5. And, to what extent, if at all, do you agree or disagree with each of the following statements?

Strongly agree

Tend to agree

Neither agree nor disagree

Tend to disagree

Strongly disagree

Don’t know

% % % % % % QPCT4. The NHS is providing a good

service nationally15 48 14 13 5 6

QPCT5. My local NHS is providing me with a good service

21 50 12 10 4 2


58

58

QPCT6. Please give up to three reasons why your local NHS does not provide a

good service. Base: 327

%

ACCESS TO TREATMENT/WAITING TIME

Long waiting lists/times 37 Cant see my GP within 48 hours 30 Cant see my dentist within 48 hours 4 CHOICE Not enough patient choice about care/treatment 13 EXTERNAL FACTORS Bird flu - Foreigners/immigrants 6 Flu pandemic - Overstretched/aging population 3 Public health problems smoking, obesity, sexual health,

etc1

Trivial use/abuse 1 MANAGEMENT/ BUREAUCRACY Bureaucracy/top heavy management 7 Political influence/government targets 2 Privatisation * Problems prioritising treatment/patient groups 2 RESOURCES/INVESTMENT Lack of resources/ investment 4 Hospital closures/lack of hospitals/facilities 4 Not enough doctors/nurses/understaffed 10 Poor pay for NHS staff 1 Poor quality staff education/training 5 Overworked staff 11 Shortage of beds 5 Shortage of NHS dentists 4 Staff retention 1 TREATMENT QUALITY/ IMPROVEMENTS Low quality of services/treatment/care 21 Poor quality care of the elderly 4 Poor standards of cleanliness/superbugs/MRSA 10 ACCESS/REGISTRATION PROBLEMS Problems trying to register with a GP 4 Problems trying to register with a dentist 1 Don’t know where to go 1 Accessing healthcare too complicated 2 Poor out-of-hours service 1 Service not flexible enough 3 Other 4 Don’t know 1 No reason 1


59

59

QPCT7. Thinking about health services in Leicester City over the next few years do you think

they will…?

% Get much better 2 Get better 28 Stay about the same 40 Get worse 19 Get much worse 4 Don’t know 8 QPCT8. Why do you think it will get worse?

Base: 555

% Hospital closures / A&E closures/ fewer hospitals 3 Less money 25 Too much money wasted 14 More bureaucracy 13 Growing population / too many people 20 Ageing population / more elderly people 7 People from abroad/ foreigners/ asylum seekers 27 Lack of organisation / badly run / poor management 9 Government policies / initiatives 4 Longer waiting times 9 Cleanliness / MRSA 9 Staff shortages / fewer doctors / nurses 10 Already getting worse 10 Change of Government expected 1 Lack of dentists/NHS dentists 2 Standard of treatment/the way I am treated 6 Less access to services 2 Less privacy & dignity 1 Other 1 Don’t know/ Not stated 6


60

60

QPCT9. I am going to read out a list of things that the NHS does. Using this card, based on what you know or have heard about the NHS, can you tell me whether you think the NHS in your own local community is: just right, in need of a little improvement, in need of a fair amount of improvement or in need of a lot of improvement?

Just right In need of a little

improvement

In need of a fair amount of improvement

In need of a lot of

improvement

Don’t know

% % % % % Quality of medical

treatment by GPs 52 24 12 9 4

Length of time it takes to get an appointment with

a GP

37 28 13 19 4

Hospital waiting lists for non-emergency

operations

12 27 17 17 27

Waiting time before getting an appointment or treatment at hospital

18 32 18 18 15

Time spent waiting in accident and emergency

A&E departments

15 24 17 21 24

Quality of medical care in local hospitals

38 29 14 8 11

Quality of nursing care in local hospitals

38 27 12 8 15

Ease of registering with a local NHS dentist

17 15 14 33 22

Initiatives to help people get or stay healthy, e.g.

quitting smoking or physical activity classes.

30 24 14 10 22

Cleanliness of hospitals and other clinical

facilities

28 29 18 17 8

The availability of GP services outside normal

working hours i.e. evening and weekends

18 24 16 21 22

The quality of care for people with mental

health problems

9 12 13 13 53

The quality of care for people with long term

conditions such as diabetes, heart disease

and stroke

24 23 13 9 31

Ease of registering with a local GP

45 16 10 10 20

The availability of dental services outside normal

hours

11 16 14 25 34

Access to healthcare nearer to me

57 21 10 5 6


61

61

QPCT10. Using this card, which of the health services, if any, have you personally used in

the last year or so?

% A Visited a NHS GP in Leicester 82 B Visited a NHS dentist in Leicester 40 C Attended a NHS hospital in Leicester as

an outpatient36

D Got advice from a chemist or community pharmacist

39

E NHS Direct 20 F Attended accident and emergency A&E

department in Leicester 26

G Been an inpatient at a NHS hospital in Leicester

19

H School Nurses and Health Visitors 8 I Community nursing services 6 J Mental health services 4 K Walk-in surgeries 11 L 999 12 M Advisory services e.g. Sexual health,

smoking etc6

N Preventative services e.g. screening and immunisation

9

Other 1 Don’t know 4

QPCT11. I am now going to ask you about how different parts of the NHS in Leicester are run

nowadays. From your own experience, or from what you have heard or read, using this card, to what extent are you satisfied or dissatisfied with…?

Very satisfied

Fairly satisfied

Neither Fairly dissatisfied

Very dissatisfied

No opinion

% % % % % %

Leicester NHS GPs 36 39 7 7 4 8 Leicester NHS dentists 17 28 11 10 10 23 Service you received from a

Leicester NHS hospital as an outpatient

19 33 13 4 1 30

Advice you received from a chemist or pharmacist

32 40 8 1 * 17

NHS Direct 13 25 15 2 1 44 Leicester Royal Infirmary

accident & emergency17 30 11 8 5 29


inpatient

15 25 14 4 2 40

Community nursing services 11 20 16 2 1 51

Advisory services/ clinics 8 22 16 2 1 51

Mental health services 3 9 15 4 3 64

Walk-in surgeries 5 19 15 2 1 57

999 20 19 10 2 1 47


62

62

INFORMATION SOURCES QPCT12.

From which two or three sources do you get most of your information about primary care services, such as information on opening hours and the range of services available? By primary care services, I mean services in the community like your GP, pharmacies and walk-in centres.

QPCT13.

And from which one source do you get most of your information? Base: All mentioning more than one at QPCT12 and single mentions from QPCT12 2,305

Q12. Q13. FROM HEALTH ORGANISATIONS/INDIVIDUALS

Department of Health 1 *

Directly from my GP 56 48

From my PCT Primary Care Trust 2 *

From another local health organisation 1 1

Leaflets from GP surgery 9 5

NHS Direct 3 1

From my pharmacy/chemist 5 1

From my dentist * *

From community nurses/ health visitors/ midwives 1 *

From community development workers * *

From a patient group representative/ well-known local spokesperson

* *

BY WORD-OF-MOUTH / EXPERIENCE

From friends / family 23 13

From people who work in the NHS 4 2

General conversation 5 2

Personal experience 4 2

MEDIA

Local press 5 2

Local radio 1 *

Local TV 1 *

National press * -

National radio 1 *

National TV 2 1

Internet unspecified 8 5

NHS Choices website specified 2 1

NHS websites unspecified 6 3

Other websites 2 1

OTHER

Independent sources 1 *

Survey / market research * *

Library 1 *

Other 1 1

None of these 3 3

Don’t know 5 5


63

63

QPCT14. Thinking about the different ways in which you hear or see information about the NHS,

have you heard or read anything recently from any of these sources? Just read out the letter or letters that apply.

%

A Leaflets or posters in GP surgeries or hospitals 44

B Friends or relatives who work in the NHS 18

C Friends or relatives who have used NHS services 24

D Medical professionals who work in the NHS 13

E Information sent directly from a local health organisation

4

F National newspapers 17

G Local newspapers 27

H TV or radio 29

I Leaflets delivered to your door 8

J A Pharmacist/Chemist 17

K NHS Direct 9

L NHS Choices website 5

M Other internet sites 9

O Subscription to a local NHS information service *

None of these 12

Other *

Don’t know 5


64

64

QPCT15. Which one source would you most trust to find out about healthcare generally? % Advertisements from private healthcare

companies1

Department of Health 1 From friends / family 15 From my GP 48 From people who work in the NHS 5 General conversation * Independent sources * Leaflets / newsletters from local health

organisations1

Leaflets from GP surgery 5 Local hospital newspaper * Local pharmacy 2 Local press 2 Local radio 1 Local TV 1 National press * National radio * National TV 2 NHS Direct 3 NHS websites 5 Other patients’ opinions * Other websites 3 Personal experience 1 Books * From work/colleagues * Magazines * Medical journals - Libraries * A patient representative/ well-known local

spokesperson*

Other 1 None of these 1 Don’t know 3 QPCT16. Have you received any information from the following Leicester City healthcare

organisations in the last 12 months?

Yes No Don’t know

% % % Nuffield Hospital 4 95 2 Leicester City Community Health Service 7 90 3 Leicestershire Partnership Trust 4 92 4

University Hospital of Leicester 18 80 3 Your local GP 38 61 1

Leicester City Primary Care Trust 9 87 4


65

65

QPCT17. Thinking about information about healthcare in Leicester, to what extent are you satisfied

or dissatisfied with … ? Is that very or fairly satisfied / dissatisfied?

Very

satisfied Fairly

satisfied Neither

Fairly dissat-isfied

Very dissat-isfied

No opinion

% % % % % %

The amount of information 13 36 18 10 4 19

The availability of the information 13 37 17 10 4 19 The quality of information 14 37 19 7 3 20 The way in which you receive the

information 13 36 18 8 3 20

SCENARIOS QPCT 18-23.

I am now going to read out different scenarios, and using this card I’d like you to tell me what, if anything, you would do in that situation. Q18. SCENARIO A Your nursery-school age child, or one you are caring for, has a high fever one weeknight. Q19. SCENARIO B You think you have broken your arm playing sport in the park one weekend. Q20. SCENARIO C You have a persistent cough that has lasted over two weeks. Q21. SCENARIO D You seem to have the symptoms of flu one weekend. Q22. SCENARIO E You feel shooting pains down your left arm and your chest hurts. Q23. SCENARIO F You develop a rash on your legs that hasn’t gone away 3 days later.

Scenario A/Q18

Scenario B/Q19

Scenario C/Q20

Scenario D/Q21

Scenario E/Q22

Scenario F/Q23

% % % % % % Make an appointment with your

GP17 3 71 26 16 71

Go to the chemist or community pharmacist

5 * 16 23 1 17

Phone NHS Direct 31 2 3 4 8 4 Go to an accident and emergency

A&E department18 81 2 1 28 4

Go to a walk-in centre 4 3 1 1 2 2 Dial 999 10 12 * * 50 1 GPs out of hours service 15 1 1 2 2 1 Minor injury unit 1 2 * * * * Phone a friend/ family member 12 3 1 3 3 2 Give help/treatment yourself 19 1 12 48 2 7 Other

1 * * * * *

Nothing 1 * 2 4 * 1 Don’t know 2 1 1 * 1 1


66

66

HEALTH AND WELLBEING QPCT24. Please can you tell me how big a threat you think the following things are, if at all, to the

health of people in your local area? Is that a big threat, medium threat or low threat?

Big

threat Medium threat

Low threat

Don’t know

% % % %

Smoking 62 23 11 4

An unhealthy or unbalanced diet

39 43 12 6

Not doing regular exercise 34 46 14 5 Being overweight 50 35 12 4 Binge drinking or drinking

excessive amounts63 21 13 3

Using drugs 65 16 12 6 Poor quality housing 21 41 32 6 Unemployment or lack of

wealth26 42 25 7

QPCT25. Do you do any of these types or other similar types of physical activity nowadays, for

at least 30 minutes at a time? Just read out the letters that apply.

% A Walking 76 B Heavy housework such as vacuuming,

window cleaning, cleaning the floor, cleaning the bathroom

47

C Gardening 29 D DIY or building work 14 E Swimming 20 F Work out at the gym/ exercise bike/ weight-

training14

G Cycling 16 H Exercises press-ups, sit ups etc. 17 I Running/ jogging 12 J Aerobics/ keep fit/ gymnastics/ dance for

fitness9

K Football/ rugby 10 L Any other type of dancing 6 M Badminton/ tennis 5 N Squash 2 O Cricket 4 P Martial Arts 3 Q Yoga 5 Other * None/Do not undertake physical activity 8 Don’t know/can’t remember *

QPCT26. And, overall, how often do you undertake physical activity nowadays?

Base: 2,081

%

At least once a day 48

3-6 times a week 33

1-2 times a week 14

Less often 5

Don’t know *


67

67

QPCT27. What in your opinion, if anything, stops you from getting enough exercise? Just read

out the letters that apply. Base: All who exercise 1-2 times a week or less 389

0

% A I have an injury or disability that stops me 15 B My health is not good enough 18 C There is a lack of facilities locally 8 D I do not enjoy physical activity 7 E I am not a sporty type 15 F I cannot afford it 15 G Local transport makes it difficult to travel to sports facilities 2 H I don’t need to exercise 3 I I don’t have the time 28 J I don’t have the time because of work commitments/

pressures14

K I lack motivation 22 L I do not have the confidence to take part in sports activities 1 M Lack of information about what is available 6 N Safety, e.g. walking and cycling 3

Other - Nothing in particular 6 Already get enough exercise 5

Don’t know 3

QPCT28. How often do you eat fresh fruits, dried fruits, vegetables, salads, tinned fruit &

vegetables and/ or smoothies? .

%

At least once a day 65

3-6 times a week 23

1-2 times a week 8

Less often 2

Never 1

Don’t know *

QPCT29. And how many portions of fruit and vegetables do you eat per day, if any? Please take a

look at this card which shows what is meant by a portion. Please note that dried fruit and vegetables, smoothies, juice and pulses also count, but only count as one portion of each per day. Potatoes, yams and cassava do not count because they are classified as starchy foods. Base: all who eat fruit & vegetables 2,283

%

1 7

2 15

3 28

4 20

5+ 27

None 2

Don’t know *


68

68

QPCT30. I am now going to ask you a few questions about what you drink – that is if you drink.

Do you ever drink alcohol nowadays including drinks you brew at home?

% Yes 52 No 48 Don’t know *

QPCT31. Thinking about how much you drink if one unit of alcohol is equivalent to one measure

of spirits, or half a pint of ordinary beer or lager, or one glass of wine, or a small bottle or half a can of alcopop. Roughly how many units of alcohol do you drink in a week? Base: All who drink alcohol 1,226

% Less than five units 43 5-9 units 22 10-14 units 14 15-19 units 7 20-24 units 6 25-39 units 4 40-44 units 1 45-49 units * Over 50 units 1 Don’t know 1

QPCT32. Which of these statements, if any, best describes your experience of smoking?

% I have never smoked 53 I used to smoke 22

I am a current smoker 24 Don’t know *

QPCT33. Would you like to stop smoking altogether? SINGLE CODE

Base: All who currently smoke 564

% Yes 57 No 41 Don’t know 3

QPCT34. Why do you want to stop smoking?

Base: All who want to stop smoking 311

% Fear of becoming ill 63 Having more money to spend on other things 29 Anti-social aspect 9 Protect children from my smoke 19 Pregnancy/Birth of a child 2 Watching a sick friend or relative 3 Watching a decline in own health 18 Found out about the health implications of smoking 10 Pressure from family and friends 6 Other 1 Don’t know 1


69

69

QPCT35. How would you like to stop smoking?

Base: All who want to stop smoking 311

% A On my own 42 B Using nicotine patches/gum 24 C Visiting stop smoking clinic 22 D Talking to GP/practice nurse 21 E Hypnosis 21 Other 1 Don’t know 4

QPCT36. Have you seen or heard about any Leicester health service information campaigns in the

last few months?


QPCT37. Would you like to get involved in helping to improve local health services by

participating in activities such as....

Yes No Don’t know % % % Postal surveys 22 77 1 Telephone interviews 11 88 1 Focus groups 10 89 1 Special events e.g. health

roadshows11 87 1

QPCT38. Would you like to know more about local health activities in your area?


QPCT39. How would you like to receive information about local health activities in your area?

Base: All who would like to know more about local health activities 1,004

% By post 85 By email 16 Via surgery 10 Via chemist/pharmacy 7 Other WRITE IN 1 Don’t know/ no opinion *

QPCT40. Would you be willing for Ipsos MORI and/or Leicester City PCT to re-contact you to

take part in further research with the public on local health issues in Leicester?

Yes 42 No 56 Don’t know 2


70

70

nhs leicester city residents survey · nhs leicester city residents survey research among leicester...

Documents