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Maintaining pride in the NHS: The challenge for the new Chief Executive

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In April 2014, Simon Stevens, the new Chief Executive of NHS England, took responsibility for this unique institution and, with it, a full inbox of challenges to address if he is to maintain public confidence and pride in the service. So what, according to the public, are the key issues he faces?

Publié dans : Santé, Santé & Médecine
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Maintaining pride in the NHS: The challenge for the new Chief Executive

  1. 1. Version 1 | Public© Ipsos MORI Version 1 | Public Maintaining pride in the NHS: The challenge for the new NHS Chief Exec
  2. 2. Version 1 | Public© Ipsos MORI On 1st April 2014, Simon Stevens became the new Chief Executive of NHS England. What, according to the public, are the key challenges he faces?
  3. 3. Version 1 | Public© Ipsos MORI Net satisfaction scores are calculated by subtracting the proportion of people who are dissatisfied from the proportion of people who are satisfied How would you rate the quality of healthcare that you and your family have access to in…? By healthcare we include doctors, specialist physicians such as surgeons, hospitals, tests for diagnosis and drugs to treat various ailments. Source: Ipsos MORI Global Trends SurveyBase: Adults in 19 countries (15039 overall, 1000 Great Britain) September 2013 Positively, people in Britain rate the quality of their healthcare very highly in comparison to those in other countries… Good Poor 76% 67% 65% 64% 63% 63% 59% 58% 57% 53% 50% 50% 47% 43% 35% 34% 26% 19% 10% 9% 18% 19% 23% 21% 21% 19% 28% 24% 30% 31% 30% 42% 46% 48% 40% 29% 31% 35% 6% 13% 13% 16% 16% 14% 22% 14% 19% 16% 19% 15% 23% 15% 19% 19% 34% 53% 60% 56% Belgium GB US Australia Sweden France S Africa India Canada Argentina Spain Germany Total Japan Turkey S Korea Italy Brazil Poland Russia
  4. 4. Version 1 | Public© Ipsos MORI 0 5 10 15 20 25 30 35 Dec 2008 Mar 2009 Jun 2009 Sep 2009 Dec 2009 Mar 2010 Jun 2010 Sep 2010 Dec 2010 Mar 2011 Jun 2011 Sep 2011 Dec 2011 Mar 2012 Jun 2012 Sep 2012 Dec 2012 Mar 2013 Jun 2013 Sep 2013 Dec 2013 Mar 2014 Base: Adults aged 18+ in Great Britain (c. 1000 per month) Source: Ipsos MORI Issues Index But concern about the NHS has been rising… NHS What do you see as the most/other important issues facing Britain today? %
  5. 5. Version 1 | Public© Ipsos MORI 22% 36% 24% 18% 1% 21% 37% 22% 20% 1% A great deal A fair amount Not very much Nothing at all Don't know 42% 42% Most people remain aware of the issues at Mid Staffs… As you may know, a report was recently published into the problems at Mid Staffordshire hospital trust. The report said that because of poor quality patient care in the hospital, there were between 400 and 1,200 more deaths than expected between 2005 and 2009. Before today, how much had you heard about the problems at Mid Staffordshire? Base: Adults aged 15+ in England: (978) March 2014; (1010) April 2013 Source: Ipsos MORI/Health Services Journal March 2014 April 2013 58% 58%
  6. 6. Version 1 | Public© Ipsos MORI …and the majority still think at least some NHS hospitals have the same problems The report described ‘a tolerance of poor standards’ at Mid Staffordshire. To what extent, if at all, do you think other hospitals in the NHS have these problems? Base: Adults aged 15+ in England: (978) March 2014; (1010) April 2013 Source: Ipsos MORI/Health Services Journal 5% 22% 46% 19% 3% 5%5% 23% 50% 13% 1% 8% 0 10 20 30 40 50 60 70 80 90 100 All hospitals in the NHS have problems like this Most hospitals in the NHS have problems like this Some hospitals in the NHS have problems like this Very few hospitals in the NHS have problems like this No other hospitals in the NHS have problems like this Don’t know March 2014 April 2013% 92% say at least some
  7. 7. Version 1 | Public© Ipsos MORI …and we are particularly worried about the future…
  8. 8. Version 1 | Public© Ipsos MORI 72% 49% 45% 39% 27% 25% 24% 24% 20% 19% 18% 18% 17% 16% 14% 12% 10% 9% 8% 7% 6% 20% 41% 46% 43% 62% 43% 49% 58% 49% 69% 56% 35% 51% 55% 55% 48% 50% 32% 50% 8% 11% 10% 18% 11% 16% 32% 27% 23% 32% 13% 23% 27% 49% 35% 33% 34% 43% 42% 60% 44% Brazil India China Turkey S Korea Argentina S Africa Total Belgium Australia Japan Russia Sweden France US Canada Poland GB Germany Spain Italy Net satisfaction scores are calculated by subtracting the proportion of people who are dissatisfied from the proportion of people who are satisfied Over the coming years, do you expect the quality of healthcare that you and your family will have access to locally will improve, stay the same or get worse? Source: Ipsos MORI Global Trends SurveyBase: Adults in 20 countries (16039 overall, 1000 Great Britain) September 2013 We are more negative than those in other countries about the sustainability of our health services Improve Get worse
  9. 9. Version 1 | Public© Ipsos MORI So why are we worried about sustainability?
  10. 10. Version 1 | Public© Ipsos MORI 0 10 20 30 40 50 60 Lack of resources and investment continues to be seen as the biggest problem facing the NHS Overall, what do you see as the biggest problems facing the NHS? What else? Source: Ipsos MORI/Department of Health Public Perceptions of the NHS and Social Care Tracker Survey Base: Adults aged 16+ in England (1016) November – December 2013, (c. 1000 per wave) Spontaneous mentions over 10% Lack of resources/investment 38% Long waiting lists/times24% Not enough doctors /nurses/understaffed27% Bureaucracy/top heavy management 17% Overworked staff14% Foreigners/immigrants14% %
  11. 11. Version 1 | Public© Ipsos MORI 51% 51% 39% 21% 10% 10% 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 Most people want the NHS protected from spending cuts Which two or three, if any, of the following main areas of public spending do you think should be protected from any cuts? Source: Ipsos MORI/Nuffield TrustBase: Adults aged 18+ in Great Britain who think some services should be protected from spending cuts (809) November 2012 79%
  12. 12. Version 1 | Public© Ipsos MORI …and more are in favour of increasing funding to maintain the current service than limiting services Please give me a number between 1 and 5 to show where your view fits on this scale... Base: Adults aged 15+ in England (1244) September - October 2013 Source: Ipsos MORI/Foundation Trust Network The NHS should be given more funding so that it can continue to provide services in the same way it does at the moment The NHS should provide fewer services or only a set range of vital services so that it stays within the same budget it has at the moment
  13. 13. Version 1 | Public© Ipsos MORI Meanwhile the anxiety around care.data cannot be ignored…
  14. 14. Version 1 | Public© Ipsos MORI Net satisfaction scores are calculated by subtracting the proportion of people who are dissatisfied from the proportion of people who are satisfied To what extent do you agree or disagree: People worry too much about their privacy online - I'm not concerned about what companies or the government know about me. Source: Ipsos MORI Global Trends Survey We are concerned about online privacy, particularly when compared with the rest of the world Agree Disagree 43% 41% 40% 39% 36% 34% 32% 32% 32% 31% 28% 25% 24% 23% 21% 20% 20% 19% 19% 18% 17% 52% 54% 53% 53% 58% 59% 62% 64% 64% 62% 66% 68% 71% 71% 73% 72% 73% 77% 72% 79% 79% India China Brazil Russia Poland Sweden Italy S Korea Turkey Argentina Total U.S. Canada Australia GB Belgium Germany France Japan Spain S Africa Base: Adults in 20 countries (16167 overall, 1000 Great Britain) October 2013
  15. 15. Version 1 | Public© Ipsos MORI To what extent, if at all, do you personally trust the following to use the information they have about you in the right way? % Great deal / Fair amount Base: Adults in Great Britain (1000) October 2013 …though we are more likely to trust public sector healthcare providers than other groups to use our data responsibly 34% 31% 31% 28% 24% 17% 17% 12% 11% 10% Public sector healthcare providers Banks Your national government Supermarkets Private sector healthcare providers Credit card companies Insurance companies Telecommunications companies Social media sites Media companies Foreign governments Source: Ipsos MORI Global Trends Survey 41%
  16. 16. Version 1 | Public© Ipsos MORI …and we are supportive of data being used for medical reasons To what extent do you support or oppose each of the following specific uses of people’s data? Base: Adults aged 16+ in the UK (446) July - November 2013 Source: Ipsos MORI/Department for Business, Innovation and Skills Public Attitudes to Science Survey % Support% Oppose 88 73 70 56 36 18 9 6 11 13 20 43 62 70 Offering discounted mobile phone calls and texts, funded by personalised adverts based on the content of people’s text messages Using data from shop loyalty cards to target products at people who are more likely to want them Combining the data held in multiple government departments and using them to better tailor public services to individuals Using police and crime data to predict and plan for crimes that might take place in the future Websites using people’s online browsing histories to create personalised adverts for products that people are more likely to be interested in Creating a DNA database of cancer patients, in order to help develop more effective treatments for cancer Using data from electronic travel cards (such as Oyster cards) to improve the scheduling of buses or trains for passengers
  17. 17. Version 1 | Public© Ipsos MORI Nevertheless…
  18. 18. Version 1 | Public© Ipsos MORI …the NHS remains the thing that makes people most proud to be British Which two or three of the following, if any, would you say makes you most proud to be British? Base: Adults aged 15+ in England: (978) March 2014; (2515) November 2012 Source: Ipsos MORI 52% 47% 33% 26% 22% 7% 7% 7% 4% 3% 9% 45% 40% 36% 38% 16% 6% 6% 3% 4% 4% 15% March 2014 November 2012 BBC British business Team GB The Royal Family Houses of Parliament The NHS The Armed Forces Oxfam None of these/Don’t know John Lewis Marks & Spencer
  19. 19. Version 1 | Public© Ipsos MORI So, how can Simon Stevens maintain pride and confidence in the NHS given its current challenges? And can he harness the goodwill the public feels towards the NHS to reassure them about its sustainability? ?
  20. 20. Version 1 | Public© Ipsos MORI For more information please contact: Anna Quigley Head of Health Research, Ipsos MORI anna.quigley@ipsos.com +44 (0) 20 7347 3996

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