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Snapshot survey of health leaders on nhs reform
1. Snapshot survey of health
leaders on NHS reform
Survey results
March 2013
2. Background
• The Nuffield Trust conducted a ‘snapshot’ survey of health
leaders to test their views and attitudes towards the
Government’s NHS reforms.
• The survey was sent to health leaders and commentators
spanning Whitehall, Westminster, local government,
academia, the private and independent sectors and the
media. All respondents either attended, or were invited to
attend, the Nuffield Trust’s Health Policy Summit.
• While it is not a comprehensive, representative sample, the
findings provide a useful insight into the views of a selected
group of health leaders.
March 2013
3. Methodology
• The survey asked a range of questions: some to probe
attitudes to the current developments in the English NHS,
while others were more wide-ranging, designed to explore
attitudes to some of the bigger questions facing the NHS.
• The survey was sent to 230 health leaders. 53 people
completed the survey, representing a response rate of 23
per cent. The results are anonymous.
• The online poll was open between 1 February and
22 February 2013.
March 2013
4. Which of the following statements comes closest to reflecting your overall
view of the NHS?
5. In general, do you think the quality of medical care that patients receive from the
NHS over the past three years has improved, got worse or stayed about the same?
6. ‘The NHS is on track to meet the challenge of generating £20 billion of efficiency
savings by 2015’. How far do you agree with this statement?
7. 'The reforms to NHS structures and rules set out in the Health and Social Care Act
2012 are essential to achieving the £20 billion efficiency savings by 2015'. How far
do you agree with this statement?
8. The NHS is heading for a decade of austerity and will need to make efficiency
savings beyond 2015. How far do you agree with this statement?
9. 'Commissioning by Clinical Commissioning Groups will, in two years, result in
higher quality, more efficient health care than commissioning by primary care trusts
today'. How far do you agree with this statement?
10. 'Commissioning by Clinical Commissioning Groups will, in two years, be more
effective than primary care trusts have been in breaking down the barriers between
primary and secondary care'. How far do you agree with this statement?
11. 'There will be more local accountability over commissioning decisions as a result of the
new Clinical Commissioning Groups and local health and wellbeing boards than there
has been for primary care trusts'. How far do you agree with this statement?
12. 'Clinical Commissioning Group boards will be more accountable to the NHS
Commissioning Board than the local populations they serve'. How far do you agree
with this statement?
13. 'Greater competition between providers for NHS patients will increase the sum total
of quality and efficiency of NHS services'. How far do you agree with this statement?
14. 'Competition between Clinical Commissioning Groups for patients should be
explicitly encouraged'. How far do you agree with this statement?
15. 'Developing integrated care should be the NHS' top priority over the next decade'.
How far do you agree with this statement?
16. In general, do you think the quality of care that patients receive from the NHS over
the past three years has improved, got worse or stayed about the same?
17. The NHS Outcomes Framework will be an important driver of better quality care
throughout the NHS in the future. How far do you agree with this statement?
18. In a time of austerity which dimension of quality is most likely to suffer?
19. In a time of austerity in which types of care services will quality of care be most
likely to suffer?
20. Which organisations and groups will be most important for safeguarding the quality
of care over the next decade?
21. 'It is inevitable, in the next three years, that a 'benefits package' of what is and isn't
available on the NHS will have to be defined explicitly'. How far do you agree with
this statement?
22. 'It will become necessary to impose new charges or co-payments on NHS patients
within the next three years'. How far do you agree with this statement?
23. It is realistic to raise taxes to continue to protect NHS funding. How far do you
agree with this statement?
24. The basic rate of income tax is 20 pence in the pound. An additional one pence
would raise £4 billion in 2012/13. If the basic rate of income tax was raised to fund
the NHS, what level of increase do you think the public would accept?
