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NHS at 70: Public attitudes to the health and care system

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NHS Providers, NHS Clinical Commissioners, the Royal College of Physicians and National Voices commissioned Ipsos MORI to carry out a survey with the general public in England about their views towards funding of the NHS, and their priorities when receiving care. The exclusive poll was carried out ahead of a major debate held on the evening of Wednesday 9th May 2018, in central London, to mark the NHS’ 70th anniversary.

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NHS at 70: Public attitudes to the health and care system

  1. 1. 117-096624-01 | NHS Providers Stakeholder Research 2018 | Version 1 | Internal & Client Use © 2016 Ipsos. All rights reserved. Contains Ipsos' Confidential and Proprietary information and may not be disclosed or reproduced without the prior written consent of Ipsos. 1 Ben Page Public attitudes to the health and care system NHS at 70: © 2018 Ipsos. All rights reserved. Contains Ipsos' Confidential and Proprietary information and may not be disclosed or reproduced without the prior written consent of Ipsos. Chief Executive, Ipsos MORI
  2. 2. 2 Rising spontaneous concern about the NHS Base: Adults aged 16+ in England (c. 1000 per wave) Source: Ipsos MORI/Department of Health Perceptions of the NHS Tracker Cameron becomes PM GE 2017Vote for Brexit; May becomes PM 0 10 20 30 40 50 60 70 80 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 May 2013 May 2014 May 2015 May 2016 May 2017 Report says waiting lists have doubled under Labour Lowest score since December 1985 (12%) Highest score since April 2002 (61%) What is the biggest issue facing Britain today?
  3. 3. 3 But 57% say satisfied with NHS (BSA) 0 10 20 30 40 50 60 70 80 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 Very and quite satisfied Neither satisfied nor dissatisfied Quite and very dissatisfied
  4. 4. 4 Public are pessimistic about future of the NHS Thinking about the NHS over the next few years do you expect it to...? GET MUCH BETTER GET BETTER STAY THE SAME GET WORSE GET MUCH WORSE DON’T KNOW 2% 19% 31% 35% 11% 2% 21% 46% Base: 917 English adults 18+, 26th – 29th April 2018 Source: Ipsos MORI telephone survey for NHS Providers
  5. 5. 5 And they are worried about social care I'd now like you to think about your own experience and everything you have seen, heard or read recently. Thinking specifically about social care, do you think the general Base: 1,985 GB adults aged 15+, interviewed between 5th-15th May 2017 Source Ipsos MORI / The Health Foundation standard of social care in the UK: 8% 13% 31% 32% 55% 50% 6% 6% over the last twelve months has been getting … ? over the next twelve months will get … ? Slightly better / Much better About the same Slightly worse / Much worse Don't know
  6. 6. 6 Two thirds support increasing taxes to maintain the NHS Many experts argue that it is becoming more expensive to fund the NHS because of increasing costs of treatments, an ageing population and several other factors. This means that even in order to maintain the current level of care and services provided for Base: 1,985 GB adults aged 15+, interviewed between 5th-15th May 2017 and 1,792 GB adults aged 15+, interviewed between 13th and 23rd March 2015 Source: Ipsos MORI / The Health Foundation free by the NHS, spending on the NHS would have to increase. With that in mind, which, if any, of the following would you most 64% 59% 17% 21% 9% 7% 10% 12% May 2017 March 2015 Increase taxes in order to maintain the level of spending needed to keep the current level of care and services provided by the NHS Reduce spending on other services such as education and welfare in order to maintain the level of spending needed to keep the current level of care and services provided by the NHS Reduce the level of care and services provided by the NHS so that you do not need to increase the current level of taxation and spending on the NHS None like to see?
  7. 7. 7 Priority for public is funding for urgent & emergency care If the Government were to devote more funding to health and care services, which three, if any, of the following do you think it should prioritise in terms of spending? 68% 58% 40% 40% 33% 24% 23% 3% Urgent and emergency care such as A&E and ambulance services Mental health services Community and social care services, such as supporting people with day-to-day needs like washing and dressing Children's services Primary care, including general practice and pharmacy Routine planned surgery, for example hip, knee and cataract operations Public health initiatives to prevent more people from becoming unhealthy and ill None of these Base: 917 English adults 18+, interviewed between 26th – 29th April 2018 Source: Ipsos MORI telephone survey for NHS Providers
  8. 8. 8 38% 21% 12% 11% 8% 5% 4% 1% Receiving the highest quality of care Short waiting times Being listened to Being treated close to my home Ability to choose a date for treatment to fit in with personal circumstances Having a clear choice in my support and treatment Having a clear point of contact And receiving high quality care is important Which of the following, if any, is most important to you when receiving non-emergency care? Base: 917 English adults 18+, interviewed between 26th – 29th April 2018 Source: Ipsos MORI telephone survey for NHS Providers None of these
  9. 9. 9 They are prepared to accept longer waiting times for routine surgery I am going to read out some ways of reducing costs in the NHS. To what extent do you agree or disagree with each of the following? Base: Sept/Oct 2013 1,244 adults aged 15+ living in England, face-to-face Source: Ipsos MORI/FTN 12% 5% 33% 15% 18% 15% 21% 26% 16% 39% * * Strongly agree Tend to agree Neither/nor Tend to disagree Strongly disagree Don't know Allowing the target for waiting times for non-urgent treatment to increase by two weeks from 18 weeks to 20 weeks Allowing the target for waiting times at Accident and Emergency to increase from four hours to five hours but not in A&E?
  10. 10. 10 76% 58% 50% 33% 27% 18% 32% 36% 39% 48% 5% 7% 13% 25% 25% 1% 3% 2% 3% 1% Should be available for free to everybody who needs it Should be available for free only for some people who need it Should not be available for free for anybody who needs it Don't know Liver transplants for alcoholics Drugs which extend life for less than six months for terminally ill eg some cancer treatments Fertility treatment Operations to treat varicose veins Weight loss surgery (for example gastric bands) for obese patients Support for rationing some services The following treatments I will read out are generally available for free on the NHS in the United Kingdom. For each, please state whether you think it should: be available for free to everybody who needs it, be available for free only for some people who need Base: 1033 adults aged 18+ in the UK, 26 – 29 January 2017 Source: Ipsos MORI/BBC News it, or no longer be available for free for anybody who needs it...?
  11. 11. 11 Intersection of what is changing and what is fixed – we don’t yet know how this will play out
  12. 12. 12 But many of the same things still unite us
  13. 13. 13 Britons want to be allowed to feel proud
  14. 14. 14 Traditional British institutions and culture are more resilient than we think
  15. 15. © 2016 Ipsos. All rights reserved. Contains Ipsos' Confidential and Proprietary information and may not be disclosed or reproduced without the prior written consent of Ipsos. 15 Thank you ben.page@ipsos.com

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