Dan Wellings: Public Confidence in the NHS: where are we now?

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Dan Wellings: Public Confidence in the NHS: where are we now?

  1. 1. Paste co- brand logo here Paste co- brand logo herePublic Confidence in the NHS: where are we now?Dan Wellings, Research Director@danwellings© Ipsos MORI
  2. 2. Issues Facing Britain: Long Term Trends 2 What do you see as the most/other important issues facing Britain today? Economy706050 Unemployment40 Race / immigration3020 NHS Crime/10 Law & Order 0 May May May May May May May May May May May May May May May May 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Base: representative sample of c.1,000 British adults age 18+ each month, interviewed face-to-face in home Source: Ipsos MORI Issues Index
  3. 3. Worth reflecting on what has happened since May 2010 3 What do you see as the most/other important issues facing Britain today? Brown becomes Cameron becomes PM PM80 Blair – “We have underfunded the NHS for years and we are paying the price for it” – BBC NHS day70 General Election –60 “Battle of Hewitt heckled at UNISON Margaret’s conference – fears over NHS shoulder” job cuts5040 Lowest score since30 December 1985 Alan Milburn promises 35,000 more Blair tells doctors “not enough” nurses, 40 new hospitals and20 has been done for the NHS – development of foundation trusts as part allocates extra £20 billion. Report of NHS plan London says waiting lists have doubled Bombs10 under Labour 0 May May May May May May May May May May May May May May May May 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Base: representative sample of c.1,000 British adults age 18+ each month, interviewed face-to-face in home Source: Ipsos MORI Issues Index
  4. 4. Paste co-Satisfaction with the NHS has held up remarkably well, brand logo herewhat impact will Mid Staffs have?Q Overall, how satisfied or dissatisfied are you with the running of the National Health Service nowadays? 80 % Satisfied 70 69 60 Net satisfied 50 52 40 30 Dissatisfied 20 17 10 0Base: Adults aged 16+ in England (c. 1000 per wave) Source: Ipsos MORI/DH Perceptions of the NHS Tracker Net satisfaction scores are calculated by subtracting the proportion of people who are dissatisfied from the proportion of people© Ipsos MORI who are satisfied.
  5. 5. Paste co- It is not only the question but also the context that is important. What else islogo brand here the survey about? Q. Overall, how satisfied are you with the running of the National Health Service nowadays? (Ipsos MORI) Q. How satisfied or dissatisfied would you say you are with the way in which the National Health Service is run nowadays? (BSAS) 100 Ipsos MORI NHS Tracker British Social Attitudes Survey 90 80 70Satisfied (%) 60 50 40 30 20 10 0 Source: Ipsos MORI/The King’s Fund © Ipsos MORI
  6. 6. Paste co- brand logoWhich one is the best measure? Do we disregard satisfaction? here 100 GPPS 90 Public Perceptions of the NHS and Social 80 Care Tracker 70 British Social Attitudes % Satisfied/Good Survey 60 50 88 40 70 30 58 20 10 0 Overall, how would you describe your Overall, how satisfied or dissatisfied are How satisfied or dissatisfied would you experience of your GP surgery? you with the running of the National say you are with the way in which the Health Service nowadays? National Health Service runs nowadays?Base: GPPS: 1,037,946 respondents surveyed between July 2011 and March 2012; Public Perceptions of the NHS and Social Care Tracker: 1,001 respondentsinterviewed between 14th November and 9th December 2011; British Social Attitudes Survey: 3,311 respondents interviewed between 4th July and10th November 2011 Source: Ipsos MORI/The King’s Fund© Ipsos MORI
  7. 7. Paste co- brand logoThis illustrates how important the question is hereQ To what extent, if at all, do you agree or disagree with the following statements? My local NHS is providing% Agree 80 me with a good service 75 70 65 60 The NHS is providing a 50 good service nationally 40 30 20 The government has the 22 10 right policies for the NHS 0Base: Adults aged 16+ in England (c. 1000 per wave) Source: Ipsos MORI/DH Perceptions of the NHS Tracker© Ipsos MORI
  8. 8. Paste co- brand logo hereDo we have different expectations of theNHS?A generational shift Version 1 | Internal Use OnlyBSA 1983-2010© Ipsos MORI
  9. 9. Paste co- brand logo Net satisfaction with the NHS by generation here80%60%40%20% 0% 1983 1984 1986 1987 1989 1990 1991 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010-20%-40% Pre War (born before 1945) Baby Boomers (born 1945-1965) Generation X (born 1966-1979) Generation Y (born 1980 onwards) © Ipsos MORI Data: BSA 1983-2010. Each data point represents >100 respondents
  10. 10. Paste co-So what impact will the changing demographic have on brand logo heresatisfaction? Proportion of UK population from each generational grouping 100% % sample universe from pre war generation 2010: All adults 90% aged over 66 80% 70% 2010: All adults 60% aged between 45 1983: All adults % Baby boomers and 65 50% aged 39 and over 40% 2010: All adults 30% aged between 44 1983: All adults and 31 aged under 39 % Generation x 20% 10% 2010: All adults aged under 31 % Generation Y 0% 83 84 85 86 87 89 90 91 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 Source: Eurostat© Ipsos MORI
  11. 11. Paste co- brand logoIs this about service received or expectations? hereQ Overall, how satisfied or dissatisfied are you with the running of the National Health Service nowadays? % Satisfied North East North WestYorks & Humber South West East Midlands West Midlands London Eastern South EastBase: Adults in England aged 16+, Summer 2012: Ipsos MORI aggregate analysis (22422) Source: Ipsos MORI/DH Perceptions of the NHS Tracker© Ipsos MORI
  12. 12. Paste co- brand logoWho was most to blame for Mid-Staffs? hereAs you may know, a report was published this week into problems at Mid Staffordshire hospital that said this led to between 400and 1,200 more deaths than expected between 2005 and 2009. Who of the following, if any, do you think was most to blame for thepatient care problems at Mid Staffordshire hospital? 0 10 20 30 40 50 60 NHS Managers 52% Government Ministers 16% Health Regulators 11% Nurses 7% Doctors 3% None * Dont Know 9%Base: Adults aged 18+ in Great Britain, 1018 Respondents – Telephone Source: Ipsos MORI Political Monitor, 9th-11th Feb 2013© Ipsos MORI
  13. 13. Paste co- brand logo hereWhat impact does our proximity to the NHS have onour perception of satisfaction?© Ipsos MORI
  14. 14. Paste co- brand logoWhat you see is all there is here“The confidence that individuals have in their beliefs depends mostly on the quality of the story they can tell about what they see, even if they see little. We often fail to allow for the possibility that evidence that Daniel Kahneman should be critical to our Thinking, Fast and judgement is missing – what we Slow see is all there is”© Ipsos MORI
  15. 15. Paste co- brand logoWe really did not know very much about the reforms… hereQ How much do you feel you know about the changes the government is making to the NHS? 73% December 2010 67% December 2011 67% Spring 2012Base: Adults aged 16+ in England (c. 1000 per wave) Source: Ipsos MORI/DH Perceptions of the NHS Tracker© Ipsos MORI
  16. 16. Paste co- brand logo hereOur pride in the NHS is seemingly unwavering…© Ipsos MORI
  17. 17. Paste co- brand logoPride in the NHS is the highest it’s ever been hereQ Please tell me whether on the whole you agree or disagree with each of the following statements: 100 % agree 90 Britain’s National Health Service is one of the best in the world 80 77 70 60 50 40 30Base: Adults aged 16+ in England (c. 1000 per wave) Source: Ipsos MORI/DH Perceptions of the NHS Tracker© Ipsos MORI
  18. 18. Paste co-NHS is the area of public spending that we most want brand logo hereprotected Q. “Which TWO or THREE, if any, of the following main areas of public spending do you think should be protected from any cuts?” Change from June ‘09 The NHS/health care 79 -3 Schools 51 -7 Care for the elderly 51 +5 The Police 39 +4 Social services 21 +6 Benefit payments 10 +2 Local authority services 10 +4 Defence 9 -4 Overseas aid 4 -1 None of these * 0 Dont know 1 0Base: All who think some services should be protected (809) Source: Ipsos MORI/Nuffield Trust© Ipsos MORI
  19. 19. Paste co- brand logoIn the “marrow of our bones” hereWhich two or three of the following, if any, would you say makes you mostproud to be British? % 0 10 20 30 40 50 The NHS 45 The Armed Forces 40 Team GB 38 The Royal Family 36 BBC 16 Nothing 10 British Business 6 Houses of Parliament 6 Marks & Spencer 4 John Lewis 4 Oxfam 3 Womens Institute 2 Tescos 1 Other 6 Dont Know 5Base: 2515 British Adults 16-75, Online Fieldwork conducted between 23rd-27th November 2012 Source: British Future Polling – State of the Nation 2012/3, Ipsos MORI© Ipsos MORI
  20. 20. Paste co- brand logoConclusions and thoughts for the panel here• What impact will Mid Staffs have on perceptions and for how long?• Are patient expectations as high as we think or do we just hear about those that are? • What is the difference between vocal minority and overall views?• How do you get people to expect more?• Does our devotion to the NHS make change more difficult?© Ipsos MORI

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