Wessex AHSN Stakeholder Research report 2016

Academic Health Science Networks -
stakeholder research 2016
Wessex summary report

Survey details
3
This online survey was administered to stakeholders of the
Academic Health Science Networks and covers the same areas as
the first wave in 2015.
As with last year, stakeholders were initially pre-identified and
provided with the opportunity to comment on any of the
following:
• The AHSN which they are identified as having worked with/are
associated with;
• Any other AHSN; and
• The entire AHSN network at a national level.
In addition, individuals who were not pre-identified as
stakeholders were also given the chance to comment on AHSNs of
their choosing via open links disseminated by NHS England, other
stakeholders, and through AHSNs’ own communication channels.
This report contains responses specifically given in relation to
Wessex AHSN. This is based on 116 responses. In the report, the
data is compared against the 2015 results for this AHSN, and also
the total figure for all AHSNs for each specific question.
The survey ran between 17th August and 19th September 2016.

Who took part?
13%
17%
1%
4%
7%
22%
17%
3%
14%
12%
14%
3%
3%
3%
5%
38%
2%
21%
Clinical Commissioning Group (CCG)
(n=14)
Higher Education Institute (n=16)
Local Economic Partnership (LEP) (n=3)
Local government (n=3)
Patients group (n=4)
Private company (n=6)
Health or social care provider (n=44)
Voluntary and Community Sector (VCS)
(n=2)
Other (n=24)
Stakeholder type
2015
2016
S1. Which of the following best describes your organisation?
S2. Which, if any, of the following applies to your organisation....?
S3. Is this response on behalf of your entire organisation or you as an individual?
4
(64%)
Working relationship
59%
(55%)
59%
(58%)
6%
(9%)We see ourselves as a
member /partner of the AHSN
We have worked with the
AHSN in the last 12 months
Neither of the above
Note: All AHSN figures in brackets
28%
(33%)
72%
(67%)
The organisation
As an individual
Answering on behalf of their
organisation or as an individual
Sample source
37%
(65%)
62%
(31%)
Non pre-identified stakeholders
(Open Link)
Pre-identified stakeholder
(Targeted list)

Understanding the results
5
(64%)
A sample of stakeholders were surveyed, rather than the entire population of stakeholders. The percentage results
are subject to sampling tolerances – which vary depending on the size of the sample and the percentage concerned.
Confidence levels say how ‘sure’ we are about the results. That is, at 95% confidence level we have 95% probability
that the results didn’t happen by chance but are similar to what is real for the population. If the survey was rerun 100
times the results in 95 of those surveys would fall very closely to the first run.
For example, for a question where 50% of the stakeholders in a sample of 100 respond with a particular answer, the
chances are 95 in 100 that this result would not vary more than one percentage point, plus or minus, from the result
that would have been obtained from a census of the entire population of stakeholders (using the sample procedure).
However, caution should be taken where the sample is smaller than 100. When comparing an individual AHSN’s
results to the national average, a difference must be of at least a certain size to be statistically significant. The table
below illustrates the percentage difference needed based on example size sizes and percentage, in order to be at the
95% confidence level.
Also please note that sometimes the adding together of two percentages will not equal the net calculation because of
rounding.
Size of sample Approximate sampling tolerances applicable to percentages at
or near these levels (at the 95% confidence level)
90% 70% 50%
100 6% points 9% points 10% points

Summary (1)
7
2015
• Three quarters would recommend working with Wessex AHSN (slide 42). This is
similar (-3 percentage points (pp)) to 2015. Only 9% say they would not recommend
working with the AHSN while a further 17% say they are unsure.
• In 2015, two-thirds (66%) agreed that the AHSN helped them achieve their objectives
over the previous year (slide 40). In 2016, 56% say the same representing a fall of 10
percentage points. This is slightly behind the average for all AHSNs in 2016 (62%).
• 36% of stakeholders state that they have a ‘good’ understanding of Wessex AHSN’s
role (slide 10). A further 43% say that they have a fair understanding while 21%
indicate that they either have little or no understanding. The number who say that
they have a good understanding is 6pp lower than that recorded in 2015.
• 18% state that they have a good understanding of Wessex AHSN’s plans and priorities
with another 43% having a fair understanding (slide 14). When compared to 2015,
the number of those with a good understanding has declined by 17pp while the
number with a fair understanding has remained roughly the same.

Summary (2)
8
2015
• The number of stakeholders who say that they have a good working relationship with
the AHSN (72%) has declined slightly compared to 2015 (82%).
• 59% agree that Wessex AHSN has a clear and visible leadership while a further 15%
said that they neither agree nor disagree. The same portion again state that they
disagree with this sentiment (slide 19). The number of people who agree has fallen by
15pp in the current period.
• Two thirds agree that the AHSN’s priorities are aligned to local priorities (slide 23).
Although this has declined by 8pp since 2015, this still places Wessex AHSN in the
middle tier out of all AHSNs.
• 65% think Wessex AHSN’s work is valuable in terms of ‘quality improvement’ over the
past 12 months. The represents an increase of 12 percentage points compared to
2015. Furthermore, over half now value the AHSN’s work in ‘patient safety’ (54%)
compared to 41% this time last year (slide 29).
• Two thirds consider the ‘quality of support’ provided by Wessex AHSN as ‘good’ (slide
35). This is a slight decline on 2015 data (-2 pp) but still places it in the middle tier out
of all AHSNs.

Understanding the role of the AHSN
9

10
Q. To what extent do you feel you understand the role of the AHSN?
1%
7%
20%
51%
43%
42%
36%
2015 (n=69) 2016 (n=116)
A good
understanding
A fair
understanding
A little
understanding
None at all
46%
37%
14%
4%
2016 Average

11
Q. And thinking about the past 12 months, to what extent has
the role of the AHSN become more or less clear?
Net: more clear = % much more clear + % more clear
Net: less clear = % much less clear + % less clear
61%
30%
9%
2016 Average
56%
38%
6%
2016 (n=116)
Net: More clear No change Net: Less clear
2015 (n=69)
70%
25%
6%

Q. Which AHSN initiatives or programmes are you aware of?
12
iSPACE Dementia
Friendly Practice
Medicines
Optimisation
MISSION ABC
Patient safety
collaboratives

Understanding of AHSN plans and priorities
13

14
Q. To what extent, if at all, do you understand the AHSN's plans and
priorities?
1%
6%
22%
33%
42%
43%
35%
18%
2015 (n=69) 2016 (n=115)
A good understanding
A fair understanding
A little understanding
None at all
26%
42%
25%
7%
2016 Average

Stakeholder relationship with the AHSN
15

16
Q. Overall, how would you rate your working relationship with your
AHSN?
41%
32%
15%
5%3%
2016 Average
1% 3%1%
4%
13%
16%
39%
41%
43%
31%
2015 (n=69) 2016 (n=115)
Very good
Quite good
Neither good nor
poor
Quite poor
Very poor

17
Q. Thinking back over the past 12 months, would you say your working
relationship with the AHSN has got better, worse, or is about the same?
1% 2%
4% 3%
38% 39%
29%
23%
26%
32%
2015 (n=68) 2016 (n=115)
A lot better
A little better
About the same
A little worse
A lot worse
28%
25%
41%
4%2%
2016 Average

19
Q. To what extent do you agree or disagree with the following?
The AHSN has clear and visible leadership
Net agree = % strongly agree + % tend to agree
Net disagree = % strongly disagree + % tend to disagree
68%
15%
11%
7%
2016 Average
59%
15%
15%
10%
2016 (n=110)
Net agree Neither disagree nor agree
Net disagree Don’t know
2015 (n=68)
74%
13%
10%
3%

20
I have confidence in the AHSN to deliver its plans and
priorities
64%
19%
10%
7%
2016 Average
63%
15%
15%
7%
2016 (n=110)
2015 (n=68)
66%
21%
12%
1%

21
AHSN staff are knowledgeable
78%
11%
5%
6%
2016 Average
74%
16%
3%
7%
2016 (n=110)
2015 (n=68)
75%
18%
7%

22
AHSN staff are helpful
% agree that AHSN staff
are helpful
Wessex: 77%
13
13
13
Upper
Lower
Middle
82%
9%
4%5%
2016 Average
77%
13%
4%
6%
2016 (n=110)
2015 (n=68)
85%
10%
4%

23
AHSN priorities are aligned to local priorities
63%
18%
8%
11%
2016 Average
66%
15%
11%
8%
2016 (n=110)
2015 (n=68)
74%
16%
9% 1%

24
Q. To what extent do you agree or disagree that in the last 12 months?
26%
27%
32%
30%
24%
25%
44%
33%
38%
38%
32%
33%
14%
18%
21%
13%
20%
13%
15%
11%
5%
7%
17%
15%
2%
6%
3%
6%
8%
7%
5%
2%
7%
7%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
2015 (n=66)
2016 (n=106)
2015 (n=66)
2016 (n=106)
2015 (n=66)
2016 (n=106)
Strongly agree Tend to agree Neither agree nor disagree
Tend to disagree Strongly disagree Don’t know
You have felt
involved in the AHSN
The AHSN has engaged
with you effectively
when developing its
plans and priorities
The AHSN has listened
to your views
% of those who agree that…..
All: 63%
Wessex: 68%
All: 54%
Wessex: 58%
All: 61%
Wessex: 60%

Attitudes towards AHSN staff
25

26
Common words used to describe Wessex AHSN are excellent, knowledgeable and helpful.
“All my interactions with the AHSN
have been excellent. Staff are
enthusiastic but also realistic and
deliver on time what they promise”
Health or social care provider
“We have had excellent
support from AHSN staff
members”
Private company
“Since becoming my
organisations innovation link
for WAHSN and being very
well supported with several
projects”
CCG
Q. If you have any comments about the AHSN’s staff, leadership and
priorities, please type in below

“Welcoming and open culture - keen
to build bridges and make
connections between multiple
stakeholders”
“Katherine Barbour is innovative and
motivated and supports us to make
change”
“Julia Sinclair is very knowledgeable,
dedicated and helpful, a pleasure to
work with”
CCG Higher Education Local Government
Theme(s) identified within the answers provided by specific stakeholder groups include:
Q. If you have any comments about the AHSN’s staff, leadership and
priorities, please type in below [continued from previous page]
Theme #1: Knowledgeable and helpful Staff
“Have always found them extremely
helpful and supportive.”
“I have personally found the team
in Wessex to be helpful and
supportive in the work I am doing
within the Trust as exec lead on QI.”
“I've worked with 4 AHSNs closely
over the last 12 months, all have
been knowledgeable, without
prejudice and keen to roll out
projects at pace. Wessex AHSN has
been one of these and I think the
last 12 months has seen a
blossoming of relationships and
scale..”

Value associated with the level of support provided
28

Q. The AHSN aims to work with organisations on the following themes.
For each theme, how valuable or not has been the support from the
AHSN in the last 12 months?
Commissioning
support
% of those who think
that that the AHSN has
provided valuable
support on….
29
27%
35%
30%
33%
53%
65%
41%
54%
20%
13%
24%
19%
14%
12%
14%
11%
24%
24%
20%
18%
12%
13%
18%
17%
29%
28%
26%
30%
21%
9%
27%
18%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
2015 (n=66)
2016 (n=106)
2015 (n=66)
2016 (n=106)
2015 (n=66)
2016 (n=106)
2015 (n=66)
2016 (n=106)
Net valuable Net not valuable Not received support Not applicable
Commercial
development
Patient
safety
Quality
improvement
Net valuable = % very valuable + % quite valuable
All: 49%
Wessex:
54%
All: 65%
Wessex:
65%
All: 43%
Wessex:
33%
All: 35%
Wessex:
35%
Wessex 2016: 83%
All 2016: 85%
Wessex 2015: 75%
All 2015: 82%
% of those who think that that the
AHSN has provided valuable
support excluding those
answering ‘not received’ and ‘not
applicable’
Wessex 2016: 84%
All 2016: 88%
Wessex 2015: 80%
All 2015: 78%
Wessex 2016: 64%
All 2016: 77%
Wessex 2015: 56%
All 2015: 68%
Wessex 2016: 73%
All 2016: 76%
Wessex 2015: 58%
All 2015: 63%

Q. The AHSN aims to work with organisations on the following themes.
For each theme, how valuable or not has been the support from the
AHSN in the last 12 months? [continued from previous page]
% of those who think that
that AHSN has provided
valuable support on..
30
44%
47%
67%
67%
65%
62%
14%
18%
17%
13%
12%
13%
14%
21%
9%
13%
12%
17%
29%
14%
8%
7%
11%
8%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
2015 (n=66)
2016 (n=106)
2015 (n=66)
2016 (n=106)
2015 (n=66)
2016 (n=106)
Net valuable Net not valuable Not received support Not applicable
Providing leadership
to the local health
economy
Facilitating
collaboration
Identification,
adoption and spread
of innovation
Net valuable = % very valuable + % quite valuable
All: 70%
Wessex: 67%
All: 68%
Wessex: 62%
All: 51%
Wessex: 47%
% of those who think that that the
AHSN has provided valuable
support excluding those
answering ‘not received’ and ‘not
applicable’
Wessex 2016: 83%
All 2016: 86%
Wessex 2015: 84%
All 2015: 79%
Wessex 2016: 84%
All 2016: 87%
Wessex 2015: 80%
All 2015: 84%
Wessex 2016: 72%
All 2016: 80%
Wessex 2015: 76%
All 2015: 74%

Preferred methods of communication between AHSN and stakeholders
31

32
Q. Which, if any, of the following are or would be your preferred ways
for the AHSN to communicate with you?
75%
70%
47%
47%
20%
19%
10%
82%
74%
57%
66%
25%
11%
18%
Email newsletter
Workshops, consultations or events
One to one meetings
Presentations to peer networks
Telephone
Social media
Printed newsletters
2016 (n=105) 2015 (n=65)

Impressions of AHSN performance & effectiveness
33

34
Q. Overall, how would you rate the AHSN’s…
31%
29%
34%
28%
38%
23%
40%
37%
40%
38%
37%
41%
14%
15%
12%
13%
20%
14%
3%
4%
8%
7%
4%
3%
3%
3%
5%
5%
7%
9%
13%
3%
9%
11%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
2015 (n=65)
2016 (n=104)
2015 (n=65)
2016 (n=104)
2015 (n=65)
2016 (n=104)
Very good Quite good Neither good nor poor Quite poor Very poor Don’t know
Accessibility
Responsiveness
Net good = % very good + % quite good
Quality of
advice
Position indicator:
% of those who rate the AHSN as
very / quite good for…
All: 70%
Wessex: 65%
All: 70%
Wessex: 66%
All: 70%
Wessex: 64%

35
Q. Overall, how would you rate the AHSN’s…
[continued from previous page]
25%
27%
31%
35%
31%
28%
38%
34%
42%
34%
37%
38%
20%
18%
12%
11%
20%
12%
11%
7%
5%
4%
5%
8%
2%
4%
3%
2%
2%
5%
5%
11%
8%
15%
6%
11%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
2015 (n=65)
2016 (n=104)
2015 (n=65)
2016 (n=104)
2015 (n=65)
2016 (n=104)
Very good Quite good Neither good nor poor Quite poor Very poor Don’t know
Quality of
support
Knowledge of
the local
landscape
Net good = % very good + % quite good
Promoting
change in the
local health
economy
Position indicator:
% of those who rate the
AHSN as good for…
All: 64%
Wessex: 61%
All: 74%
Wessex: 68%
All: 69%
Wessex: 65%

36
Q. How effective or ineffective is the AHSN in doing each of the
following? Focusing on the needs of patients and local
populations
Net effective = % very effective + % quite effective
Net ineffective = % quite ineffective + % very ineffective
64%11%
7%
17%
2016 Average
65%
12%
10%
13%
2016 (n=104)
Net effective Neither effective nor ineffective
Net ineffective Not sure
2015 (n=65)
71%
11%
5%
14%

37
following? Building a culture of partnership and
collaboration
71%
10%
9%
10%
2016 Average
70%
10%
11%
10%
2016 (n=104)
2015 (n=65)
75%
15%
5%
5%

38
following? Speeding up adoption of innovation into practice
59%
14%
10%
17%
2016 Average
55%
17%
14%
13%
2016 (n=104)
2015 (n=65)
54%
18%
15%
12%

39
following? Creating wealth
33%
19%10%
38%
2016 Average
24%
23%
10%
43%
2016 (n=104)
2015 (n=65)
28%
23%
11%
38%

40
Q. Thinking about the last 12 months to what extent would you agree or
disagree that the AHSN has helped you / your organisation achieve your
objectives?
28%
34%
18%
8%
8%
4%
2016 Average
3%5%
7%
11%
13%
18%
21%
46%
37%
20% 19%
2015 (n=65) 2016 (n=103)
Strongly agree
Tend to agree
Neither agree nor
disagree
Tend to disagree
Strongly disagree
Don’t know

41
Q. Has the AHSN achieved more or less than you expected in the last 12
months?
Net more than expected = % much more + % somewhat more
13%
26%
31%
9%
6%
16%
2016 Average
6%
15%
8%
9%14%
12%
40%
33%
28%
21%
5%
11%
2015 (n=65) 2016 (n=102)
Much more
Somewhat more
About what was
expected
Somewhat less
Much less
Not sure

42
Q. Would you recommend involvement in /working with the AHSN to
others?
78%
6%
16%
2016 Average
75%
9%
17%
2016 (n=102)
Yes No Not sure
2015 (n=65)
78%
6%
15%

43
“Improving patient safety”
Health or social care provider/Patients group/
Other
“Identifying innovation and best practice”
“Educational support”
Q. To help your organisation meets its objectives over the next 5 years,
what are the most valuable areas of support AHSNs could offer?

44
Health and Social Care
Provider
Q. To help your organisation meets its objectives over the next 5 years,
what are the most valuable areas of support AHSNs could offer?
Patient Groups Other
“improving patient safety”
Theme #1: Improving patient safety
“improving patient safety”
“Improving patient safety and
ensuring equitable experience across
Wessex”
Health and Social Care
Provider
Higher Education Institute Private company
“identifying innovation and
supporting spread across
organisations (standardisation)”
Theme #2: Innovation and best practice
“identifying innovations and best
practice”
“Innovation and commercialisation”
“identifying best practice and
innovations around nutrition”

Wessex AHSN Stakeholder Research report 2016

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