maintaining pride in the nhs: the challenge for the new chief executive

Version 1 | Public © Ipsos MORI

Version 1 | Public

Maintaining pride in the NHS:

The challenge for the new NHS Chief Exec


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?

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 Survey Base: 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%

BelgiumGBUS

AustraliaSwedenFrance

S AfricaIndia

CanadaArgentina

SpainGermany

TotalJapan

TurkeyS Korea

ItalyBrazil

PolandRussia


0

5

10

15

20

25

30

35

Dec2008

Mar2009

Jun2009

Sep2009

Dec2009

Mar2010

Jun2010

Sep2010

Dec2010

Mar2011

Jun2011

Sep2011

Dec2011

Mar2012

Jun2012

Sep2012

Dec2012

Mar2013

Jun2013

Sep2013

Dec2013

Mar2014

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?

%


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%


…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 inthe NHS haveproblems like

this

Most hospitals inthe NHS haveproblems like

this

Some hospitalsin the NHS have

problems likethis

Very fewhospitals in the

NHS haveproblems like

this

No otherhospitals in the

NHS haveproblems like

this

Don’t know

March 2014 April 2013%

92% say at

least

some


…and we are

particularly worried

about the future…


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%

BrazilIndia

ChinaTurkey

S KoreaArgentina

S AfricaTotal

BelgiumAustralia

JapanRussia

SwedenFrance

USCanadaPoland

GBGermany

SpainItaly

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 Survey Base: 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


So why are we worried about

sustainability?


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/times 24%

Not enough doctors /nurses/understaffed 27%

Bureaucracy/top

heavy management 17%

Overworked staff 14%

Foreigners/immigrants 14%

%


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 Trust Base: Adults aged 18+ in Great Britain who think some services should be protected from spending cuts (809) November 2012

79%


…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


Meanwhile the anxiety

around care.data cannot

be ignored…

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


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%


…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


Nevertheless…


…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


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?

?


For more information please contact:

Anna Quigley

Head of Health Research, Ipsos MORI

[email protected]

+44 (0) 20 7347 3996

mailto:[email protected]

mailto:[email protected]

maintaining pride in the nhs: the challenge for the new chief executive

Healthcare