Long Term Plan Cheshire and Merseyside Report

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Summary of report content

This report forms the response from Cheshire and Merseyside to the NHS England Long Term Plan. It is based on 2487 survey responses, consisting of 1928 general surveys and 559 specific condition surveys. There were also 320 attendees across 21 specific focus group events. This meant that Healthwatch were able to capture 2807 pieces of information across Cheshire and Merseyside.

The most important factor for people to ensure they are leading a healthy life is to have access to the help and treatment needed when it is wanted. People also want professionals to listen to them. Other comments centred on access to healthy lifestyles, better local infrastructure, availability of more self-help information to support the prevention of illness and a more joined up approach to appointments and referrals with more community support.

People want easy access to quality GP appointments at times to suit them.

People told us that the ability to stay in their own home for as long as it is safe to do so was the most important factor to helping them stay independent and healthy as they get older. Comments also focused on the need for more information on the community support available, more home visits from professionals and carers, more funding for palliative care and the integration of health and social care services to provide better continuity of care. The need to feel financially secure and the impact of poor public transport links on loneliness and isolation were also emphasised.

Respondents overwhelmingly stated that choosing the right treatment should be a joint decision between the individual and relevant healthcare professional. Other dominant themes covered funding, the benefits of continuity of staffing, good quality service information and timely communication

When interacting with the NHS, most respondents felt that being able to talk to their doctor or health professional wherever they are was most important. Other important factors were considered to be confidence regarding security of personal data, clear communication channels and good access to services including GP appointments. Comments regarding the use of technology were mixed emphasising that a wide choice methods of information provision should be available.

People across Cheshire and Merseyside commented on challenges facing them through their treatment journey and the impact that service change and transformation may have on this, including population increases. A number of people feel frustrated with the system but also reflect upon funding and ongoing issues facing the NHS.

Those with specific conditions on the whole found their experience of getting help in regard to their condition to be positive. People with Cancer were generally the most positive about their experience and waiting times to access assessment and treatment. People with Mental Health conditions tended to report poorer experiences and found waiting times for assessment and support to be very slow. Responses from those with heart and lung conditions or other long-term conditions such as diabetes or arthritis across Cheshire and Merseyside were often mixed with some people finding their experience and waiting times to be good and others finding it to be inadequate. People with all of the conditions we asked about provided mixed responses about whether they would like to prioritise seeing a professional they had seen before even if it meant a longer wait, or seeing any professional appropriate if it meant they were seen quicker for each stage of their care journey.

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General details

Local Healthwatch
Healthwatch Cheshire East
Healthwatch Cheshire West and Chester
Healthwatch Halton
Healthwatch Knowsley
Healthwatch Liverpool
Healthwatch Sefton
Healthwatch St Helens
Healthwatch Warrington
Healthwatch Wirral
Publication date
Date evidence capture began
Date evidence capture finished
Type of report
Report
Key themes
Access to services
Administration (records, letters, results)
Booking appointments
Communication with patients; treatment explanation; verbal advice
Follow-on treatment and continuity of care
Diagnosis
Remote appointments and digital services
Discharge
Public consultation and engagement
Food, nutrition and catering
Written information, guidance and publicity
Lifestyle and wellbeing; wider determinants of health
Integration of services and communication between professionals
Medication, prescriptions and dispensing
Caring, kindness, respect and dignity
Staffing - levels and training
Quality of treatment
Referrals
Waiting times- punctuality and queuing on arrival
Waiting for appointments or treatment; waiting lists for treatment

Methodology and approach

Was the work undertaken in partnership with another organisation?
Yes
Name(s) of the partner organisation(s)
NHS England
Primary research method used
Focus group
Survey

Details of health and care services included in the report

Details of health and care services included in the report
General Practice (GP)
Urgent primary care, including Urgent Treatment Centres, walk-in care, out of hours GP services, minor injury and treatment centres
NHS 111
General outpatients and hospital-based consultants
Oncology and cancer care
Cardiology/heart medicine
Child and Adolescent Mental Health Services (CAMHS) and Targeted Mental Health in Schools Services (TaMHS)
Counselling/Psychotherapy/ Improving Access to Psychological Therapies (IAPT)
Critical care, acute care or High Dependency Unit
Inpatient care/General inpatients
Memory clinic
Ear, nose and throat, audiology and maxillofacial services
Palliative/end of life care
Other
Hospital-based psychiatric care
Respiratory medicine (lung services)
Emergency department (inc A&E)
Community Mental Health Team (CMHT) and specialist MH services
Mental health crisis service
Adult social care, including care packages and social workers
Day care centre (social care)
Home care/domiciliary care including personal assistants and personal budgets
Care home
Respite Care

Details of people who shared their views

Number of people who shared their views
2807
Age group
Not known
Gender
All
Sexual orientation
Not known
Types of disabilities
Learning disability or difficulties
Mental health condition
Long term condition
Physical or mobility impairment
Types of long term conditions
Cancer
Diabetes
Cardiovascular condition (including stroke)
Learning disability
Does this report feature carers?
Yes
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