Access to Primary Care - a Patient Perspective

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Summary of report content

From October to December 2023 working in collaboration with the North East and North Cumbria Integrated Care Board (NENC ICB) and Sunderland City Council, Healthwatch Sunderland designed and conducted a piece of research involving individuals living in some of the most deprived areas of Sunderland (as identified by the Index of Multiple Deprivation), and those who face greater health inequalities. 

The focus of the work was to discover barriers individuals might face in accessing Primary Care services, and what could be changed or improved to reduce these barriers. To support the findings of the work, Healthwatch also spoke to professionals working and supporting those who live in some of the geographical areas identified as key for the work and/or those with greater health inequalities. This work is a priority for all organisations involved and follows work we carried out in 2022, which reported on patients access to GP services. This report covers the findings from the 250 individuals who took the time to speak to us and the information gained via conversations held with 12 professionals from the NHS and the voluntary and community sector.

The main themes identified in the findings are:

 Access to GP appointments – Most people continue to struggle to access their GP services due to existing booking systems, and/or due to the lack of available or suitable appointments. 

Regular screening and health checks - Most people are happy to attend and would welcome invitations to regular screening and health checkups, however many are not aware that they are now responsible for arranging these themselves.

Community based services - Most people welcome the idea of the introduction of mobile buses, pop up clinics, extended pharmacy services, out of hours appointments, gender specific health clinics and would access them due to their convenience and ease of access. 

Awareness of primary care services - Many people weren't aware of the range of services available to them when seeking health support and advice, including when they are open, where they are located, the differences between them and when best to use them.

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General details

Local Healthwatch
Healthwatch Sunderland
Publication date
Date evidence capture began
Date evidence capture finished
Key themes
Access to services
Booking appointments
Health inequality
Remote appointments and digital services
Service organisation, delivery, change and closure
Triage and admissions
Written information, guidance and publicity

Methodology and approach

Was the work undertaken in partnership with another organisation?
No
Primary research method used
Interviews
If an Enter and View methodology was applied, was the visit announced or unannounced?
N/A

Details of health and care services included in the report

Details of health and care services included in the report
Dentist
Emergency department (inc A&E)
General Practice (GP)
NHS 111
Optometry services/opticians
Screening services and testing
Urgent primary care, including Urgent Treatment Centres, walk-in care, out of hours GP services, minor injury and treatment centres

Details of people who shared their views

Number of people who shared their views
262
Age group
16 to 17 years
18 to 24 years
25 to 49 years
50 to 64 years
65 to 79 years
80+ years
Gender
Women
Men
Ethnicity
Asian / Asian British: Bangladeshi
Asian / Asian British: Indian
Asian / Asian British: Pakistani
Asian / Asian British: Any other Asian / Asian British background
Black / Black British: African
Black / Black British: Caribbean
Black / Black British: Any other Black / Black British background
Mixed / Multiple ethnic groups: Asian and White
Mixed / Multiple ethnic groups: Black African and White
Mixed / Multiple ethnic groups: Black Caribbean and White
Mixed / Multiple ethnic groups: Any other Mixed / Multiple ethnic groups background
White: British / English / Northern Irish / Scottish / Welsh
Seldom heard groups
People on low incomes
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