Over two-thirds of patients in Scotland say recent NHS changes do NOT benefit them

  • Almost half of respondents desire more same-day appointments (49%)
  • Almost two-thirds (61%) would like to see prioritisation systems to help with hospital backlogs
  • Almost one in five (19%) have seen benefits from the addition of more over-the-phone appointments

Recent research has shown a deepening public concern about NHS services, as only 10% of people in Britain believe ministers are tackling the NHS’s many problems in the right way.

With this in mind and following rising waiting times and growing pressure on the NHS from strike action, healthcare management consultancy, Acumentice, surveyed 1,000 UK adults to explore the public’s opinion of the current healthcare system and how it could be improved in the future.²

Over two-thirds (68%) of patients in Scotland do not believe that any recent NHS changes have benefitted them personally. In particular, text availability with doctors for advice appears to have been the least popular initiative in the region, with no respondents acknowledging the benefit.

In contrast, the survey suggests the most impactful NHS offering for Scotland was the addition of more over-the-phone appointments, with almost one in five (19%) professing they have seen the most advantage to their care from this out of all recent NHS changes.

When questioned about which changes Scotland would like to see from the NHS to improve their experience, the most popular suggestions were: the ability to book appointments online and/or in the NHS app (54%), more same-day appointments (49%) and the option to book double appointments for multiple concerns (41%). 

In addition, over 6 in 10 (61%) respondents felt that using prioritisation systems to ensure that patients with the most urgent needs are seen first would help the backlog of patients waiting for hospital treatment. 

Looking at average perception across the whole of the UK, the survey suggests people desire an updated approach to accessing NHS health services to improve service and efficiency, with a remarkable half of respondents (50%) saying that none of the recent changes already made by the NHS has benefitted them.

Respondents from Wales, in particular (68%), found the least benefit from recent initiatives, while Yorkshire and the Humber were the areas least critical of recent changes (38%). 

Nationally, when asked what they would like to see implemented by the NHS to improve experience, the biggest priority across the UK was A&E waiting times, with nearly half of the respondents (47%) looking for shorter waiting times, followed by an increase in same-day appointment availability (46%) and more flexibility when booking future appointments over the phone (44%).

Interestingly, more than one in four (27%) respondents would like to see the introduction of fines and consequences for cancelled or no-show appointments in a bid to improve the availability of bookings.

Stephen Hall, Director of Consulting Services at Acumentice and former Executive Director for Performance and Planning across Kingston Hospital NHS Foundation Trust and Hounslow and Richmond Community Healthcare NHS Trust, commented on the findings: “This research indicates that, despite recent changes to the NHS, people in the UK believe it has not been successful and have little faith in the future.

“They feel that the approach to NHS care has not changed much in the past and that there is a need for more investment in digital innovation and data-driven healthcare.

“The outcome is that there is undoubtedly scope for a serious debate regarding access to data and analytics within the NHS as it undergoes a period of significant change. It’s also hugely important that digital transformation support plays an increasing role in ensuring these programmes deliver the benefits they should.”

You can find the full study here: https://acumentice.com/the-future-of-healthcare-survey-through-the-public-eye/ 

Vaccinations programme makes ‘excellent progress’, says Audit Scotland report

The Covid-19 vaccination programme has made excellent progress in vaccinating a large majority of the adult population in Scotland, according to a new report published today (30 September) by Audit Scotland.

By 17 September, more than 90 per cent of people aged 18 or over had received at least one Covid-19 vaccine. Levels of vaccine wastage have been low, and the programme has helped reduce the number of people getting severely ill and dying.

However, uptake has been lower amongst young people, those in the most deprived areas and those from some ethnic minority backgrounds.

The vaccine rollout has also relied on a temporary staff drawn from across the NHS. This is an expensive model and the Scottish Government recognises that it needs a longer-term solution.

NHS boards and health and social care partnerships currently expect vaccine delivery costs to be around £223 million in 2021/22. But the final cost for this year will depend on clinical advice issued by the Joint Committee on Vaccination and Immunisation, so it could differ substantially from the current estimate.

Stephen Boyle, Auditor General for Scotland, said: “The delivery of the vaccination programme has been a success so far, with good collaboration and new digital tools developed to help the process.

“Early scenario planning by the Scottish Government and NHS boards has allowed them to continue to react quickly to formal UK clinical advice.

“There is now an opportunity for the Scottish Government to use what’s it’s learned to manage the challenges of the next part of the vaccine programme, and the wider delivery of NHS services.”

Front line role for community pharmacies

Community pharmacists are to perform an enhanced role during the Coronavirus (COVID-19) outbreak.

Pharmacists will be able to support more patients, reducing the pressure on other parts of NHS Scotland through the extension of the Minor Ailment Service.

The Scottish Government has also accelerated plans to expand access to Emergency Care Summary (ECS) data, which mainly contains medication information, to pharmacists.

Health Boards have been asked to provide access to this information to pharmacists and pharmacy technicians working in communities.

More than a thousand community pharmacies provide a range of NHS Pharmaceutical Care services on behalf of the NHS in Scotland.

Health Secretary Jeane Freeman said: “The vital work of community pharmacies up and down the country is key in ensuring that we continue to reduce the burden across the NHS, and patients continue to get the necessary medicines they need to stay healthy.

“Many people visit a community pharmacy every day, with these numbers increasing in the current COVID-19 outbreak.

“This makes them the most accessible healthcare professionals on the front line of community health services, and a valuable resource to NHS Scotland.

“Strengthening the role of pharmacists, and easing some of the pressure from frontline NHS services, is therefore an important step in our wide ranging response to the current crisis.”