Accessibility of Health and Social Care services in Neston

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Summary of report content

Through general engagement carried out by Healthwatch Cheshire West, a number of concerns had been raised about the accessibility of some health and social care services for people living within the CH64 postcode. Of particular concern were issues relating to location and access of community-based services following hospital discharge, and the choice of location for NHS and Social Care Services. It was decided to conduct some further insights by carrying out a survey with local people to gain their views about the accessibility of their local services.  Healthwatch Cheshire West undertook a survey to which it received 120 responses.

We received over 120 responses to our survey, via paper and online.

Key findings

  • Being offered a choice as to where a service could be accessed, but also being aware that a choice could be made, varied across different services. There does not appear to be a consistent approach, even if the service is available elsewhere, and this is not always communicated well.
  • Cross-boundary care issues were mentioned in relation to a number of different services, but primarily related to hospital discharge and community rehabilitation services, i.e. that the community care offered to Wirral residents was not offered to Cheshire West and Chester (CWAC) residents. Also, some respondents were aware of services being available at Wirral locations that were easier for them to access but they were not offered these. This led to confusion as to why some Wirral locations and services were offered and some were not.
  • Although almost half of all respondents felt there was a joined-up approach to their care, comments did regularly refer to communication issues across different services hindering their care due to a lack of awareness of different conditions that a patient may have.
  • Of those who completed the survey, the majority had accessed services by car (either independently or being driven by a friend or relative). However, of those who used public transport or were aware of its limitations, there was criticism of the routes on offer and their regularity. A further exploration of local transport options would be useful, particularly in relation to transport available to the Countess of Chester Hospital.
  • Individual services presented different issues in relations to accessibility. For example, Cardiology care and service was frequently referred to as excellent, and accessibility was seen as easy, though the majority of respondents did access the service by car. Of those who referred into community rehabilitation services this was primarily offered at University of Chester, again, accessed by car.
  • In relation to Maternity Services - there was a mixed response to awareness of choice of service location, although the majority of respondents used their GP Practice for antenatal care and Arrowe Park for the birth of their babies.

Healthwatch Cheshire West intended to share the findings from this survey with commissioners and providers of services.

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General details

Report title 
Accessibility of Health and Social Care services in Neston
Local Healthwatch 
Healthwatch Cheshire West and Chester
Date of publication 
Monday, 11 November, 2019
Date evidence capture began 
Tuesday, 1 January, 2019
Date evidence capture finished 
Sunday, 31 March, 2019
Type of report 
Report
Key themes 
Access
Car parking access
Integration of services
Quality of patient transport
Quality of treatment
Service delivery organisation and staffing
Healthwatch reference number 
Rep-5006

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
Primary research method used 
Survey
How was the information collected? 
Survey
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

Primary care services 
Dentist (non-hospital)
GP practice
Out of hours
Secondary care services 
Cancer services
Cardiology
Ear, nose and throat
Maternity
Neurology
Oncology
Ophthalmology
Orthopaedics
Paediatrics
Phlebotomy
Physiotherapy
Sexual health
Community services 
Community healthcare and nursing services
Urgent and emergency care services 
Accident & emergency

Details about conditions and diseases

What type of pregnancy or maternity themes are included in the report 
New mothers

Details of people who shared their views

Number of people who shared their views 
120
Age group 
All
Gender 
All
Ethnicity 
All
Sexual orientation 
Not known
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
Not known
Does the information include staff's views? 
No
Does the information include other people's views? 
No
What was the main sentiment of the people who shared their views? 
Mixed

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
No
Does the information contain a response from a provider? 
Not applicable
Is there evidence of impact in the report? 
Not known
Is there evidence of impact external to the report? 
Not known

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.