Covid-19: People’s experience of health and social care services

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Summary of report content

Healthwatch Worcestershire surveyed the public to find out about people’s experiences of health and care service during the Covid-19 Pandemic. The Survey was launched on 22nd April 2020 and closed on 23rd July 2020. During this period 2,473 people responded to the Survey

Generally, respondents were not having difficulty finding, understanding and keeping up to date with information about keeping themselves and others safe during the Covid-19 pandemic.    A higher proportion of later respondents to the survey wanted information about looking after mental health and wellbeing, changes to the healthcare services that they usually access and managing existing health conditions than those who responded to the survey when it first came out.

People used mainstream media such as TV, radio and newspapers and online national information sources (e.g. Government and national NHS websites) more frequently than local online information sources.  Over two in five of people with additional communication needs had not been able to find information and advice in the formats or languages needed.

There was a mixed picture in respect of the use of telephone and video appointments by GP and other online health services. When asked whether there were any positive changes to health services during the pandemic, 211 people rated this as the most positive change. However, this also posed challenges to others who, for a variety of reasons, either lacked confidence in or found it difficult to use the telephone, or didn’t have the technology to access online appointments

One in five of respondents said that Covid-19 was having a great deal or a lot of impact on their mental health and emotional wellbeing and over a quarter reported that it was having a moderate impact. Most people told us that they had not needed any support for their mental health and emotional well-being. Of those that did most had received this from their family and friends.

There has been a mixed picture in respect of experience of GP services during the pandemic period. It is positive that of those who had received communication from GPs nearly seven in ten rated it as excellent or good. 707 respondents who had needed to access GP services had found them easy to access. Whilst some praised GP surgeries, particularly for the introduction of telephone and video access, other had problems contacting the practice by phone or were dissatisfied with telephone and video appointments.

Seven in ten of people who had needed to access A&E found it easy to access. However, Healthwatch also heard from people about difficulties accessing planned treatment and outpatients’ appointments, many of which were postponed due to Covid-19. Dental services were unavailable except for emergency treatment for much of the period that the survey was open

The communication most frequently rated excellent or good, by respondents who had received communication about that service, were from Pharmacy, GP and Hospital Accident & Emergency (A&E) / Minor Injuries Unit (MIU). Communication received that was most frequently rated poor or very poor were from Mental Health services, Maternity Services, Planned Hospital Treatments and Therapists.

The services that were easiest to access were: Ambulance services, Pharmacy, Hospital (A&E), GP and NHS online. Services that people had needed but found it difficult to access were: Adult Mental Health, Therapists, Children and Young People Mental Health, Hospital Planned Treatments, NHS 111 (Phone) and Dentist.

Those people who didn’t access services mainly because they did not want to put pressure on the service, they were afraid of infection or their problem was minor.

There were 11 recommendations, mainly about better information that is tailored to the recipient and better communication from services to patients.

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General details

Report title 
Covid-19: People’s experience of health and social care services
Local Healthwatch 
Healthwatch Worcestershire
Date of publication 
Tuesday, 22 September, 2020
Date evidence capture began 
Wednesday, 22 April, 2020
Date evidence capture finished 
Thursday, 23 July, 2020
Type of report 
Report
Key themes 
Access
Booking appointments
Cleanliness hygiene and infection control
Communication between staff and patients
Digitalisation of services
Health inequalities
Information providing
Lifestyle and wellbeing
Quality of care
Service delivery organisation and staffing
Healthwatch reference number 
Rep-7806

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 
Community pharmacy
Dentist (non-hospital)
GP practice
Secondary care services 
Appointments
Counselling/improving access to psychological therapies (IAPT)
Inpatient care
Maternity
Minor injuries unit
Mental health services 
Child and adolescent mental health services (CAMHS)
Community mental health team (CMHT)
Social care services 
Adult social care
Home care / domiciliary care
Nursing care home
Residential care home
Urgent and emergency care services 
Accident & emergency
Ambulance services
NHS 111

Details of people who shared their views

Number of people who shared their views 
2,473
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? 
Yes
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? 
Yes
Does the information contain a response from a provider? 
No
Is there evidence of impact in the report? 
No
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.