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

Report title 
Long Term Plan Cheshire and Merseyside Report
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
Date of publication 
Monday, 8 July, 2019
Date evidence capture began 
Monday, 1 April, 2019
Date evidence capture finished 
Friday, 31 May, 2019
Type of report 
Key themes 
Booking appointments
Communication between staff and patients
Continuity of care
Digitalisation of services
Food and nutrition
Health promotion
Holistic support
Information providing
Integration of services
Lifestyle and wellbeing
Patient records
Public involvement
Quality of appointment
Quality of care
Quality of staffing
Quality of treatment
Staff attitudes
Staff levels
Waiting time to be seen once arrived at appointment
Waiting times and lists for treatment
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
What type of organisation requested the work 
Other government body
If this work has been done in partnership, who is the partner? 
NHS England
Primary research method used 
Focus group
How was the information collected? 
Not known

Details of health and care services included in the report

Primary care services 
GP practice
Out of hours
NHS 111
Urgent care services
Secondary care services 
Cancer services
Child and adolescent mental health services (CAMHS)
Counselling/improving access to psychological therapies (IAPT)
Critical care
Day care
Ear, nose and throat
End of life care
General surgery
Psychiatry/mental health (hospital services)
Respiratory medicine
Accident & emergency
Mental health services 
Child and adolescent mental health services (CAMHS)
Community mental health team (CMHT)
Mental health crisis service
Mental health recovery service
Psychiatry / mental health (other services)
Social care services 
Adult social care
Day care (social care services)
Home care / domiciliary care
Nursing care home
Residential care home
Respite care
Urgent and emergency care services 
Accident & emergency
NHS 111
Urgent care services

Details about conditions and diseases

Conditions or diseases 
Ear nose and throat conditions
Types of disabilities 
Learning or understanding or concentrating
Mental health
Stamina or breathing or fatigue
Long term condition
Types of long term conditions 
Cancer in the last 5 years
Heart disease
Learning disability
Mental health condition

Details of people who shared their views

Number of people who shared their views 
Age group 
All people under the age of 18
Sexual orientation 
Not known
Does the information include public's views? 
Does the information include carer's, friend's or relative's views? 
Does the information include staff's views? 
Not known
Does the information include other people's views? 
Not known
What was the main sentiment of the people who shared their views? 

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Does the information contain a response from a provider? 
Is there evidence of impact in the report? 
Is there evidence of impact external to the report? 

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.