Long Term Plan County Durham, Darlington, Teesside, Hambleton, Richmondshire and Whitby Report

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Summary of report content

A comprehensive report which was undertaken for the Long Term Plan programme of work to support local implementation within the South Integrated Care Partnership of the North East Integrated Care System. It includes the views of 1313 people from across the region which is covered by seven local Healthwatch, coordinated by Healthwatch Darlington. A wide range of topics and themes have been covered via a general and condition based survey and a number of locally held focus groups. In particular there is reference to how geography can affect access, with transport and the distance that people need to travel being cited as key issues. Additionally the local Healthwatch involved engaged a diverse range of community groups providing insight from BAME groups including Gurkhas as well as asylum seekers highlighting cultural and language differences that can prevent access. Healthwatch Stockton investigated how visual impairment can limit options for accessing health and social care services, Healthwatch Middlesbrough explored the experience of BAME groups in relation to access, assessment, diagnosis and treatment as well as providing useful insight into the experiences of asylum seekers and how their health is affected negatively by fear of what could potentially happen to them if they access services. Healthwatch Redcar and Cleveland spoke to young people and their carers about services that cater for autism, mental health and learning disabilities while Healthwatch County Durham unpicked the challenges faced by people with multiple and/or long term conditions. Healthwatch North Yorkshire described the power of community support and dangers of social isolation while speaking to people about their mental health, with useful insight collected from the local Gurkha community about how language can create barriers to access now and in a digitalised future. Healthwatch Hartlepool employed a holistic approach to ageing healthily, children and young people's health while Healthwatch Darlington covered cultural barriers particularly for BAME women.

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General details

Report title 
Long Term Plan County Durham, Darlington, Teesside, Hambleton, Richmondshire and Whitby Report
Local Healthwatch 
Healthwatch County Durham
Healthwatch Darlington
Healthwatch Hartlepool
Healthwatch Middlesbrough
Healthwatch North Yorkshire
Healthwatch Redcar & Cleveland
Healthwatch Stockton-on-tees
Date of publication 
Sunday, 7 July, 2019
Date evidence capture began 
Friday, 1 March, 2019
Date evidence capture finished 
Friday, 31 May, 2019
Type of report 
Report
Key themes 
Access
Booking appointments
Car parking access
Car parking charges
Communication between staff and patients
Continuity of care
Cost of services
Diagnosis
Digitalisation of services
Discharge
Engagement
Health inequalities
Health promotion
Holistic support
Information providing
Integration of services
Interpreters
Lifestyle and wellbeing
Patient records
Public involvement
Quality of care
Quality of patient transport
Referrals
Service closure
Staff attitudes
Staff training
Waiting times and lists for treatment
Other information of note about this report 
Meaningful Activities
Carers
BME

Methodology and approach

Was the work undertaken at the request of another organisation? 
Yes
What type of organisation requested the work 
Other government body
If this work has been done in partnership, who is the partner? 
National Health Service and Improvement
Primary research method used 
Focus group
Survey
User stories
How was the information collected? 
Survey
If an Enter and View methodology was applied, was the visit announced or unannounced? 
Unannounced

Details of health and care services included in the report

Primary care services 
Community pharmacy
Dentist (non-hospital)
GP practice
NHS 111
Secondary care services 
Appointments
Cancer services
Cardiology
Care of the elderly
Child and adolescent mental health services (CAMHS)
Dementia
End of life care
Oncology
Ophthalmology
Outpatients
Palliative
Physiotherapy
Respiratory medicine
Mental health services 
Child and adolescent mental health services (CAMHS)
Learning disability service
Social care services 
Adult social care
Home care / domiciliary care
Community services 
Community based services for people with a learning disability
Community based services for people with mental health needs
Continuing care
Urgent and emergency care services 
NHS 111
Other services 
Equipment service
Patient transport
Non-emergency ambulance service

Details about conditions and diseases

Conditions or diseases 
Cancer
Cardiovascular conditions
Diabetes and other endocrinal, nutriotional and metabolic conditions
Oral and dental health
Respiratory conditions
Types of disabilities 
Hearing
Learning or understanding or concentrating
Memory
Mental health
Vision impairment
Types of long term conditions 
Alzheimer’s disease or dementia
Asthma or long-term chest problem
Blindness or severe visual impairment
Deafness or severe hearing impairment
Diabetes
Heart disease
Learning disability
Mental health condition

Details of people who shared their views

Number of people who shared their views 
1313
Age group 
All
Gender 
All
Ethnicity 
All
Specific ethnicity if known 
Any other Asian background
Sexual orientation 
Other
Other population characteristics 
People who are geographically isolated
People who misuse drugs
People with limited family or social networks
Refugees or asylum seekers
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
No
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? 
Mixed

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
Yes action has been taken or promised
Is there evidence of impact in the report? 
Yes
Is there evidence of impact external to the report? 
Not known
What type of impact was determined? 
Implied Impact

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.