Survey of people who are housebound or care for the housebound, Devon

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Summary of report content

As part of the national NHS programme Transforming Community Services, the Devon Clinical Commissioning group asked Healthwatch Devon to undertake a survey aimed at housebound people and their carers to gather their feedback about a range of current services provided in the community. A postal and online questionnaire was distributed via the Healthwatch Devon networks for a 6 week period in October - November 2013. The respondents were living with a broad range of health conditions that rendered them housebound, but the most frequently cited were strokes and dementia. The two most commonly used services were identified as Community Therapies (Occupational Therapy, Physiotherapy and Pulmonary Rehabilitation) and Podiatry. When people were then asked which of the services listed are most valuable to them, there was an increase in the relative value attributed to some For Example: Stroke Rehabilitation, Urgent Care and Adult Continuing Care. Issues that cause people difficulty in accessing community services included: specific services not being available in some localities, access via telephone can be difficult for people with hearing impairment, availability of appropriate appointment times and long lead-in times, several people said that they did not know what was available nor how to find out what is available in their area. When asked for suggestions as to what could be improved about the services, the most frequent suggestion was for greater consistency of provision across localities and improving the availability and quality of interventions provided by professional carers. Responses also highlighted positive experiences from specific services; in particular the Complex Care team at Crediton Hospital and the Community Nursing service were mentioned as being excellent. The Clinical Commissioning Group have agreed to keep Healthwatch Devon informed of progress with those future plans so that they can inform participants and other interested members of the public of any impact resulting from their involvement in this survey and of any further opportunities for public involvement.

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General details

Report title 
Survey of people who are housebound or care for the housebound, Devon
Local Healthwatch 
Healthwatch Devon
Date of publication 
Tuesday, 11 February, 2014
Date evidence capture began 
Tuesday, 11 February, 2014
Date evidence capture finished 
Tuesday, 11 February, 2014
Type of report 
Enter and view
Key themes 
Access
Administration
Admission
Booking appointments
Cancellation
Communication between staff and patients
Continuity of care
Diagnosis
Discharge
Engagement
Health and safety
Health inequalities
Health promotion
Health protection
Information providing
Integration of services
Quality of appointment
Quality of care
Quality of patient transport
Referrals
Service delivery organisation and staffing
Staff attitudes
Staff levels
Staff training
Waiting time to be seen once arrived at appointment
Waiting times and lists for treatment
Healthwatch reference number 
Rep-5060

Methodology and approach

Was the work undertaken at the request of another organisation? 
Yes
What type of organisation requested the work 
CCG
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 
Diagnostic and/or screening service - single handed sessional providers
Health visitor
Mobile doctors service
Community services 
Community healthcare and nursing services
Continuing care
Other services 
Patient transport
Non-emergency ambulance service

Details about conditions and diseases

Conditions or diseases 
Blood and immune system conditions
Cancer
Cardiovascular conditions
Chronic fatigue syndrome
Diabetes and other endocrinal, nutriotional and metabolic conditions
Injuries, accidents and wounds
Musculosceletal conditions
Neurological conditions
Respiratory conditions
Types of disabilities 
Mobility
Multiple
Stamina or breathing or fatigue
Long term condition
Types of long term conditions 
Another long-term condition
Cancer in the last 5 years
Heart disease
What type of pregnancy or maternity themes are included in the report 
N/A

Details of people who shared their views

Number of people who shared their views 
21
Age group 
Not known
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Other population characteristics 
People who are geographically isolated
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
Types of health and care professionals engaged 
N/A
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? 
Yes
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.