The public, money, the NHS and the future · May 1997 May 1998 May 1999 May 2000 May 2001 May 2002...

Health Foundation Survey | May 2017 | Version 1 | Public 1

The public, money, the NHS

and the future

[email protected]

Ben Page, Chief Executive, Ipsos MORI

2

Cameron becomes PM GE 2017Vote for Brexit;

May becomes PM

Concern about the NHS has been rising for years

What do you see as the most/other important issues facing Britain today?

0

10

20

30

40

50

60

70

80

May

1997

May

1998

May

1999

May

2000

May

2001

May

2002

May

2003

May

2004

May

2005

May

2006

May

2007

May

2008

May

2009

May

2010

May

2011

May

2012

May

2013

May

2014

May

2015

May

2016

May

2017

Report says waiting lists have

doubled under Labour

Lowest score since

December 1985 (12%%)

Highest score since April 2002

(61%%)

Source: Ipsos MORI Issues IndexBase: representative sample of c.1,000 British adults age 18+ each month, interviewed face-to-face in home

3

Concern unites young and old, and Conservative and Labour

Base: 1,006 British adults 18+, 2 – 11 February 2018

What do you see as the most/other important issues facing Britain today?

Source: Ipsos MORI Issues Index

58%

69%

33%

23%

15%

18%

8%

14%

15%

18%

64%

46%

17%

27%

25%

21%

24%

17%

12%

9%

NHS/Hospitals/Healthcare

Common Market/Brexit/EU/Europe

Immigration/immigrants

Education

Housing

Economy

Poverty/Inequality

Crime/Law and Order/ASB

Ageing population/social care

Defence/foreign affairs/terrorism

Top mentions %

CONSERVATIVE

SUPPORTERS

LABOUR

SUPPORTERS

4

82

76

67

66

57

53

53

51

49

47

44

35

34

21

Country's scenery and…

Country's healthcare…

Country's military/armed…

Country's culture and arts

Country's TV

The BBC

The Monarchy

Country's sports teams

Country's multiculturalism

Country's business

Country's position in the…

Country's system of govt

Country's economy

Country's weather

Below is a list of things that are part of life in the UK/USA/Canada/Australia/New Zealand. To what extent, if at all, do you think each of these is something

that the people of the UK/USA/Canada/Australia/New Zealand should be proud of?

UK: A LOT OF PRIDE IN NHS

% “a great deal” / “a fair amount”

5

81

74

72

67

59

58

58

54

53

53

52

51

43

36

Country's scenery and wildlife

Country's military/armed forces

Country's culture and arts

Country's multiculturalism

Country's business

Country's position in the world

Country's sports teams

Country's economy

PBS

Country's weather

Country's system of govt

Country's TV

The Presidency

Country's healthcare system


Below is a list of things that are part of life in the UK/USA/Canada/Australia/New Zealand. To what extent, if at all, do you think each of these is something

that the people of the UK/USA/Canada/Australia/New Zealand should be proud of?

USA: PRIDE IN THE MILITARY…..


6

Source Ipsos MORI / King’s FundBase: 1151 English adults aged 15+, 4-10 August 2017

Which of the following statements best reflects your thinking about the NHS?

77%

23%

*

The NHS is crucial to

British society and we

must do everything to

maintain it

The NHS was a great

project but we probably

can’t maintain it in its

current form

Don’t know

the NHS and are keen to protect it

Divided on Brexit, the public are united on

7

Source Ipsos MORI / DH / King’s FundBase: c.1,000 English adults aged 15+ per wave

7975

77 78

7375

77 78 77 7674

7773 74

77

1923

20 20

2522 21 20 21 21

2321

2523 23

0

10

20

30

40

50

60

70

80

90

2000

Spring

2001

Winter

2002

Spring

2002

Winter

2003

Spring

2003

Winter

2004

Spring

2004

Winter

2005

Spring

2005

Winter

2006

Spring

2006

Winter

2007

Spring

2007

Winter

2017

Aug

Perc

en

t (%

)

stable so far this century

Views on this have remained remarkably

The NHS is crucial to British society and we must do everything to maintain it

The NHS was a great project but we probably can’t maintain it in its current form

8

Source Ipsos MORI / Health Foundation

12%

15%

21%

25%

66%

60%

*

*

May 2017

March 2015

1 to 5 6 to 8 9 to 10 Don't know

Base: 1,985 GB adults aged 15+ (interviewed between 5th-15th May 2017) and 1,792 GB adults aged 15+ (interviewed between 13th and 23rd March 2015)

Average = 8.6

Average = 8.3

* means less than 0.5%.

Q: On a scale of 1 to 10, where 1 is strongly disagree and 10 is strongly agree, please say how

much you disagree or agree with the following statement? The government should support a

national health system that is tax funded, free at the point of use, and providing

comprehensive care for all citizens.

Most still agree strongly with the founding principles

9 © 2016 Ipsos.

AMONG THE MOST POSITIVE ABOUT CURRENT CARE

KEY:

Good 2016 Poor 2016

Good 2014 Poor 2014

47%

70%

70%

70%

69%

69%

64%

64%

63%

59%

58%

57%

47%

47%

45%

42%

38%

32%

30%

24%

21%

19%

16%

11%

21%

11%

7%

12%

10%

11%

16%

13%

18%

14%

20%

15%

23%

23%

16%

11%

12%

19%

28%

48%

44%

40%

36%

46%

Total

Australia

Belgium

U.S.

India

GB

Canada

Indonesia

S Africa

Germany

Sweden

France

Argentina

Spain

Turkey

S Korea

Japan

China

Italy

Brazil

Mexico

Peru

Russia

Poland

T

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

Base: 18,180 adults across 23 countries, online, 12th Sep – 11th Oct 2016

How would you rate the quality of healthcare that you and your family have access to in your country? By healthcare we include doctors, specialist physicians such as surgeons, hospitals, tests for diagnosis and drugs to treat various ailments.

10 © 2016 Ipsos.

THE MOST NEGATIVE ABOUT THE FUTURE

KEY:

Improve 2016 Get Worse 2016

Improve 2014 Get Worse 2014

29%

71%

60%

51%

47%

42%

40%

39%

39%

27%

26%

24%

23%

23%

22%

21%

20%

20%

18%

14%

12%

10%

10%

8%

23%

9%

6%

4%

8%

22%

13%

13%

25%

11%

18%

20%

28%

13%

32%

38%

29%

29%

32%

24%

38%

41%

38%

47%

Total

Brazil

India

Indonesia

China

Turkey

Peru

Argentina

S Africa

S Korea

Russia

U.S.

Belgium

Japan

Mexico

France

Australia

Sweden

Canada

Poland

Germany

Italy

Spain

GB

T

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23


Over the coming years, do you expect the quality of healthcare that you and your family will have access to locally will improve, stay the same or get worse?

11

There is a real need

to cut spending on

public services in

order to pay off the

very high national

debt we now have…

Q

Base: Half sample 536 UK adults 15+

August 2017

October 2010

April 2010

June 2009

February 2011

Support for cutting public service spending has halved since 2010

12Deloitte – State of the State 2017-18 | FINAL |

Survey on behalf of Deloitte LLP for The State of the State 2017-18

People have different

views about whether

its is more important

to reduce taxes or

keep up government

spending. How about

you? Which of these

statements comes

closest to your own

view?

Support for more spending and tax rises

Base: c,1000 GB adults

Q

April 1997 June 2009

13The British Mood: What's in the government's in tray? | July 2017 | Version 1 | Internal Use Only

9% 36% 51% 4%

The NHS almost never wastes money The NHS generally doesn't waste money

The NHS often wastes money Don't know

Source Ipsos MORI / Health FoundationBase: 1,944 GB adults aged 18+, interviewed between 5th-15th May 2017

Q: Thinking about the NHS as a whole, which of the following statements best reflects your views on the way the NHS

uses money?

the NHS often wastes money

Although around half of the public think

14Document Name Here | Month 2016 | Version 1 | Public | Internal Use Only | Confidential | Strictly Confidential (DELETE CLASSIFICATION)

3%

25%

26%

29%

33%

35%

36%

37%

47%

55%

57%

58%

60%

71%

77%

-11%

21%

20%

18%

17%

20%

26%

27%

46%

46%

48%

45%

69%

64%

69%

Road maintenance

Trust in LC

Pavement maintenance

Responsiveness to residents' concerns

Information on services and benefits

Provision of value for money

Services and support for older people

Services and support for children and young people

Sport and leisure services

Street cleaning

Library services

Management

Safety outside local area after dark

Waste collection

Local area/place to live

Jun-17

Satisfaction with many services falling back…

LGA, August 2017Source; LGA tracker – Net satisfaction shown

15

How do we prioritise?

16Health Foundation Survey | May 2017 | Version 1 | Public

23

28

31

73

67

67

4

4

2

2008

2011

% Don't

know% The availability of NHS treatments and services should be based on local needrather than a ‘one size fits all’ approach across the country

% Treatments and services should only be available on the NHS if they are available to everyone and not dependent on where you live

Thinking about the treatments and services that are available on the NHS, which of these

statements most closely matches your opinion?

2017

Base 2017 1151 English adults aged 15+, 4-10 August 2017

Base 2011: 993 English adults aged 18+, 18-24 February 2011

Base 2008: 988 English adults aged 18+ 3-8 November 2008

Source Ipsos MORI / King’s Fund

Source: Ipsos MORI / Nuffield Trust

Source: Ipsos MORI / Social Market Foundation

Public think treatments & services should be available to all

EVERYWHERE

17

The NHS is a stronger brand

than government

18

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

While satisfaction with NHS services are high, government

The government has the right policies for the NHS

The NHS is providing a good service nationally

My local NHS is providing me with a good service78

60

24

Base: Adults aged 16+ in England (c. 1000 per wave) Source: Ipsos MORI/Department of Health Perceptions of the NHS Tracker

Agree

policies are viewed less well

19

The public want to be consulted

on change

20

20%

54%

20%

5%

29%

56%

14%

1%

Decisions about which NHS treatments and services are available should be made solely by qualified health

professionals and not the general public

The public should be consulted on decisions shaping which NHS treatments and services should be available

but the final decisions should be made by qualified health professionals

The general public should be much more actively involved in shaping which NHS treatments and services are

available, e.g. deciding local priorities and allocating budgets

Don't know

And thinking of how decisions about treatments and services should be made, which of these statements most closely matches your opinion?

Base 2017 1151 English adults ages 15+, 4-10 August 2017

Base 2008: 988 English adults aged 18+ November 2008


Source: Ipsos MORI / Social Market Foundation

2017 2008

The public think they should be consulted on the NHS…but

21

The public trust health

professionals more so than NHS

managers or politicians


Nurses and doctors are the most trusted professions

93%

91%

88%

81%

80%

71%

69%

68%

67%

65%

56%

52%

49%

48%

48%

46%

43%

43%

37%

33%

30%

24%

20%

15%

Nurses

Doctors

Teachers

Judges

Scientists

The Police

Clergy/priests

Hairdressers

Television news readers

The ordinary man/woman in the street

Civil Servants

Lawyers

Pollsters

Managers in the NHS

Economists

Charity chief executives

Trade union officials

Local councillors

Bankers

Business leaders

Estate agents

Journalists

Government Ministers

Politicians generally

“Now I will read you a list of different types of people. For each would you tell me if you generally trust them to tell

the truth, or not?”

% trust to tell the truth

Base: 1,019 British adults aged 15+, fieldwork 14th October – 1st November 2016


Government ministers and politicians least trusted

33%

30%

24%

20%

15%

Business leaders

Estate agents

Journalists

Government Ministers

Politicians generally

% trust to tell the truth:

Base: 1,019 British adults aged 15+, fieldwork 14th October – 1st November 2016

2015 score:

35%

25%

25%

22%

21%

24

What about our data??

© Ipsos 25

TECHNOLOGY AND HEALTH……

26

Seven core principles to guide technology companies as they

work with the NHS…

Transparency

Solve the right problems

Create measureable impact

Safety and security

Work towards social good

Collaboration

Be open about project lifecycles and be clear about how data is being used

Prioritise data security – ensure highest level accountability

Start from what the NHS needs – not what looks good

Collaborate with NHS staff and patients

In terms of care for individual patients as well as NHS staff and

systems as a whole

Reduce health inequalities and create progressive outcomes for

healthcare

27 © 2016 Ipsos.

DEFERENCE IS DYING THANKS TO THE WEB

KEY:

Agree 2016 Disagree 2016


61%

79%

79%

76%

75%

75%

74%

72%

72%

66%

66%

65%

65%

62%

60%

59%

55%

49%

47%

47%

44%

43%

42%

34%

33%

19%

18%

23%

16%

17%

22%

24%

23%

30%

32%

29%

30%

35%

35%

36%

40%

32%

46%

49%

50%

49%

54%

60%

Total

India

Indonesia

S Africa

China

Russia

U.S.

Canada

GB

Australia

Turkey

Brazil

Poland

Peru

Sweden

Mexico

Germany

Japan

Argentina

S Korea

Belgium

France

Italy

Spain

T

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

I always try and find out information on healthcare by myself, rather than just relying on what my doctor tells me


28 © 2016 Ipsos.

WANT MORE CONTROL

KEY:



77%

92%

89%

87%

86%

86%

85%

85%

84%

84%

79%

79%

76%

76%

75%

75%

72%

71%

68%

68%

66%

65%

63%

62%

15%

6%

9%

6%

11%

12%

9%

12%

8%

14%

14%

17%

14%

15%

16%

15%

22%

19%

22%

20%

16%

22%

25%

25%

Total

Indonesia

Mexico

Russia

India

Peru

Poland

S Africa

China

Turkey

Brazil

S Korea

Spain

U.S.

Argentina

Canada

Italy

Australia

Germany

GB

Japan

France

Sweden

Belgium

T

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

I would like more control over decisions about my health


29 © 2016 Ipsos.

BUT STILL TRUST DOCTORS

KEY:



76%

87%

85%

84%

83%

83%

81%

81%

80%

80%

80%

79%

78%

78%

77%

77%

77%

76%

75%

74%

70%

67%

64%

42%

17%

9%

13%

14%

12%

14%

14%

14%

14%

17%

19%

19%

15%

16%

16%

16%

15%

20%

17%

19%

20%

28%

25%

33%

Total

Spain

India

Mexico

Argentina

Peru

Belgium

Brazil

France

S Africa

Turkey

Indonesia

Australia

U.S.

Canada

Italy

GB

Sweden

Germany

Poland

China

S Korea

Russia

Japan

T

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

It is always best to follow the doctor’s advice


30 © 2016 Ipsos.

SOME CONCERNS ABOUT HOW DATA IS USED

KEY:

Trusted 2016 Not Trusted 2016

Trusted 2014 Not Trusted 2014

46%

60%

59%

59%

57%

57%

51%

51%

50%

49%

49%

48%

48%

46%

45%

42%

37%

37%

36%

36%

35%

33%

32%

30%

39%

31%

25%

33%

29%

31%

34%

35%

32%

35%

18%

38%

41%

31%

33%

50%

49%

45%

53%

53%

50%

46%

56%

54%

Total

India

Sweden

Turkey

Canada

China

Australia

GB

Indonesia

France

Japan

Italy

U.S.

Russia

Belgium

Spain

Argentina

Poland

S Africa

Peru

S Korea

Germany

Mexico

Brazil

T

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

% Who trust public sector healthcare providers with theirdata


31

What about the money??

32

66%

20%

10%

5%


I would be willing to pay

more taxes in order to

maintain the level of

spending needed to keep

the current level of care

and services provided by

the NHS

Base 568 English adults ages 15+, 4-10 August 2017

How to fund the NHS?Reduce spending on other services

such as education and welfare in

order to maintain the level of

spending needed to keep the

current level of care and services

provided by the NHS

Reduce the level of care and

services provided by the NHS so

that you do not need to increase

the current level of taxation and

spending on the NHS

None


28%

40%

42%

22%

20%

20%

13%

13%

13%

10%

6%

7%

27%

19%

17%

1%

1%

2%

Strongly support Tend to support Neither support nor oppose Tend to oppose Strongly oppose Don't know

50%36%

The higher rate

(from 40p to 41p)

The basic rate

(from 20p to 21p)

The additional rate

(from 45p to 46p)

61%

62%

25%

24%

Base: 1033 adults aged 18+ in the UK, 26 – 29 January 2017 Source: Ipsos MORI/BBC News

Q: In order to increase the amount of funding available to the NHS, to what extent would

you support or oppose increasing each rate of income tax by one pence in every pound

for all who pay income tax?

Make the wealthiest pay more


Q: To maintain the current level of care and services provided by the NHS, funding for the NHS would have to

increase. I am now going to read out some suggestions people have made about how funding could increase. With

that in mind, how acceptable or unacceptable do you feel each of the following measures would be...?

50%

36%

15%

13%

13%

9%

6%

24%

35%

38%

32%

27%

28%

28%

7%

6%

9%

10%

9%

10%

11%

10%

12%

15%

18%

20%

20%

16%

8%

10%

22%

26%

30%

31%

35%

1%

1%

1%

1%

1%

2%

4%

Completely acceptable Fairly acceptable Neither acceptable nor unacceptable Fairly unacceptable Completely unacceptable Don't know

40%

53%

Charging patients for missed

appointments 71%

Base: 1033 adults aged 18+ in the UK, 26 – 29 January 2017

74%

44%

37%

33%

18%

22%

37%

45%

50%

51%

51%

Charging patients who have diseases/

illnesses caused by their lifestyle

Charging for some health services

that are currently free

Increasing income tax

Increasing National Insurance

Increasing charges for visitors from

outside the UK for health services

Moving to a type of insurance model

for NHS funding

Source: Ipsos MORI/BBC News

appointments favoured as ways of increasing funding

Charges for overseas visitors and patients missing


31

7

4

30

23

11

10

19

10

16

25

30

13

27

44

*

*

*

% Strongly support % Tend to support % Neither/nor % Tend to oppose % Strongly oppose % Don't know

…being charged a £10 fee to visit a GP

…increasing prescription charges to £10

(the current prescription charge is £8.05)

…a £10 fine for missed appointments

(e.g. GP, hospital appointments)

Q: To what extent do you support or oppose each of the following as a way of securing additional funding to

maintain the NHS…?

Source: Ipsos MORI / Health FoundationBase: 1792 adults aged 15+ in Great Britain, 13 – 29 March 2015

popular than charges for visiting GPs

Fines for missed appointments are more

61%29%

30% 52%

15% 74%


51%

11%

13%

2%

7%

4%4%

3%5%

Nothing

£1 - £5

£6 - £10

£11 - £15

£16 - £20

£21 - £30

£31 - £50

£51+Don’t know


Mean: £11.08

Q: Imagine now that you were experiencing symptoms of a health condition and you decided that you need to see

your GP within the next 24 hours. How much, if anything, would you be willing to pay in order to be guaranteed an

appointment with your GP within the next 24 hours?

in order to guarantee a GP appointment

Around half would NOT be willing to pay


76%

58%

50%

33%

27%

18%

32%

36%

39%

48%

5%

7%

13%

25%

25%

1%

3%

2%

3%

1%

Should be available for free to everybody who needs it Should be available for free only for some people who need it

Should not be available for free for anybody who needs it Don't know

Liver transplants for alcoholics

Drugs which extend life for less

than six months for terminally ill

patients, for example some cancer

treatments

Fertility treatment

Operations to treat varicose veins

Weight loss surgery (for example

gastric bands) for obese patients


Q: The following treatments I will read out are generally available for free on the NHS in the United Kingdom. For each,

please state whether you think it should: be available for free to everybody who needs it, be available for free only for

some people who need it, or no longer be available for free for anybody who needs it...?

There is support for rationing some services

38

Intersection of what is

changing and what is fixed –

we don’t yet know how this

will play out

39

But many of the same

things still unite us

40

Traditional British

institutions and culture

are more resilient than

we think

41

The NHS will survive -

and maybe thrive!

42

Thank [email protected]

The public, money, the NHS and the future · May 1997 May 1998 May 1999 May 2000 May 2001 May 2002...

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Transcript of The public, money, the NHS and the future · May 1997 May 1998 May 1999 May 2000 May 2001 May 2002...