Wheelchair Services Engagement Report Dec 13

Embed Size (px)

Citation preview

  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    1/26

  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    2/26

    2

    Contents

    1. Background 3

    2. Our engagement responsibilities 3

    3. Engagement approach 5

    4. Analysis of existing data 6

    5. Analysis of discussion groups 10

    6. Analysis of survey 12

    7. Summary of key themes / issues 15

    8. Conclusion 16

    Appendix A Communications and Engagement Plan

    Appendix B List of existing data reviewed

    Appendix C Copy of survey

    Appendix D Equality Monitoring data

  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    3/26

    3

    1. Background

    The NHS Clinical Commissioning Groups (CCGS) of Calderdale, Greater Huddersfield and North

    Kirklees have concerns about the wheelchair services provided to their populations. The current

    services are overstretched and overspend each year, with the reasons for overspend being unclear.

    Non recurrent resources have been identified to support the service over the last few years as

    demand exceeds the current capacity.

    The CCGs commissioned NHS West and South Yorkshire & Bassetlaw Commissioning Support Unit

    (WSYBCSU) to:

    Undertake a review of the current service covering patient views, activity, spend and

    specification

    Identification of future requirements for the service (assessment of population future

    needs)

    Identification of alternative options/models of provision

    Options for procurement

    This report details the engagement that took place to obtain the views ofthe public, key

    stakeholders and voluntary and community sector organisations on their experiences of

    wheelchair services in Calderdale and Kirklees and their suggestions on how the services could be

    improved.

    2. Our engagement responsibilities

    For NHS Calderdale, Greater Huddersfield and North Kirklees CCGs engaging people is not just

    about fulfilling a statutory duty or ticking boxes, it is about understanding and valuing the benefits

    of listening to patients and the public in the commissioning process.

    By involving local people they want to give them a say in how services are planned, commissioned,

    delivered and reviewed. They recognise it is important who they involve through engagement

    activity. Individuals and groups play different roles and there needs to be engagement

    opportunities for both.

    Legal Requirements

    There are a number of requirements that must to be met when discussions are being made about

    the development of services, particularly if any of these will impact on the way these services can

    be accessed by patients. Such requirements include:

    The White Paper, Equity and excellence: Liberating the NHS

    Health and Social Care Act 2012

    The NHS Constitution

    The White Paper, Equity and excellence: Liberating the NHS, and the subsequent Health and

    Social Care Act 2012, set out the Government's long-term plans for the future of the NHS. It is

  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    4/26

    4

    built on the key principles of the NHS - a comprehensive service, available to all, free at the point

    of use, based on need, not ability to pay. It sets out how the NHS will:

    put patients at the heart of everything it does, no decision about me, without me

    focus on improving those things that really matter to patients

    empower and liberate clinicians to innovate, with the freedom to focus on improvinghealthcare services

    It makes provision for CCGs to establish appropriate collaborative arrangements with other CCGs,

    local authorities and other partners, and it also places a specific duty on CCGs to ensure that

    health services are provided in a way which promotes the NHS Constitution - and to promote

    awareness of the NHS Constitution.

    Specifically, CCGs must involve and consult patients and the public:

    in their planning of commissioning arrangements in the development and consideration of proposals for changes in the commissioning

    arrangements where the implementation of the proposals would have an impact on the

    manner in which the services are delivered to the individuals or the range of health services

    available to them, and

    in decisions affecting the operation of the commissioning arrangements where the

    implementation of the decisions would (if made) have such an impact

    The Act also updates Section 244 of the consolidated NHS Act 2006 which requires NHS

    organisations to consult relevant Overview and Scrutiny Committees on any proposals for asubstantial development of the health service in the area of the local authority, or a substantial

    variation in the provision of services.

    The duties to involve and consult were reinforced by the NHS Constitutionwhich stated: You

    have the right to be involved directly or through representatives, in the planning of healthcare

    services, the development and consideration of proposals for changes in the way those services

    are provided, and in decisions to be made affecting the operation of those services.

  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    5/26

    5

    3. Engagement approachNHS West and South Yorkshire and Bassetlaw Commissioning Support Unit Communications and

    Engagement team, embarked on engagement with the public and key stakeholders over a six

    week period, from 4th

    November to 13th

    December 2013. An engagement plan supporting this

    work was developed (see Appendix A). The purpose of the engagement was to build on the data

    that had already been collated, by gaining the views of the public, key stakeholders and voluntary

    and community sector organisations on their experiences of wheelchair services in Calderdale and

    Kirklees and their suggestions on how the services could be improved.

    Existing data held by WSYBCSU on behalf of the three CCGs was collated and analysed to form part

    of the engagement process. The information considered as part of this exercise was any patient

    feedback received in relation to wheelchair services, equipment or aids via the Patient Advice and

    Liaison Service (PALS) and complaints.

    In addition to data from PALS and Complaints, data from previous engagement exercises andpatient experience reports produced by the CKW Communications and Engagement Shared

    Service were also analysed for any issues relating to wheelchair services, equipment or aids (see

    appendix B for a full list of the data reviewed).

    As part of the plan, two events were held, one in Calderdale and one in Kirklees. The events

    consisted of a brief presentation which provided an overview of the current review of wheelchair

    services and the proposals for a new model. The event asked participants to discuss in their groups

    their views on the following questions:

    What is working well?

    What is working not so well?

    Are there any gaps in the service?

    Is there anything else the CCGs need to change?

    Notes were taken of the discussions and these have been analysed in section 5. Initially, the

    proposal had been to just undertake the two events; however, the engagement team received

    feedback from some members of the public advising that they were unable to attend either of the

    events but still wanted to share their views. To ensure everyone had an opportunity to be

    involved, the engagement team developed a survey (see appendix C). The survey was based on

    the questions to be used at the events and this was circulated via the engagement teams existing

    communication mechanisms.

    The plan also explained how the team would offer the Voluntary and Community Sector the

    opportunity to have representatives visit them to gain feedback. Details were also sent to key

    stakeholders, such as Healthwatch for information and feedback.

  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    6/26

    6

    4. Analysis of existing dataThis section provides a summary of the key issues raised through the analysis of existing data.

    Existing data from PALS / Complaints, previous engagement exercises and patient experience

    reports produced by the previous CKW Communications and Engagement Shared Service were

    analysed for any issues relating to wheelchair services, equipment or aids (see appendix B for a full

    list of the data reviewed). Where relevant data was found this is described below.

    NHS West and South Yorkshire and Bassetlaw Commissioning Support Unit, PALS, Complaints

    and Patient Opinion postings received sinceApril 2013

    PALS queries, complaints and Patient Opinion postings received since April 2013 (data prior to this

    date is currently not accessible) were analysed to establish whether any related to wheelchair

    services, equipment or aids. During that period there were no PALS queries, complaints or Patient

    Opinion postings received by WSYBCSU.

    NHS Greater Huddersfield CCG, Princess Royal Community Health CentreOctober 2013

    Engagement evidence was gathered from three main sources:

    Engagement drop in sessions held in October 2013.

    Evidence from other engagement activities undertaken such as comments cards, focus

    groups and social media

    Patient feedback and enquiries over the last two years, gathered from each service

    including compliments and complaints.

    From the drop in sessions, it was evident that a One Stop Shop would be welcomed as a cost

    effective solution having the following support services:

    Occupational health

    Housing

    Other services like home improvements, equipment store

    Role play areas were suggested within learning disability service

    NHS North Kirklees CCG, Care Homes Engagement ReportAugust 2013

    West and South Yorkshire and Bassetlaw Commissioning Support Unit (WSYBCSU)

    Communications and Engagement team, embarked on engagement with care home residents and

    key stakeholders from 12th

    June 2013 to 26th

    July 2013. A questionnaire was designed to gain

    feedback from Care Home residents / carers, Care Home managers / staff, provider organisations,

    healthcare providers and voluntary and community sector organisations on the proposal. 68

    completed surveys and 1 letter were received. From the responses received, a couple made

    reference to the need to have the appropriate equipment in homes to improve mobility in

    residents.

  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    7/26

    7

    NHS North Kirklees CCG, Voluntary & Community Sector Event Summary ReportJuly 2013

    NHS North Kirklees Clinical Commissioning Group (CCG) invited representatives of voluntary and

    community sector (VCS) organisations to attend an event on Wednesday 10th

    July 2013 at 2.30pm

    4.30pm at Batley Town Hall. It was an opportunity for the VCS to hear about the work that the

    CCG had been doing, their priorities, challenges and plans for the future. The VCS were also able to

    hear from two VCS organsations that had been funded by the CCG to keep people healthy in theirown homes and communities, and reduce the use of hospital services.

    As well as hearing the presentations, the VCS were asked to participate in discussion groups. The

    purpose of the discussion groups was to gain the opinions of the VCS, to understand better how

    they could help support patients and to begin to eliminate the barriers that stop patients

    accessing the services provided by them.

    Over 70 people attended, representing over 40 organisations. In addition to representatives from

    the VCS there were also a number of representatives from Kirklees Council who work closely with

    the VCS and were also keen to hear how the CCG wanted to work with the VCS in the future

    One of the discussion groups looked at providing care closer to home and reducing the need for

    hospital admissions. It was suggested that NKCCG and Kirklees Council need to build on existing

    services, such as the handyman service, to enable people to access free equipment quicker to

    enable people to be discharged sooner.

    Calderdale and Huddersfield Health and Social Care Strategic Review,Summary of findings from

    the engagement process -Public, Patients and Carers, Long Term CareFebruary 2013

    Kirklees residents who had experienced hip surgery over the period JanuaryMarch 2009 at

    either Calderdale and Huddersfield or Mid Yorkshire hospitals, were invited to attend focus groups

    to gather their experiences prior to the surgery, the referral, surgery and recovery stages of their

    journey.

    Twenty nine patients and carers attended three focus groups in Huddersfield and Batley, with

    others, unable to attend, feeding back their experiences both via telephone and email.

    Most participants experience of being discharged was a good one, knowing that all aftercare

    equipment at home had been arranged before the operation and staff had prepared patients in

    hospital on mobility issues (e.g. managing stairs, getting in and out of vehicle.

    NHS Kirklees, Intermediate Care Service, Engagement Report, August 2012

    NHS Kirklees undertook a review of their Intermediate Care Service with a view to consider

    moving towards a new Intermediate Tier Service. To help them make certain that the right

    services were going to be in place, they sought the views of patients, carers, and voluntary and

    community organisations, this took please during July 2012.

    In terms of feedback from patients and carers, 223 responses to the engagement were received.

    Of these, 148 were received through the survey with only 2 people choosing to complete this

    survey online. 33 interviews were carried out with current residents across the five Intermediate

  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    8/26

    8

    Care facilities. 42 responses were also received through direct feedback to the Engagement

    Shared Service via letters and telephone calls.

    Comments were made with regards to the right equipment being in place and that the process

    had worked well.

    NHS Kirklees, Extending Patient Choice of Provider (AQP)October 2011

    In preparation for 2012/13, commissioners were required to have engaged with patients, patient

    representatives, healthcare professionals and providers on local priorities for extending choice of

    provider by 30 September 2011 and by 31 October 2011 have used the feedback to identify three

    or more community or mental health services for implementation, one of these areas was

    Wheelchair Services (Children). Calderdale, Kirklees and Wakefield Cluster Partnership, with the

    support of Clinical Commissioning Groups, embarked on engagement with local patients, patient

    groups and stakeholders from 15 September 2011 to 9 October 2011. Based on existing and new

    data, the findings for childrens wheelchair services were as follows:

    A mum complained about lack of suitable wheelchair for her disabled son.

    Wheelchair not received within 20 weeks. GP had not ordered. Wheelchair services

    prioritised

    Initial requirements for the wheelchair service specification (NHS Calderdale)

    Box to tick on referral form to say that the referrer has had a discussion with the person

    being referred.

    One assessment to cover everything rather than a few covering different things.

    Person-centred assessment, based on persons lifestyle choices, made into a statement of

    need signed by both parties.

    The right to have a discussion if you do not agree with the assessment.

    The right to have something that may seem contrary to the assessment but suits you e.g. a

    tighter fit wheelchair that can fit through your doors at home (with a disclaimer to sign if

    necessary).

    Provider required to be clear about what can and cannot be provided within the budget.

    Recognition that the needs of people with progressive conditions can change very quickly,

    and a system flexible enough to respond to this. Transparency about waiting times, with information about the manufacturing cycle for

    specific types of chair.

    Requirement for the provider to keep a minimum stock of a range of different types of

    chairs that can be used as a stopgap for people waiting for a chair.

    A target from receipt of referral to completion of assessment, then specific targets for

    different types of chair.

    Clear information about how the voucher scheme operates.

    A voucher scheme for powered chairs as well as manual chairs.

    Requirement for staff to undertake disability awareness training, equality & diversity

    training and support planning training.

  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    9/26

    9

    Requirement for provider to set out what is covered under repairs/ maintenance and what

    has to be paid for.

    More flexible opening hours, particularly for people who work for example, opening on a

    Saturday morning and/or having a late evening.

    Clear details of how referrals will be prioritised (using input from the wheelchair service

    user group).

    More welcoming environment, for example, having at least one person facing the window

    in reception, being greeted on arrival etc.

    Signage from road and for getting into the building.

  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    10/26

    10

    5. Anlaysis of discussion groupsTwo events were held, one in Kirklees on 3

    rdDecember and one in Calderdale on 11

    thDecember.

    Twenty-seven people attended the events, with thirteen people at the Kirklees event and fourteen

    at the Calderdale event. Attendees included wheelchair users, carers, Healthwatch and staff who

    support wheelchair users in the community e.g. Locala, social workers and learning disability

    support workers. Following a presentation, the participants were asked to discuss in their groups

    the following questions:

    What is working well?

    What is working not so well?

    Are there any gaps in the service?

    Is there anything else the CCGs need to change?

    The following section details the key themes that were raised across both events for each of the

    questions. It should be noted that the themes raised were consistent across the two events.

    What is working well?

    Key themes from responses to this question were:

    Continuity of care, having someone that knew them and understood their needs.

    Having a quick responsive service.

    Good referral and assessment process.

    Being able to access a wheelchair that met their needs.

    Having a home assessment. Having access to a quick repair service if any equipment became faulty.

    What is working not so well?

    Key themes from responses to this question were:

    A need for improved communication, information and advice.

    The need for a clear assessment and referral process. There was a perception by some that

    the provision of a chair was based on budget rather than need and pushierpatients were

    assessed quicker. Education and training for health and social care staff on the assessment and referral

    process. Comments were made with regards to staff not having an understanding /

    knowledge of different disabilities / conditions and the appropriate equipment to meet

    those needs. There was also a perception by some that GPs were acting as gatekeepers to

    the service.

    Long waiting times for assessments, ordering, repair and adaptation of wheelchairs.

    Insufficient staffing and funding to meet demand.

    Criteria for eligibility for equipment appeared to some to be inconsistent, reference was

    made to some people being able to have 2 chairs, others restricted to 1 and others beingunable to have a powered wheelchair.

  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    11/26

    11

    Lack of provision of appropriate equipmenthead rests, elevated foot plates, self

    operated wheelchairs.

    Lack of choice.

    Inappropriate venue for wheelchair users, it has no disabled parking, is not accessible by

    walking frame, poor signage and small reception area.

    Are there any gaps in the service?

    Key themes from responses to this question were:

    A need foran integrated service for all mobility needs, a one stop shop that is available 7

    days a week that meets the needs of everyone, including those that work.

    To provide an easy read guide to how theservice works and or Charter.

    Provide accessible information about types of wheelchair options available.

    Ensure all health and social care services are aware of the referral process and services

    available for, and potential needs of wheelchair users.

    Provision of an advocate or key worker to support patients.

    Ensure that children with learning disabilities are well supported through the transition

    from childrens to adult services.

    Test driving a new wheelchair should be done in own home.

    Staff to receive training on disabilities /conditions to ensure that they understand the

    progressive nature of the conditions and how patient needs may change.

    Signposting to approved providers of low cost rental of wheelchairs for those unable to

    access wheelchair services.

    Is there anything else the CCGs need to change?

    Key themes from responses to this question were:

    Should be able to exchange old wheelchair when there was a reassessment.

    It would be helpful if the service provided a Newsletter, annually updating service users

    about the service and new products that might help them.

    It would be helpful to recognise that age limits to accessing services was not helpful for

    patients who were unable to get the help they needed as they were either too young or

    too old.

  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    12/26

    12

    6. Analysis of surveyIn addition to the discussion groups, a survey was developed to enable those people that were

    unable to attend the discussion to share their views. The questions for the survey mirrored the

    questions from the discussion groups. This was done to ensure that all respondents whether by

    discussion group or survey were asked the same questions, this in turn would enable the data

    collated to be pulled together and analysed for any common themes.

    Twenty-one surveys were completed.

    Q1. Are you completing this on behalf of:

    Yourself, as someone that has used / does use wheelchair services 50.0% 9

    Someone you care for that has used / does use wheelchair services 50.0% 9

    Other (please specify) 2

    answered question 18

    skipped question 3

    General interest in services provided in the NHS

    Professional working with service users who are heavily wheelchair dependant

    Q2. Which Wheelchair Service centre have you used?

    The Lodge, Park Valley Mill, Lockwood, Huddersfield 85.0% 17Community Care Services, Salterhebble, Halifax 5.0% 1

    I don't know 10.0% 2

    Other (please specify) 1

    answered question 20

    skipped question 1

    Clarks

    Q3. When did you last use Wheelchair Services?

    currently using services 65.0% 13

    previous 1 - 2 months 5.0% 1

    previous 3 - 5 months 15.0% 3

    previous 6 months to a year 10.0% 2

    over a year ago 5.0% 1

    answered question 20

    skipped question 1

  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    13/26

    13

    Q4. From your experience of the service, please describe what parts of the service work well

    Sixteen responses were received and the comments have been analysed and summarised as

    follows. The majority of respondents made reference to the knowledgeable staff that provides a

    professional and responsive service. Some commented on the repairs to their chairs and the

    majority were pleased with the service, with one person commenting that the quality of

    wheelchair services had improved with the provision of more modern wheelchairs being provided.

    A couple of negative comments were received and related to a feeling that the staff did not listen

    to complaints being raised by services users and staff not being helpful when trying to arrange

    deliveries.

    One person queried how they could obtain a more comfortable wheelchair.

    Q5. From your experience of the service, please describe what parts of the service don't work

    well

    Fifteen responses were received and the comments have been analysed and summarised as

    follows.

    Three people reported that they had not encountered any problems using the service.

    Delays and repairs- The majority of people commented about delays relating to receiving

    appropriate equipment and / or delays in repairs, which led to patients being unable to leave the

    house for long periods of time. Some also commented on the poor quality of the repairs.

    Provision of an appropriate wheelchair- Concerns were expressed with the regards to theprovision of an appropriate wheelchair, with reference made to being unable to access a powered

    wheelchair for use outside, choice of equipment being limited by cost rather than suitability, the

    difficulties in obtaining a non standard wheelchair and the lack of provision to people living in a

    nursing / residential home.

    Communication- Comments were made with regards to the lack of communication between

    services and how this impacted negatively on patients. A couple of people raised concerns with

    regards to staff being unresponsive to complaints / concerns raised

    Q6. What improvements, if any, do you think should be made to Wheelchair Services?

    Fifteen responses were received and the comments have been analysed and summarised as

    follows:

    Council should make shops wheelchair accessible

    More staff and increased budget including provision of wheelchair therapists for visits with

    palliative care patients and increase in technical support to reduce waiting times.

    Provision of customer training for staff to ensure staff actively listen to patients and

    respond to their needs

    Improve co-ordination between services

    Quicker response times in the provision and repair of wheelchairs

  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    14/26

  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    15/26

    15

    7. Summary of key themes / issues

    The main themes taken from the existing data and this engagement are:

    For some, the service was described as being quick and responsive with knowledgeable and

    professional staff. However, concern was expressed by many with regards to the waiting times for

    assessments and the provision and repair of wheelchairs.

    The need for staff to receive training on:

    Disabilities /conditions to ensure that they understand the progressive nature of disabilities /

    conditions and how patient needs may change.

    Customer service training to ensure staff actively listen and respond to service users.

    Assessment and referral process to ensure that there is consistency in the application of the

    eligibility criteria.

    It was felt that the current service does not cater for the needs of those that work or have other

    commitments during office hours. Respondents wanted a service that would meet the needs of

    everyone, including those that work. Suggestions were made to have a one-stop shop that was

    accessible seven days a week.

    The need for additional staffing and budget, including the provision of wheelchair therapists and

    an increase in technical support to meet demand and reduce waiting times.

    Poor communication between services and with service users which impacted negatively on the

    service that they received. Service users wanted to be kept up to date on the progress of their

    case, receive information on types of wheelchairs available and to have an easy read guide and or

    Charter.

    People wanted the ability to have a wheelchair that meets their needs. Concerns were raised that

    they were unable to access a powered wheelchair for outside use, choice of equipment being

    limited by cost rather than suitability and the difficulties in obtaining a non standard wheelchair

    and adaptations.

  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    16/26

    16

    8. Conclusion

    This engagement process has provided a snapshot of the views from wheelchair users, carers and

    staff who support wheelchair users in the community, on their experience of wheelchair services

    and what changes could be made to enable the service to work better.

    This report will be made publically available and feedback provided to those respondents who

    have requested it.

    We would like to thank all respondents who have given their time to share their views.

  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    17/26

    17

    Appendix ACommunications & Engagement plan

    Target Audience Method of involvement Detail Responsibility

    Patients / Carers of

    patients with

    direct experience

    of the service

    Survey Survey to be developed CSU

    Engagement

    Discussion groups Invite letter for patients CSU

    Engagement

    Distribution of survey and invite letter to participate in discussion groups CSU

    Engagement

    Wider public INVOLVE database

    Your health, your say

    database

    Websites/intranets/practice

    and staff bulletins

    Letter with a link to surveyraising awareness of the work and

    encouraging participation in the survey

    CSU

    Engagement

    CSU

    Communications

    Voluntary and

    Community

    Groups

    Relationship Matrix (includes

    Healthwatch)

    Letter/ email with a link to the survey CSU

    Engagement

    PRGs Email to practices Letter/ email with a link to the survey CSU

    Engagement

    GPs, practice staff Staff newsletter In the NKow, 40fied and Member Connect CSUCommunications

    CCG staff Staff newsletter In the NKow,Greater Thingsand Member Connect CSU

    Communications

    Media Article in the local press CSU

    Communications

    All groups Gathering of past data PALS, complaints, Patient Opinion CSU

    Engagement

  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    18/26

    18

    Target Audience Method of involvement Detail Responsibility

    Past unplanned care work CCG

    Past engagement and consultation work CSU

    Engagement

    Analysis of data PALS, complaints, Patient Opinion CSU

    Engagement

    Past unplanned care work CCG

    Past engagement and consultation work CSU

    Engagement

  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    19/26

    19

    Appendix BList of existing data reviewed

    NHS West and South Yorkshire and Bassetlaw Commissioning Support Unit, PALS, Complaints and

    Patient Opinion postingsreceived since April 2013 that related to wheelchair services, equipment

    and aids.

    NHS North Kirklees CCG, School House Practice Walk-in Centre Engagement ReportDecember

    2013

    NHS North Kirklees CCG, Patient Participation Directed Enhanced Service ReportNovember 2013

    NHS Greater Huddersfield CCG, Princess Royal Community Health CentreOctober 2013

    NHS North Kirklees CCG, Engagement Annual Report 2012-13October 2013

    NHS Greater Huddersfield CCG, Engagement Annual Report 2012-13September 2013

    NHS North Kirklees CCG, Care Homes Engagement ReportAugust 2013

    NHS North Kirklees CCG, Voluntary & Community Sector Event Summary ReportJuly 2013

    NHS North Kirklees CCG and NHS Wakefield CCG, The Outcome of the Public Consultation in the

    Meeting the Challenge Clinical Services Strategy ProposalsJuly 2013

    NHS Greater Huddersfield CCG, Golcar Clinic Communications & Engagement ReportJune 2013

    NHS West and South Yorkshire and Bassetlaw Commissioning Support Unit, West Yorkshire

    Unplanned or urgent dental services consultationJune 2013

    Calderdale and Huddersfield Health and Social Care Strategic Review,Summary of findings from

    the engagement process -Public, Patients and Carers, Unplanned CareFebruary 2013

    Calderdale and Huddersfield Health and Social Care Strategic Review,Summary of findings from

    the engagement process -Public, Patients and Carers, Planned CareFebruary 2013

    Calderdale and Huddersfield Health and Social Care Strategic Review,Summary of findings from

    the engagement process -Public, Patients and Carers, Long Term CareFebruary 2013

    Calderdale and Huddersfield Health and Social Care Strategic Review,Summary of findings from

    the engagement process -Public, Patients and Carers, ChildrenFebruary 2013

    NHS Calderdale, Kirklees and Wakefield District Cluster, Mid Yorkshire Clinical Services Strategy,

    Pre-consultation engagement analysisJanuary 2013

    NHS Calderdale, Kirklees and Wakefield District Cluster, Discharge to AssessNovember 2012

    NHS Calderdale, Kirklees and Wakefield District Cluster, Changes to ophthalmology, orthopaedicand neuro-rehabilitation services in Mid Yorkshire, Engagement ReportSeptember 2012

  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    20/26

    20

    NHS Kirklees, Intermediate Care Service, Engagement Report, August 2012

    NHS Calderdale, Kirklees and Wakefield District Cluster, Re-design of the Low Vision Aid Service

    and change of location, Engagement ReportJuly 2012

    NHS Calderdale, Kirklees and Wakefield District Cluster, Minor Injuries ServiceApril 2012

    NHS Calderdale, Kirklees and Wakefield District Cluster, Mid Yorkshire Clinical Services Strategy,

    Summary findings from the engagement of patientsJanuary 2012

    NHS Calderdale, Kirklees and Wakefield District Cluster, West Yorkshire Urgent Care Service review

    - January 2012

    NHS Kirklees, Extending Patient Choice of Provider (AQP)October 2011

  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    21/26

    21

    Appendix C - Survey

    Wheelchair services

    The NHS Clinical Commissioning Groups (CCGs) covering Calderdale, Greater Huddersfieldand North Kirklees are committed to continuously improving the healthcare available to all thepeople living across the district. As part of this continued work, we want to look at howWheelchair Services are provided by Calderdale & Huddersfield NHS Trust.

    If you or someone you care for has used / or are using wheelchair services, we would like tohear about your experiences and gather your opinions about how we could improve the service.We are already planning on holding an event on 3rd December at 1.30pm-3.00pm at Broad LeaHouse and one at Dean Clough on 11 thDecember 2.00pm 4.00pm but appreciate that noteveryone is able to attend. We have therefore developed this survey, which is based around thequestions that we would be asking at the event and we would very much appreciate if you could

    spare the time to share your thoughts.

    If you require any further information or would like to discuss the surveyplease call us on 01484 464024or email us [email protected]

    1. Are you completing this on behalf of

    Yourself, as someone that has used / does use wheelchair services

    Someone you care for that has used / does use wheelchair services

    Other (please specify)

    2. Which Wheelchair Service centre have you used?

    The Lodge, Park Valley Mill, Lockwood, Huddersfield

    Community Care Services, Salterhebble, Halifax

    I don't know

    Other (please specify)

    3. When did you last use Wheelchair Services?

    Currently using services

    Previous 1 - 2 months

    Previous 3 - 5 monthsPrevious 6 months to a year

    Over a year ago

    mailto:[email protected]:[email protected]:[email protected]:[email protected]
  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    22/26

    22

    Experience of the service

    4. From your experience of the service, please describe what parts of the service workwell.

    5. From your experience of the service, please describe what parts of the service don't

    work well.

    6. What improvements, if any, do you think should be made to Wheelchair Services?

    7. Is there anything else you would like to tell us about the services you have received?

  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    23/26

    23

    Equality Monitoring - OPTIONAL

    In order to ensure that we provide the best services for allof our communities, and toensure that we do not knowingly discriminate against any section of our community, it isimportant for us to gather the following information. No personal information will bereleased when reporting statistical data and all information will be protected and storedsecurely in line with data protection rules.

    This information will be kept confidential and you do not have to answer all of thesequestions, but we would be very grateful if you would.

    Please tell us the first part of your postcode(e.g. HX1, HD3, WF13)

    Please enter here Prefer not to say

    What sex are you?Female Male Prefer not to say

    Transgender

    Is your gender identity different to the sex you were assumed to be at birth?

    Yes No Prefer not to say

    What is your age?

    Under 16 16 - 25 26 - 35 36 - 45 4655 56 - 65

    66 - 75 76 - 85 86 + Prefer not to say

    What is your sexual orientation?

    Bisexual (bothsexes)

    Lesbian(same sex)

    Gay man(same sex)

    Heterosexual/Straight (opposite sex)

    Other: Please specify Prefer not to say

    What is your ethnic background?Asian, or Asian

    BritishBlack, or Black

    BritishMixed / multiple

    ethnic groupWhite Other

    Chinese African Asian & White British Arab

    Indian CaribbeanBlack African &

    WhiteGypsy/Traveller

    PakistaniBlack

    Caribbean &White

    Irish

    Other Asianbackground

    Other Blackbackground

    Other Mixed /multiple ethnic

    background

    Other Whitebackground

    Prefer not to say Other: Please specify any other ethnic group here

  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    24/26

    24

    Do you consider yourself to belong to any religion?Buddhism Christianity Hinduism

    Islam Judaism Sikhism

    No religion Prefer not to say Other: Please specify

    Do you consider yourself to be disabled?The Equality Act 2010 states that a person has a disability if: a person has a physical or mentalimpairment, and the impairment has a substantial and long-term adverse effect on that theirability to carry out normal day-to-day activities

    Yes No Prefer not to say

    If yes above, what type of disability do you have? (Tick all that apply)

    Learningdisability/difficulty

    Long-standing illness orhealth condition

    Mental Health condition

    Physical or mobility Hearing Visual

    Prefer not to say Other: Please specify

    Do you provide care for someone?

    Such as family, friends, neighbours or others who are ill, disabled or who need supportbecause they are older.

    Yes No Prefer not to say

    Thank you for taking the time to complete this form.

    Please return to: (No stamp is required)FREEPOST RTEJ-AGSA-UAZL

    Engagement TeamNHS North Kirklees Clinical Commissioning Group

    Broad Lea HouseDyson Wood Way

    Huddersfield

    HD2 1GZ

    Unfortunately, we cannot accept any responses after8thDecember 2013

  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    25/26

    25

    Appendix DEquality Monitoring Data

    What gender are you?

    Male 60% 9

    Female 33% 5

    Prefer not to say 7% 1

    answered question 15

    skipped question 6

    What is your age?

    36 - 45 20% 34655 33% 5

    56 - 65 20% 3

    66 - 75 7% 1

    76 - 85 13% 2

    86 + 0% 0

    Prefer not to say 7% 1

    answered question 15

    skipped question 6

    What is your sexual orientation?

    Heterosexual/Straight (opposite sex) 87% 13

    Prefer not to say 13% 2

    Other (please specify) 0% 0

    answered question 15

    skipped question 6

    Is your gender identity different to the sex you were assumed to be at birth?

    Yes 0% 0

    No 83% 10

    Prefer not to say 17% 2

    answered question 12

    skipped question 9

    What is your ethnic background?

    Asian & White 7% 1

  • 8/11/2019 Wheelchair Services Engagement Report Dec 13

    26/26

    White British 80% 12

    Prefer not to say 13% 2

    answered question 15

    skipped question 6

    Do you consider yourself to belong to any religion?

    Christianity 47% 7

    No religion 40% 6

    Prefer not to say 13% 2

    answered question 15

    skipped question 6

    Do you consider yourself to be disabled? The Equality Act 2010 states that a person has adisability if: a person has a physical or mental impairment, and the impairment has a

    substantial and long-term adverse effect on that their ability to carry out normal day-to-day

    activities

    Yes 47% 7

    No 47% 7

    Prefer not to say 7% 7

    answered question 15

    skipped question 6

    What type of disability do you have? Tick all that apply

    Physical or mobility 86% 6

    Prefer not to say 14% 1

    answered question 7

    skipped question 14

    Do you provide care for someone? Such as family, friends, neighbours or others who are ill,

    disabled or who need support because they are older.

    Yes 43% 6

    No 36% 5

    Prefer not to say 21% 3

    answered question 14

    skipped question 7