Appendix B

Appendix B
Analysis of Public Consultation Questionnaires

Introduction

The public returned 159 questionnaires. A copy of the questionnaire and the total number of responses to each question is provided at the end of this Appendix together with the comments included by the public.

Summary

The results of the questionnaire show a good degree of support for the philosophy and aims of the Health Investment Plan. Although the sample size is small there is a considerable degree of consistency in the results.

The results are sufficiently robust to use as part of criteria development and weightings for the non-financial benefit analysis of the options.

All Responses

The three bar charts below show the degree of importance placed on each of the statements by the public. The results in chart 1 indicate a good level of consensus on the four most important issues. These are not inconsistent with the philosophy for the new local health care centres and indicates public support for the proposal.

Chart 1 – The new local health care centres, where should they be?

The results in chart 2 show a good degree of consensus on the two most important issues. Below this there are seven statements in quite close ranking and covering a wide range of issues. The issue ranked most important, building flexibility, also scored very highly in the CHC survey.

Chart 2 – The new hospital – What is important to you?

The results in chart 3 show a very good degree of consensus over the two most important issues. The first, ambulance access, is not unexpected. The second, the preference for the majority of hospital services to be available in the locality, reflects a general view expressed at several public meetings.

Chart 3 – Access to healthcare – What is important to you?

Consistency of Responses

The analysis of the responses shows very little variation between genders and age groups. There are only four issues that elicited responses that varied by 10% or more and none of them were ranked in the top five most important.

The issues are:

· The local health care centres should be located where people have most health problems – a greater degree of importance was placed on this by the elderly.

· Each major department should have its own entrance to the hospital - a greater degree of importance was placed on this by the elderly.

· I should be able to get to the hospital by bicycle - a lesser degree of importance was placed on this by the elderly.

When analysed by gender, there was little variation in the responses to the individual questions.

Overall there is a very high level of correlation between the individual responses for each question and the three statements considered the most important.

Health Investment Plan Questionnaire

The total number of individual responses are indicated below. Not all respondents answered all questions, therefore the responses for each question may not total 151 in every case.

Gender

Age range

Male

48

Female

93

1-14

0

15-24

1

25-44

39

45-64

39

65-74

37

75+

29

Part 1 – The New Health Care Centres – Where Should They be Located?

There are many factors that will dictate where the new health care centres will be located. The availability of suitable land and access are just two factors we will need to consider. Read each of the following statements and rank them according to your own views by ticking the appropriate box.

		Strongly Agree	Agree	Have No Opinion	Disagree	Strongly Disagree
1	The health care centres should be located where most people can get to them on foot.	53	64	20	15	1
2	The should be plenty of parking.	99	52	3	2	0
3	The health care centres should be located where people have most health problems.	13	59	43	32	3
4	There should be other facilities nearby such as shops.	11	65	52	18	4
5	The health care centres should be located on a bus route.	94	53	4	1	2
6	The health care centres should be located near other health related services such as a dentist or fitness centre.	24	69	42	15	2
7	The health care centres should be easy to get to by car.	68	73	10	1	1
8	The health cares centre should be located with other community facilities such as a church hall.	1	32	80	32	3

In the boxes below put the number of the three statements above that you think are most important.

The three statements I consider to be most important are:

Part 2 – The New Hospital – What is important to you?

Hospitals are very complex buildings and there are many factors that need to be considered when planning and designing the layout of the building and each department. Read each of the following statements and rank them according to your own views by ticking the appropriate box.

		Strongly Agree	Agree	Have No Opinion	Disagree	Strongly Disagree
1	I prefer to be cared for in a single room	34	61	37	18	1
2	The hospital building should look good	17	87	42	5	1
3	There should be plenty of parking spaces	92	52	3	0	0
4	There should only be one entrance to the hospital building.	25	49	42	29	6
5	Children should have their own areas wherever possible	72	75	4	2	0
6	It should be easy to find my way around the building	79	71	2	0	0
7	The bus should stop outside the front door	68	69	13	3	0
8	The internal decoration and furnishings should be comfortable and homely.	26	103	20	2	1
9	All the services I need should be nearby so I do not have to walk all round the building	29	73	39	8	0
10	There should be somewhere to buy a drink or eat.	65	96	2	0	0
11	The car park should be near the entrance.	45	81	18	5	0
12	There should be shops or small general store in the hospital	27	90	30	8	0
13	There should be separate parking areas for the disabled	74	71	6	3	0
14	Each major department should have its own external entrance to the hospital	13	38	55	38	9
15	The décor should be bright and cheerful	28	105	17	3	0
16	The building should be easy to change and adapt for new services and equipment.	70	79	4	0	0

In the boxes below put the number of the three statements above that you think are most important.

The three statements I consider to be most important are:

Part 3 – Access to Healthcare – What is Important to You?

The NHS plan will make healthcare more accessible by bringing services closer to your home. Although some services can only be provided within a hospital there are many services that could be provided locally if the circumstances are right, such as the availability of suitably qualified and experienced staff, sufficient numbers of patients in the local area and the procedures or care involve a low level of risk. Read each of the following statements and rank them according to your own views by ticking the appropriate box.

		Strongly Agree	Agree	Have No Opinion	Disagree	Strongly Disagree
1	My local health service should provide the majority of services I need without having to travel to a hospital in another area.	108	42	2	3	1
2	Ambulances should be able to get to the hospital fast and without any delays.	129	24	1	0	0
3	I prefer to go to a hospital than a health care centre.	14	21	66	39	12
4	I would use a bus to go for a hospital appointment if the services were much better.	41	64	20	22	6
5	I prefer to see a specialist every time I visit the hospital.	35	51	34	24	3
6	I should be able to get to the hospital by car	72	74	7	1	0
7	I should be able to get to the hospital by bicycle	19	53	62	12	3
8	I should be able to get to the hospital by foot	25	56	48	14	5
9	Hospitals should subsidise bus or car services for those without transport.	31	40	29	40	13

In the boxes below put the number of the three statements above that you think are most important.

The three statements I consider to be most important are:

Public Consultation Questionnaire Comments

	Site options and access
1	I strongly agree that the new hospital should be built at ECH for all the reasons outlined in the consultation document. I feel this as a member of the public and as a member of staff employed by PHNHST.
2	As someone who has both worked for and used this service, I would like to see the hospital at ECH, so that patient’s treatment can be put first.
3	Ambulances should be able to go to and from the hospital without any delays.
4	A single site for the hospital appeals to me and makes economic sense.
5	Health professionals should know what is best for the community, sentimentality regarding old buildings should not enter into it.
6	PDH should have half the money for an update, it does wonderful work and is an asset to the city. It is also easy to get to, its people that matter, not buildings, its what they do that counts.
7	I do feel that with the population of Peterborough now and in the future, that we will need not one hospital but two, i.e. Hampton and Stanground developments. There are a lot of single parents with children now too.
8	We feel very strongly that there should be one hospital on the ECH site.
9	Some of the land surrounding the Memorial Wing was given to the people of Peterborough. This could be made into a garden, as this is a particularly bleak area of the city and would brighten this corner for nearby residents.
10	Although probably everyone wants an improved health service, it seems to me that were PFI is the only allowable method of funding, then major schemes should be postponed until public funding is made available. It is not worth paying the extortionate costs of PFI.

	Building design
1	Part 2 (4) restricted entry – only one entrance may not be enough for a large hospital site. Maybe one entrance only for out of hours. Other entry points with staff only access, perhaps via a swipe card on ID badge.
2	Road access to the hospital should provide reasonably free flowing traffic at all times, not bottlenecks at peak periods. The building should be flexible, energy efficient, practical and preferably architecturally appealing.
3	A hospital should be built with expansion in mind, look to 2999. Security should be considered.

	Public transport and parking
1	I think transport should be subsidised but the hospital should not have to bear the whole cost.
2	I do not think it is appropriate to fund help with transport from patient care budgets – there should be a way of funding this from a central or charitable pool.
3	Car parking charges are iniquitous and penalise people living in a city with an inaccessible hospital and an appalling public transport system.
4	Sufficient car parking space – free car transport is necessary for Stamford and Doddington patients, with long distances involved.
5	The importance of public transport is paramount for patients, visitors and staff.
6	I do not find it easy to get from the bus station to PDH. It is easy to catch a bus from the bus station to Edith Cavell, though a better service is desirable.
7	When the hospital gets located at ECH, there must be a regular bus service from Queensgate and parking should be free.
8	A dedicated minibus service should be provided for outlying towns for evening visits to inpatients.
9	Patients requiring radiotherapy should not have to travel to Cambridge. There should be four parking areas; 1 – staff, 2 – long term visiting, 3 – disabled, 4 – short term parking near the entrance for parking of less than one hour. We should not have to pay for four hours when dropping off clothes etc., or visiting for a short time. Long term patients would have more visitors which is important to their recovery.

	Patient care and staffing issues
1	Specialist services received in Addenbrookes only are not beneficial to the patient, i.e. artificial limb services and radiotherapy.
2	There are no questions about quality of care, responsibilities of management and staff and care of patients. Most of the questions are peripheral and hardly relevant compared with care of patients.
3	There should be adequate staffing, no ward or department should have to delay any aspect of care due to understaffing.
4	Hospitals should have the appropriate numbers of beds to suit the growth of the area served. A&E and outpatients should be designed to cope with the number of patients by employing enough staff.
5	The new hospital should have single sex wards. Cleanliness of the building and facilities should be a priority.
6	I feel that a patient consultation service should be available, which would quicken up appointment times and reduces unnecessary appointments.
7	Need to consult with all groups of people with disabilities – not just wheelcair bound – but include deaf & visually impaired.

	Local Health Care Centres
1	I am concerned about the location of the new intermediate health care centres. If located in the centre of Peterborough, will there be adequate parking? If located south of the Nene, they need to be closer to the Perkins parkway.
2	Patients have traditionally attended hospitals for most procedures, any locally provided facilities would have to prove themselves over a period of time. Is this the best use of cash or would the same services have to be replicated at the hospital?
3	Living in the Fens, would it be possible to have a care centre nearer for x-rays and simple day treatments, instead of having a 40 mile round trip.
4	As many medical problems as possible should be carried out at local care centres, as these would be within easy reach for most members of public.
5	Local health centres should have more of the major services, as village people are at a disadvantage.
6	It is essential that local health centres are located on a main access road with bus route. If located in March, must also have access for local villagers.