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As the NHS turns 65, we ask the British Public about their attitudes and how they see its long term future.
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Version 1 | Confidential © Ipsos MORI
What the public think of the NHS at 65 Ipsos MORI, July 2013
Version 1 | Confidential © Ipsos MORI
Q Which two or three of the following, if any, would you say makes you most proud to be British?
The NHS remains the closest thing we have to religion
45 40
38 36
16 10
6 6
4 4
3 2
1 6
5
The NHS The Armed Forces
Team GB The Royal Family
BBC Nothing
British Business Houses of Parliament
Marks & Spencer John Lewis
Oxfam Women's Institute
Tesco Other
Don't Know
Base: 2515 British Adults 16-75, Online Fieldwork conducted between 23rd-27th November 2012 Source: British Future Polling – State of the Nation 2012/3, Ipsos MORI
%
Version 1 | Confidential © Ipsos MORI
Q Please tell me whether on the whole you agree or disagree with each of the following statements:
Pride in the NHS is high, with the majority thinking Britain’s health service is one of the best in the world
Base: Adults aged 16+ in England (c. 1000 per wave) Source: Ipsos MORI/DH Perceptions of the NHS Tracker
71
30
40
50
60
70
80 % agree
Britain’s National Health Service is one of the best in the world
Version 1 | Confidential © Ipsos MORI
69
17
52
0
10
20
30
40
50
60
70
80
90
100
Net satisfaction scores are calculated by subtracting the proportion of people who are dissatisfied from the proportion of people who are satisfied.
Q Overall, how satisfied or dissatisfied are you with the running of the National Health Service nowadays?
Satisfaction with the NHS has been pretty steady – and high
Base: Adults aged 16+ in England (c. 1000 per wave) Source: Ipsos MORI/DH Perceptions of the NHS Tracker
%
Satisfied
Dissatisfied
Net satisfied
Version 1 | Confidential © Ipsos MORI
People born before the NHS was created are much more satisfied with the NHS than other generations
Data: BSA 1983-2010. Each data point represents >100 respondents
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
1983 1984 1986 1987 1989 1990 1991 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Pre War (born before 1945) Baby Boomers (born 1945-1965) Generation X (born 1966-1979) Generation Y (born 1980 onwards)
Version 1 | Confidential © Ipsos MORI
Q Now thinking about the last time you visited an NHS hospital/ your local doctor or GP, overall, how satisfied or dissatisfied were you with this last visit as a patient?
While patients who have used NHS services recently are very satisfied with the services they have accessed
Base: Adults aged 16+ in England: NHS overall (c. 1000 per wave); GP – all visiting GP in last year (c. 750 per wave); Outpatient – all whose last hospital visit was an outpatient (c. 300 per wave); Inpatient – all whose last hospital visit was an inpatient (c. 100 per wave)*; A&E – all whose last hospital visit was to A&E (c. 100 per wave)* Source: Ipsos MORI/DH Perceptions of the NHS Tracker
*N.B small base size means comparison of figures and trends is indicative only
% Satisfied
** Overall, how satisfied are you with the running of the National Health Service nowadays?
85 85 81 78 69
Version 1 | Confidential © Ipsos MORI
The report described ‘a tolerance of poor standards’ at Mid Staffordshire. To what extent, if at all, do you think other hospitals in the NHS have these problems?
But there is some concern about quality in the wake of the Francis report, with 28% thinking all/most hospitals have similar problems
5
23
50
13
0.5 8
0
10
20
30
40
50
60
70
80
90
100
All hospitals in the NHS have problems
like this
Most hospitals in the NHS have problems
like this
Some hospitals in the NHS have problems
like this
Very few hospitals in the NHS have
problems like this
No other hospitals in the NHS have
problems like this
Don’t know
Base: All (1,010) 13th-16th April 2013 Source: Ipsos MORI/HSJ Friends and Family test
Version 1 | Confidential © Ipsos MORI
And things have changed greatly since the NHS was established in 1948
Sources: ONS, NHS Choices, WHO, The Society for the Social History of Medicine
Population Population Over 65s Over 65s
Life expectancy Average BMI
Life expectancy Average BMI
NHS budget NHS budget
Version 1 | Confidential © Ipsos MORI
So the NHS will need to continue to adapt…
… but what do the public
think?
Version 1 | Confidential © Ipsos MORI
How will it balance the
books?
Version 1 | Confidential © Ipsos MORI
Q Overall, what do you see as the biggest problems facing the NHS?
The public agree there is a resourcing challenge: they see a lack of resources/investment as the biggest problem facing the NHS
%
0
10
20
30
40
50
Lack of resources/investment
Bureaucracy/top heavy management
Not enough doctors /nurses/understaffed
Overworked staff
Long waiting lists/times
8
39
20 19 14
Spontaneous mentions over 10%
Base: Adults aged 16+ in England (c. 1000 per wave) Source: Ipsos MORI/DH Perceptions of the NHS Tracker
Version 1 | Confidential © Ipsos MORI
% Strongly disagree
They think the NHS will face a severe funding problem in the future – but do not all accept there should be limits on spending
Source: Ipsos MORI/DH Perceptions of the NHS Tracker
% Don’t know % Tend to agree % Strongly agree % Tend to disagree
39%
43%
7% 2%
8% 11%
47% 25%
14% 4%
The NHS will face a severe funding problem in the future
There should always be limits on what is spent on the NHS
Base: Adults aged 16+ in England, Spring 2012 (1001)
Q Please tell me whether on the whole you agree or disagree with each of the following statements:
Version 1 | Confidential © Ipsos MORI
While the NHS is seen as the largest area for spending by the UK Government, there is very little appetite for cutting it
Q. Which two or three, if any, of the following areas do you think the UK Government spends the most money on? Q. Which two or three, if any, of the following areas do you think the UK Government should cut the most money from?
Source: Ipsos MORI Political Monitor
50
45
28
22
14
12
11
9
5
3
5
44
28
55
8
3
2
10
4
1
The NHS/Healthcare
Benefit payments
Defence and armed forces
Overseas aid
Social services
State pensions
Schools
Local authority services
Police
Care for the elderly
Most spent on Should cut
Base: 1,018 British adults 18+, 9th - 11th March 2013
Version 1 | Confidential © Ipsos MORI
What role should the NHS play versus the
individual in maintaining the nation’s health?
Version 1 | Confidential © Ipsos MORI
15
5% 4% 25% 27% 39%
Two-thirds believe that people have a responsibility to look after their health
Base: 1,646 British adults 15+, 23-29th April 2010 Source: Ipsos MORI
It is the job of the NHS to keep people healthy
It is the individual’s responsibility to keep themselves healthy
I am going to read out two statements, one at either end of a scale. Please tell me where your view fits on this scale.
Q I am going to read out two statements, one at either end of a scale. Please tell me where your view fits on this scale.
Version 1 | Confidential © Ipsos MORI
16
17% 18% 15% 35% 14%
Base: 1,646 British adults 15+, 23-29th April 2010 Source: Ipsos MORI
Half think that the NHS should limit free treatment if people are ‘unhealthy’
% Tend to agree
% Neither agree nor disagree
% Strongly disagree
% Strongly agree
% Tend to disagree
Q How much, if at all, do you agree or disagree with the following statements: If people choose not to take care of their health, the NHS should be able to limit the treatment it offers them for free.
Version 1 | Confidential © Ipsos MORI
17
32%
37%
36%
13%
16%
15%
53%
45%
47%
And younger people are more likely to believe that free treatment should be limited
Base: 1,646 British adults 15+, 23-29th April 2010
35-54
55+
15-34s
Source: Ipsos MORI
% Agree % Neither agree nor disagree
% Disagree
Q How much, if at all, do you agree or disagree with the following statements: If people choose not to take care of their health, the NHS should be able to limit the treatment it offers them for free.
Version 1 | Confidential © Ipsos MORI
18
31% 21% 26% 14% 9%
Yet most people are not quite ready to give less priority to people choosing unhealthy lifestyles
Base: 1,646 British adults 15+, 23-29th April 2010 Source: Ipsos MORI
The NHS should give less priority to people who do not take care of their health
The NHS should be there to take care of people regardless of why they are ill
Q I am going to read out two statements, one at either end of a scale. Please tell me where your view fits on this scale.
Version 1 | Confidential © Ipsos MORI
How & where will it provide
services?
Version 1 | Confidential © Ipsos MORI
Q Please tell me whether on the whole you agree or disagree with each of the following statements:
Opinion is divided about how well the NHS is responding to provide the services that will be needed in the future
Base: Adults aged 16+ in England (c. 1000 per wave) Source: Ipsos MORI/DH Perceptions of the NHS Tracker
The NHS is changing so it can provide the service we need for years to come
%
Agree
Disagree
Version 1 | Confidential © Ipsos MORI
Q The NHS may move more services which have traditionally been provided in hospitals out into the community. This will mean more services are provided through GP practices or clinics or by NHS staff delivering them in patients’ homes. How much better or worse do you think this will make services for patients?
20%
46%
16%
10% 4% 3%
Strongly disagree Don’t know
People are not theoretically against moving more services from hospitals into the community
Source: Ipsos MORI/DH Perceptions of the NHS Tracker
Neither agree nor disagree
Strongly agree Tend to disagree
Tend to agree
Base: Adults aged 16+ in England, November-December 2011 (1001)
Version 1 | Confidential © Ipsos MORI
But when it affects their own local services, the public is concerned about the implications
Version 1 | Confidential © Ipsos MORI
So what do the public think about the future of the NHS,
given these challenges?
Version 1 | Confidential © Ipsos MORI
Q Thinking about the NHS over the next few years do you expect it to get better or worse?
Public opinion is divided in its optimism about the future of the NHS, with roughly equal proportions saying it will get better and worse
Base: Adults aged 16+ in England (c. 1000 per wave) Source: Ipsos MORI/DH Perceptions of the NHS Tracker
0
10
20
30
40
50
60
70
80%
Better 35
Worse 32
Version 1 | Confidential © Ipsos MORI
For further information, please contact:
Anna Quigley
Head of Health Research, Ipsos MORI
+44.20.7347.3996