Patient Experience Report: NHS Cambridgeshire and Peterborough CCG

Transcription

1 Patient Experience Report: NHS Cambridgeshire and Peterborough CCG Author: Tessa Medler, Patient Experience Facilitator Report Period: October 28 Date of Report: February 29

2 Results for October 28 Summary Introduction This report summarises the results of the East of England Ambulance Service NHS Trust s (EEAST s) Patient Transport Service (PTS) patient experience survey for patients within the Cambridgeshire and Peterborough CCG area who had used the PTS during the st to 7 th October 28. The objective of the survey was to establish patient satisfaction and to involve patients in the service received, whilst also monitoring the quality of the service provided. Sample This survey sampled patients who used the PTS in the Cambridgeshire and Peterborough CCG area during the period from the st to 7 th October questionnaires were sent to a random sample of patients who were asked to provide feedback on the service provided. 82 responses were received, which equates to a 28.4% response rate. Methodology Patients contact details for the sample were obtained from the Cleric system. A copy of the questionnaire, an equality and diversity information gathering form, the Trust s standard patient experience cover letter, a translation and patient information sheet along with a freepost envelope were sent to each patient within the sample. PTS surveys for patients within Cambridgeshire and Peterborough CCG area are sent out to a sample of patients on a quarterly basis. Conclusion Overall, 84.7% of patients who responded to the above question and had used the PTS in the Cambridgeshire and Peterborough CCG area between the st to the 7 th October 28 described the service received as being either satisfactory or very satisfactory. 93.9% of patients also answered that they would either be likely or extremely likely to recommend the service to a friend or a relative. Page of 23

3 Results Q How likely are you to recommend the Patient Transport Service to friends and family if they needed similar care or treatment? Extremely likely Likely Neither likely nor unlikely Unlikely Extremely unlikely Don t know PTS Cambridgeshire October 6 (74.4%) 6 (9.5%) 2 (2.4%) (.%) 2 (2.4%) (.2%) number of responses 82 No response given The Friends and Family Test score is calculated following NHS England guidelines, providing the percentage of respondents that either would recommend/would not recommend the service (recommend percentage = extremely likely + likely responses / total number of responses x, not recommend percentage = extremely unlikely + unlikely responses / total number of responses x ). 77 patients (93.9%) who responded to the above question advised that they would either be likely or extremely likely to recommend the service to a friend or a relative. However, two patients (2.4%) responded that they would be extremely unlikely to provide a recommendation. Bar chart illustrating the results of Q: Page 2 of 23

4 Survey Patient Number Please tell us if we could have improved your experience? Additional positive comments All your transport staff are great they are always helpful and kind. I cannot fault the crew they are great. Very many thanks to them all. Just a wonderful service, no improvement needed! Living alone and family miles away! I can't find words to thank all concerned for an unexpected treat couldn't have even gone to hospital without this great help. Thank you all. We had a great ride in the transport service the ambulance driver and attendant we had a good conversation all the way home although we were late getting home. 256 No need everything was perfect. 72 No improvement needed. 2 You would be unable to improve the service given to me. 32 I don't think my experience can be improved. 46 I am happy as it is. 93 No need for improvement. 9 4 Reduce the period patient has to be ready to get the ambulance from 2 hours to hour. I have used the service for quite a few years, only on one occasion have I had to complain. Thank you and all concerned with this excellent service. % satisfied with it and does not need improvement. No I very much appreciate all that you do for me (and also my wife). Your staff are very professional and helpful. Survey Patient Number Additional mixed / neutral comments The only way you might improve the experience is to keep waiting times on the return journey to a minimum. This is no way a reflection of the staff involved on my journey because it is not possible to be in two places at one time. As patient is very deaf staff facing her when they communicate & talking slowly & clear would aid communication. It would be better if I could have been advised the day before a much more accurate pick up time. I was given a window of 7am - 9am and on the morning of the pick-up, I was advised just before 8 am what time I was being picked up. I am severely disabled and I need 2 hours to prepare, which means I had to get up at 5am that day to be ready by 7am. Am in constant pain. Page 3 of 23

5 Survey Patient Number Additional negative comments Taxi was not acceptable to my person as I was picked up almost 2½ hours earlier than stated pick up time and then I was left unable to get home. Pick up time advised was 2hrs before my appointment, the transport arrived to pick me up 4 hrs before my appointment, and on my return I was left behind as no one waited for me, I was in total 8.5hrs for a 2hr appointment. I was told that I could not have anybody with me. Even though I have lung cancer and the hospital I asked that someone should come with me. Ensuring getting to appointments on time. On one occasion I was so late the hospital cancelled the consultation and had to reschedule & several times I have been late arriving although last appointment I arrived on time. The time after an appointment has been done is in excess of 2½ hours before transport becomes available. This had happened to me on several occasions. My appointment was.3pm but transport never turn up till.3pm. Then the car had to go to an old people home in Cambridge St Neots the man who was to come was not ready so it was 2.pm when we left St Neots and never got to hospital till 2.3pm, hour late. It was not the car driver fault. He was just running late, enough time is not allowed for them. I was ready to go home at 4.pm but the phone to call for transport was not working so the lady where you book in at hospital called transport they came at 9 to 5 and I got home at 9 to 6 as the ambulance came from Nottingham. It took hour to get home because traffic was bad and there were 2 drop offs before me. I have never made a complaint & always been satisfied by the service & treatment I ve received since traveling with you but this time it s a complaint. On Monday 5th Oct I was taken to my dialysis unit as usual & one time out of 64 which is good but when I came off the machine & ready to go 5.2ish I was still there after my friend was taken home & found I had been left with no way of getting home. Hospital rang to get transport & couldn t get anywhere so I rang my booking Huntingdon they then rang you I presume & the message I got back was there was no available transport or drivers. I was not impressed by this as my friend went to St Ives I live in Brampton & we used to go together, I being dropped off first and then he went onto his house. Page 4 of 23

6 Q2 Whose views are being reported in this questionnaire? The view of the patient The view of someone acting on behalf of the patient 77 (97.5%) 2 (2.5%) Key Performance Indicator (KPI) 57/67 (85.%) /2 (5.%) number of responses No response given 3 The Key Performance Indicator (KPI) is used as a method of calculating the overall satisfaction of the patient in relation to the service they have received. The KPI result is calculated by dividing the proportion of very satisfactory and satisfactory responses (numerator) by the overall number of responses (denominator), multiplied by. Q3 How best describes how quickly we answered the telephone? (All answer types are listed, some multiple answers) Almost immediately Fairly quickly It took longer than I would have expected Waited so long I put the telephone down 44 (62.%) 24 (33.8%) 2 (2.8%) (.4%) number of responses 7 No response given 2 Page 5 of 23

7 Q4 Did you feel the questions asked in relation to your eligibility for patient transport were appropriate? Yes No 68 (98.6%) (.4%) number of responses 69 Unable to say 4 No response given 9 Q5 Were you clearly informed of the date and time of your transport booking? Yes No 69 (95.8%) 3 (4.2%) number of responses 72 Unable to say No response given 9 Q6 How satisfied were you with the accessibility of the booking system? Very satisfied Satisfied Fairly satisfied Dissatisfied Very dissatisfied 49 (69.%) 7 (.2%) 4 (5.6%) (.4%) (.%) number of responses 7 Unable to say 2 No response given 9 Page 6 of 23

8 Q7 How satisfied were you with the length of time your journey took? Very satisfied Satisfied Fairly satisfied Dissatisfied Very dissatisfied 46 (6.5%) 2 (27.6%) 6 (7.9%) 2 (2.6%) (.3%) number of responses 76 No response given 6 Q8 Did you arrive on time for your appointment? (All answer types are listed, some multiple answers) Very early (over 6 minutes) Early (3 6 minutes) On time Late ( 6 minutes) Very late (over 6 minutes) 6 (8.%) 7 (23.%) 39 (52.7%) (3.5%) 2 (2.7%) number of responses 74 No response given 2 Please note that these answers are the patients perceptions and times have not been verified. Page 7 of 23

9 Q9 If you were late, did anyone contact you to advise transport would be delayed? Yes No 4 (5.%) 4 (5.%) number of responses 28 Not applicable 33 No response given 2 Q How long did you have to wait for your return transport after your appointment? (All answer types are listed, some multiple answers) to 5 minutes 5 to 3 minutes 3 to 45 minutes 45 to 6 minutes Over 6 minutes 8 (.4%) 8 (25.7%) (5.7%) 5 (2.4%) 8 (25.7%) number of responses 7 No response given 3 Page 8 of 23

10 Q How would you describe the following? Qa The comfort of the vehicle you travelled in? Acceptable Fairly acceptable Unacceptable 63 (8.8%) 4 (8.2%) (.%) number of responses 77 Unable to say No response given 4 Qb The suitability of the vehicle you travelled in? Acceptable Fairly acceptable Unacceptable 67 (9.8%) 6 (8.2%) (.%) number of responses 73 Unable to say No response given 8 Qc The cleanliness inside the vehicle you travelled in? Acceptable Fairly acceptable Unacceptable 7 (93.3%) 5 (6.7%) (.%) number of responses 75 Unable to say No response given 6 Page 9 of 23

11 Q2 Did the service staff introduce themselves to you? Yes Yes, but I would have liked them to introduce themselves to a greater extent No 74 (94.9%) (.3%) 3 (3.8%) number of responses 78 Unable to say 2 No response given 2 Q3 How would you describe the attitude of the service staff you had contact with? Very professional A little improvement necessary Not professional 76 (96.2%) (.3%) 2 (2.5%) number of responses 79 Unable to say No response given 2 Q4 Did the service staff treat you with dignity and respect? Page of 23 Yes, definitely 76 (96.2%) Yes, to some extent 3 (3.8%) No, I was not treated with dignity and respect (.%) number of responses 79 Unable to say No response given 3

12 Q5 Did the service staff drive safely? Yes A little improvement necessary No 77 (98.7%) (.%) (.3%) number of responses 78 Unable to say 2 No response given 2 Q6 Did the service staff offer assistance if required? Yes No Not required 75 (97.4%) (.3%) (.3%) number of responses 77 Unable to say 2 No response given 3 Page of 23

13 Q7 If you had not travelled with the ambulance service how would you have travelled to hospital? (All answer types are listed, some multiple answers) Public transport Private car Taxi Relative, carer or friend Could not attend Other 3 (4.2%) 4 (5.6%) 5 (2.%) 7 (23.9%) 29 (4.8%) 3 (4.2%) number of responses 7 No response given 3 The below comments were received from patients who answered other in response to this question: Don t know. (Patient 252) I cannot walk or climb into a car. (Patient 247) Wheelchair patient. (Patient 69) Page 2 of 23

14 Q8 Did you use patient transport due to any of the following? (All answer types listed, some multiple answers) Poor public transport Cost of transport Mobility problems Distance Parking at hospital Other 6 (7.%) 5 (5.8%) 56 (65.%) 8 (9.3%) (.2%) (.6%) number of responses 86 No response given 9 Examples of comments received from patients who answered other in response to this question can be found below: Partner has ambulance assistance as he has AF & also cannot walk without assistance. (Patient 53) No transport. (Patient 49) My son unable to take me. (Patient 6) Usual relative unavailable. (Patient 37) Dialysis. (Patient 42) I have difficulty walking long distances. (Patient 65) Told not to use public transport as immune system so low. (Patient 93) Time of appointment. (Patient 29) Need for oxygen & wheelchair assistance. (Patient 4) Unconscious due to o/d sleeping tablets. (Patient 62) Page 3 of 23

15 Please tell us your overall views on the Patient Transport Service Q9 Overall, how would you describe the service you received from the Patient Transport Service? Very satisfactory Satisfactory KPI Result (Very satisfactory + satisfactory/ number of responses) Fairly satisfactory Unsatisfactory Very unsatisfactory PTS Cambridgeshire October 5 (69.4%) (5.3%) 6/72 (84.7%) 9 (2.5%) 2 (2.8%) (.%) number of responses 72 No response given 84.7% of patients who responded to the above question and had used the PTS within the Cambridgeshire and Peterborough CCG area between the st to the 7 th October 28 described the service received as being either satisfactory or very satisfactory. Two patients (2.8%) rated the service they received as being unsatisfactory. Ten patients did not respond to this question. Bar chart illustrating the results of Q9: Page 4 of 23

16 Equality and Diversity Information Gender Male Female Gender 27 (43.5%) 35 (56.5%) 62 Do not wish to declare 2 Did not answer 8 Age Range Mean Median Mode Age 48 Years to 92 Years 76 Years 8 Years 5 Years 64 Do not wish to declare Did not answer 8 Page 5 of 23

17 Ethnicity White British White Irish Ethnicity Any other White background Mixed White and Black Caribbean Mixed White and Black African White and Black Asian Any other mixed background Asian Indian Asian Pakistani Asian Bangladeshi Any other Asian background Black Caribbean Black African Any other Black background Chinese Any other ethnic group 64 (%) (.%) (.%) (.%) (.%) (.%) (.%) (.%) (.%) (.%) (.%) (.%) (.%) (.%) (.%) (.%) 64 Do not wish to declare Did not answer 7 Page 6 of 23

18 Religion or Belief (All answer types listed, some multiple answers) Religion or Belief Christian 49 (83.%) Hindu (.%) Jewish (.%) Muslim (.%) Sikh (.%) Buddhist (.7%) None 7 (.9%) Other 2 (3.4%) 59 Do not wish to declare 4 Did not answer 2 The comments received from the four patients who answered other in response to this question can be found below: Jehovah witness. (Patient 78) Methodist. (Patient 69) Page 7 of 23

19 Sexual Orientation Sexual Orientation Lesbian Gay Heterosexual Bisexual Other (.%) (.%) 32 (9.4%) (.%) 3 (8.6%) 35 Do not wish to declare 8 Did not answer 39 Examples of comments received from patients who answered other in response to this question can be found below: Normal men only. (Patient 252) Normal 76yrs old woman. (Patient 78) None of the above. (Patient 7) Page 8 of 23

20 Disability (All answer types are listed, some multiple answers) Disability I do not have a disability Physical Impairment Sensory Impairment Long Standing Condition Learning Disability Mental Health Disorder Other 8 (8.2%) 29 (29.6%) 9 (9.2%) 3 (3.6%) (.%) 5 (5.%) 7 (7.3%) 98 Do not wish to declare 2 Did not answer 2 Examples of comments received from patients who answered other in response to this question can be found below: Disabled. (Patient 8) Ongoing knee surgery. (Patient 279) Mobility problems. (Patient 253) Glaucoma - macular degeneration. (Patient 6) Stroke & lung. (Patient 64) Only sight in one eye. (Patient 78) Lung cancer operation/ right knee replacement. (Patient 94) Sight impairment. (Patient 27) Mobility problems. (Patient 58) Mesothelioma. (Patient 3) Wheelchair. (Patient 263) COPD arthritis. (Patient 7) Gout limited walking. (Patient 3) Just walking too far and climbing stairs. (Patient 65) Mobility issues. (Patient 238) Mobility problems, memory problems. (Patient 8) Severe deaf. (Patient 62) Page 9 of 23

21 Are you married or in a civil partnership? (All answer types are listed, some multiple answers) Yes No Other Married or civil partnership 29 (4.8%) 8 (25.4%) 24 (33.8%) 7 Do not wish to declare 3 Did not answer 4 Of the 24 patients who responded other in answer to this question, 9 patients advised that they had been widowed, three patients advised that they were divorced, one patient advised that they were single and one patient advised that they were separated. Are you currently pregnant or have had a child within the last 2 months? (All answer types are listed, some multiple answers) Pregnancy No, I am not pregnant No, I do not have a child under 2 months old Yes, I am currently pregnant Yes, I have a child under 2 months old 45 (7.3%) 6 (25.%) 2 (3.%) (.6%) 64 Do not wish to declare 5 Did not answer 33 Page 2 of 23

22 Do you now, or have you ever considered yourself to be transgender? (All answer types are listed, some multiple answers) Yes No Gender reassignment (.6%) 6 (98.4%) 6 Do not wish to declare Did not answer 2 Page 2 of 23

23 Did you require any of the following information in a different format to assist you with access to the service? Format I did not require a different format Braille British Sign Language (BSL) Interpreter Browse aloud (website) Deafblind advocate Deafblind Interpreter Easy Read Large Print Page magnification (website) Text only web page (including ability to change colours) Text only web page (including ability to change font size) Text re-sizing (Website) 48 (92.3%) (.%) (.%) (.%) (.%) (.%) (.%) 4 (7.7%) (.%) (.%) (.%) (.%) 52 Do not wish to declare 3 Did not answer 27 Example of comment received from patients in response to this question can be found below: Low vision. (Patient 63) Eye sight not too good have been waiting cataract operation. (Patient 69) Page 22 of 23

24 Impact on the service received No Impact on Service Yes, in a positive way Yes, in a negative way 47 (97.9%) (2.%) (.%) 48 Did not answer patients felt the service they received was not affected by any of the aforementioned strands of diversity and one patient felt that the service they received was affected in a positive way. 34 patients did not answer this question. Aftercare Following this survey, one letter of appreciation along with two surveys containing signed complaint boxes and comments of concern were received in relation to the survey. Any correspondence or comments of concern received were passed to the Patient Experience team (Bedford) for further action as appropriate. Page 23 of 23