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Patient and Public AttitudesIpsos MORI Social Research Institute

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“No decision about me without me” - challenges

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B. I was able to choose the treatment or service which best

suited my needs

Useful to see where we are now

A. I was involved as much as I wanted to be in decisions about my

care or treatment

% Neither / nor

% Don't know

% Tend to agree% Strongly agree

% Strongly disagree % Tend to disagree

31%

43%

11%

10%3%2%

Q Thinking back to the last time you saw a health professional, such as a GP or hospital doctor, to what extent would you agree or disagree with each of the following statements.

Source: Ipsos MORI/DH Perceptions of the NHS TrackerBase: 1,011 English adults aged 16+

20%

36%20%

15%

6% 3%

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…still significant proportion who favour a more traditional model

36%

19%

26%

9%

8%

Agree much more with statement A

Q Please listen to the following pair of statements and decide, on a scale of 1 to 5, which comes closest to your own opinion. A score of 1 means you agree much more with statement A while a score of 5 means you agree much more with Statement B.

2.

3.

4.

Agree much more with statement B

Source: Ipsos MORI/DH Perceptions of the NHS TrackerBase: 1,011 English adults aged 16+

1.

A – In general, I want a health professional, such as a GP or a consultant, to make decisions about my treatment

B – In general, I want to make my own decisions about my treatment, not rely on a health professional, such as a GP or consultant

Men are more likely than women to place

themselves at 1, as are those aged 65+ and those

in lower social grades. Also those with long-term

conditions.

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Public

All NHS Staff

36

26

19

16

26

36

9

8

8

13

D2: Which of these statements comes closest to your opinion?

Base: All NHS Staff from GfK NOP (Winter ‘10 only - 270), Public on MORI tracker (Winter ’10 - 1,011)

Patients want health professionals to make decisions about their

treatment (1)2 3 4

Patients want to make their own decisions about treatment and

not rely on health professionals (5)

I want a health professional to make decisions about my

treatment (1)

3 4I want to make my own decision about treatment and not

rely a health professional (5)

2

Interesting difference between the public and NHS Staff

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To what extent, if at all, would you trust doctors to do the following:

50

48

56

45

37

24

20

18

41

42

33

44

44

45

47

45

6

7

7

8

12

19

20

21

1

2

3

1

4

6

4

7

Much of this is down to our trust in doctors

% Not very much % Not at all% A fair amount% A great deal

Act in the best interests of their patients

Decide on the most appropriate treatment for you

Give you advice on improving your health

Run the health services in your local area

Keep your personal information safe

Decide which is the best hospital for you

Decide which treatments the NHS can and cannot afford

Decide how money is spent within your local NHS

91%

90%

89%

89%

81%

69%

67%

63%

Base: 1,026 United Kingdom adults aged 15+, 10-16 June 2011 Source: Ipsos MORI/BMA

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Personal information

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GPs / Family Doctors

Consultants / Hospital Doctors

Family Members

Banks/ Financial companies

The NHS

Police

Employers

Dentists

The Department of Health

The Government

Lawyers

67

50

49

48

40

38

35

34

29

28

27

71

51

24

8

41

7

9

31

23

6

4

Personal health information % Personal Information %

Which, if any, would you generally trust to have access to your personal information?

And which, if any, would you generally trust to have access to your personal health information?

Interest distinction made between doctors, the NHS and DH

Base: 1,701 adults aged 15= interviewer between 6 th and 12th June 2008 Source: Ipsos MORI

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Have you ever tried to see your personal medical records?

This was 2008 but question over how much it may or may not have changed

Base: 1,109 adults aged 15= who know that you can see your medical records, interviewed between 6th and 12th June 2008

Source: Ipsos MORI

13%

87%

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16%

84%

People are not looking for information to the extent that we might think they are…

Source: Ipsos MORI

No

Yes

Base: 805 English adults 18+, interviewed face-to-face, 2-8 Dec 2011

Have you ever looked online for information about the quality of local services (for example, looking for patient ratings or official inspection reports)?

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11

Base: 3,970 GB adults aged 15+: Apr/July/ Nov 2011/ Jan 2012

% Accessing the internet by gender and social grade in 2011

Source: Ipsos MORI

All 15-24 25-34 35-44 45-54 55-64 65+

Females 79 92 95 92 87 77 42

Females AB 90 100 100 98 96 91 64Females C1 86 98 97 95 96 86 51Females C2 81 93 96 95 90 83 37

Females DE 56 76 85 74 64 46 23

All 15-24 25-34 35-44 45-54 55-64 65+

Males 84 93 96 92 85 81 54

Males AB 94 100 100 98 100 96 76Males C1 90 96 100 96 93 89 66Males C2 78 94 94 84 82 82 38

Males DE 67 88 88 78 58 49 27Internet access

80-100%

50-79%

0-49%

The information revolution: A charter for the connected?

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hereChallenges

• How do you move this beyond early adopters?

• What is the long-term goal? What is realistic?

• Clear the role of doctors is key in advocating this

• How does it become the social norm to be a partner in care?

• How should the benefits of access be framed?