National Patient Choice Survey, Wave 2

Since the beginning of 2006, patients are entitled to be offered a choice of four or more providers when referred by their GP. The Department of Health commissioned Ipsos to undertake a regular postal survey assessing the implementation of this policy in primary care.

Since the beginning of 2006, patients are entitled to be offered a choice of four or more providers when referred by their GP. The Department of Health commissioned Ipsos to undertake a regular postal survey assessing the implementation of this policy in primary care.

The results of the first two surveys indicate that most eligible patients are not receiving any choice of hospital provide, despite government exhortations.

The results of the first wave (National Patient Choice Survey -- Wave 1) relate to referrals made in May / June 2006, while the results of the second wave are for referrals made in July 2006.

The main findings of the July survey are:

  • More patients recalled being offered a choice of hospital for their first outpatient appointment, 35% compared with 30% in the May / June survey.
  • 32% of patients were aware before they visited their GP that they had a choice of hospitals for their first appointment, compared with 29% in the May / June survey.
  • 55% of patients who were aware of choice recalled being offered choice, whereas 26% of those not aware of choice recalled being offered it, compared with 51% and 21% respectively in the May / June survey.
  • 26% of patients who were offered a choice of hospital were also offered a copy of the 'Choosing your hospital' booklet, compared with 20% in the May / June survey.
  • 75% of patients who were offered choice were satisfied with the process and 6% were dissatisfied, similar to the May / June survey.
  • Location or transport considerations were again given most often, by 68% of patients, as an important factor when choosing a hospital.

The results of each wave relate to a two-week referral window:

  • Results for Wave 1 based on 78,777 respondents.
  • Results for Wave 2 based on 70,084 respondents.

Topline Results

  • Fieldwork carried out by postal questionnaire among patients referred in the last two weeks of May for Wave 1 and the last two weeks of July for Wave 2.
  • Where results do not sum to 100%, this may be due to computer rounding, multiple responses, or to the exclusion of don't knows or non-responses.
  • An asterisk (*) indicates a finding of less than 0.5%, but greater than zero.
  • Results are weighted.
  • Base: All unless otherwise stated.

Q1 Before you visited your GP, did you know that you now have a choice of hospitals that you can go to for your first hospital appointment?

  Wave 1 Wave 2
  % %
Yes 29 32
No 69 67
Not stated 1 1

Q2 Were you offered a choice of hospital for your first hospital appointment?

  Wave 1 Wave 2
  % %
Yes 30 35
No 64 59
Don't know 4 4
Not stated 2 2

Q3 Were you offered a copy of the Choosing Your Hospital booklet by your GP Practice?Base: All who were offered a choice of hospital

  Wave 1 Wave 2
Base (23,344) (24,492)
  % %
Yes 20 26
No 70 64
Don't know 4 4
Not stated 6 6

Q4 Which of the following best describes how you felt about the process of choosing your hospital?Base: All who were offered a choice of hospital

  Wave 1 Wave 2
Base (23,344) (24,492)
  % %
Very satisfied 48 48
Fairly satisfied 27 27
Neither satisfied nor dissatisfied 15 15
Fairly dissatisfied 3 3
Very dissatisfied 3 3
Not stated 4 4

Q5 Which three factors, if any, would be most important to you when choosing a hospital?Top 9 factors

  Wave 1 Wave 2
  % %
Location / Transport (accessibility / easy to get to) 57 68
Waiting times 22 25
Reputation of hospital (previous experience / familiarity / confidence) 18 22
Quality of care (treatment / standards / expertise) 17 19
Cleanliness (infection free / hygiene / MRSA levels) 15 20
Quality of staff (friendliness / competence / kindness) 8 9
Car parking (free / cheaper / easier) 6 8
Reputation of consultant (specialisms) 5 5
Appointment time / flexibility / suitable time / seen on time 3 4
Don't know 1 *
Not stated 27 15

Q6 Do you have any comments about your experience of arranging a hospital appointment?Top 8 factors

  Wave 1 Wave 2
  % %
Pleased / satisfied / excellent / good 8 9
Efficient / straightforward 5 6
Takes too long for appointments to come through 5 6
Waiting time / waiting list too long / delays 5 5
Quick / quick appointment / seen quicker than expected 4 5
Staff pleasant / helpful / friendly / polite 3 3
Difficulty with phoning / amount of time to get through / line always busy 2 3
Good GP / GP arranged appointment / happy to leave it to GP 2 3
No comment 14 17
Not stated 44 34

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