Inpatient experience survey 2016, volume 3: exploring differences in experience

This report explores the differences in self-reported experience of people who responded to the inpatient experience survey 2016.


Results - Leaving Hospital

Summary

The survey results show that 78 per cent of people were positive about the overall arrangements for leaving hospital.

All the characteristics investigated indicated a significant impact on differences seen in responses relating to people's experience of leaving hospital.

In general older people, males and people staying in community, general and other type hospitals are significantly more positive for aspects of their care and treatment when leaving hospital.

People who reported fair or poor health; pre-existing health conditions; limited day-to-day activity and those admitted as an emergency are significantly more negative for aspects of their care and treatment when leaving hospital.

Overall experience of leaving hospital

Thirteen of the survey questions relate to people's experience when leaving hospital from medicines to transport home. All characteristics except sexual orientation, are associated with variation seen for these questions (Figure 9).

Figure 9: Number of questions affected by various characteristics - leaving hospital

Figure 9: Number of questions affected by various characteristics – leaving hospital

Medicines

Four questions in the survey relate to medicines. All characteristics related to these questions are detailed in Table 14.

In general, location is associated with some of the variation seen, with those living in accessible rural and other urban areas being significantly more positive than those living in large urban areas as well as those living in certain SIMD areas being significantly more negative than those living in SIMD 1 (most deprived).

People aged over 55 were significantly more positive than younger people regarding the wait for medicines although those aged over 75 were significantly more negative when it came to understanding what their medicines were for.

Table 14: Significant response compared to reference group - medicines

Question

Positive

Negative

Didn't have to wait too long to get medicines

Age 55-75+;
Community, long stay, general and other hospitals

Emergency admissions;
Fair and poor health;
chronic pain lasting at least 3 months, other long term health condition, more than one long term health condition;
Day-to-day activity limited a lot;
SIMD 5;
Large general hospitals

Understood what medicines were for

Other urban and accessible rural areas

Emergency and something else admissions;
Age 75+;
Poor health;
learning disability, more than one long term health condition;
Day-to-day activity limited a lot;
SIMD 2

Understood how and when to take the medicines

Males;
Other urban, accessible rural and
remote rural areas

Emergency and something else admissions;
Poor health;
mental health, more than one long term health condition;
Day-to-day activity limited a lot

Understood the possible side effects of the medicines

Males;
Accessible small towns and accessible rural areas

Emergency and something else admissions;
Mental health, deafness or severe hearing impairment, blindness or severe vision impairment, more than one long term health condition;
Day-to-day activity limited a little and a lot;
Need an interpreter;
SIMD 4, SIMD 5;
Large general hospitals

Arrangements for leaving

Four questions in the survey relate to the arrangements that were made for leaving hospital. All characteristics related to these questions are detailed in Table 15.

In general, people aged over 65 are significantly more positive than younger people as are people who stayed in other types of hospital compared to teaching hospitals.

People who had an emergency admission are significantly more negative than with planned admissions for all questions relating to arrangements for leaving hospital. Those reporting their health as either fair or poor are also significantly more negative than those reporting good health which is reflected in the experiences of people with pre-existing health conditions.

In general, people living in SIMD 4 or SIMD 5 (least deprived) are significantly more negative than those living in SIMD 1 (most deprived).

Table 15: Significant response compared to reference group - arrangements for leaving

Question

Positive

Negative

Involved in decisions about leaving hospital

Age 65-75+;
Other hospitals

Emergency and something else admissions;
Poor health;
Physical disability, mental health, more than one long term health condition;
SIMD 4, SIMD 5;
Large general hospitals

Family/home situation was taken into account

Age 65-75+;
Other and community hospitals

Emergency and something else admissions;
Poor health;
chronic pain lasting at least 3 months, more than one long term health condition;
SIMD 5

Who to contact if questions after leaving hospital

Had an operation;
Age 45-75+
Males;
Other hospitals

Emergency and something else admissions;
Fair and poor health;
physical disability, chronic pain lasting at least 3 months, mental health, more than one long term health condition;
SIMD 3, SIMD 5;
Large general hospitals

Told about danger signs to watch out for

Had an operation;
Males;
Christian;
Accessible small town and accessible rural areas;
Other hospitals

Emergency and something else admissions;
Age 75+;
Poor health;
chronic pain lasting at least 3 months, mental health, more than one long term health condition;
SIMD2, SIMD 3, SIMD 4, SIMD 5;
Large general hospitals

Leaving hospital

Five questions in the survey relate to leaving hospital. All characteristics related to these questions are detailed in Table 16.

In general, older people are significantly more positive than younger people for questions relating to leaving hospital. Mixed results are seen for the type of hospital people were treated in with other types of hospital being significantly more positive and long stay or large general hospitals being significantly more negative than teaching hospitals.

Table 16: Significant response compared to reference group - leaving hospital

Question

Positive

Negative

Feel about the length of time in hospital

Age 25-34, 45-75+;
Large general and general hospitals

Emergency and something else admissions;
Poor health;
Mental health;
Day-to-day activity limited a little and a lot;
SIMD 5;
Long stay hospitals

Confident able to look after yourself after leaving

Age 55-64;
Males

Emergency and something else admissions;
Had an operation,
Poor health;
mental health, more than one long term health condition;
Day-to-day activity limited a little and a lot;
Need an interpreter;
Long stay hospitals

Before leaving hospital, confident help you needed had been arranged

Age 55-75+;
Males;
Remote rural areas;
Other hospitals

Fair and poor health;
more than one long term health condition;
Day-to-day activity limited a little and a lot;
Non-white;
Large general hospitals

Happy with how transport was arranged

Age 75+;
Community, long stay, general and other hospitals

More than one long term health condition

Overall, rate arrangements made for leaving hospital

Age 45-75+;
Males;
Christian;
Other, long stay and general hospitals

Emergency and something else admissions;
Had an operation;
Fair and poor health;
chronic pain lasting at least 3 months, more than one long term health condition;
Day-to-day activity limited a little and a lot;
Need an interpreter;
SIMD 3, SIMD 4, SIMD 5;
Large general hospitals

Contact

Email: Nicola Kerr

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