Our recent projects and initiatives have used the feedback and experiences you have shared with us to generate insight on local health and care issues.
We have used these to create a number of publications which set out our key findings and our recommendations for change.
Our recent publications include:
Our Rye Listening Tour Reports pack, including our: Overview Report, Engagement Activity Report and An Easy Read Overview Report
GP Websites in Rye and Rother: Our Mystery Shopping findings Report
Enter and View findings from Care Homes in Rye and Rother Report
Enter and View: ESHT Emergency Departments and Urgent Treatment Centres in 2023
Your experiences of 'Patients Know Best'
What we are hearing, monitoring and doing Quarter 3: Oct to Dec 2023
How we use this insight?
We share our publications with decision-makers, such as NHS Sussex, East Sussex County Council and Voluntary and Community organisations to distribute insight, inform decisions and support service development that meets the needs and aspirations of local people.
Details of each of our initiatives and what you told us are set out below.
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Rye residents have their say about local health and care services - What we heard in our 2023 Listening Tour
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Throughout September 2023, Healthwatch East Sussex conducted various activities to engage with people from Rye and the surrounding villages to hear their experiences of health and social care.
We also conducted 'Enter and View' visits at various care homes to learn about residents experiences, and carried out a 'Mystery Shop' of GP surgery websites in and around Rye to explore how information was being shared.
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Our reports:
Our 'headlines' report summarises everything people told us, as well as setting out our conclusions and recommendations for Healthwatch, health and care services and other local partners with the goal of supporting positive change.
Further details of what we heard are in our supporting reports that present the findings from the activities we undertook as part of our Listening Tour. Also included is an Easy Read version of our headlines report:
We heard:
- Whilst frustrations remain about speed of access to appointments, people’s appreciation of positive GP experiences was clear, with people sharing examples of good care from a range of practice staff.
- The effects of poor public transport provision and the cost of transport impacting people’s ability to access health and care services.
- Health and care services don’t appear to record, accommodate or make appropriate adjustments for those with communication requirements.
- A number of areas outside of Rye, such as Camber and Icklesham, have seen local services and particularly GP provision reduced, with patients having to travel further to access healthcare.
- People shared their positive experiences at the Conquest Hospital, and reported hard working staff and feeling safe.
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GP Websites in Rye and Rother: Our Mystery Shopping findings
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As part of our activity during the Rye Listening Tour, Healthwatch staff and volunteers carried out a ‘mystery shopping’ exercise of six GP surgery websites in and around Rye.
Our report identifies 16 recommendations for GP practices, NHS Sussex and Healthwatch, all focused on sustaining positive improvements to GP websites and other linked forms of communications.
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What we found
Our Mystery Shopping activity identified:
- All practice websites performed well in delivering clear and quick access to the most common functions patients require.
- Appointment information may be too detailed, risking confusion rather than making it easier for patients.
- Information on waiting times or delays for contact or appointments wasn’t generally provided, but may be useful in managing patient expectations.
- One area where practice websites could collectively improve is in signposting to other health, care and community services.
- In terms of accessibility, language translation options appear common, but website adaptations for other needs, such as visual impairment were less identifiable. So too was information about adaptations and adjustments at practices’ physical sites.
- A key area for consideration is ensuring practice websites are compatible with mobile devices, as these become ‘go to’ methods for many people.
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Enter and View findings from Care Homes in Rye and Rother
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As part of our Rye Listening Tour activity, we conducted ‘Enter and View’ visits at care homes settings across Rye and Rother District.
Our Enter and View activity involved authorised representatives (Healthwatch volunteers and staff) visiting 19 care homes across Rye and Rother (12 specifically for people with a learning disability and autism and 7 for older people).
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What we found
Our Enter and View of Care Homes in Rye and Rother identified:
- Residents did not have any significant issues about access to health and social care services, with the exception of dentistry.
- Residents preferred face-to-face meetings with health professionals, and this is what generally happens.
- A few care homes had a dedicated phone number and email for the GP surgery, and this enabled quicker and better access to healthcare services and support.
- Examples where residents with a learning disability and autism experienced challenges in accessing healthcare at hospitals.
- Feedback from care home staff that people with a learning disability and autism had not been given priority for the Covid booster vaccine.
- Care homes for people with a learning disability and autism reported that some local authorities provide additional funding specifically to enable the service to support people to access the community, whilst others did not provide such additional funding.
- The biggest challenge for care homes in rural areas is the lack of an effective public transport system, which impacts staff recruitment, limiting the pool of available staff.
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Enter and View 2023: ESHT Emergency Departments and Urgent Treatment Centres
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In August 2023, Healthwatch East Sussex undertook two 24-hour ‘Enter and View’ sessions in the Emergency Departments (EDs) and Urgent Treatment Centres (UTCs) located at Eastbourne District General Hospital and at The Conquest Hospital.
We observed the day-to-day activity, reviewed the physical settings, and engaged with staff and patients to understand their experiences, so we could identify what worked well and where changes may be helpful.
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Our Recommendations:
Our report sets out our nine headline recommendations, all targeted at improving the experiences of users of UTCs and EDs, before, during and after their visits.
They focus on several themes, including:
- Relationships with other services, such as South East Coast Ambulance Service NHS Foundation Trust (SECAmb) and NHS 111, so people’s expectations on which services to use and when are clearly managed.
- Suggested changes to the ‘check-in’ process for people arriving at UTCs and EDs, so that this is clear, simple and intuitive, but also accessible to all. We also feel staff support needs to be available at all times.
- A better system for calling patients to be seen, which provides confidentiality, but supports those with hearing impairments, language barriers or other needs.
- Improved communications to allow UTC and ED visitors to move around, use toilets and obtain refreshments, but not lose their place in the waiting list.
- Better facilities, such as more choice of food and drink and toilets which were clean, safe, and easily accessible, should be made available.
- Improved signage to guide check-in, differentiate between UTC and ED waiting areas, and support the patient journey.
Healthwatch East Sussex will continue to work closely with ESHT and others to follow up on our recommendations, monitor the implementation of any changes and share the feedback we receive on these services.
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Your experiences of ‘Patients Know Best’
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In February 2024, the three local Healthwatch in Sussex sought people’s experiences of ‘Patients Know Best’ through a short web-based poll.
Patients Know Best is designed to create a single secure Personal Health Record where health/social care providers bring together patient information in one place. Patients can then access correspondence, test results and other features.
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We heard:
159 people from across Sussex shared their views with us.
– A majority (51.6%) felt Patients Know Best made experiences of managing their health and care easier/better, but 10.1% felt it made it harder/worse.
– Test results were the feature most identified as Very useful/Useful (76.8%), followed by Clinical Documents (62.9%) and Appt management (51.6%).
– The least useful features were: messaging with health professionals and resources (advice and information).
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What we are hearing, monitoring and doing in Q3
(October to December) 2024
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Each quarter we draw together public and patient experiences of health and care shared with us via enquiries to our Information & Signposting service, reviews on our Feedback Centre, public events and through our community and professional networks.
This document is a summary of the things we have heard about health and care, the issues we are monitoring and the actions we are taking.
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Tell us your experiences of local health and care services
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We always want to hear the experiences of local people when they use health and care services.
You can share your experience by leaving a review on our Feedback Centre at any time and tell us how things were for you. What was good and what could be improved?
You can also share your experience or seek further support with health and care enquiries from our Information & Signposting service via:
Email: Enquiries@healthwatcheastsussex.co.uk
Telephone: 0333 101 4007 Monday – Friday (10am-2pm)
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