The use of community space in Okehampton Hospital - May 2021 - White Bear

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The use of community space in Okehampton Hospital - May 2021 - White Bear
The use of community
space in Okehampton
Hospital

                                     May
Feedback Report                      2021

                       Healthwatch Devon Ÿ 1
The use of community space in Okehampton Hospital - May 2021 - White Bear
Contents

Contents

Contents ................................................................................................... 2
Introduction .............................................................................................. 3
What we did .............................................................................................. 3
Key findings .............................................................................................. 4
Detailed results .......................................................................................... 5
  Question 1. Possible uses of the community space at Okehampton Hospital are outlined
  below. Please rate on a scale of 1 to 5 where 5 is the most important and 1 the least
  important. .............................................................................................. 5
  Question 2. Please let us know what other comments/ideas you might have about the
  use of Okehampton Hospital. ........................................................................ 6
  Question 3. To ensure we make the best use of the community space available at
  Okehampton Hospital, what do you feel are the most important healthcare and
  wellbeing needs of you and your community? .................................................... 9
  Question 4. Currently Okehampton delivers a range of community medical services to our
  local population.What other clinical/medical services would you like to see delivered
  from Okehampton Hospital, if any? ............................................................... 12
  Question 5. If particular clinical/medical services were not available in Okehampton how
  easy/difficult would you find it to travel to another community hospital such as
  Tavistock or Holsworthy? ........................................................................... 13
  Question 6. If you have answered difficult or very difficult, please provide brief details
  about your response................................................................................. 13
  Question 7. If you would like to share any further comments about the use of community
  space in Okehampton Hospital, please provide further details. ............................. 15
  Demographics information ......................................................................... 17
Statement from North Dartmoor Primary Care Network ...................................... 21
Recognition ............................................................................................. 21
Appendix ................................................................................................ 22
Contact us............................................................................................... 28

                                                                                    Healthwatch Devon Ÿ 2
The use of community space in Okehampton Hospital - May 2021 - White Bear
Introduction

Introduction
Healthwatch in Devon, Plymouth, and Torbay is the independent consumer champion for
people using health and care services in Devon. Healthwatch listens to what people like
about services and what could be improved and shares those views with those who have
the power to make change happen. Healthwatch Devon was asked by the North Dartmoor
Primary Care Network (PCN) to find out about the health and wellbeing needs of the local
community and gather feedback on how to use the community space at Okehampton
Hospital.

The North Dartmoor PCN consists of Black Torrington, Chagford, Moretonhampstead and
Okehampton GP Practices. PCNs build on existing primary care services and enable greater
provision of proactive, personalised, coordinated and more integrated health and social
care for people close to home. These GP practices work closely with community,
voluntary, and statutory services and local healthcare partners to provide joined-up
patient-centred primary and community-based care, in line with the NHS Long Term Plan.

What we did
A survey of seven questions (two multiple-choice, five open-ended) was used to ask people
about their health and wellbeing needs and their opinions on the use of community space
at Okehampton Hospital. Respondents were also asked six questions about their
demographic information (e.g., age and disability status). The survey was publicised via
the Okehampton area parents’ network, Okehampton Events and Publicity, What’s on in
Devon, Okehampton Noticeboard, What’s on in Exeter, and the Okehampton Times
(appendix 1). The survey was also promoted by Healthwatch’s social media, website, and
e-bulletins (appendix 2-4). Additionally, local community groups were contacted by email
(appendix 5-6) and asked if Healthwatch may attend their group sessions to promote the
survey. However, no local organisations extended an invitation to Healthwatch.
Respondents were also given the opportunity to complete the survey via telephone; a small
number of respondents took up this opportunity. Two digital drop-in meetings were also
organised for those who were unable to attend community group meetings. However, no
one accepted this invitation. 385 people responded to the survey.

                                                                    Healthwatch Devon Ÿ 3
Key findings

Key findings
   •   Mental health support and activities supporting wellbeing received the highest
       ratings for the use of community space at Okehampton Hospital. Respondents’
       suggestions for other uses included resources for exercise, nutrition, and weight
       loss, new parent and early years support, support groups and activities for people
       with long term conditions and disabilities, groups and activities for people dealing
       with loneliness and social isolation, and support for the elderly.

   •   Many respondents feel strongly that the hospital is a valuable local resource, and
       some were concerned about the loss or reduction of services in Okehampton,
       particularly inpatient beds and the maternity ward.

   •   Most respondents said it would be difficult for them to travel to another community
       hospital such as Tavistock or Holsworthy if services were not available in
       Okehampton. Respondents described local public transport as limited and
       inadequate due to infrequent buses, a lack of direct routes, and a lack of nearby
       bus stops. Some said that bus timetables were often incompatible with appointment
       times and the long trip required them to take time off work to attend
       appointments. Expense and environmental impact were also concerns.

   •   When asked what other clinical or medical services they would like to see delivered
       from Okehampton Hospital, the top five responses were inpatient beds, maternity
       care, x-ray facilities, dentistry, and oncology. Some respondents suggested services
       that are already available in Okehampton, particularly minor injury and emergency
       treatment, which could imply that better communication is needed to make people
       more aware of the services available in Okehampton.

   •   Some respondents are concerned about Okehampton’s population growth and the
       effect this may have on services, particularly GP and primary care services.

                                                                      Healthwatch Devon Ÿ 4
Detailed results

Detailed results
Question 1. Possible uses of the community space at Okehampton
Hospital are outlined below. Please rate on a scale of 1 to 5 where 5 is
the most important and 1 the least important.

378 respondents answered this question and seven respondents skipped it. The five options
are ranked below in order of importance.

    1. Mental health drop-in service (average rating: 4). Of the 346 respondents who
       provided a rating for this option, 44.51% of respondents (154 people) rated it “most
       important” and 5.20% (18 people) rated it “least important.”

    2. Activities supporting wellbeing run by community groups and NHS services
       (average rating: 3.51). Of the 270 people who provided a rating, 21.11% (57
       people) rated this “most important” and 7.41% (20 people) rated it “least
       important.”

    3. Flexible group space (average rating: 2.89). Of the 235 respondents who provided
       a rating, 11.06% of respondents (26 people) rated this “most important” and 9.36%
       (22 people) rated it “least important.”

    4. Space for guided exercise programmes (average rating: 2.66). Of the 242
       respondents who provided a rating, 6.20% (15 people) rated this “most important”
       and 14.46% (35 people) rated it “least important.”

    5. Community café, meeting place, and information hub (average rating: 1.68). Of
       the 256 respondents who provided a rating, 3.91% (10 people) rated this “most
       important” and 62.89% (161 people) rated it “least important.”

                              Question 1. Average ratings for
                               possible uses of Okehampton
                                      Hospital space

                                 Community café          1.68

                           Guided exercise space                2.66

                             Flexible group space                 2.89

                   Activities supporting wellbeing                       3.51

                    Mental health drop in service                               4

                                                     1    2      3         4            5

                                                                                    Healthwatch Devon Ÿ 5
Detailed results

Question 2. Please let us know what other comments/ideas you might
have about the use of Okehampton Hospital.

262 respondents answered this question and 123 skipped it. Suggestions for community
groups and services included support groups for people with long term conditions, new
parents and families, and people dealing with social isolation and loneliness. Other
suggestions included mental health drop-ins, information, and education (e.g., first aid,
domestic abuse, drug and alcohol use, digital support), and facilities and guidance for
exercise.

However, most respondents expressed that they would prefer for available space to be
used for medical rather than community purposes. These suggestions included inpatient
beds, maternity and labour, outpatient clinics, GP or primary care services, and x-rays.
Thirty-six respondents gave general comments about keeping Okehampton “as a
community hospital” or “reopening it to its full use” but did not mention a specific
service. Thirty-six respondents mentioned travelling to Exeter as a concern or problem for
them. Fourteen respondents said they wanted a minor injuries unit (MIU) but it was not
clear if they were aware that Okehampton Medical Centre has a daytime MIU, or if they
wanted this facility to be based at the hospital instead. Five respondents specifically said
they wanted an MIU that was available out-of-hours. Thirteen respondents mentioned
accident and emergency (A&E), but it was not clear whether some respondents were
referring to this or an out-of-hours MIU.

Inpatient beds (92 mentions)
   •    “We need beds for local people leaving hospital who need more than care home
        treatment to get them fit enough to get home.”

Community groups and services

        Support groups for long-term conditions (13 mentions)
           •       “Regular seminars to help people manage conditions such as depression,
                   diabetes, fibromyalgia, heart disease, cancer and similar.”

        Support and information for families and expecting parents (13 mentions)
           •       “Antenatal classes. Mother and baby groups. Breastfeeding support.”

        Mental health support groups (6 mentions)
           •       “A mental health drop in would be amazing.”

        Information and education (5 mentions)
           •       “Child choking and CPR first aid sessions.”
           •       “Something for carers – a drop in or information point.”

                                                                          Healthwatch Devon Ÿ 6
Detailed results

        Exercise and nutrition (3 mentions)
           •       “Free or affordable guided exercise and dieting programmes, for people
                   with low incomes and children.”

        General support and wellbeing (3 mentions)
           •       “Should be used for health and wellbeing for the community. All ages should
                   be considered.”

Travelling concerns (36 mentions)
   •    “Out of hours surgery. People without transport can’t get to Exeter.”

   •    “Everything seems to be elsewhere. Having to travel to Exeter for things when
        there’s enough [people] in Okehampton now is silly.”

Keeping Okehampton as a community hospital (36 mentions)
   •    “Reopen it to its full use.”

   •    “Keep it as a community hospital, as we need one”

Maternity and labour ward (35 mentions)
   •    “Reinstate the maternity beds. It was always a highly valued service which provided
        local mums exceptional care and support.”

Minor injury or emergency treatment

        Minor injury and emergency treatment (27 mentions)
           •       “An accident and emergency service giving the increasing population of
                   Okehampton.”

           •       “Bring the minor injuries unit back.”

        Out-of-hours minor injury treatment (5 mentions)
           •       “A full-time minor injuries unit. Not everyone has a car to get to Exeter
                   when their child has an accident outside office hours.”

Outpatient clinics (30 mentions) N.B. this topic is covered in more detail in Question 4
   •    “Outpatient appointments, rather than having to travel to RD&E. Especially for
        those who find the whole experience of travelling and being in overpopulated
        spaces an ordeal.”

GP and primary care services (16 mentions)
   •    “A second doctors’ surgery [is] desperately needed, the town is growing in size.”

   •    “To allow the local GP practice to expand. So many new houses [are] being built.”

                                                                           Healthwatch Devon Ÿ 7
Detailed results

X-ray (14 mentions)
   •    “What it could really do with is an x-ray/light casualty service to spare people
        having to go to RD&E.”

                                                                       Healthwatch Devon Ÿ 8
Detailed results

Question 3. To ensure we make the best use of the community space
available at Okehampton Hospital, what do you feel are the most
important healthcare and wellbeing needs of you and your community?

285 respondents answered this question and 100 skipped it. Mental health treatment and
support was the most common suggestion, mentioned by 73 respondents, though it was not
always clear whether respondents were referring to medical treatment or community
support. Suggestions for other community groups and services included nutrition and
exercise guidance, information, advice, and general support (e.g., domestic abuse, first
aid training, and drug advice), and support groups for families and parents, people living
with long-term conditions, people dealing with social isolation, and elderly people. Fifty
respondents said they would like available space to be used for inpatient beds.

Thirty-six respondents said travel and transport was an issue, with some saying they would
appreciate services that saved them from having to travel to Exeter. Respondents also
mentioned the maternity ward, outpatient clinics, and GP or primary care services.
Thirteen respondents expressed that they wanted Okehampton to be maintained as a
community hospital but did not specify whether they were concerned about the loss of a
particular service. Seven respondents said they would like an out-of-hours MIU or
emergency department in Okehampton. Thirteen respondents mentioned they wanted an
MIU, but it was not clear if they were aware that Okehampton Medical Centre has a
daytime MIU, or if they wanted this facility to be based at the hospital instead. Fifteen
respondents said they wanted an A&E department, but it was not clear whether some
respondents were actually referring to an out-of-hours MIU.

Mental health treatment and support (73 mentions)
   •    “A mental health drop-in clinic would be a much-needed option for the community,
        especially given the last 12 months’ difficulties.”

   •    “Mental health treatment such as counselling and talking therapies, including for
        under-18s.”

Community groups and services

        Nutrition, weight loss, and exercise guidance (12 suggestions)
           •       “Exercise and company in a friendly controlled way. Middle aged people can
                   walk to the Fairplace Church but if you use a wheelchair, it’s awkward if not
                   impossible.”

        Family, new parent, and early years support (14 suggestions)
           •       “Support groups e.g., breastfeeding support and antenatal classes.”

        Information, advice, and general support (11 suggestions)
           •       “Regular information and a telephone line that is answered by a human
                   being.”

                                                                          Healthwatch Devon Ÿ 9
Detailed results

             •     “First aid training for the general public.”

        Support groups for people with long term conditions and disabilities (8 mentions)
             •     “A space for monitored activities for people with COPD, etc.”

             •     “Support for chronic medical problems, e.g., diabetes and hypertension
                   management.”

        General health and wellbeing support (8 mentions)
             •     “Somewhere to access help with health issues easily and where to find
                   various groups.”

        Support for social isolation and loneliness (8 mentions)
             •     “A meeting place is important to help with loneliness.”

        Support for the elderly (7 mentions)
             •     “Local facilities for the elderly as so many have closed.”

        Support for carers (3 mentions)
             •     “Unpaid carers wellbeing is critical – they have had little respite during the
                   pandemic and the number has risen to 130,000 across Devon.”

Inpatient beds (50 mentions)
   •    “There is a desperate need for some inpatient care for elderly/frail people who do
        not need the specialist nursing care of the RD&E but are not fit to return home.”

   •    “The needs of people requiring care having been in the major hospitals but [who
        are] not ready for care homes or nursing homes. Visiting when able [is the] most
        important for patients and family.”

Travel concerns and difficulties (36 mentions)
   •    “Healthcare closer to home, we live in a rural community with poor transport
        links.”

   •    “Transport for those who no longer drive and live in the outlying villages.”

MIU and A&E

       MIU and A&E (28 mentions)
         •       “Access to out-of-hours emergency provision. Nearest provider is Exeter and
                 can only be reached by ambulance by those without a car or someone to drive
                 them.”

         •       “Emergency care to avoid having to go to Exeter hospital.”

                                                                           Healthwatch Devon Ÿ 10
Detailed results

         •    “Bring back A&E.”

       Out-of-hours minor injury (7 mentions)
         •    “Minor injuries unit due to Okehampton surgery not being open after 6pm. I
              think it would be good for the growing community to have some sort of
              medical care say between 6pm and 10pm which would ease pressure on RD&E
              and the ambulance service.”

Maternity ward (30 mentions)
   •    “Bring back the maternity unit.”

   •    “Maternity care is vital.”

Outpatient clinics (28 mentions) N.B. this topic is covered in more detail in Question 4
   •    “Things like chiropody, x-rays, scans, physiotherapy etc. could be carried out
        locally. [It would] save on time travelling to Exeter.”

   •    “To maintain a service to the community on a daily basis for x-rays, scans, and
        physiotherapy.”

GP and primary care services (18 mentions)
   •    “[The population of Okehampton] has doubled recently and local GP centres have
        closed.”

Keeping Okehampton as a community hospital (13 mentions)
   •    “Use it as a hospital.”

   •    “A community hospital. Not a café or drop-in centre.”

                                                                      Healthwatch Devon Ÿ 11
Detailed results

Question 4. Currently Okehampton delivers a range of community medical
services to our local population, including audiology, care services for
those with a hearing impairment, paediatrics, dietetics, ear nose and
throat, gastrointestinal and liver, general surgery, geriatric medicine,
mental health, nephrology, opthamology, orthopaedics, respiratory
medicine, rheumatology, vascular surgery, podiatry, maternity, speech
and language, and hospice care. What other clinical/medical services
would you like to see delivered from Okehampton Hospital, if any?

254 respondents answered this question and 131 skipped it. The most common suggestions
were inpatient beds, maternity, x-ray, dentistry, and oncology. Ten respondents said they
would like an out-of-hours MIU. Seventeen respondents said they would like a MIU, but it
was not clear whether they were aware that Okehampton Medical Centre has a daytime
MIU, or if they wanted an MIU to be available at the hospital instead. Eleven respondents
said they would like an A&E, although some respondents may have been referring to an
MIU. Additionally, 22 respondents said they either did not believe or did not know that
these services were offered at Okehampton Hospital. Nine respondents said they would
appreciate services that would prevent them from travelling longer distances. Services
highlighted in bold were named as being available in the original list.

   •    Inpatient beds, including                  •   Nephrology and dialysis (5
        rehabilitation, respite, and end-              mentions)
        of-life (45 mentions)                      •   Dietetics (4 mentions)
   •    Maternity, antenatal, and                  •   Diabetes care and support (4
        neonatal care (32 mentions)                    mentions)
   •    X-ray (29 mentions)                        •   Family planning and sexual health
   •    Dentistry, including orthodontics              (3 mentions)
        (24 mentions)                              •   Dermatology (3 mentions)
   •    Oncology and chemotherapy (20              •   Gynecology and women’s health (3
        mentions)                                      mentions)
   •    Physiotherapy (18 mentions)                •   Podiatry (3 mentions)
   •    Mental health and counselling (17          •   Urology (3 mentions)
        mentions)
                                                   •   Dementia care and support (3
   •    GP and primary care services (14               mentions)
        mentions)
                                                   •   Minor surgery (3 mentions)
   •    A&E (11 mentions)
                                                   •   Stroke clinic (2 mentions)
   •    Out-of-hours MIU (10 mentions)
                                                   •   Endocrinology (2 mentions)
   •    Chronic illess and pain
                                                   •   Audiology (1 mention)
        management services (8 mentions)
                                                   •   Radiology (1 mention)
   •    Opthamology (8 mentions)
                                                   •   Neurology (1 mention)
   •    Cardiology and cardiac care (6
                                                   •   Paediatrics (1 mention)
        mentions)

                                                                   Healthwatch Devon Ÿ 12
Detailed results

   •    Learning disability care and                              •      Drug and alcohol service (1
        support (1 mention)                                              mention)
                                                                  •      Occupational health (1 mention)

Question 5. If particular clinical/medical services were not available in
Okehampton how easy/difficult would you find it to travel to another
community hospital such as Tavistock or Holsworthy?

377 respondents answered this question and eight skipped it. 10.08% of respondents (38
people) said they would find it easy or very easy to travel, and 61.53% of respondents (232
people) said they would find it difficult or very difficult. 28.38% of respondents (107
people) said they would find travelling neither easy nor difficult.

                            Question 5. How easy or difficult
                             would it be for you to travel to
                           another community hospital such as
                                Tavistock or Holsworthy?

                               Very difficult                  29.97%

                                    Difficult                   31.56%

                   Neither easy nor difficult                  28.38%

                                        Easy           8.75%

                                   Very easy         1.33%

                                                0%       20%    40%      60%    80%     100%

Question 6. If you have answered difficult or very difficult, please provide
brief details about your response.

236 respondents answered this question and 149 skipped it. The most common barrier was
inadequate public transport; respondents said a lack of direct routes and inconvenient
timetables would make travelling to appointments difficult. Sixty-four respondents said
they were unable to drive or lacked access to a car. Fifty-three respondents said distance
or time would make travelling difficult and 31 respondents said an illness, disability, or
condition would make it difficult. Fifteen respondents had concerns about the cost of
travelling and eight respondents were concerned about its environmental impact.

                                                                                      Healthwatch Devon Ÿ 13
Detailed results

Public transport (97 mentions)
   •    “Appointments are rarely made at convenient times, so I have to call and
        reschedule to coincide with bus times.”

   •    “Synchronising bus times with medical appointments can be problematic and can
        mean a whole day away from home with the attendant cost and inconvenience that
        entails.”

   •    “Public transport from Okehampton to Exeter, Tavistock and Holsworthy is
        infrequent and expensive. The bus services do not run late and there is no direct
        service to hospitals. If a person was relying on public transport to get to any of
        these suggested places it could conceivably take all day if they were lucky enough
        to be able to get to the appointment on time.”

Inability to drive or lack of access to car (64 mentions)
   •    “Not everyone can drive or has transport.”

   •    “I don’t drive. I live alone. It’s not safe to car-share, taxi or bus now.”

Distance or time spent travelling (53 mentions)
   •    “Not easy to get to, even as a driver, if you work full time in Exeter but live in
        Okehampton. Goodness knows how anyone would get to Tavistock or Holsworthy
        within the limits of 9am to 5pm.”

   •    “Longer times to get to appointment would mean more time would need to be
        taken off work.”

Illness, disability, or other condition (31 mentions)
   •    “I struggle to use buses due to anxiety and travel sickness, especially on buses, and
        can’t always afford a taxi.”

   •    “Decreasing mobility makes transport difficult.”

Cost of travelling (15 mentions)
   •    “The cost of a taxi there and back is so high; many couldn’t afford it!”

Environmental concerns (8 mentions)
   •    “Encouraging more travel by car and taxi is not environmentally friendly.”

                                                                         Healthwatch Devon Ÿ 14
Detailed results

Question 7. If you would like to share any further comments about the
use of community space in Okehampton Hospital, please provide further
details.

127 respondents answered this question and 258 skipped it. Forty-three respondents used
this opportunity to express concern about hospital services being lost or moved to other
facilities. Many respondents expressed that they would like available space to be used for
clinical purposes, such as inpatient beds, maternity beds, A&E, or routine blood tests.
Fifteen respondents voiced concerns about the growth of Okehampton’s population and the
effect this may have on GP services. Fifteen respondents expressed their support for the
available space being used for community purposes. Three respondents said they believed
the list of services given in Q4 was not fully accurate.

General concern about loss or reduction of hospital services (43 mentions)
   •     “It needs to stay open and offer usable services for the health and wellbeing of our
        community population, some of whom would severely struggle to access healthcare
        in other areas of Devon.”

   •    “I do feel the hospital, which was publicly [prescribed] for medical use should be
        used for that purpose.”

Rehabilitation and convalescence beds (26 mentions)
   •    “When people have no need of a bed in an acute ward, they should be able to finish
        their hospital stay locally, enabling more frequent visits from friends and family,
        improving their recovery.”

   •    “We really do need our community beds back, too many old people are dying far
        away from family and friends.”

Concerns about population growth (15 mentions)
   •    “It would definitely be a poor decision to close [the hospital] as the town will be
        expanding rapidly when the rail route is introduced later this year. Okehampton
        needs to prepare with appropriate services. Get ready for the hikers and bikers with
        their broken limbs!”

   •    “A doctor’s surgery needs to come back there to deal with the extra 2000 people
        soon to inhabit the new housing.”

Support and suggestions for community space use (15 mentions)
   •    “Exercise classes for recovering patients, disabled patients, and mental health
        patients for whom the gym is inappropriate.”

   •    “I believe a focus [on] children and not just adults could be highly beneficial.”

   •    “We need to use this space again to benefit the community. Health is more than
        medical.”

                                                                       Healthwatch Devon Ÿ 15
Detailed results

Maternity ward (12 mentions)
   •    “We have the state of the art [maternity] suite and expecting couples are having to
        travel to Exeter which is more than 30 miles away.”

   •    “I would like to see the maternity unit opening fully for birth and aftercare. It is an
        amazing facility. Okehampton didn’t have any staff when I had my second baby, so I
        had to go to Exeter. The experience was far, far inferior and there was much less
        support. Please do everything you can to preserve the services at Okehampton –
        they are very important to the local community.”

Travel concerns and problems (12 mentions)
   •    “Okehampton Hospital is a wonderful facility and we must ensure it is utilised to its
        utmost ability to serve the ever increasing community. I strongly believe that
        holding more outpatient clinics will decrease our carbon footprint and relieve stress
        and anxiety of patients having to travel to Exeter for what is usually five minutes
        with a consultant.”

   •    “Okehampton is situated in a rural area which makes travelling difficult for so many
        people [such as the] elderly, [and] mothers with small children.”

Specific medical services (11 mentions) N.B. this topic is covered in more detail in Q4
   •    “We need an NHS dentist.”

   •    “Audiology should cater for hearing aid users beyond supply of batteries. For
        example, replacement earpieces.”

   •    “To offer late appointments and really early appointments that are safeguarded for
        people who work.”

   •    “We really need a functioning A&E to serve our expanding community.”

   •    “We need more of the same facilities to bring back what we have lost over the
        years. X-rays every day, physio appointments, etc.”

Questioning the list of services in Q4 (3 mentions)
   •    “If all of those services are delivered, then why are we always referred to Exeter?”

   •    “I don’t believe that this list is accurate or at least the ‘services provided’ are
        exaggerated, e.g. general surgery? Opthamology? We usually get called to Exeter.”

   •    “You say you deliver so many services ‘in Okehampton.’ At the hospital? Where is
        general surgery carried out? And what exactly is ‘gastrointestinal and liver?’ And
        hospice care? Are there actually wards in operation now? It would be good to have
        that generally known, if so.”

                                                                       Healthwatch Devon Ÿ 16
Detailed results

Demographics information

What is your age?
370 respondents answered this question and 15 skipped it. 50.54% of respondents (187
people) were aged 35 to 64, 37.84% of respondents (140 people) were aged 65 and over,
and 11.62% of respondents (43 people) were aged 34 and under.

                                                           Age

                    Over 74                 13.78%

                      65-74                       24.05%

                      55-64                       22.43%

                      45-54                 14.86%

                      35-44                 13.24%

                      25-34            8.65%

                      18-24         2.70%

                   Under 18        0.27%

                              0%            20%            40%   60%   80%    100%

                                                                             Healthwatch Devon Ÿ 17
Detailed results

How would you describe your ethnicity?
356 respondents answered this question and 29 skipped it. 49.44% of respondents (176
people) identified themselves as “English, Welsh, Scottish, Northern Irish, or British,”
46.63% of respondents (166 people) identified as “White or Caucasian,” 1.40% of
respondents (five people) said they had “any other White background,” 1.40% of
respondents identified as “any other ethnic group” or “another race,” 0.56% of
respondents (two people) said they belonged to “any other ethnic group,” 0.56% of
respondents said they were Irish, 0.28% of respondents (one person) said they were White
and Black Caribbean, and 0.28% of respondents said they were white and Asian.

                                                  Ethnicity

                             White and Asian

                   White and Black Caribbean

                      Any other ethnic group

                                          Irish

                                 Another race

               Any other White background

                          White or caucasian
                     English, Welsh, Scottish,
                     Northern Irish, or British
                                                  0%   20%    40%   60%   80%    100%

                                                                                Healthwatch Devon Ÿ 18
Detailed results

Please select the option that best describes you (re: disability status).
367 respondents answered this question and 18 skipped it. As respondents were able to
select more than one option, percentages may total more than 100. 57.77% of respondents
(212 people) did not consider themselves to have a disability, 35.69% (131 people) said
they had a long-term condition, 10.90% (40 people) said they had a physical disability, 3.0%
(11 people) had a sensory disability, and 0.82% (three people) said they had a learning
disability.

                                           Disability status

                   I do not consider myself to have a
                    disability or long term condition

                          I have a learning disability

                           I have a sensory disability

                          I have a physical disability

                        I have a long term condition

                                                         0%    20%    40%   60%    80%   100%

Are you a carer?
371 respondents answered this question and 14 skipped it. 16.44% of respondents (61
people) said they were a carer and 83.56% (310 people) said they were not.

                                                Carer status

                   Not a carer

                        Carer

                                 0%       20%            40%         60%     80%         100%

                                                                                     Healthwatch Devon Ÿ 19
Detailed results

Are you a parent or guardian?
368 respondents answered this question and 17 skipped it. 45.38% of respondents (167
people) said they were a parent or guardian and 54.62% (201 people) said they were not.

                                  Parent or guardian status

                   Not a parent/guardian

                        Parent/guardian

                                           0%     20%    40%     60%    80%     100%

Respondents’ postcodes
357 respondents answered this question and 28 skipped it. Most respondents (91.32% or 326
people) lived in the EX20 postcode area. Twelve respondents (3.36%) lived in EX21, nine
respondents (2.52%) lived in TQ13, and six respondents (1.68%) lived in EX18. EX32, PL16,
EX14, and TQ8 were each represented by one respondent (0.28%).

                                   Respondents' postcodes

                         EX20    EX21      TQ13   EX18   EX32   PL16   EX14   TQ8

                                                                              Healthwatch Devon Ÿ 20
Statement from North Dartmoor Primary Care Network

Statement from North Dartmoor
Primary Care Network
“The community engagement report from Healthwatch is a rich source of information and
intelligence which will inform the work of the North Dartmoor PCN Advisory group and its
subgroups going forwards. The size and scope of the respondents add to the robustness of
the detail and give us confidence in our direction of travel and our priorities.”

Recognition
Healthwatch Devon would like to thank the North Dartmoor Primary Care Network and the
West Devon Community and Voluntary Service for their help in carrying out this
engagement. We would also like to thank everyone who took the time to give their
feedback.

                                                                   Healthwatch Devon Ÿ 21
Appendix

                          Appendix
                          Appendix 1. Okehampton Times article (15 April 2021, page 5)
                                            THURSDAY, 15th April 2021 5

user                           Views sought
                          P E O P L E in Oke-
                          hampton and the
                                                      use by local people.
                                                      Among suggestions

ars
                          surrounding area            is a space for yoga
                          are being asked for         and other well-being
                          their views on how a        sessions, or a café.
                          space at Okehampton           ‘It is important that
                          Hospital could best be      the views of the com-
                          used for the commu-         munity are collected to
                          nity.                       ensure the space in the
                            Heathwatch Devon,         hospital is best utilised
                          which reports to            to suit the needs of the
                          th e N H S o n w h at       community,’ said a
                          local people want, is       spokesperson.
                          conducting a survey           ‘Healthwatch would
                          on behalf of the North      like to work with key
                          Dartmoor Primary Care       community groups
                          Network.                    in the area to ensure
                            At present the area at    everyone is given a
                          the hospital off Cavell     chance to share their
                          Way is unused most of       feedback.’ See www.
                          the time, although it       surveymonkey.co.uk/r/
                          has been set aside for      NorthDartmoorPCN to
                                                      fill in the survey.

                             Loo campaign
                         A CENTRE which               to install one. Laura
                         provides meaningful          Feaver, from Made-Well,
                          Appendix 2. Healthwatch Devon social media post (12 April 2021)
                         activities for people        said: ‘So far we have
                         with learning and            mangaged to fundraise
                         other disabilities is        for some money towards
                         fundraising to install a     the cost of the project but
                         Changing Places toilet.      we are nowhere near our
                           Without these toilets      fundraising goal.’
                         with lifting equipment         To help, contact Laura
                         and special changing         on 01837 810584 or
                         areas, severely disabled     email laura.feaver@
                         people are not able to       made-well.co.uk and
                         easily get out and about     sign a petition at www.
                         to visit places like Made-   ipetitions.com/petition/
                         Well, the centre near        install-a-changing-plac-
                         Hatherleigh which wants      es-toilet-at-made-well

                              Twilight walk
                          P E O P L E in West         to walk either the 13 or
                          Devon are invited to        six mile route or walk
 e relationships.                                     their own route near
                          get glammed up and
 na Elder, defending,                                 their own home. All
                          outshine the stars for
  Vernon retreated                                    walkers will receive a
  a virtual fantasy       Hospiscare’s 15th
                          anniversary twilight        Twilight T-shirt, a 15th
 d at a time when he                                  anniversary walker’s
 socially isolated and    walk — Twilight With
                          A Twist.                    medal and an invite
king as a herdsman                                    to the after party.Hos-
 farm in Devon.             Twilight with a Twist
                          will take place on          piscare cares for over
 e said his activity                                  2,000 patients every
inept and unsophisti-     Saturday, July 10 and
                          there are two ways to       year in Mid Devon,
d and that he gave his                                East Devon and Exeter
 telephone number to      take part: Participants
                          can join the Hospis-        both in its Exeter hos-
e of the girls, mean-                                 pice and at home, see
 t was inevitable he      care team and fellow
                          twilighters in Exmouth      www.hospiscare.co.uk/
 d be tracked down.                                   twilight.

ntal Practice
  are proud to support the B4 Project through our
 net membership. Learn more at: onepercentfortheplanet.org

 nd gentle approach to professional fully
     private dental work                                                            Healthwatch Devon Ÿ 22
      3 x Dental Hygienists
 t plans available for the whole family
    Under 4’s treated for free
Appendix

Appendix 3. Healthwatch Devon website article (6th April 2021)

Have your say on the Okehampton Hospital Community Space!

Healthwatch Devon has been asked to assist North Dartmoor Primary Care Network (PCN)
Advisory Group, to find out from the local community about their health and wellbeing
needs, together with ideas for how to use the community space at Okehampton Hospital.

Healthwatch Devon is an independent consumer champion for Health and Social Care
service in Devon, ensuring the voice of the community is used to influence and improve
services for local people.

North Dartmoor Primary Care network consists of Black Torrington, Chagford,
Moretonhampstead and Okehampton GP Practices. PCNs build on existing primary care
services and enable greater provision of proactive, personalised, coordinated and more
integrated health and social care for people close to home. North Dartmoor PCN Advisory
Group comprises of these GP practices working closely together, along with local
healthcare partners and community, voluntary and statutory services to provide joined up,
patients centred, primary and community-based care, in line with the NHS Long Term Plan.

How can you have your say?

It is important that the views of the community are collected to ensure the space in the
hospital is best utilised to suit the needs of the community. Healthwatch would like to
work with key community groups in the area to ensure everyone is given a chance to share
their feedback.

To have your say and share your views, please complete this survey:
https://www.surveymonkey.co.uk/r/NorthDartmoorPCN.

 If you would like to speak to us directly contact Healthwatch Devon Office, Monday –
Friday 10am – 4pm on freephone 0800 520 0640 and someone can help you to complete the
survey over the phone.

                                                                   Healthwatch Devon Ÿ 23
Appendix

Appendix 4. Healthwatch Devon eBulletin

                                          Healthwatch Devon Ÿ 24
Appendix

Appendix 5. List of organisations contacted

  •   Action for            •   Early Help –         •   Le Leche League-
      Children (WD              South/West               breastfeeding
      Children’s                Devon                •   Learn Devon
      Centre)               •   Exbourne Parish      •   Library,
  •   Age Concern               council                  Okehampton
  •   All Saints Church,    •   Fairplace Church,    •   Little Beacons
      Okehampton                Okehampton
                                                     •   LiveWest
  •   Belstone Parish       •   Filo Project
                                                     •   Living Options
      Council               •   Folly Gate Parish
                                                     •   Made-Well CIC
  •   Belstone Village          Hall
      Hall                                           •   Mary Budding
                            •   FOOTsteps school
                                                         Trust
  •   Black Torrington          of dance
      surgery                                        •   Meals on Wheels
                            •   Forget-me-Not
  •   Breast Feeding            Cafe                 •   Meldon Village
      Network                                            Hall
                            •   Free4Life One
  •   British Lung                                   •   Mens Sporting
                            •   Friendly Faces-
      Foundation                                         Memories Group
                                menabling
  •   Chagford Health                                •   Moretonhampstea
                            •   Friends of South
      Centre                                             d PPG
                                Tawton lunch
  •   Chagford Parish           club                 •   Navigate
      Council               •   Get Changed          •   New Life Church,
  •   Child Care                Theatre                  Okehampton
      Okehampton                Company              •   North Bovey PC
  •   Citizens Advice       •   Gidleigh Parish      •   Ockment Centre
  •   Community Car             Meeting              •   OCRA
      Scheme                •   Gilead               •   OCRA (Okehampto
  •   Community Links           Foundation               n Community &
      South West            •   GP exercise              Recreation
  •   Community                 referral                 Association)
      Transport Group           programme            •   Oke Tree
  •   Dartmoor Dog          •   Hamlets Parish           Network
      training Group            Council              •   Okehampton &
  •   Dartmoor News         •   HomeLife Carers          District
                            •   Hospiscare               Community
  •   Devon & Cornwall
                                                         Transport
      Police (Citizens in   •   Independent Age
      Policing)                                      •   Okehampton
                            •   Inwardleigh Parish
                                                         College
  •   Devon Carers              Council
                                                     •   Okehampton
  •   Devon In Sight        •   Jubilee Hall
                                                         Community
  •   Drewsteignton PC      •   Kent House               Wellbeing for All
                                Nursing Home

                                                     Healthwatch Devon Ÿ 25
Appendix

  •    Okehampton Food             •   Okehampton U3A              •   Sticklepath Parish
       Bank                        •   Okehampton                      Council
  •    Okehampton                      United Charities            •   Sticklepath Village
       Forest School               •   Okehampton Walk                 Hall
  •    Okehampton                      and Talk                    •   Stroke Association
       Hamlets P.C.                •   Pluss Employment                Exeter
  •    Okehampton                      Services                    •   Tamar Energy
       Ladies Meeting              •   Raven Quest                     Community Local
  •    Okehampton                                                      Matters
                                   •   Reaching for
       Medical Centre                  Independence)               •   Throwleigh Parish
  •    Okehampton                                                      Council
                                   •   RNID (formerly
       Memory Café                     Action on Hearing           •   Throwleigh Village
  •    Okehampton Men                  Loss)                           Hall
       in Sheds                    •   Rotary Club,                •   Tor Support
  •    Okehampton                      Okehampton                      Services
       Mental Health               •   Sampford Courten            •   Veterans United
  •    Okehampton                      ay Parish council               Against Suicide
       Model Flying                •   Sampford village            •   West Devon
  •    Okehampton PPG                  hall                            Borough Council

  •    Okehampton                  •   Shared Lives                •   West Devon
       Primary School                                                  Community Sight
                                   •   South Tawton
                                                                       Loss
  •    Okehampton Ring                 Parish Council
       and Ride                                                    •   West Devon
                                   •   South Zeal lunch
                                                                       Methodist Church
  •    Okehampton                      club
       Times                                                       •   Whiddon Down
                                   •   South Zeal Victory
                                                                       VH
  •    Okehampton Town                 Hall
       Council                                                     •   Yoga
                                   •   Space

Appendix 6. Email invitation sent to community groups
Have your say on the Okehampton Hospital Community Space!

Healthwatch Devon has been asked to assist North Dartmoor Primary Care Network (PCN)
Advisory Group, to find out from the local community about their health and wellbeing
needs, together with ideas for how to use the community space at Okehampton Hospital.

Healthwatch Devon is an independent consumer champion for Health and Social Care
service in Devon, ensuring the voice of the community is used to influence and improve
services for local people.

North Dartmoor Primary Care network consists of Black Torrington, Chagford,
Moretonhampstead and Okehampton GP Practices. PCNs build on existing primary care
services and enable greater provision of proactive, personalised, coordinated and more

                                                                   Healthwatch Devon Ÿ 26
Appendix

integrated health and social care for people close to home. North Dartmoor PCN Advisory
Group comprises of these GP practices working closely together, along with local
healthcare partners and community, voluntary and statutory services to provide joined up,
patients centred, primary and community-based care, in line with the NHS Long Term
Plan.

How can you have your say?

It is important that the views of the community are collected to ensure the space in the
hospital is best utilised to suit the needs of the community. Healthwatch would like to
work with key community groups in the area to ensure everyone is given a chance to share
their feedback.

To have your say and share your views, please complete this survey:
https://www.surveymonkey.co.uk/r/NorthDartmoorPCN.

If you would like to speak to us directly contact Healthwatch Devon Office, Monday –
Friday 10am – 4pm on freephone 0800 520 0640 and someone can help you to complete the
survey over the phone.

If possible, I would like to attend one of your community group meetings (assuming these
are now being held digitally) to explain to your members a little bit about the proposal and
to capture any feedback you would like to share/encourage you to fill in the survey. If your
group are no longer meeting due to COVID-19 we will be holding 2 digital drop-in sessions
on:

Tuesday 27th April 10:00-11:00

Thursday 13th May 17:00-18:00

I look forward to hearing from you, please let me know if you would like further
information, or to simply say you do not wish to be involved. If I have received no response
from your group by next week, I will follow up with a phone call to ensure you have
received the information above and been given a chance to share your feedback.

Appendix 7. Mentions of mental health services (Q3) by age group

  •    34 and under: 11 out of 26 respondents mentioned (42.30%)

  •    35 – 54: 31 out of 79 respondents mentioned (39.24%)

  •    Over 55: 31 out of 174 respondents mentioned (17.81%)

                                                                     Healthwatch Devon Ÿ 27
Contact Us

Contact us

 Jan Cutting Healthy Living Centre
 Scott Business Park
 Beacon Park Road
 Plymouth
 PL2 2PQ

 www.healthwatchdevon.co.uk
 t: 0800 520 0640 (Freephone)
 e: info@healthwatchdevon.co.uk
 tw: @HwDevon
 fb: facebook.com/healthwatchdevon

 © Copyright (Healthwatch Devon, 2021)
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