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9

A

Recruitment Questionnaire for older people aged 70+– J31938

Ipsos

MORI/J31938

Health Professions Council (HPC)- Hard to

Reach Groups Research RESPONDENT RECRUITED FOR: Focus group

RESPONDENT NO:

Specification - This questionnaire recruits people with the following characteristics: Date:

Time:

Need to recruit 10-12 participants for 6-8 to attend Mix of men and women aged 70+

Have used services of a health professional (either once or more than once in the last two years)

Mix of those living independently and in assisted/residential accommodation ABC1s Group: 1 Older people aged 70+ ABC1s

Venue Details: Manchester

Code: 1

Date: Time:

Need to recruit 10-12 participants for 6-8 to attend Mix of men and women aged 70+

Have used services of a health professional (either once or more than once in the last two years)

Mix of those living independently and in assisted/residential accommodation C2DEs Group: 2 Older people aged 70+ C2DEs

Venue Details: London

Code: 2

Good morning/afternoon/evening, my name is . . . from Ipsos MORI, the opinion research organisation.

We are conducting research on behalf of the Health Professions Council about the health services that older people use and how they access them. We are looking to recruit a group of people aged 70+ to participate in a discussion group to discuss use of and access to certain health services.

You do not need to have heard of the Health Professions Council or be aware of what they do in order to participate in the research.

The discussion group will take place in your local area at <LOCATION> on <DATE>. The group will last around an hour and a half. It will be an informal discussion and refreshments will be provided. We are more than happy to make travel arrangements for you in order to attend the group and we would cover the cost of this. In addition, as a thank you for your time we would like to offer you £30 for taking part. There will be about eight people attending for the discussion.

(32)

;

IF THEY MENTION BRINGING SOMEONE ALONG WITH THEM – FAMILY MEMBER/CARER – PLEASE REASSURE THEM THAT THIS IS FINE, WE ARE HAPPY TO HAVE PEOPLE ATTEND THE GROUP WITH THEM IF THEY WOULDN’T ATTEND OTHERWISE – NEED TO STRESS THOUGH THAT ARE INTERESTED IN GAUGING VIEWS OF RESPONDENT ONLY THOUGH.

We are looking for particular groups of people. Therefore I would like to ask you some questions about yourself. All information collected will be anonymised.

Q1. Would you be interested in taking part?

Yes 1 CONTINUE

No 2 CLOSE

Q2. Have you participated in a focus group discussion for a market research company in the last six months?

Yes 1 THANK AND CLOSE

No 2 CONTINUE

Q3. SHOWCARD A Do you or any members of your immediate family work in any of the following areas, either in a paid or unpaid capacity?

Journalism/the media 1

Advertising 2

Public relations (PR) 3

Market Research 4

Doctor/Health professional 5

THANK AND CLOSE

Public sector 6 (E.G NHS, POLICE, TEACHER)

– MAXIMUM 3 PER GROUP IF POSSIBLE

No, none of these 7

Don’t know 8

Q4. WRITE IN & CODE EXACT AGE

Exact Age

Under 70 1 THANK AND CLOSE

70-84 2 CONTINUE

85+ 3 CONTINUE

Q5. CODE SEX (DO NOT ASK)

Male 1

Female 2

Q6. SHOWCARD B Have you used any of the following health professionals’ services in the last two years? MULTICODE.

READ OUT IF THE RESPONDENT HAS ANY DIFFICULTY SEEING/READING

Art therapist 1 Biomedical Scientist 2 Chiropodist/Podiatrist 3 Clinical Scientist 4 Dietician 5 Occupational Therapist 6 Operating Department Practitioner 7

(33)

> Orthoptist 8 Paramedic 9 Physiotherapist 0 Prosthetist/Orthotist X Radiographer Y

Speech and Language Therapist 1

None 2 THANK AND CLOSE

Don’t know/Refused 3 THANK AND CLOSE

Q7. Have you used any of the health professionals’ services mentioned just now in the last two years…? SINGLE CODE

Once 1

More than once 2 TRY TO RECRUIT A MIX IF POSSIBLE

Can’t remember 3

Other 4 CONTINUE

Q8. Which of these best describes your current situation? SINGLE CODE ONLY

Retired 1

Housewife/husband 2

Volunteer/Unpaid work 3 Working – full time 4 Working – part-time 5

Other 6

CONTINUE

Q9. SHOWCARD C Which of these best describes your household? SINGLE CODE ONLY

Living alone 1

Living with spouse/partner alone 2 Living with spouse/partner and other family 3 Living with children - but not with spouse or

partner 4

Shared household – other elderly people 5 Retirement Home - Sheltered housing/Assisted

living housing 6

Nursing/Care Home 7

RECRUIT AS BROAD A MIX AS POSSIBLE

Other 8

Q10. Do you have any long-term illness, health problem, or disability which limits your daily activities or the work you can do? SINGLE CODE ONLY

Yes 1

Record details:

PLEASE RECRUIT A MIX OF

CONDITIONS IN TERMS OF TYPE AND SEVERITY IF POSSIBLE – NOT ALL

RESPONDENTS SHOULD HAVE LONG TERM CONDITIONS – WANT GOOD MIX OF THOSE WHO DO AND DO NOT HAVE ANY CONDITIONS – APPROX HALF.

(34)

@

No 2 CONTINUE – RECRUIT MIX OF PEOPLE WHO SAY YES AND NO TO THIS QUESTION - SKIP Q11

Refused 3

Q11. Do you have a carer or someone who provides you with regular support or assistance to, either in an informal or formal way? SINGLE CODE ONLY

Yes 1

No 2 TRY TO RECRUIT A MIX IF POSSIBLE

Not stated 3 THANK AND CLOSE

Q12. SHOWCARD D To which one of the groups on this card do you consider you belong?

SINGLE CODE ONLY.

British 1

Irish 2

WHITE

Any other white background 3

CONTINUE

White and Black Caribbean 4

White and Asian 5

MIXED

Any other mixed background 6

Indian 7 Pakistani 8 Bangladeshi 9 ASIAN OR ASIAN BRITAIN

Any other Asian background 0

Caribbean X African Y BLACK OR BLACK BRITISH

Any other black background 1

Chinese 2

Any other background 3

PLEASE TRY TO RECRUIT AT LEAST ONE PER

GROUP CHINESE OR OTHER ETHNIC GROUP Refused 5

(35)

SOCIAL GRADE CATEGORISATION

Occupation of Chief Income Earner/Occupation of Chief income earner in last job (if retired)

Position/rank/grade Industry/type of company Quals/degree/apprenticeship Number of staff responsible for

REMEMBER TO PROBE FULLY FOR PENSION AND CODE FROM ABOVE

Class A 1 B 2 C1 3 C2 4 D 5 E 6

NB RECRUIT ACCORDING TO GROUP PROFILE

GROUP1 = ABC1s GROUP 2 = C2DEs

WHILE THE INCENTIVE OFFERED REPRESENTS THE TOTAL COMPENSATION FOR RESPONDENTS TIME, TRAVEL EXPENSES AND CHILDCARD COSTS, IN EXCEPTIONAL CIRCUMSTANCES ADDITIONAL PAYMENTS CAN BE MADE.

QD. Do they need travel costs?

Yes 1

No 2

IF YES WRITE IN AMOUNT £...

QE. Do they need other dependents costs?

Yes 1

No 2

IF YES WRITE IN AMOUNT £... Interviewer number:

Interviewer name (CAPS): ...

I confirm that I have conducted this interview face to face with the named person of the address attached and that I asked all the relevant questions fully and recorded the answers in conformance with the survey specification and within the MRS Code of Conduct and the Data Protection Act 1998.

Interviewer Signature: ... Date: ...

(36)

B B

THIS MUST BE THE LAST PAGE OF THE QUESTIONNAIRE AND MUST BE SINGLE SIDED IpsosMORI/J31938 Hard to Reach Groups Research

RESPONDENT RECRUITED FOR:

Focus group Recruitment Questionnaire RESPONDENT NO: PERSONAL IDENTIFIERS Details Location: Date: Time: Name/Initial/Title: Mr/Mrs/Ms/Miss Address: Full Postcode

Tel. Number (WRITE IN INCL. STD code)

Home/mobile 1 Work 2 Refused/Ex-directory 3

e-mail address (WRITE IN) 1

Is respondent willing to take part and available?

Yes 1

No 2

Respondent attended?

Yes 1

(37)

A

A

Recruitment Questionnaire for carers of older people aged 70+– J31938

Ipsos

MORI/J31938

Health Professions Council (HPC)- Hard to

Reach Groups Research RESPONDENT RECRUITED FOR: Focus group

RESPONDENT NO:

Specification - This questionnaire recruits people with the following characteristics: Date:

Time:

Need to recruit 10-12 participants for 6-8 to attend Informal carers of older people aged 70+

Person for whom they care needs to have used health professionals’ service in last two years

Mix of social grades

Mix of conditions/severity of those they care for

Mix of housing types (family/non-family in-home care etc) Group: 3

Informal Carers

Venue Details: Manchester

Code: 3

Good morning/afternoon/evening, my name is . . . from Ipsos MORI, the opinion research agency.

We are conducting research on behalf of the Health Professions Council about the health services that older people use and how they access them. We are looking to recruit a group of people who provide regular support or assistance to an elderly person.

You do not need to have heard of the Health Professions Council or be aware of what they do in order to participate in the research.

The discussion group will take place in your local area at <LOCATION> on <DATE>. The group will last around an hour and a half. It will be an informal discussion and refreshments will be provided. As a thank you for your time, we would offer £30 for attending the group

THE INCENTIVE OFFERED REPRESENTS COMPENSATION FOR THEIR TIME, TRAVEL EXPENSES AND ANY CHILDCARE. EXCEPT IN EXCEPTIONAL CIRCUMSTANCES

We are looking for particular groups of people, therefore I would like to ask you some questions about yourself. All information collected will be anonymised.

(38)

Q2. Would you be interested in taking part?

Yes 1 CONTINUE

No 2 CLOSE

Q3. Have you participated in a focus group discussion for a market research company in the last six months?

Yes 1 THANK AND CLOSE

No 2 CONTINUE

Q4. SHOWCARD A Do you or any members of your immediate family work in any of the following areas, either in a paid or unpaid capacity?

Journalism/the media 1

Advertising 2

Public relations (PR) 3

Market Research 4

Doctor/Health professional 5

THANK AND CLOSE

Public sector 6 (E.G NHS, POLICE, TEACHER)

– MAXIMUM 3 PER GROUP IF POSSIBLE

No, none of these 7

Don’t know 8

Q5. CODE SEX (DO NOT ASK)

Male 1

Female 2

Q6. WRITE IN & CODE EXACT AGE

Exact Age 18-24 1 25-34 2 35-44 3 45-54 4 55-64 5 65-69 6 70+ 7 Refused 8

IF POSSIBLE TRY AND RECRUIT A MIX

Q7. Do you provide regular support or assistance to an older person with a long-term illness, health problem, or disability? SINGLE CODE ONLY

Yes 1 CONTINUE

No 2

(39)

Q8. SHOWCARD B Is the older person that you provide regular support or assistance to… ?

SINGLE CODE ONLY

Physically disabled 1 Visually impaired 2 Hearing impaired 3 Have difficulty moving or walking 4

Have dementia 5

Don’t know/Not sure 6

Other 7

Refused 8

RECRUIT AS BROAD A MIX AS POSSIBLE

Q9. What is your relationship to the older person to whom you are providing care? Parent or Parent-in-law 1

Other relative 2

Other non-relative 3

RECRUIT AS BROAD A MIX AS POSSIBLE

Q10. SHOWCARD C Has the person for whom you provide regular support or assistance used the any of the following health professionals’ services in the last two years?

MULTICODE. Art therapist 1 Biomedical Scientist 2 Chiropodist/Podiatrist 3 Clinical Scientist 4 Dietician 5 Occupational Therapist 6 Operating Department Practitioner 7

Orthoptist 8

Paramedic 9

Physiotherapist 0

Prosthetist/Orthotist X

Radiographer Y

Speech and Language Therapist 1

CONTINUE

None 2 THANK AND CLOSE

Don’t know/Refused 3 THANK AND CLOSE

Q11. Has the person for whom you provide regular support or assistance in the last two years used any of health professionals’ services mentioned just now in the last two years…? SINGLE CODE

Once 1

More than once 2 TRY TO RECRUIT A MIX IF POSSIBLE

Can’t remember 3

Other 4 CONTINUE

Q12. SHOWCARD D Which of these best describes your current situation? Working - Full-time (30+ hrs) 3

- Part-time (9-29 hrs) 4

Not working - Unemployed – seeking work 5 Unemployed - not seeking work 6 - retired 7 - looking after house/children 8 - invalid/disabled 9

Student 10

CONTINUE

(40)

3

SHOWCARD E To which one of the groups on this card do you consider you belong?

SINGLE CODE ONLY.

British 1

Irish 2

WHITE

Any other white background 3

CONTINUE

White and Black Caribbean 4

White and Asian 5

MIXED

Any other mixed background 6

Indian 7 Pakistani 8 Bangladeshi 9 ASIAN OR ASIAN BRITAIN

Any other Asian background 0

Caribbean X African Y BLACK OR BLACK BRITISH

Any other black background 1

Chinese 2

Any other background 3

PLEASE TRY TO RECRUIT AT LEAST ONE PER

GROUP CHINESE OR OTHER ETHNIC GROUP Refused 5

SOCIAL GRADE CATEGORISATION

Occupation of Chief Income Earner/Occupation in last job (if retired)

Position/rank/grade Industry/type of company Quals/degree/apprenticeship Number of staff responsible for

REMEMBER TO PROBE FULLY FOR PENSION AND CODE FROM ABOVE

Class A 1 B 2 C1 3 C2 4 D 5 E 6

TRY TO RECRUIT A MIX IF POSSIBLE

WHILE THE INCENTIVE OFFERED REPRESENTS THE TOTAL COMPENSATION FOR RESPONDENTS TIME, TRAVEL EXPENSES AND CHILDCARD COSTS, IN EXCEPTIONAL CIRCUMSTANCES ADDITIONAL PAYMENTS CAN BE MADE.

(41)

9 QD. Do they need travel costs?

Yes 1

No 2

IF YES WRITE IN AMOUNT £...

QE. Do they need other dependents costs?

Yes 1

No 2

IF YES WRITE IN AMOUNT £... Interviewer number:

Interviewer name (CAPS): ...

I confirm that I have conducted this interview face to face with the named person of the address attached and that I asked all the relevant questions fully and recorded the answers in conformance with the survey specification and within the MRS Code of Conduct and the Data Protection Act 1998.

Interviewer Signature: ... Date: ...

(42)

;

B

THIS MUST BE THE LAST PAGE OF THE QUESTIONNAIRE AND MUST BE SINGLE SIDED

IpsosMORI/J31938 Hard to Reach Groups Research

RESPONDENT RECRUITED FOR:

Focus group Recruitment Questionnaire RESPONDENT NO:

PERSONAL IDENTIFIERS Details Location: Date: Time: Name/Initial/Title: Mr/Mrs/Ms/Miss Address: Full Postcode

Tel. Number (WRITE IN INCL. STD code)

Home/mobile 1 Work 2 Refused/Ex-directory 3

e-mail address (WRITE IN) 1

Is respondent willing to take part and available?

Yes 1

No 2

Respondent attended?

Yes 1

(43)

> Topic Guide

Health Professions Council Final Topic Guide – 25 January 2008

Topic guide – discussion groups with older people aged 70+ 1 ½ hours

Background to research

The Health Professions Council is interested in conducting research amongst ‘older people’; specifically people aged 70+, as a key audience and ‘hard-to-reach group’. The HPC wants to determine how this audience make use of the services of the health professionals which it regulates, as well as gauging the awareness of the HPC and health regulation amongst this group.

Moderator – Refer to the 13 Health Professions that the HPC regulates overleaf Key objectives

There are a number of key objectives to explore:

o Understanding and awareness of health regulation the HPC;

o Usage of health professionals; for example the process by which people seek advice. Specifically, do they go directly to a private practitioner? Do they obtain a referral from their GP? Do they receive home visits by health professionals? Are these services signposted to them by third parties?

o The best way to reach these members of the public.

Description Comments Time

(min) 1. Introduction:

• Welcome

• Introduce Ipsos MORI

• Housekeeping – mobile phones/toilets/fire exits

• Outline Ipsos MORI’s role – independent research

organisation, gather all opinions: all opinions valid, no right or wrong answers.

• Explain recording permission – confidential and anonymous.

Welcome: orientates respondent, gets them prepared to take

part in the discussion Outlines the ‘rules’ of the interview/group (including those we are required to tell them about under MRS and Data

Protection Act guidelines)

5

2. Gauging awareness and understanding of the HPC

o Had you heard of the Health Professions Council (HPC) before today?

IF YES – Where/how?

o The HPC replaced the Council for Professions

Supplementary to Medicine (CPSM) in April 2002. Has anyone heard of the CPSM?

o Just out of interest – has anybody heard of the General Medical Council, or the Nursing and Midwifery Council? IF ANY PARTICIPANTS HAVE HEARD OF THE HPC – PLEASE PROBE:

o Can anybody tell me what the HPC is/does?

o Does anybody have any idea what their responsibilities or main functions are?

This section will gauge initial spontaneous awareness and understanding of the

HPC before any in-depth discussions start. This area will

be probed in more detail later, but it is interesting to just gauge very initial

responses

(44)

@

Explain: “The HPC is a statutory regulator that works to protect the health and well-being of people using the services of the health professionals registered with them. The HPC currently registers over 180,000 professionals from 13 different professions. They only register professionals who meet their standards for their professional skills, behaviour and health. Part of their role involves making the public aware of who they are and what they do.”

o Does that explanation make sense? Does everyone have a better idea of what the HPC does now?

PLEASE MAKE SURE ALL RESPONDENTS ARE SUFFICIENTLY AWARE OF HPC AND ITS ROLE AND FUNCTION. STRESS THAT THEY ARE NOT INVOLVED WITH THE NHS, DOCTORS OR NURSES – THEY ONLY REGULATE OTHER PROFESSIONS AND HAVE A DUTY TO PROTECT THE PUBLIC

Protecting the public

Protecting the professionals it represents by regulating standards

3. Older people – exploring the health professionals they use

Explain: “The HPC is interested in us speaking to you today because you have used the services one or more of the health professions that they regulate within the past year or two. The HPC actually regulates 13 different health professions, excluding professionals like doctors and nurses.”

I’m going to show you a list here which explains which professions the HPC regulates.

SHOW LIST A (ones in bold are most likely to be used by older people) Art therapist Biomedical scientist Chiropodist/Podiatrist Clinical scientist Dietician Occupational Therapist

Operating Department Practitioner Orthoptist

Paramedic Physiotherapist Prosthetist/Orthotist Radiographer

Speech and Language therapist

o So, just to start, could you tell me which of these health professionals you’ve been to see?

IF FEW RESPONSES (should all have used at least one within the last two years) - Or anyone else you know?

PLEASE MAKE A NOTE OF THE HEALTH PROFESSIONS USED IN THE GROUP AND ALSO THOSE CITED MOST OFTEN

o When did you start using the services of professionals that are on the list we looked at just now?

(45)

Topic Guide

o How often do you use the services of each of the health

professionals you mentioned just now? Do you visit them regularly or just now and then when you need to?

o How did you find out about them in the first place? Did a doctor recommend that you see them, or was it something that you decided to do on your own?

IF WENT UPON THE ADVICE OF A DOCTOR:

o Did you get a referral from your doctor on the NHS to go and see the health professional? If so, how long did you have to wait to see them?

o Did you have to pay for the visits to the health professional or are these paid for you on the NHS?

o Were you happy to go to the health professional that your doctor recommended/referred you to? Do you trust your doctor to find you the right person to see?

IF WENT TO A HEALTH PROFESSIONAL

INDEPENDENTLY OF ADVICE FROM DOCTOR ETC.:

o Did you find a health professional that you needed to see yourself, or did somebody else you know do it for you? PROBE FULLY FOR WHO IT WOULD BE – Family/Carer/Spouse/Neighbour etc.

IF SOMEBODY ELSE FINDING THEM A HEALTH PROFESSIONAL:

o Who is it that took care of finding you someone to see/visit?

PROBE – Family/spouse? Friend/neighbour? Carer?

IF THEY FOUND A HEALTH PROFESSIONAL THEMSELVES:

o How did you find someone that you wanted to go and

see? Did/do you look them up or did/do you go to a particular health professional upon the advice or recommendation of someone else?

o Do you know if the health professional you visit is

registered with anybody? Do you know about any qualifications that they have? How important is this to you?

ASK OF ALL

o Who would you trust to recommend a good health

professional for you to use? PROBE FOR: FAMILY FRIENDS NEIGHBOURS DOCTOR CARER LOCAL COUNCIL OTHER?

REPEAT ABOVE QUESTION FOR - Who would you not trust?

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B 4. Usage of Health Professionals

Explain: We spoke briefly before about visiting health professionals. I just want to ask you a bit more about the actual visits themselves now.

o Does the health professional come and see you when you need treatment? Or do you visit them at their practice/office/clinic?

o How often do you see them?

o Does anybody help you to get there when you visit them? Who is it that helps you? PROBE FULLY – family member/spouse? Carer? Friend/neighbour?

o Do you travel far to reach them? Or are they very local? Is it more important for you to see someone as locally as possible, or would you be happy to travel a longer distance to see someone if you thought they might be better?

o Do you see the same person each time, or is it often a

different person who treats you?

15

5.Exploring dissatisfaction with health professionals

Explain: I now want to find out in a bit more detail about satisfaction and dissatisfaction with any of the services you’ve received from the health professionals you visit.

o Would you say that you are generally satisfied or dissatisfied with the treatment that you receive from the health professionals that you visit?

o What are the main things that have lead/would lead you to be dissatisfied with the service/treatment you receive? PROBE FULLY

SHOW LIST C

Treatment received is not working/of any benefit Behaviour of health professional is not what it

should be

Attitude of health professional is not what it should be

Have concern about the standards of health and safety/environment of where the health professional works

o Has anybody ever made a complaint against a health

professional that they’ve received treatment from?

o If you have been/were dissatisfied with the services of a

health professional, would you stop using them?

o Have you told anyone/would you tell anyone if you were

dissatisfied? Who have you/or would you tell? PROBE FOR: FRIENDS/NEIGHBOURS FAMILY DOCTOR LOCAL COUNCIL HEALTH REGULATOR? 15

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A Topic Guide

o Would you want to tell somebody about it officially?

Why/Why not? Who would you go to/have you been to make an official complaint?

PROBE FOR:

HEALTH PROFESSIONAL THEMSELVES LOCAL DOCTOR

LOCAL COUNCIL

HEALTH REGULATOR – HPC? OTHER BODY? CARE HOME IF RESP IS A CARE HOME RESIDENT?

OTHER?

MODERATOR: KEY SECTION BELOW - PLEASE ALLOW PLENTY OF TIME

6. Increasing awareness of the HPC amongst older people Coming to a close soon, I just wanted to ask you all a few more questions:

Do you read a newspaper on a regular basis, by which I mean at least three times a week?

IF YES: Is that a national newspaper or a local one? Do you listen to the radio on a regular basis, by

which I mean at least three times a week? IF YES: Is that national radio, or local radio?

Do you watch television regularly, by which I mean at least three times a week?

IF YES: Do you watch one channel more than others?

How often have you visited your doctor in the last year would you say?

Do you use the internet at all?

Explain: “The HPC is keen to make more people aware of its

role and how it can help people if they want to check that a health professional is registered, find a registered professional in their local area, or if they have a complaint to make about the services of a specific health professional. They are particular interested in the views of older people. I just want to now explore the best ways that the HPC might be able to increase awareness of themselves and what they do”

o Are you the person most likely to find out about the services of a health professional if you needed to use one, or would it be somebody else that you know who would do it for you? PROBE FULLY FOR WHOM IT WOULD BE – Family/Carer/Spouse/Neighbour etc.

o Are you the person most likely to make a complaint if you had one, or would somebody else make it on your behalf, or jointly?

o In what ways do you think the HPC could reach you to let you know about what they do, and how they could help you in finding a health professional, or checking that someone is registered?

SPONTANEOUS – RECORD INITIAL RESPONSES

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3 THEN PROBE FOR:

Newspapers – local/national Radio – local/national Local hospital GP surgery Local pharmacy Council/Local authority Charities for older people Leaflet through your door Via friends/family/carers

o If you wanted information on any of the 13 Health Care Professionals that the HPC regulates, where do you think would be best to find it?

o What would be the key things you’d want to know? THANK ALL THE RESPONDENTS & HAND OUT THE HPC PUBLIC INFO POSTER/INFORMATION LEAFLET – THEN ASK:

Has anybody seen one of these?

PLEASE HAND ONE OUT TO RESPONDENTS WHO WOULD LIKE TO TAKE ONE HOME – HAS THE HPC HELPLINE NUMBER IF ANYONE WANTS TO CHECK/FIND A HEALTH PROFESSIONAL AND IF THEY HAVE A COMPLAINT TO REGISTER

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3 Topic Guide

Health Professions Council Final Topic Guide – 25 January 2008

Topic guide – discussion groups with informal carers of older people aged 70+

1 ½ hours

Background to research

The Health Professions Council is interested in conducting research amongst ‘older people’; specifically people aged 70+, as a key audience and ‘hard-to-reach group’. The HPC wants to determine how this audience make use of the services of the health professionals which it regulates, as well as gauging the awareness of the HPC and health regulation amongst this group.

The HPC is interested in speaking to some informal carers of older people aged 70+ as they are likely to quite involved with finding out about, and organising visits to a health professional on behalf of the older person they care for.

Moderator – Refer to the 13 Health Professions that the HPC regulates overleaf Key objectives

There are a number of key objectives to explore:

o Understanding and awareness of health regulation and the

HPC;

o Usage of health professionals; for example the process by

which people seek advice. Specifically, do they go directly to a private practitioner? Do they obtain a referral from their GP? Do they receive home visits by health professionals? Are these services signposted to them by third parties?

o The best way to reach these members of the public.

Description Comments Time

(min) 1. Introduction:

• Welcome

• Introduce Ipsos MORI

• Housekeeping – mobile phones/toilets/fire exits

• Outline Ipsos MORI’s role – independent research

organisation, gather all opinions: all opinions valid, no right or wrong answers.

• Explain recording permission – confidential and anonymous.

Welcome: orientates respondent, gets them prepared to take

part in the discussion Outlines the ‘rules’ of the interview/group (including those we are required to tell them about under MRS and Data

Protection Act guidelines)

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33

2. Gauging awareness and understanding of the HPC

o Had you heard of the Health Professions Council (HPC) before today?

IF YES – Where/how?

o The HPC replaced the Council for Professions

Supplementary to Medicine (CPSM) in April 2002. Has anyone heard of the CPSM?

o Just out of interest – has anybody heard of the General Medical Council, or the Nursing and Midwifery Council? IF ANY PARTICIPANTS HAVE HEARD OF THE HPC – PLEASE PROBE:

o Can anybody tell me what the HPC is/does?

o Does anybody have any idea what their responsibilities or main functions are?

Explain: “The HPC is a statutory regulator that works to protect the health and well-being of people using the services of the health professionals registered with them. The HPC currently registers over 180,000 professionals from 13 professions. They only register professionals who meet their standards for their professional skills, behaviour and health. Part of their role involves making the public aware of who they are and what they do.”

o Does that explanation make sense? Does everyone have a better idea of what the HPC does now?

PLEASE MAKE SURE ALL RESPONDENTS ARE SUFFICIENTLY AWARE OF HPC AND ITS ROLE AND FUNCTION. STRESS THAT THEY ARE NOT INVOLVED WITH THE NHS, DOCTORS OR NURSES – THEY ONLY REGULATE OTHER PROFESSIONS AND HAVE A DUTY TO PROTECT THE PUBLIC

Protecting the public

Protecting the professionals it represents by regulating standards

This section will gauge initial spontaneous awareness and understanding of the

HPC before any in-depth discussions start. This area will

be probed in more detail later, but it is interesting to just gauge very initial

responses

10

3. Older people – exploring the health professionals they use

Explain: “The HPC is interested in us speaking to you today because you care for someone who has used or uses the services one or more of the health professions that they regulate within the past year or two. The HPC actually regulates 13 different health professions, excluding professionals like doctors and nurses.”

I’m going to show you a list here which explains which professions the HPC regulates.

SHOW LIST A (ones in bold are most likely to be used by older people) Art therapist Biomedical scientist Chiropodist/Podiatrist Clinical scientist Dietician Occupational Therapist

Operating Department Practitioner

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39 Topic Guide Orthoptist Paramedic Physiotherapist Prosthetist/Orthotist Radiographer

Speech and Language therapist

o So, just to start, could you tell me which of these health professionals the person you care for has used?

PLEASE MAKE A NOTE OF THE HEALTH PROFESSIONS USED IN THE GROUP AND ALSO THOSE CITED MOST OFTEN

o When did the person you provide care for start using the services of professionals that are on the list we looked at just now?

o How often do they use the services of each of the health professionals you mentioned just now? Do they use them regularly or just now and then when they need to?

o How involved are you with the care they receive from the health professional?

IF ARE INVOLVED:

Are you there when they receive their treatment? Has anything ever gone wrong with a health

professional that’s treated them, do you know? IF YES – What was done about it do you know?

o Did the person you care for find out about the health professional on their own or through their doctor, or was this something that you did for them?

IF WENT UPON THE ADVICE OF A DOCTOR:

o Did the person you care for get a referral from their

doctor on the NHS to go and see the health professional? If so, how long did they have to wait to see the health professional?

o Do you know if they have to pay for the visits to the

health professional or are these paid for them on the NHS?

o Do you know if they were happy to go to the health

professional that their doctor recommended/referred them to?

IF THE OLDER PERSON FOUND A HEALTH PROFESSIONAL ON THEIR OWN:

o Do you know how the person you care for found out about someone that they wanted to go and see? Did/do they look them up or did/do they go to a particular health professional upon the advice or recommendation of someone else for example?

o Do you know if the health professional the person you care for uses is registered with anybody? Do you know about any qualifications that they have?

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3;

o How would you find a health professional if you needed

to for yourself? Who would you ask/where you would you find out?

ASK OF ALL

o Who would you trust to recommend a good health

professional for the person you care for to use? PROBE FOR: YOUR/THEIR FAMILY YOUR/THEIR FRIENDS YOUR/THEIR NEIGHBOURS YOUR/THEIR DOCTOR LOCAL COUNCIL OTHER?

o And who would you trust to recommend a good health professional if it was for you? Would you be more or less trusting do you think?

REPEAT ABOVE QUESTIONS FOR -

o Who would you not trust? 4. Usage of Health Professionals

Explain: We spoke briefly before about visiting health professionals. I just want to ask you a bit more about the actual visits themselves now.

o Does the health professional come and see the person

you care for in-home when they need treatment? Or do they visit them at their practice/office/clinic?

o How often do they/you see them?

o Do you accompany the person you care for

when they visit the health professional?

o Do they go alone, or does someone else (but

not you) go with them?

o Does the person you care for have to travel far to reach the health professional? Or are they very local? Is it more important for them to see someone as locally as possible, or would they be happier to travel a longer distance to see someone if they thought they might be better do you think?

o Do you know if they see the same person each time, or is it often a different person?

15

5.Exploring dissatisfaction with health professionals

Explain: I now want to find out in a bit more detail about satisfaction and dissatisfaction with any of the services you’ve received from the health professionals you visit.

o Would you say that you and/or the person you care for are generally satisfied or dissatisfied with the treatment that they receive from the health professionals that they visit?

o What are the main things that you think would lead to the

person you care for being dissatisfied with the service they receive? PROBE FULLY

o Has anybody ever made a complaint against a health

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3> Topic Guide

professional that they’ve received treatment from?

o If you and/or the person you care for have been/were dissatisfied with the services of a health professional, would you stop using them?

o Have you or would they tell anyone if you/they were

dissatisfied? Who have you/or would you tell? PROBE FOR: FRIENDS/NEIGHBOURS FAMILY DOCTOR LOCAL COUNCIL HEALTH REGULATOR?

o Would you or the person you care for want to tell somebody about it officially? Why/Why not? Who would you/they go to/have been to make an official complaint? PROBE FOR:

HEALTH PROFESSIONAL THEMSELVES LOCAL DOCTOR

LOCAL COUNCIL

HEALTH REGULATOR – HPC? OTHER BODY? CARE HOME IF RESP IS A CARE HOME RESIDENT?

OTHER?

6. Increasing awareness of the HPC amongst older people Do you use the internet at all?

IF YES – How often would you say?

Do you read the newspaper on a regular basis, by which mean at least three times a week?

IF YES – Is this a national paper, or a local paper? Do you listen to the radio on a regular basis, by

which I mean at least three times a week? IF YES – Is this national radio or local radio?

Do you watch television regularly, by which I mean at least three times a week?

IF YES – Do you watch one channel more than any other?

How often would you say the person you care has visited their doctor in the last year?

Explain: “The HPC is keen to make more people aware of its

role and how it can help people if they want to check that a health professional is registered, find a registered professional in their local area, or if they have a complaint to make about the services of a specific health professional. They are particular interested in the views of older people and the people who provide regular care for them. I just want to now explore the best ways that the HPC might be able to increase awareness of themselves and what they do”

o Are you the person most likely to find out about the services of a health professional if you or the person you provide care for needed to use one, or would it be somebody else that you know who would do it for you?

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3@

PROBE FULLY FOR WHOM IT WOULD BE – Family/Spouse/Neighbour etc.

o Is the person you care for most likely to make a

complaint if they had one, or would you or anyone else be likely to do it on their behalf, or jointly?

o In what ways do you think the HPC could reach you to let you or the person you care for know about what they do, and how they could help the person you care for in finding a health professional, or checking that someone is registered?

SPONTANEOUS – RECORD INITIAL RESPONSES THEN PROBE FOR:

Newspapers – local/national Radio – local/national Local hospital GP surgery Local pharmacy Council/Local authority Charities for older people Leaflet through your door Via friends/family/carers

o If you wanted information on any of the 13 Health Care Professionals that the HPC regulates, where do you think would be best to find it?

o What would be the key things you’d want to know? THANK ALL THE RESPONDENTS & HAND OUT THE HPC PUBLIC INFO POSTER/INFORMATION LEAFLET – THEN ASK:

Has anybody seen one of these?

PLEASE HAND ONE OUT TO RESPONDENTS WHO WOULD LIKE TO TAKE ONE HOME – HAS THE HPC HELPLINE NUMBER IF ANYONE WANTS TO CHECK/FIND A HEALTH PROFESSIONAL AND IF THEY HAVE A COMPLAINT TO REGISTER

Figure

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References

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