ANNEXE O. RESPONSE FROM SURVEYS
Table 0.1 Survey response rates
| Returns from 3 surveys (June-August 2008) |
|---|
HCSW - Participants | Non-Participant HCSWs | Workplace Supervisors |
|---|
Pilot site | Sample | % | (No) | Sample | % | (No) | Sample | % | (No) |
|---|
Ayrshire & Arran | 103 | 43 | 44 | 340 | 7 | 25 | 72 | 42 | 30 |
|---|
Lothian | 87 | 45 | 39 | 1711 | 12 | 208 | 72 | 19 | 14 |
|---|
Lanarkshire | 190 | 43 | 81 | 50 | 18 | 9 | 97 | 49 | 48 |
|---|
Totals | 380 | 43 | 164 | 2101 | 12 | 242 | 241 | 38 | 92 |
|---|
Table 0.2 Percentage of each survey returns by pilot site
| Returns from 3 surveys (June-August 2008) |
|---|
HCSW - Participants | Non-Participant HCSWs | Workplace Supervisors |
|---|
Pilot site | % | No | % | No | % | No |
|---|
Ayrshire & Arran | 27 | 44 | 10 | 25 | 33 | 30 |
|---|
Lothian | 24 | 39 | 86 | 208 | 15 | 14 |
|---|
Lanarkshire | 49 | 81 | 4 | 9 | 52 | 48 |
|---|
Totals | 100 | 164 | 100 | 242 | 100 | 92 |
|---|
HCSW participant survey
Table 0.3 HCSW participants by job category
Job Category | HCSW participant survey (June-July 2008) |
|---|
Ayrshire & Arran | Lothian | Lanarkshire | Total |
|---|
% | No | % | No | % | No | % | No |
|---|
Nursing assistant/Clinical support worker | 57 | 25 | 67 | 26 | 79 | 64 | 70 | 115 |
|---|
Allied health support staff | 30 | 13 | 21 | 8 | 17 | 14 | 21 | 35 |
|---|
Facilities staff | 5 | 2 | 13 | 5 | 0 | 0 | 4 | 7 |
|---|
Laboratory staff | 2 | 1 | 0 | 0 | 0 | 0 | 1 | 1 |
|---|
Not known | 7 | 3 | 0 | 0 | 4 | 3 | 4 | 6 |
|---|
Totals | 100 | 44 | 100 | 39 | 100 | 81 | 100 | 164 |
|---|
One hundred and sixty-four HCSW participant questionnaires were returned, a 43% response rate fairly consistent across sites (Table 0.1). The majority across the three sites came from Nursing/ CSW (70%) and Allied Health (21%) plus 4% from Facilities staff, and just 1 laboratory staff (Table 0.3). The majority were Band 2 or 3 and there were a handful of Allied Health assistants at Band 4. Allied Health assistants included podiatry, physiotherapy, music therapy, speech and language therapy and radiography.
The majority were older: aged 40-49 (37%, 58); aged 50-59 (36%, 55); aged 60+ (7%, 10). Around a fifth were under 40 years: aged under 30 (5%, 7), aged 30-39 years (16%, 25). Most HCSWs were female (88%, 139).
Table 0.4 HCSW participants by working pattern
Working pattern | HCSW participant survey (June-July 2008) |
|---|
Ayrshire & Arran | Lothian | Lanarkshire | Total |
|---|
% | No | % | No | % | No | % | No |
|---|
Bank/Bankaide | 0 | 0 | 3 | 1 | 25 | 20 | 13 | 21 |
|---|
Weekends | 27 | 12 | 38 | 15 | 37 | 30 | 35 | 57 |
|---|
Night shifts | 23 | 10 | 31 | 12 | 44 | 36 | 35 | 58 |
|---|
9-5 hours | 45 | 20 | 36 | 14 | 21 | 17 | 31 | 51 |
|---|
8 hours | 5 | 2 | 26 | 10 | 15 | 12 | 15 | 24 |
|---|
12 hours | 41 | 18 | 44 | 17 | 32 | 26 | 37 | 61 |
|---|
Very short shifts | 7 | 3 | 5 | 2 | 5 | 4 | 5 | 9 |
|---|
Totals | 100 | 44 | 100 | 39 | 100 | 81 | 100 | 164 |
|---|
There was good representation across the range of work patterns (Table 0.4) but only a small number (5%, 9) worked very short shifts of 2-3 hours at a time and these included domestic, catering, some clinical support workers and allied health assistants. There were 20 Bankaide staff from Lanarkshire, mostly with older people's services and working a mixture of full and part-time. More than half (56%) worked full-time and 40% part-time (almost all working 20-30 hours per week).
Table 0.5 HCSW participants by service area
Service area* | HCSW participant survey (June-July 2008) |
|---|
Ayrshire & Arran | Lothian | Lanarkshire | Total |
|---|
% | No | % | No | % | No | % | No |
|---|
Mental health services | 68 | 30 | 46 | 18 | 17 | 14 | 38 | 62 |
|---|
Children's services | 9 | 4 | 33 | 13 | 1 | 1 | 11 | 18 |
|---|
Older people's services | 7 | 3 | 26 | 10 | 79 | 64 | 47 | 77 |
|---|
Other service | 23 | 10 | 10 | 4 | 17 | 14 | 17 | 28 |
|---|
Totals | **100 | 44 | **100 | 39 | **100 | 81 | **100 | 164 |
|---|
* Old Age Psychiatry was not marked on this first questionnaire
** Percentages may sum to more than 100 as HCSWs could work in more than one service area
Of the 47% ( 77) of those working in older people's services, the majority were from Lanarkshire and of the 38% ( 62) from mental health services, the majority were from Ayrshire & Arran. Just over 1 in 10 (11%, 18) were from children's services and 17% ( 28) from other services.
Table 0.6 HCSW participants by work location
Work location | HCSW participant survey (June-July 2008) |
|---|
Ayrshire & Arran | Lothian | Lanarkshire | Total |
|---|
% | No | % | No | % | No | % | No |
|---|
Hospital | 70 | 31 | 77 | 30 | 86 | 70 | 80 | 131 |
|---|
Community clinic or unit | 14 | 6 | 10 | 4 | 5 | 4 | 9 | 14 |
|---|
Community-patients homes | 30 | 13 | 5 | 2 | 14 | 11 | 16 | 26 |
|---|
Schools | 9 | 4 | 10 | 4 | 0 | 0 | 5 | 8 |
|---|
Other | 7 | 3 | 0 | 0 | 2 | 2 | 3 | 5 |
|---|
Totals | 100 | 44 | 100 | 39 | 100 | 81 | 100 | 164 |
|---|
Most returns were from a hospital base (80%, 131) and almost half of these were Clinical Support Workers from Lanarkshire. The rest worked in the community. 5% ( 8) Allied health assistants worked in schools (Ayrshire & Arran and Lothian only).
Table 0.7 HCSW participants by post
Currently hold another post | HCSW participant survey (June-July 2008) |
|---|
Ayrshire & Arran | Lothian | Lanarkshire | Total |
|---|
% | No | % | No | % | No | % | No |
|---|
NHS - this Health Board | 18 | 8 | 18 | 7 | 20 | 16 | 19 | 31 |
|---|
NHS - other Health Board | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
|---|
Private health care post | 2 | 1 | 3 | 1 | 1 | 1 | 2 | 3 |
|---|
Social care post | 0 | 0 | 8 | 3 | 1 | 1 | 2 | 4 |
|---|
Previous held another post |
|---|
NHS - this Health Board | 25 | 11 | 10 | 4 | 11 | 9 | 15 | 24 |
|---|
NHS - other Health Board | 0 | 0 | 0 | 0 | 5 | 4 | 2 | 4 |
|---|
Private health care post | 5 | 2 | 8 | 3 | 7 | 6 | 7 | 11 |
|---|
Social care post | 14 | 6 | 15 | 6 | 9 | 7 | 12 | 19 |
|---|
Totals | 100 | 44 | 100 | 39 | 100 | 81 | 100 | 164 |
|---|
Most had been employed at their Health Board for more than 10 years (57%, 91) and in their current post for more than six years (55%, 76). Just 12 came from people new to the Health Board or in post less than one year.
The returns suggest some mobility across care sectors but little across NHS Boards. 19% ( 31) currently held another post at the same Health Board and 7 staff currently held either a private health or social care post elsewhere. 12% ( 19) had previously held a social care post and 7% ( 11) a private health care post but only 4 individuals from Lanarkshire, all Clinical Support Workers had been employed via another Health Board in the past.
Workplace Supervisor Survey
Ninety two Workplace Supervisor questionnaires were returned, a 38% response rate, with the majority from Ayrshire & Arran and Lanarkshire and just a 19% ( 14) response from Lothian (Table 0.1).
Table 0.8 WPS by job category
Job Category | WPS survey (July-August 2008) |
|---|
Ayrshire & Arran | Lothian | Lanarkshire | Total |
|---|
% | No | % | No | % | No | % | No |
|---|
Nursing assistant/Clinical support worker | 57 | 17 | 36 | 5 | 65 | 31 | 58 | 53 |
|---|
Allied health support staff | 37 | 11 | 43 | 6 | 35 | 17 | 37 | 34 |
|---|
Facilities staff | 3 | 1 | 21 | 3 | 0 | 0 | 4 | 4 |
|---|
Laboratory staff | 3 | 1 | 0 | 0 | 0 | 0 | 1 | 1 |
|---|
Totals | 100 | 30 | 100 | 14 | 100 | 48 | 100 | 92 |
|---|
Most (58%, 53) came from nursing assistants (referred to as Clinical Support Workers ( CSW) in Lanarkshire). 37% ( 34) came from allied health professions plus just 4 domestic and 1 laboratory staff.
The majority of supervisors were on Band 5 (40%, 37) or Band 6 (39%, 36) plus a few at Band 7 (15%, 14). Two facilities staff noted Band 2 & 3 and three were not recorded. Many (79%, 68) already carried out a formal assessment role. The majority were female (90%, 81).
Table 0.9 WPS by working pattern
Working pattern | WPS survey (July-August 2008) |
|---|
Ayrshire & Arran | Lothian | Lanarkshire | Total |
|---|
% | No | % | No | % | No | % | No |
|---|
Bank/Bankaide | 0 | 0 | 0 | 0 | 10 | 5 | 5 | 5 |
|---|
Weekends | 33 | 10 | 21 | 3 | 31 | 15 | 30 | 28 |
|---|
Night shifts | 20 | 6 | 14 | 2 | 27 | 13 | 23 | 21 |
|---|
9-5 hours | 50 | 15 | 64 | 9 | 35 | 17 | 45 | 41 |
|---|
8 hours | 10 | 3 | 29 | 4 | 35 | 17 | 26 | 24 |
|---|
12 hours | 37 | 11 | 14 | 2 | 23 | 11 | 26 | 24 |
|---|
Very short shifts | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
|---|
Totals | 100 | 30 | 100 | 14 | 100 | 48 | 100 | 92 |
|---|
* Percentages may sum to more than 100 as WPS could work more than one work pattern
The majority (75%, 69) worked full-time and the rest worked upwards of 17.5 hours. The returns included a reasonable representation across shift patterns (Table 0.9): most (45%, 41) worked 9-5 hours; 23% worked nights and 12 hour shifts were worked by 26% and 5 WPS were from Lanarkshire Bankaide. No WPS worked short shifts.
Table 0.10 WPS by service area
Service area* | WPS survey (July-August 2008) |
|---|
Ayrshire & Arran | Lothian | Lanarkshire | Total |
|---|
% | No | % | No | % | No | % | No |
|---|
Mental health services | 57 | 17 | 43 | 6 | 0 | 0 | 25 | 23 |
|---|
Children's services | 17 | 5 | 36 | 5 | 0 | 0 | 11 | 10 |
|---|
Older people's services | 3 | 1 | 7 | 1 | 83 | 40 | 46 | 42 |
|---|
Old age psychiatry | 23 | 7 | 21 | 3 | 6 | 3 | 14 | 13 |
|---|
Other service | 17 | 5 | 7 | 1 | 13 | 6 | 13 | 12 |
|---|
Totals | *100 | 30 | *100 | 14 | *100 | 48 | *100 | 92 |
|---|
* Percentages may sum to more than 100 as WPS could work in more than one service area
The WPS returns are biased towards older people's services (46%. 42) almost all from Lanarkshire, plus 14% were from old age psychiatry. A quarter were from mental health services and just 11%, 10) from children's services. 7 of the WPS worked in more than one service area.
Table 0.11 WPS by work location
Work location | WPS survey (July-August 2008) |
|---|
Ayrshire & Arran | Lothian | Lanarkshire | Total |
|---|
% | No | % | No | % | No | % | No |
|---|
Acute hospital | 37 | 11 | 50 | 7 | 42 | 20 | 41 | 38 |
|---|
Community based hospital e.g. long term care | 27 | 8 | 14 | 2 | 35 | 17 | 29 | 27 |
|---|
Community clinic or unit | 27 | 8 | 21 | 1 | 6 | 3 | 13 | 12 |
|---|
Community-patients homes | 17 | 5 | 21 | 3 | 19 | 9 | 18 | 17 |
|---|
Schools | 20 | 6 | 7 | 3 | | | 10 | 9 |
|---|
Other | 10 | 3 | | 1 | | | 4 | 4 |
|---|
Totals | 100 | 30 | 100 | 14 | 100 | 48 | 100 | 92 |
|---|
There was response from WPS across a range of work locations. At least a third worked in a community setting (12 in community based clinics, 17 in patient's homes and 9 in schools) and most of these were from allied health professions. A further ( 27) worked in a community based hospital and these were mostly CSWs from Lanarkshire. 38% worked in an acute hospital setting.
Non-participant HCSW survey
Two hundred and forty-two non-participant HCSW questionnaires were returned, a 12% response rate. The large majority came from the site with the largest potential pool of volunteers, Lothian (86%, 208) plus some form Ayrshire & Arran (10%, 25). Lanarkshire had relatively few non-participants because of its recruitment approach at the time of the survey and very few are from there (4%, 9) (Table 0.2).
Table 0.12 Non-participant HCSWs by job category
Job Category | Non-participant survey (July 2008) |
|---|
Ayrshire & Arran | Lothian | Lanarkshire | Total |
|---|
% | No | % | No | % | No | % | No |
|---|
Nursing assistant/Clinical support worker | 36 | 9 | 71 | 148 | 89 | 8 | 68 | 165 |
|---|
Allied health support staff | 12 | 3 | 8 | 17 | 11 | 1 | 9 | 21 |
|---|
Facilities staff | 52 | 13 | 14 | 29 | 0 | 0 | 17 | 42 |
|---|
Other | 0 | 0 | 4 | 9 | 0 | 0 | 4 | 9 |
|---|
Not known | 0 | 0 | 2 | 5 | 0 | 0 | 2 | 5 |
|---|
Totals | 100 | 25 | 100 | 208 | 100 | 9 | 100 | 242 |
|---|
The majority were nursing assistant/clinical support workers (68%, 165) and 17% ( 42) worked in Facilities, and just 4% (9) came from other occupational groups. Most non-participant HCSWs were female (88%) and just 29% were aged under 40 years.
The majority of people had been employed in this environment more than 10 years (40%, 97) or 1 to 5 years (38%, 9 3) and 19% ( 47) more than 6-10 years. Only 5 individuals had been employed there less than a year.
Table 0.13 Non-participant HCSWs by working pattern
Working pattern | Non-participant survey (July 2008) |
|---|
Ayrshire & Arran | Lothian | Lanarkshire | Total |
|---|
% | No | % | No | % | No | % | No |
|---|
Bank/Bankaide | 0 | 0 | 3 | 7 | 33 | 3 | 3 | 7 |
|---|
Weekends | 44 | 11 | 43 | 90 | 22 | 2 | 43 | 104 |
|---|
Night shifts | 28 | 7 | 38 | 79 | 11 | 1 | 36 | 88 |
|---|
9-5 hours | 12 | 3 | 12 | 24 | 44 | 4 | 12 | 28 |
|---|
8 hours | 12 | 3 | 16 | 33 | 11 | 1 | 17 | 40 |
|---|
12 hours | 36 | 9 | 39 | 82 | 11 | 1 | 38 | 92 |
|---|
Very short shifts | 0 | 0 | 4 | 9 | 0 | 0 | 4 | 9 |
|---|
Totals | 100 | 25 | 100 | 208 | 100 | 9 | 100 | 242 |
|---|
* Percentages may sum to more than 100 as HCSWs could follow more than one work pattern
Returns reflected a range of working patterns (Table 0.13) including night shifts (36%, 88), weekends (43%) and a few on short shifts (4%,) and Bank/Bankaide (3%). Two fifths (42%) worked full-time and 58% worked part-time. Part-time was 10 hours up with the majority working 20 - 30 hours per week.
Table 0.14 Non-participant HCSWs by service area
Service area* | Non-participant survey (July 2008) |
|---|
Ayrshire & Arran | Lothian | Lanarkshire | Total |
|---|
% | No | % | No | % | No | % | No |
|---|
Mental health services | 72 | 18 | 28 | 58 | 33 | 3 | 33 | 79 |
|---|
Children's services | 12 | 3 | 13 | 27 | 0 | | 12 | 30 |
|---|
Older people's services | 4 | 1 | 50 | 104 | 78 | 7 | 46 | 112 |
|---|
Other service | 12 | 3 | 10 | 20 | 0 | | 10 | 23 |
|---|
Totals | *100 | 25 | *100 | 208 | *100 | 9 | *100 | 242 |
|---|
* Percentages may sum to more than 100 as HCSWs could work in more than one service area
Most non-participant HCSW returns worked in older people's services (46%, 112), a third in mental health service (33%) and from children's services (12%, 30) Table 0.14
Table 0.15 Non-participant HCSWs by work location
Work location | Non-participant survey (July 2008) |
|---|
Ayrshire & Arran | Lothian | Lanarkshire | Total |
|---|
% | No | % | No | % | No | % | No |
|---|
Acute hospital | 44 | 11 | 51 | 107 | 22 | 2 | 49 | 118 |
|---|
Community based hospital e.g. long term care | 44 | 11 | 27 | 57 | 33 | 3 | 28 | 68 |
|---|
Community clinic or unit | 48 | 12 | 0 | 0 | 11 | 1 | 5 | 12 |
|---|
Community-patients homes | 0 | 0 | 3 | 6 | 0 | 0 | 2 | 6 |
|---|
Schools | 0 | 0 | 4 | 9 | 0 | 0 | 4 | 9 |
|---|
Other | 12 | 3 | 7 | 15 | 11 | 1 | 7 | 18 |
|---|
Totals | *100 | 25 | *100 | 208 | *100 | 9 | *100 | 242 |
|---|
* Percentages may sum to more than 100 as HCSWs could work in more than one service area
Returns covered a fair range of work locations (Table 0.15)
HCSW participant and WPS views on the pilot process
Table 0.16 Initial communications
How you first heard of the pilot | HCSW & WPS surveys 2008) |
|---|
HCSW Participant | WPS |
|---|
% | No. | % | No. |
|---|
Line manager | 57 | 93 | 84 | 77 |
|---|
Briefing | 30 | 50 | 20 | 18 |
|---|
Letter | 10 | 16 | 3 | 3 |
|---|
Information pack | 9 | 14 | 8 | 7 |
|---|
Other workers/supervisors | 6 | 10 | 10 | 9 |
|---|
Newsletter/publication | 1 | 2 | 2 | 2 |
|---|
Totals* | 100 | 164 | 100 | 92 |
|---|
* Percentages may sum to more than 100
Table 0.17 Getting involved with the pilot
How voluntary was the pilot? | HCSW & WPS surveys 2008) |
|---|
HCSW Participant | WPS |
|---|
% | No. | % | No. |
|---|
Own decision/shared decision | 94 | 154 | 67 | 62 |
|---|
Manager decided | 5 | 4 | 33 | 30 |
|---|
Received enough information | 68 | 107 | | |
|---|
Wanted to take part | | | 63 | 58 |
|---|
No concerns pre-sign up | 30 | 49 | 26 | 24 |
|---|
Totals* | 100 | 164 | 100 | 92 |
|---|
*Each percentage stands alone as these were separate questions in the surveys
Table 0.18 Participants early concerns
Did you have any concerns about getting involved with the pilot? | HCSW & WPS surveys 2008) |
|---|
HCSW Participant | WPS |
|---|
% | No. | % | No. |
|---|
Might be too much work | 33 | 54 | 48 | 44 |
|---|
Too busy at work | 28 | 46 | 47 | 43 |
|---|
Might be too difficult for me | 21 | 34 | | |
|---|
Other personal commitments | 12 | 19 | 9 | 8 |
|---|
Too many to supervise at once | | | 16 | 15 |
|---|
Totals* | 100 | 164 | 100 | 92 |
|---|
*Percentages may sum to more than 100
Table 0.19 Reasons for taking part
Why did you want to be involved with the pilot? | HCSW & WPS surveys 2008) |
|---|
HCSW Participant | WPS |
|---|
% | No. | % | No. |
|---|
Help patients/improve safety | 56 | 92 | 50 | 46 |
|---|
Help HCSWs in my unit | | | 71 | 65 |
|---|
Do my job better | 54 | 88 | | |
|---|
Learn new things | 45 | 73 | 29 | 27 |
|---|
Job and career opportunity | 41 | 67 | 28 | 26 |
|---|
Have my say | 30 | 50 | 16 | 15 |
|---|
Totals* * | 100 | 164 | 100 | 92 |
|---|
*Percentages may sum to more than 100
Table 0.20 Time spent on pilot
| HCSW & WPS surveys 2008) |
|---|
HCSW Participant | WPS |
|---|
% | No. | % | No. |
|---|
General preparation required | 62 | 102 | 52 | 48 |
|---|
All in work time | 28 | 46 | 37 | 34 |
|---|
Some in own time | 34 | 55 | 53 | 49 |
|---|
All in own time | 15 | 24 | 8 | 7 |
|---|
No comment | 24 | 39 | | |
|---|
Own time - 4 hours or less | 49 | 80 | 70 | 64 |
|---|
Totals* * | 100 | 164 | 100 | 92 |
|---|
Table 0.21 HCSW & WPS support for the pilot
| HCSW & WPS surveys 2008) |
|---|
HCSW Participant | WPS |
|---|
Should undertake standards | % | No. | % | No. |
|---|
| 82 | 135 | 84 | 77 |
|---|
- HCSWs doing different jobs
| 79 | 129 | 84 | 77 |
|---|
Code of Conduct important | 91 | 149 | | |
|---|
All Health Boards should | | | | |
|---|
| 87 | 142 | 92 | 85 |
|---|
| 64 | 105 | 83 | 76 |
|---|
Totals* * | 100 | 164 | 100 | 92 |
|---|