Healthcare Support Workers in Scotland: Evaluation of a National Pilot of Standards and Listing in Three NHS Boards

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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.

  • HCSWs doing my job

82

135

84

77

  • HCSWs doing different jobs

79

129

84

77

Code of Conduct important

91

149

All Health Boards should

  • Have standards in place

87

142

92

85

  • Have occupational list

64

105

83

76

Totals* *

100

164

100

92

Page updated: Monday, June 01, 2009