National citizen service (ncs) healthwatch workshops 07 july and 4 August 2015



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NATIONAL CITIZEN SERVICE (NCS) healthwatch workshops

07 JULY and 4 August 2015


Healthwatch Bristol supports children, young people and adults to have their voice heard in decisions about health and social care services. Healthwatch Bristol facilitated three workshops with young people who are taking part in the National Citizens Service (NCS) programme provided by Youth Moves. This engagement summary documents their feedback.






National citizen service – healthwatch workshops

“Youth Moves are amazeballs and they are there to help you with your problems, they are fun and are like friends”

Comment made by NCS student during Healthwatch workshop.



July and 4 august 2015


  1. Introduction

  2. Workshop delivery

  3. You Said

3.1 Quick summary

3.2 Themes in feedback

4. Workshop evaluation

5. Next steps

6. Contact Healthwatch

7. Appendix

7.1 Individual feedback

7.2 Quiz used in workshops

7.3 Young Healthwatch information



  1. Introduction

Youth Moves is an award winning youth work organisation based in Bristol. Youth Moves is a delivery partner for the National Citizen Service programme which aims to develop and promote the skills of young people in the community, through engaging young people in social action projects and volunteering opportunities to enhance their awareness of their skills, abilities and talents.
Healthwatch Bristol recognises the importance of engaging with young people in order to shape health and social care services in Bristol. The Office of National Statistics 2011 census report identifies that there are over 11,9026,976 young people in the United Kingdom between 10 and 25 years of age, which is reflected as 19 percent of the general United Kingdom population. It is important that service providers and commissioners of health and social care services ensure that health and social care services are meeting the needs of young people.
Healthwatch Bristol was asked by Youth Moves to be part of their 2015 National Citizen Service (NCS) programme. Healthwatch was asked to help the students think about health and social care related issues and topics around which they could develop a social action project around. Healthwatch Bristol saw this as a key opportunity to engage with the young people who attended the workshops to listen to their feedback about health and social care services and support them to use their experiences to bring about positive change.
The aims of the Healthwatch workshops were:

  • to enable young people to have a better understanding and awareness of Healthwatch;

  • to explore ways in which young people can share their experience of health and social care;

  • to promote volunteering opportunities with Healthwatch and Young Healthwatch;

  • to share Healthwatch Bristol’s knowledge of health needs within Bristol to enable the NCS students to identify themes that they may want to explore further for their NCS social action projects.
  1. Workshop delivery


Healthwatch Bristol delivered three workshops on 7 July and a further three workshops on 4 August. On both days the workshops ran consecutively over a three hour period, with each workshop session lasting an hour. Each workshop consisted of 15 young people with two youth workers present at each session.

Healthwatch Bristol resources



Introductions

Each workshop started with registrations being completed, an introduction to the Healthwatch workshop facilitator and a brief break down of the session, which included the aims and objectives of the workshop. This was followed by an introduction to Healthwatch Bristol and Young Healthwatch.



Young people engaging in Healthwatch workshops on 7 July.


Ice breaker

During the workshops on 7 July an ice breaker was used to get the young people familiar with each other and to increase group participation. Each young person was asked to state their name but also an adjective that starts with the same letter of their first name. This activity was very engaging as the young people found it to be very funny and interesting. During 7 July workshops, the young people were informed of the opportunity to attend the Healthwatch Celebrating Youth Voice event on the 27 July to talk about their social action project; during the workshops on 4 August, the participants were invited to speak on the Healthwatch radio show which is broadcast live via BCFM radio station.


Group structure:

The young people were divided into groups with each containing two to three young people. They were given blank cards with coloured pens and a list of health and social care services to choose from and give feedback about. The participants were also given Post It notes to write their feedback on.



Feedback resources

Service Pens Post It notes Paper

Following the feedback session the young people were ask to select a person from each of their groups to present their feedback to the rest of the young people in their session and this was followed by group discussion about the comments.




Collage of the group feedback activity sheets

In the 7 July workshops after the feedback session young people were asked to regroup and were given a short quiz (see appendix 2). Each participant was given a sheet of paper which contained five multiple choice questions. Each of the questions in the quiz were relevant to topics that participants could choose for their social action project. During the workshops on 4 August, the quiz was done as a whole group activity and young people were asked to move to a different part of the room to indicate which answer they thought was the right one for each question.

The topics in the quiz were:


  • homelessness;

  • chronic diseases in children in the UK;

  • mental health;

  • loneliness;

  • GP and Accident and Emergency access.

Quiz resources



Young people engaging in the quiz activity

Following the quiz the young people discussed the issues raised by the questions. The groups were then given handouts containing further information about the five topics that were in the quiz to enable them to explore and conduct further research into the topics. The resource pack contained several links to websites and organisations linked to the topics. Most of the young people felt that they had learned something new. For example the question on homelesness higlighted some significant statistical data with regards to the rise of homelessness in Bristol. The young people were very surpised to learn of these facts and two of the groups on 7 July said they were interested in pursuing homelessness as their topic of choice for their social action project. On 4 August the groups showed more interest in looking into mental health and a project they could do to reduce mental health stigma.


  1. You Said…..

A selection of the feedback sheets produced by NCS students during the Healthwatch workshops on 4 August.

The themes in the feedback given and ideas shared by the young people in the workshops on both dates are detailed in this section of this report and are categorised into types of service. The young people gave their feedback in both written and spoken format. All the individual pieces of feedback are found in the appendix of this report.


3.1 Quick summary





  • Young people made 93 comments about services during the three workshops on 7 July and 59 comments in the three workshops on 4 August.

  • 67 comments were received from the young people regarding primary care services.

  • In relation to secondary services, the young people gave 21 pieces of feedback about Bristol Eye Hospital, Bristol Royal Infirmary Hospital, The University of Bristol Dental Hospital and Bristol Children’s Hospital. The feedback was a mixture of both positive and negative views.

  • The young people also provided 64 individual comments about social care services and there was a mixture of both positive and negative comments received.

3.2 Themes in the feedback shared by young people:

GPs

In group discussions the majority of young people said that they only attended appointments with their GP if their parent had booked the appointment and attended with them. They said that there should be shorter waiting times for appointments and you should be able to see the same GP at each appointment. They suggested that GPs could signpost young people to other services, such as youth groups or organisations. They found it frightening when a doctor did not speak English very well or had an accent they could not understand. They equated good GP services with friendly and helpful staff who knew them and listened to them.


Dentists

The majority of the group members attended their dentist appointments either once every six months or once a year and found the service generally helpful. They praised dentists who were kind and liked receiving reminders about their appointments before the appointment. Some young people were surprised that people over 18 years of age and not in full time education had to pay for their dental treatment and were unsure about whether they would continue going to their dentist if they had to pay. They found it frightening when a dentist did not speak English very well or had an accent they could not understand.


Pharmacies

The group members viewed pharmacies as a place to collect medication, but the majority of people said they had not ever visited a pharmacy for advice about a health issue. The few people who had used a pharmacy for advice liked that you could ask them about a range of issues. Negative feedback about pharmacies related mainly to waiting times being too long.


Secondary care services

With reference to Bristol Children’s Hospital, Bristol Royal Infirmary, Bristol Eye Hospital and Bristol Dental Hospital, the group members gave positive feedback about staff attitudes (praising friendly nurses and doctors who explained things clearly), but were frustrated by long waiting times.


Accident and Emergency (A&E)

Three out of five young people in one group had been to A&E on at least one occasion. They said that the service had been “slow” and “bad”. They suggested that A&E should only allow priority cases and this would make it more efficient. They said other patients should go to walk-in centres and that there should be more walk-in centres to cope with the increase in demand.


Mental health and counselling services

There was general group dissatisfaction with Children and Adolescent Mental Health Services (CAMHS) which was in contrast to the positive feedback regarding LIFT Psychology (Improving Access to Psychological Therapies) services and counselling provided by voluntary and community sector organisations including The Greenhouse. With regards to CAMHS the young people asked to be given support sooner, including raising awareness of mental illness and ways to maintain good mental health, and to be given more options for their treatment, for example longer blocks of counselling or signposting to private or voluntary and community sector support groups or services.


Drug and alcohol services

There were mixed views about the efficacy of drug and alcohol services. Some group members had found the services useful, whilst others said they had not been helpful at all. The group acknowledged that services outside of drug and alcohol services, including education and government legislation, needed to be involved in deterring people from taking drugs and alcohol in excess and/or support people to build the self-esteem and life circumstances so that they do not feel that they need to use alcohol or drugs in the first place.


Youth groups and youth services

The group all felt that youth services support young people to develop and maintain good health and wellbeing and support them if they have any difficulties. They asked for more funding for youth services and youth groups.


Sexual health services (SHS)

The group praised the service provided by Brook, but expressed some concern about how confidential SHS really were and whether information would be shared with the young person’s parent or carer if the health professional was concerned. During discussions, young people said they liked services like Brook as they would feel uncomfortable talking about sexual health with a GP.


111 and 999 emergency services

The group was frustrated by their experiences of using 111 as they felt they had been asked lots of questions only to be told that they should go to see their GP or visit a walk in centre – which is what they would have done in the first place. They did, however, agree that the service provided the caller with reassurance that they were making the right decision. Feedback regarding 999 was mixed and limited due to only a couple of young people having ever called 999.


Social Work

Some group members said that social workers had been helpful, but the overwhelming feeling was that social workers do not help young people because they do not listen to the young person or involve them in decisions. The group said that a good social worker would be skilled at listening, but also provide practical support to young people.


Homeless services

As part of their NCS course, the students had visited 1625ip (an organisation supporting 16-25 year olds who are homeless or at risk of homelessness). Some students also had experience of accessing homeless services. They viewed the services as essential and commented on the friendliness of staff.



  1. Workshop evaluation

Written feedback on the Healthwatch workshops was collected from participants on 7 July. Participants were asked to rate the quality of the engagement activities in the work shop from 1 to 10 with the 10 being excellent and 1 being poor. They were also asked to leave comments that will help Healthwatch develop its workshops.

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Feedback on Healthwatch workshops given by NCS students

Results of NCS students’ evaluation of Healthwatch workshops


  1. Next steps

Healthwatch will

All the feedback provided by the group has been inputted to Healthwatch Bristol’s database of issues and concerns. It will be included in the Healthwatch Bristol Quarterly Report. Healthwatch will be sharing this report with Healthwatch partners including Bristol CCG, Bristol City Council, the Care Quality Commission, NHS England and Healthwatch England. The report will also be presented to the Healthwatch Bristol Advisory Group to propose further uptake of the issues identified in this report. The report will be available on the Healthwatch Bristol website (www.healthwatchbristol.co.uk) and circulated to our mailing lists via the monthly e-bulletin.



Looking forward:

Healthwatch welcomes and encourages everyone to continue to contribute their feedback to us using the communication methods included at the end of this report.

Healthwatch also supports members of community groups to become Volunteer Champions so that they can represent the experiences and needs of their community group. If you would like to find out more about volunteering with Healthwatch, please contact us using the details below.


  1. Contact Healthwatch

Tell Us Your Story

Healthwatch Bristol wants to hear from you about your experiences so that we can tell services your needs to create the best local services.

our voice icon   Text us - text bris followed by your message to 07860 021 603 

our voice icon  email us at info@healthwatchbristol.co.uk

our voice iconCall us: 0117 2690400

our voice iconWrite to us at:    Healthwatch Bristol,

The Care Forum, The Vassall Centre,

Gill Ave, Fishponds, Bristol, BS16 2QQ

 

Or visit our website to see more at: www.healthwatchbristol.co.uk





  1. Appendix

7.1. Individual comments

The young people gave their feedback in both written and spoken format. Direct quotations are given in quotation marks; where the author has paraphrased the feedback, quotation marks are not used.


Primary care services



GP practices

General comments about GP services

  • GPs need shorter waiting times

  • GPs should tell young people about other services they could use

  • doctors who do not speak or understand English very well are difficult to understand and this makes the experience more frightening. One young person always asks her mum to attend appointment with her as she finds her doctor difficult to understand

  • patients should be able to see the same GP at each appointment

  • GPs should be good listeners.


Whitchurch Health Centre

  • “Only see GPs on the same day for three hours”

  • “Waiting times are ages even if no one is there when it opens”

  • “Staff are really kind and helpful”

Hanham Surgery

  • “[My doctor] is very good, knew a lot of issues.”


William Bud Health Centre

  • “Long wait”

  • “Don’t explain much at all”

Wedmore Practice

  • “Generally helpful”

  • “Not clear signage”

Grange Road Surgery

  • “They have provided a good service because everything that was needed was given”


Priory Surgery

  • “Does not listen to what I have to say.”



Lewis Surgery

  • “Really good”


Bedminster Family Practice

  • “Staff are absolute gems, service is very loyal and the fish tanks are very desirable and welcoming”

  • “Good service, things explained well and appointment system is good”

Hartwood Surgery

  • Blood test – good

  • Friendly staff

  • Helpful

  • Understanding

  • “Rude behind my back”

Dental Services

General comments about dental services

  • Commentator wrote that they have a very nice dentist who “makes sure that what she does doesn’t hurt and that I’m ok and she asks how I’ve been since I was last there”.

  • The group said that dentists who do not speak English as a first language can be very difficult to understand (often due to their accent and not due to their English skills). This can be confusing for patients and frightening as patients are not certain as to what they are agreeing to. Several group members had been to see a dentist who they struggled to understand and said that it had not been a good experience.

  • Commentator’s dentist is in Bedminster. The commentator described the dentist as helpful.


Broadwalk Dental Surgery

  • “Very nice, does not take long to get looked at”

  • “Very rude dentist and mean”

Redcliffe Dental Surgery

  • Surgery has provided a good service because they remind you about appointments and are always very kind


Coronation Road Dental Practice

  • The dentist is very good as it is quick and efficient, ie. you don’t have to wait

Pharmacy Services

General comments about pharmacy services

  • Good at giving medicines

  • Slow and lots of waiting around so could be faster.


Lloyds Pharmacy

  • “Provides an ok service as on many occasions they have been very slow and people have had to wait a long time”


Superdrug Pharmacy

  • “Charged me £8 for tablets that my friends got for free”


Pharmacy in Filwood:

  • “Very nice because you can cater for your every medical need”

  • “Filwood pharmacy – friendly face, knows family background so happy to share information”

Secondary Care services


Bristol Children’s Hospital

  • “Some nurses are good and funny”

  • “The food isn’t good”

  • “Take too long to see you for your injuries”

  • “Long waiting lines for X-rays/operations”

  • Waiting time is too long to be seen even when injury is major, ie. head injuries

  • “I dislocated my knee and they were really helpful and friendly”

Bristol Royal Infirmary

  • “Long wait”

  • “All the staff are helpful and kind”

  • “Receptionists always tell you how long until you are to be seen”

  • “Things are always explained so that you understand”

  • “Took six hours to get five small paper stitches”

  • “Wait for ages but save loads of lives!”

Bristol Eye Hospital

  • “Very nice because they made me non blind and fixed my eye”

  • “Good services and waiting time is also good”

  • Commentator reported that their brother had “accurate NHS operations”

Bristol Dental Hospital

  • “Good teeth removal from Bristol Dental Hospital”

Accident and Emergency (A&E)

  • A&E is “slow” and “bad”

  • One group suggested that A&E should only allow priority cases and this would make it more efficient.

  • One group said that people should use walk in ventres, but no-one really knows about them or what they are for so they go to A&E instead.

Community based services



Physiotherapy

General comments about physiotherapy services

  • Not a good experience

  • Could have been more regular


Comments specific to physiotherapy at Knowle Health Park

  • Appointment was on time

  • Staff were friendly and helpful

  • Gave good exercises to do that were easy to carry out


Community mental health services

Improving Access to Psychological Therapies (IAPT) services – LIFT

  • Very good, helpful and non-judgmental

  • Quick referral to session


CAMHS

General discussion points regarding CAMHS

  • need to do more than just give medication

  • must be funded more

  • should spread awareness

  • are under strain from increasing mental illness cases

  • need to offer more than 6 or 12 weeks of sessions

  • need more frequent sessions

  • need to decrease waiting lists by employing more staff

  • there need to be different options to CAMHS.


Individual comments about CAMHS

  • “NHS is crap”

  • “I kept going and kept going until I found a counsellor who helped”

  • Commentator’s siblings had used CAMHS. Commentator said that CAMHS had been helpful, but that her siblings need more support than they have been given.

  • “This is a good service they are very good, it doesn’t take long to get appointments. and they listen to all of your problems.”

  • “Feeling good I am able to talk to someone”.

  • “Taken a while to get an initial meeting with CAMHS but I found the wait worthwhile”.

Greenhouse counselling service

  • “I find it useful and the people are really nice and friendly but waiting list is too long”

  • “Very kind to you”

  • “Very helpful”

  • “Helps with all our problems”

  • “Can talk about anything!”

Off the Record

  • “Aware of the work that they do”

  • “I kept putting off ringing them”

  • “Sounds really good”

  • “Phone calls bad”

Unspecified counselling services

  • “Not very helpful in school”

  • “Not bad a bit uncomfortable”

Drug and Alcohol services

General comments about drugs and alcohol use and support

  • Need more classroom education about impact of alcohol and drugs.

  • Need good partnership working and communication.

  • Reasons why people take drugs or drink too much include: stress, peer pressure, to release pain and to provide an escape. Services need to give support with these issues and not just tell people about why taking drugs or drinking alcohol is bad for your health.


Individual pieces of feedback

  • “Very helpful, tried everything to help my dad”

  • “Didn’t cost anything, re-admitted him over and over again”

  • “They sell drugs to young people which they shouldn’t because they are underage” (*commentator most probably referring to drug dealers, not Drug and Alcohol Services)

  • “There need to be stricter rules around selling alcohol and cigarettes”

  • “The benefit system should limit what people can spend on alcohol and cigarettes by giving people a card with an allowance for how much you can spend on alcohol or cigarettes”

  • Commentator said that her drug worker just “takes me out for KFC” and does not help with her drug problem.

  • “Don’t help with quitting”

  • “Try telling you what you already know”

  • “Really good”

  • “Helpful and supportive”.

Sexual Health Services (SHS)

General comments about SHS

  • Commentator said that sexual health services are not easy to access as to get condoms you have to have signed up for a condom card.

  • There was concern about how confidential SHS are: one young person wrote that SHS “say they are confidential, but they still tell your parents if they’re worried”.

  • Brook are good because they do not judge you, take time to listen to what your needs are and do not tell you what to do (like doctors do).

  • SHS would be better if they were more discrete – for example they could give you the contraception in an unmarked bag.

  • SHS should be promoted more in schools and be accessible at school.

  • Commentator said that Brook had been helpful.

  • It’s good that contraception is free.


Brook Clinic

  • You can register to get a C card where they supply you with free protection eg. condoms this is very helpful!

  • I went to Brook clinic to have my implant out and they were really good because everything was kept confidential.

Tower Hill

  • “Receptionist was miserable”

  • “Consultation was not prolonged”

  • “Didn’t get chance to ask to see same sex doctor”


111 Emergency Services

  • “Not reliable: slow”

  • “Not fast enough response but polite”

  • “Inquisitive and gets to problem quickly”

  • “Awful when in an emergency”

  • “Late response and action time”

  • “Follow ups are lapse”

  • “Tells you to go to doctors”

  • “Needs to be more well-known so people actually use it”

  • “Terrible”

  • “Pointless”

  • “Gives reassurance”

  • “Need to be medically trained to help more and give more guidance”


999 Emergency Services

  • Spending long time on the phone

  • Calmed the situation down

  • Commentator wrote about a past experience “when neighbours argue they arrive within a day, but when someone has been threatened with a knife they take a week to come and pick up the weapon”


Social Care services



Comments about social workers and social services were

  • Don’t help people like they say they do.

  • “Train social workers to be less stuck up and more caring”.

  • Commentator wrote that social workers “think they know everything, but need to understand young people’s needs young people’s opinions and take them into consideration”.

  • Commentator wrote that social workers need “to actually visit instead of sending someone instead”.

  • Commentator said their social worker was “alright, [but] could have been better”;

  • Commentator described their social worker as “helpful at times”.

  • Commentator said that “social workers are useless” as they are “never there when you need them”, do not listen to what you want and they “mess up your life”.

  • Need more practical help as well as someone who listens to you.

  • “Good to an extent”.


One group generated a list of negative points and positive points about social workers:

Negatives



  • “useless”

  • “don’t care about your situation”

  • “carers are in it for the money”

  • “don’t care about what you want”

  • “waste of time, tax and money”

  • “never helpful”

  • “always slow in what they do”

  • “very useless”.

Positives:

  • “good service and listen to me”.


Voluntary and community group services


Youth groups and youth services

General comments about youth groups and services

  • fantastic opportunity

  • not enough funding

  • excellent youth workers

  • exciting programs

  • cheap

  • fun

  • more funding so more youth groups can be opened

  • help with loneliness

  • learn new skills

  • learn about relationships and get support

  • commentator had received support with her mental health from the youth group she is part of

  • need to challenge stereotypes about people who attend youth groups (people think that it is only trouble makers who attend youth groups, but they are good for lots of different people)

  • need to have better links between schools and youth groups

  • good to build confidence (NCS)

  • very fun but not enough people to do it (NCS)

  • good activities to build friendship (NCS)

  • very encouraging (Hartcliffe Church).

Youth Moves

  • “Staff are really friendly”

  • “Activities are fun”

  • “Meet new people and days are planned well”

  • “Youth Moves are amazeballs and they are there to help you with your problems, they are fun and are like friends”

  • “Good with helping others”

Homeless services

As part of their NCS course, the students had visited 1625ip (an organisations supporting 16-25 year olds who are homeless or at risk of homelessness. Some students also had experience of accessing homeless services.



  • “A fantastic space for less fortunate”

  • Eye opening

  • A great opportunity to realise how different people live

  • Supportive service

Wild Goose Homeless services

  • Cooks food/drink

  • Caring

  • Very kind

  • Very helpful

  • Very loving

  • They are friendly, nice and polite

  • The service is very eye opening and makes you think more about less fortunate people

Services outside of Bristol


The comments in this section have been shared with Healthwatch Wiltshire.

Youth Groups (Salisbury)

  • No services in Salisbury (unless you are religious)


Mental health services (Salisbury)

  • “Not good in Salisbury as my friend had to travel to Southampton to access services”


Pharmacies (Salisbury)

  • “In Tesco’s, Rowlands and Noots waiting times can be really long. However they are particularly helpful and patient in Rowlands in Salisbury.”


GP (Salisbury)

  • “In Three Swans surgery there is long waiting”

  • “Doctors clearly explain and don’t pressure into checks and procedures”

  • “Millstream Surgery in Salisbury has long waiting times but the doctors are very helpful and understanding”


Eye Hospital (Salisbury)

  • No camera (asked to take photo myself)

  • Long waiting

  • Not very private

  • “Procedures not explained before happening, was not told that dye would be put in my eye”


Appendix 2: quiz used in workshops

During the workshops the students participated in a quiz with the aim of getting them thinking about different issues related to health and social care services. Following the quiz, the groups were given a handout with the quiz questions, answers, further information relevant to that topic and contact details for organisations they could contact to help develop and carry out their social action project. The hand out is included here:


Healthwatch Quiz and NCS Project Ideas

How clean are your teeth?


Question 1:

What is the most common chronic (ongoing) disease of children in the UK?

A: Asthma B: Tooth decay C: Diabetes

Answer

B: Tooth decay

Dental caries or cavities, more commonly known as tooth decay, are caused by a breakdown of the tooth enamel. This breakdown is the result of bacteria on teeth that breakdown foods and produce acid that destroys tooth enamel and results in tooth decay.

Although dental caries are largely preventable, they remain the most common chronic disease of children aged 6 to 11 years and adolescents aged 12 to 19 years. Tooth decay is four times more common than asthma among adolescents aged 14 to 17 years.

W: http://www.cdc.gov/healthywater/hygiene/disease/dental_caries.html



Other useful links

W: www.dentalhealth.org/tell-me-about/topic/caring-for-teeth/teens-teeth

W: http://www.nhs.uk/conditions/Dental-decay/Pages/Introduction.aspx

W: http://www.bbc.co.uk/news/health-29413906



NCS Project Ideas

  • Are there areas in Bristol where tooth decay is more common?

  • What could you do to increase awareness of dental health and stop children and young people developing tooth decay?

Mental health or mental illness?


Question 2: What percentage of people in the UK will experience of mental health problem each year?

A: 15% B: 20% C: 25%

Answer:

B: 25%

1 in 4 people in the UK will experience a mental health problem each year.

Some examples of mental health illnesses:


  • Depression

  • Anxiety

  • Phobias

  • Obsessive Compulsive Disorder (OCD)

  • Eating Disorders

 W: http://www.mind.org.uk/information-support/types-of-mental-health-problems/statistics-and-facts-about-mental-health/how-common-are-mental-health-problems/

Other useful links

Off the Record: www.otrbristol.org.uk

Mental Health Foundation: www.mentalhealth.org.uk

Bristol Mind: www.bristolmind.org.uk

Rethink: www.rethink.org.uk

Time to Change: www.time-to-change.org.uk

Self Injury Support (Bristol based): www.selfinjurysupport.org.uk

NCS Project Ideas


  • Find out what Off the Record’s Mentality Project is doing to reduce mental health stigma – what could you do?

  • What mental health support do you get in school? Could you do something to help people look after their mental health and wellbeing?

All alone, on my own…


Question 3: Loneliness is as damaging to our health as smoking how many cigarettes a day?

  1. 5 B) 10 C) 15

Answer: C) 15

Loneliness and social isolation are harmful to our health: research shows that lacking social connections is as damaging to our health as smoking 15 cigarettes a day (Holt-Lunstad, 2010). Social networks and friendships not only have an impact on reducing the risk of mortality or developing certain diseases, but they also help individuals to recover when they do fall ill (Marmot, 2010).

W: www.campaigntoendloneliness.org/threat-to-health

Other useful links

Link Age: www.linkagebristol.org.uk

Alzheimer’s Society: www.alzheimers.org.uk/southwest

Contact the Elderly: www.contact-the-elderly.org.uk

British Red Cross: www.redcross.org.uk/Where-we-work/In-the-UK/Southern-England/Wiltshire-Avon-and-Gloucestershire

NCS Project Ideas


  • Contact the Elderly hosts tea parties for older people, could you do something similar?

  • British Red Cross has a range of Independent Living Services, but rely on volunteers to support older people. Could you recruit volunteers for a service such as this?

  • Is it just older people who get lonely?

Looking for a home


Question 4: Between 2012 and 2014 did the number of people sleeping rough in Bristol

  1. Stay the same B) more than double C) more than triple ?

Answer: C) more than triple

The number of people sleeping rough in Bristol increased by 356% between 2012 and 2014.

W: http://www.homeless.org.uk/facts/homelessness-in-numbers/rough-sleeping/rough-sleeping-explore-data

Other useful contacts

Julian Trust: www.juliantrust.org.uk/homelessness

1625ip: www.1625ip.co.uk

Homeless Facts: www.homeless.org.uk/facts/homelessness-in-numbers



NCS Project Ideas

  • What are the causes of homelessness? What can be done to stop people becoming homeless?

  • What services are there in Bristol supporting people who are homeless? What help do they need?

  • What issues to people who are homeless experience? What can be done to help?

24 Hours in A&E


Question 5: What percentage of patients attending A&E in the UK are discharged without requiring any treatment?

  1. 15% B) 25% C 40%

Bonus points! Why do people attend A&E instead of seeing their GP or pharmacist?

Answer: C) 40%

  • Nearly 40 per cent of patients who attend A&E are discharged without requiring treatment. Estimates vary but a survey of 3,000 patients in 12 A&E units conducted for the College of Emergency Medicine found that 15 per cent of patients could have been treated in the community.

  • It has been suggested that more patients are attending A&E because they are unable to get appointments with their GP.

  • Most people go to A&E during working hours and these hourly patterns in attendances have remained largely unchanged in recent years. However, patients are clearly uncertain about how to access out-of-hours care – the most recent GP survey also found that only 55.4 per cent of patients said they knew whom to contact out of hours (which is worse than in previous years).

  • Access to other types of care out of hours (for example, district nursing care) is also important in keeping people out of hospital. We know that the number of district nurses has decreased by about 30 per cent in the past five years.

W: http://www.kingsfund.org.uk/projects/urgent-emergency-care/urgent-and-emergency-care-mythbusters

Other useful links

Think ABC: www.thinkabc.org.uk



NCS Project Ideas

  • How could you help people learn about and understand which health services to use and when to use them?

Appendix 3: Young Healthwatch information

Each student was given information about Young Healthwatch to take away with them (see below). They were also given Healthwatch Bristol Tell Us Your Story leaflets and promotional materials from other organisations including Off the Record, Time to Change and The Prince’s Trust.


Your voice could change the future – join Healthwatch to make a difference to health services.

What is Healthwatch?

Healthwatch makes sure that children, young people and adults have their voice heard in decisions about health and social care services. And that’s where we need your help!



How do I get involved?

Visit our website: www.healthwatchbristol.co.uk/young-healthwatch

Blog for us: www.healthwatchbristol.co.uk/blog

Become a Young Champion! http://tinyurl.com/ppnjf4n


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