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Health and Social Care Funding – Public Perceptions
Dan Wellings, Research Director, Ipsos MORI
@danwellings


© Ipsos MORI
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                                                                                                                  brand logo
Very clear and unchanging message on health spending                                                                 here


 Q.            “Which TWO or THREE, if any, of the following main areas of public
               spending do you think should be protected from any cuts?”
                                                                                                    Change from
                                                                                                     June ‘09
                 The NHS/health care                                                      79                      -3
                                              Schools                                51                           -7
                     Care for the elderly                                            51                          +5
                                        The Police                              39                               +4
                              Social services                              21                                    +6
                         Benefit payments                             10                                         +2
               Local authority services                               10                                         +4
                                             Defence                  9                                           -4
                                  Overseas aid                    4                                               -1
                                None of these                 *                                                    0
                                       Don't know             1                                                    0
Base: All who think some services should be protected (809)                                    Source: Ipsos MORI/Nuffield Trust




© Ipsos MORI
Paste co-
 How much of this difference between the generations                                                                      brand logo
                                                                                                                             here
 is related to funding?
80%



60%



40%



20%



 0%
         1983 1984 1986 1987 1989 1990 1991 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010


-20%



-40%
                          Pre War (born before 1945)                            Baby Boomers (born 1945-1965)
                          Generation X (born 1966-1979)                         Generation Y (born 1980 onwards)
    Data: BSA 1983-2010. Each data point represents >100 respondents



 © Ipsos MORI
Paste co-
Some change over time but unrealistic view held by                                                                                               brand logo
                                                                                                                                                    here
sizeable minority
Q On the whole, do you agree or disagree with the following statement:

                   There should always be limits on what is spent on the NHS

                                                        Don’t know             Strongly agree
                                                                    4%                                           2006                 2012
                   Strongly disagree                                     11%
                                                              14%                               Agree            44%                  58%
                                                                                                Disagree         48%                  39%




                                                       25%                       47%
               Tend to disagree                                                          Tend to agree




Base: 1,015 Adults aged 16+ in England, May 2012
                                                                                                    Source: Ipsos MORI/DH Perceptions of the NHS Tracker 2012
       1,001 Adults aged 18+ in Great Britain, January 2006                                                      Ipsos MORI/NICE Public attitudes research 2006



© Ipsos MORI
Paste co-
  Will possible change in social care funding start to inform NHS logo
                                                               brand
                                                                  here
  debate?
    Q            Many people will need to use social care services                     Q      To what extent are you already preparing
                 when they are older and it is likely that they may                           financially to pay for the social care services
                 have to contribute towards the cost. Before today,                           you might need when you are older?
                 to what extent had you thought about preparing
                 financially to pay for social care services you
                 might need when you older?


               % To a great extent               % To some extent    % Hardly at all       % Not at all       % Already using social care services



                                                     8%                                                            5%
                                   1%



                                                                                                                                    22%

                                                               26%
                   44%


                                                                                           55%



                                                                                                                                   17%


                                                       22%


   Base: Adults aged 16+ in England, December 2011 (1001)                                                   Source: Ipsos MORI/DH Perceptions of the NHS Tracker




© Ipsos MORI
We’ve paid into it all our lives…It’s
                                                  what we’re used to. But if people turn
  Medicine progresses so quickly,                 round and said if children are growing
and there are so many things that                     up, from the age of 30 they would
    can be done and people start                      start to fall into the new system…
expecting them, not unreasonably
 because it’s what we are used to




                                You can’t invoice people
                                      for having cancer
Paste co-
  More taxes preferred option but we did not ask how                                                                                        brand logo
                                                                                                                                               here
  much more
Q. “Many experts argue that it is becoming more expensive to fund the NHS because of increasing costs of
treatments, an ageing population and several other factors. This means that even in order to maintain the current
level of care and services provided for free by the NHS, spending on the NHS would have to increase. With that in
mind, which, if any, of the following would you most like to see?”

                                                                                       Don’t know

                                                                                                8%
                                                                      None
                                                                                  11%

 Reduce the level of care and services provided                                                            Increase taxes in order to maintain the
by the NHS so that you do not need to increase the                                                         level of spending needed to keep the
 current level of taxation and spending on the NHS                                                         current level of care and services
                                                                                                     48%   provided by the NHS
                                                                           11%




        Reduce spending on other services such as
  education and welfare in order to maintain the level of
                                                                                          21%
  spending needed to keep the current level of care and
                          services provided by the NHS



  Base: 1,006 British adults aged 18+, interviewed by telephone, 22-25 November 2012                                     Source: Ipsos MORI/Nuffield Trust




  © Ipsos MORI
Paste co-

In the “marrow of our bones”                                                                                                                                                           brand logo
                                                                                                                                                                                          here


Which two or three of the following, if any, would you say makes you most
proud to be British?
                                                                                                                          %
                                                                        0            5               10    15        20   25          30         35          40         45          50

                                               The NHS                                                                                                                      45
                                     The Armed Forces                                                                                                            40
                                              Team GB                                                                                                       38
                                      The Royal Family                                                                                                 36
                                                    BBC                                                         16
                                                Nothing                                               10
                                       British Business                                          6
                                   Houses of Parliament                                          6
                                      Marks & Spencer                                    4
                                             John Lewis                                  4
                                                 Oxfam                               3
                                      Women's Institute                          2
                                                Tesco's                      1
                                                   Other                                         6
                                             Don't Know                                      5
Base: 2515 British Adults 16-75, Online Fieldwork conducted between 23rd-27th November 2012                                    Source: British Future Polling – State of the Nation 2012/3, Ipsos MORI




© Ipsos MORI
dan.wellings@ipsos.com
          @danwellings

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Dan Wellings: public perceptions on health and social care funding

  • 1. Paste co- brand logo here Health and Social Care Funding – Public Perceptions Dan Wellings, Research Director, Ipsos MORI @danwellings © Ipsos MORI
  • 2. Paste co- brand logo Very clear and unchanging message on health spending here Q. “Which TWO or THREE, if any, of the following main areas of public spending do you think should be protected from any cuts?” Change from June ‘09 The NHS/health care 79 -3 Schools 51 -7 Care for the elderly 51 +5 The Police 39 +4 Social services 21 +6 Benefit payments 10 +2 Local authority services 10 +4 Defence 9 -4 Overseas aid 4 -1 None of these * 0 Don't know 1 0 Base: All who think some services should be protected (809) Source: Ipsos MORI/Nuffield Trust © Ipsos MORI
  • 3. Paste co- How much of this difference between the generations brand logo here is related to funding? 80% 60% 40% 20% 0% 1983 1984 1986 1987 1989 1990 1991 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 -20% -40% Pre War (born before 1945) Baby Boomers (born 1945-1965) Generation X (born 1966-1979) Generation Y (born 1980 onwards) Data: BSA 1983-2010. Each data point represents >100 respondents © Ipsos MORI
  • 4. Paste co- Some change over time but unrealistic view held by brand logo here sizeable minority Q On the whole, do you agree or disagree with the following statement: There should always be limits on what is spent on the NHS Don’t know Strongly agree 4% 2006 2012 Strongly disagree 11% 14% Agree 44% 58% Disagree 48% 39% 25% 47% Tend to disagree Tend to agree Base: 1,015 Adults aged 16+ in England, May 2012 Source: Ipsos MORI/DH Perceptions of the NHS Tracker 2012 1,001 Adults aged 18+ in Great Britain, January 2006 Ipsos MORI/NICE Public attitudes research 2006 © Ipsos MORI
  • 5. Paste co- Will possible change in social care funding start to inform NHS logo brand here debate? Q Many people will need to use social care services Q To what extent are you already preparing when they are older and it is likely that they may financially to pay for the social care services have to contribute towards the cost. Before today, you might need when you are older? to what extent had you thought about preparing financially to pay for social care services you might need when you older? % To a great extent % To some extent % Hardly at all % Not at all % Already using social care services 8% 5% 1% 22% 26% 44% 55% 17% 22% Base: Adults aged 16+ in England, December 2011 (1001) Source: Ipsos MORI/DH Perceptions of the NHS Tracker © Ipsos MORI
  • 6. We’ve paid into it all our lives…It’s what we’re used to. But if people turn Medicine progresses so quickly, round and said if children are growing and there are so many things that up, from the age of 30 they would can be done and people start start to fall into the new system… expecting them, not unreasonably because it’s what we are used to You can’t invoice people for having cancer
  • 7. Paste co- More taxes preferred option but we did not ask how brand logo here much more Q. “Many experts argue that it is becoming more expensive to fund the NHS because of increasing costs of treatments, an ageing population and several other factors. This means that even in order to maintain the current level of care and services provided for free by the NHS, spending on the NHS would have to increase. With that in mind, which, if any, of the following would you most like to see?” Don’t know 8% None 11% Reduce the level of care and services provided Increase taxes in order to maintain the by the NHS so that you do not need to increase the level of spending needed to keep the current level of taxation and spending on the NHS current level of care and services 48% provided by the NHS 11% Reduce spending on other services such as education and welfare in order to maintain the level of 21% spending needed to keep the current level of care and services provided by the NHS Base: 1,006 British adults aged 18+, interviewed by telephone, 22-25 November 2012 Source: Ipsos MORI/Nuffield Trust © Ipsos MORI
  • 8. Paste co- In the “marrow of our bones” brand logo here Which two or three of the following, if any, would you say makes you most proud to be British? % 0 5 10 15 20 25 30 35 40 45 50 The NHS 45 The Armed Forces 40 Team GB 38 The Royal Family 36 BBC 16 Nothing 10 British Business 6 Houses of Parliament 6 Marks & Spencer 4 John Lewis 4 Oxfam 3 Women's Institute 2 Tesco's 1 Other 6 Don't Know 5 Base: 2515 British Adults 16-75, Online Fieldwork conducted between 23rd-27th November 2012 Source: British Future Polling – State of the Nation 2012/3, Ipsos MORI © Ipsos MORI
  • 9. dan.wellings@ipsos.com @danwellings