National indicators (NI) 1 to 9 are based on the Scottish Health and Care Experience Survey (HACE) commissioned by the Scottish Government. This survey is sent randomly to around 5% of the Scottish population every two years.
The most recent survey results for inclusion in this report are from the 2019/20 survey. In 2019/20 the survey was sent to 46,099 people in Edinburgh with 11,415 responses which shows a response rate of 25%. The response rate across Scotland was also 26%. The methodology was changed in 2019/20 therefore, following advice from PHS, we have provided the results from previous surveys but have not made direct comparisons.
Edinburgh is above the Scottish average for 2019/20 in six of the nine HACE survey indicators, as shown in the table below.
|National Indicator (NI)
|NI-1:Percentage of adults able to look after their health very well or quite well
|NI-2:Percentage of adults supported at home who agree that they are supported to live as independently as possible
|NI-3:Percentage of adults supported at home who agree that they had a say in how their help, care or support was provided
|NI-4:Percentage of adults supported at home who agree that their health and social care services seemed to be well co-ordinated
|NI-5:Percentage of adults receiving any care or support who rated it as excellent or good
|NI-6:Percentage of people with a positive experience of the care provided by their GP practice
|NI-7:Percentage of adults supported at home who agree that their services and support had an impact on improving or maintaining their quality of life
|NI-8:Percentage of carers who feel supported to continue in their caring role
|NI-9:Percentage of adults supported at home who agreed they felt safe
*Figures for 2019/20 are not directly comparable to previous years due to changes in methodology. Source: Scottish Government HACE surveys.
The areas where we are just below the Scottish average are:
- Adults supported at home agree that they are supported to live as independently as possible
- Adults supported at home agree that their health and social care services seemed to be well co-ordinated
- Carers feel supported to continue in their caring role
We continue to focus on improvement in each of these areas. Our Home First project, described here, seeks to increase the provision of care and support in the community so people can continue to live as independently as possible. The project is also looking at pathways through the health and social care services to ensure that these are provided in ways that are well coordinated between services and makes sense for the individuals experiencing those services.
The Three Conversations approach, currently being rolled out as shown here, focuses on working differently to achieve improved outcomes for people and families. This includes collaborating with the people who are referred to our services to focus on what matters to them and help them make connections or build relationships in order to go on with their life independently. Our Three Conversations approach also seeks to improve coordination between services by ensuring a holistic approach is taken to the needs of individuals to connect them with the different services, both internally and in the community, that will best support their needs.
We have also put in place new contracts to support the implementation of the Joint Carers’ Strategy, as described here. These will focus on increasing support for the health and wellbeing of carers as well as the provision of robust advice and information. As with many areas across Scotland, we still have work to do to identify all those in caring roles in Edinburgh and ensure they receive the support they need.