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www.leicspt.nhs.uk
Update on equality and consultation on equality objectives
Leicestershire Working Together Group
10 March 2011
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Context setting
Christina Marriott
Interim Operational Manager,
Integrated Equality Service
Leicestershire Partnership NHS Trust
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Overview
Fingers on the button – ice breaker Integrated Equality Service Equality Act 2010 Equality Objectives Consultation and voting
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Ice breaker sessionUsing the voting pads
We are going to practice using the vote pads, we will ask some questions and would like you to select which answer applies.
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76%
6%
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How did you travel here today?1 Car
2 Bus
3 Speed boat
4 Taxi
5 Bicycle
6 Train
7 Walk
8 Helicopter
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0%
6%
19%
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25%
19%
19%
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How did you find out about this event?
1 An NHS Website
2 An NHS Membership letter
3 An NHS Membership email
4 Pigeon Carrier
5 An organisation
6 Through work
7 Through a friend
8 On the Wind
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• New service equality and human rights service autumn 2010
• NHS Leicester City PCT• NHS Leicestershire County and Rutland PCT• Leicestershire Partnership NHS Trust (Host - CORIIN)
• Integrated Governance Committee
• Equality Impact Assessment feedback from consultation
Integrated Equality Service
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Equality Impact Assessmentkey themes
1. Focus on outcomes not process2. Be clear in communications3. Make more of what we have4. Don’t lose quality and focus in the drive for efficiency5. Keep it real6. Involve local people and groups7. Be transparent and accountable
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No change - Due regard to eliminating discrimination and advancing equality of opportunity covers sex, disability and race
Also covers: • Gender reassignment• Pregnancy and maternity • Age• Sexual orientation• Religion or belief
New - “Foster” rather than “promote” good relations - a more active approach required?
Public Sector General Duty (Apr 2011)
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Prepare and publish equality outcome objective(s)
Must be specific, achievable and measurable and set out how progress will be measured.
• Part of business as usual organisational planning and management• Informed by the evidence and data published;• Minimum 4 yearly review of the outcomes • Results reported through the publication of equality data enabling scrutiny by third parties who will judge whether:
- right areas are being focused on- body is achieving what it set out to
PSED Specific duty from Apr 2012)
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KEY DATES - COMMENCEMENT OF EQUALITY ACT 2010April 2011
• Repeal of existing race, gender and disability duties • New single equality duty – general duty and specific duty to publish equality data (July 2011)
April 2012
• Specific duty to publish equality outcome objectives • Ban on age discrimination in goods, facilities and services
Equality Act 2010
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Equality Delivery System – assessments
● Organisations assess their equality performance against 12 outcomes grouped into 4 objectives :
• Better health outcomes for all • Improved patient access and experience• Empowered, engaged and included staff • Inclusive leadership
● Will also help set equality priorities
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Equality Delivery System
● Must be agreed by local people/groups
● LLR (and now UHL) are early adopter
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Vote pad session
● We are going to use the vote pads, we will ask some questions and would like you to select which of the following you consider yourself to be.
● The feedback is anonymous, we will not be able to link this information to you.
● The data will be used to analyse your feedback
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What is your age?
1 Under 162 16-193 20-294 30-395 40-496 50-597 60-698 70-799 80+
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What is your gender?
1 Male2 Female3 Prefer not to say
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Do you have a disability?
1 Yes2 No3 Prefer to say
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If yes, please state what disabilities you have. Select as many as relevant.
1 Hearing impaired2 Learning Disability3 Long Term condition4 Physical impairment5 Visual and Hearing impairment6 Visual impairment7 Wheelchair user8 Mental Health 9 Other
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What do you consider your ethnicity to be?
1 Asian or Asian British Indian 2 Asian or Asian British Bangladeshi3 Asian or Asian British Pakistani4 Any other Asian background5 Black or Black British Caribbean 6 Black or Black British African7 Any other Black background8 Chinese9 Gypsy or Traveller
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What do you consider your ethnicity to be?
1 White & Black Caribbean 2 White & Black African3 White & Asian4 Any other Mixed or Dual heritage background5 White British6 White Irish7 White other 8 Other 9 Prefer not to say
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What is your sexual orientation?
1 Bisexual2 Gay Man3 Heterosexual /straight4 Lesbian / Gay Woman5 Prefer not to say
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What is your religion?
1 None2 Christian (Including Church of England, Catholic
Protestant and all other Christian denominations)3 Buddhist 4 Hindu5 Jewish6 Muslim7 Sikh8 Prefer not to say9 Any other religion
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Exercise
Criteria for prioritisation
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● Previous consultations e.g. During design of Single Equality Schemes and previous schemes for race, gender and disability
● Ongoing feedback from SLA partners e.g. TREC, LCIL, LGBT Centre, Council of Faiths
● Joint Strategic Needs Assessments (JSNA)
● Public Health Annual Reports (2009/2010)
The evidence
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Table exercise
Key outcomes and key enablers
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● Reductions in morbidity and mortality amongst BME communities for diabetes, CHD, CVD and long term conditions through targeted health initiatives eg: smoking cessations amongst the South Asian communities
Outcome 1
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● Improving the experience of people with disabilities who use health services including access to primary and secondary care
Outcome 2
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● Supporting local systems to address hate crime and foster good relations in recognition of the healthcare imapcts related to discrimination against equality groups and individuals eg: people with learning disabilities, people with mental health issues, LGBT, BME
Outcome 3
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● Increasing access to and improving outcomes from early intervention in mental health problems amongst BME communities and the LGBT population
Outcome 4
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● Preventing age discrimination in the delivery of secondary care services including access to and outcomes from services and being treated with dignity and respect
Outcome 5
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● Ensuring gender pay equality and demonstraing progress through the regular reporting of gender pay audits
Outcome 6
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● Promote a “fairness for all” agenda that ensures equity of patient outcomes and experience across different equality groups
Outcome 7
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● Improving the collection and analysis of evidence on equality and human rights across the health care system in particular within primary care
Enabler 1
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● Provision of training on cultural competency that builds on the use of evidence for identifying and addressing health inequalities amongst target population groups and patient outcomes
Enabler 2
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● Increasing the diversity amongst senior leaders across the healthcare system in particular amongst BME members of staff
Enabler 3
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● Foster good relations amongst different groups and communities by holding regular community health events and use of other media that are targeted to the specific cultural and communication needs of participants
Enabler 4
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Vote pad session
We are going to use the vote pads, to find out your opinion of the priority of the following outcomes.
Please select one outcome and one enabler
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The 7 outcomes
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The 7 outcomes
1 Outcome 1 Long term conditions BME
2 Outcome 2 Access to care people with disabilities
3 Outcome 3 Hate crime
4 Outcome 4 Mental health BME and LGBT
5 Outcome 5 Age discrimination
6 Outcome 6 Gender pay equality
7 Outcome 7 Fairness for all agenda
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The 4 enablers
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28%
36%
7%
29%
The 4 enablers
1 Enabler 1 Evidence
2 Enabler 2 Training in cultural comp.
3 Enabler 3 Diversity senior leaders BME
4 Enabler 4 Regular health events
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Next Steps
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Thank you
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Contacts
Integrated Equality Service 0116 2256603
www.leicestershire.nhs.uk
www.leicestercity.nhs.uk
