Equality Analysis Division Service Name Equality Analysis Number (provided by HSTH the E&D Team) Directorate

Transcription

1 Equality Analysis Division Service Name Equality Analysis Number (provided by the E&D Team) Directorate Service Lead Responsible for completion of Equality Analysis What is the aim of the service? What are the intended benefits and improved health outcomes to patients? Which, if any, third sector, (charity and voluntary sector), groups does the service work with? Does the service carry out any patient engagement or work with any patient groups? How do users access the service? e.g. GP referral, self-referral How long do users tend to stay with the service? Are patient records paper based or computerised, if computerised which system is used? Which of the 9 equality strands does your service monitor? At what stage are any of the 9 equality strands above noted? At what point are patients discharged? What is the discharge process? What is the process following a Did t Attend? How does the service ensure a D was not because adjustments had not been made to facilitate access? Failure to make adjustments may be a breach of the Equality Act 2010 and can lead to vulnerable patients not receiving Halton and St Helens Neurorehabilitation/ Complex Rehabilitation HSTH Urgent Care and Therapies Name Job Title Telephone Number Address Sue Lightfoot Additional Needs Manager Sue.lightfoot@bridgewater.nhs.uk Complex rehabilitation of individuals with neurological diagnoses and on the Merseyside Major Trauma Pathway Physical, cognitive and psychological rehabilitation helping patients achieve a holistic intervention for better quality of life. Headway, Neurosupport As above GP, Social Services, Therapists, Consultants. Self re-referral accepted Average 3-5 years Paper records Age Disability Gender Reassignment Marriage/Civil Partnership Pregnancy/Maternity Race Religion/Belief Sex (Gender) Sexual Orientation Referral Forms First Appointment Forms Discharge Forms Other End of active rehabilitation goals Discussed with patient; letter to referrer (copy to patient) Discharged immediately if first appt D. For follow up, letter sent after first D saying they will be discharged if another D. Block booking of sessions offered same time and day for consistency where possible. Telephone reminders offered for people with memory problems. Appointments arranged by phone with carers where Page 1 of 8

2 timely and appropriate care. patient not deemed to be able to access independently Page 2 of 8

3 Equality Analysis The next section asks more specific questions based on CQC outcome alignment to the Equality Act 2010 and the Human Rights Act The questions asked relate to barriers potentially facing patients from the nine protected characteristic groups and also those who are carers, from lower socio economic communities and those with chaotic lifestyles (such as the homeless, sex workers or drug users) all associated with health inequalities and poor health outcomes. The CQC identified barriers are Access, Assistance and Attitude; the questions have broken this down into access to the initial appointment, assistance within and following the appointment and attitude relating to staff training in the different health issues, needs and aspirations of the different groups within our community. Would there be any reason, other than clinical need, for the service to refuse to see a patient? How would a patient be made aware of: alternative clinic venues domiciliary care options or flexible appointment times or days? These alternatives can be very important for carers, those observing particular holy days/festivals or those with work commitments. How would the service identify if a patient should be offered a pre-appointment familiarisation visit to the clinic? This could be important for patients with a learning disability or autistic spectrum disorder. Is there an appointment reminder procedure within the service, for example text messaging? Where risks to professionals are identified (violence, aggression etc. in line with the zero tolerance policy), patients are offered clinic based appointments or seen jointly. Patients are contacted by phone to establish preferred days/ times / venues for appointments. These are offered within practicable limits for the remainder of their contact with the Service. We would normally offer home visits if such concerns were highlighted. Phone call reminders are in place for people identified as having memory problems. Page 3 of 8

4 How does the service know if a patient requires assistance for any of the following? Translation or interpretation for other languages Communication support for deaf, deafened or hard of hearing Communication support for blind or visual impaired Communication support for difficulties with speech Easy read for learning disabilities, lower literacy, the elderly Contrast of text on paper for learning difficulties Large print Learning Disability Health Passport or Care Passport Telephone contact or text messaging Religious observances Requests for same sex clinician Pre-Appointment/Referral At the appointment Post appointment follow up - information provided (including complaints procedure, privacy notices) Dependent on referrer to highlight need. Dependent on referrer to highlight need. Dependent on referrer to highlight need. Referral form asks about communication difficulties. Also asks if SALT are involved processes in place preappointment processes in place preappointment processes in place preappointment unless highlighted on referral form Neurological Passport may accompany certain patients. Only telephone contact available as an option Religion/cultural requirements recorded at referral Service limitations mean that this cannot be offered as an option Assessed. Patient offered translation if appropriate. Assessed. Patient offered BSL interpreter if appropriate We would establish if known to Vision Rehab or other support services We would establish if known to SALT processes in place preappointment t routinely offered. t routinely offered Refer to Vision Rehab Refer for SALT support processes in place preappointment Available if highlighted Available if highlighted We would provide large font/ photocopy versions of information if requested/ appropriate We would provide large font/ photocopy versions of information if requested/ appropriate Preferences/ special observations ascertained as part of assessment if appropriate Service limitations mean that this cannot be offered as an option Quiet areas t available at venue Patients may be offered alternative venue (home) if felt to require low stimulation Patients are reminded by phone re upcoming appointments if they have memory difficulties Service limitations mean that this cannot be offered as an option Are staff confident in how to access this help and why there may need to be an adjustment made? We have accessed translation/ interpreters in the past through Trust. Page 4 of 8

5 Longer appointment times Appointments at particular times, for example early or late when quiet Mental health illness All patients are offered an extended initial appointment where the need for ongoing length of appointments is established. Patients are contacted by phone to establish preferred days/ times / venues for appointments. These are offered within practicable limits for the remainder of their contact with the Service. Recorded on referral form. Often the reason for referral environments Judges on an individual clinical basis As before As before Mental Health needs are highlighted as part of the assessment Support offered if appropriate. Good links with Mental Health/Psychology Services Page 5 of 8

6 If a patient is unable to use the telephone are there other ways for them to contact the service? How does the service ensure that all patients can access the reception and waiting area? How does the service ensure patients who may experience difficulties can access the treatment room? Are bathroom facilities available for patients who may need help from a carer? Has the service experienced patients missing an appointment following arrival at a venue, for example because of the patient calling system excluding deaf or hard of hearing? What does the service do to ensure patients understand the information given to them in the appointment? What does the service do to ensure carers understand the information given to them? For example information about pain relief or medicine administration. Does the service offer appointments to, and see homeless patients or those in temporary accommodation? Would one of the service s patients transition to another service? Does information regarding necessary adjustments for access and care get passed to the relevant agency when a patient transitions between services? Walk in and request to see a member of staff. The venue is a specialist centre which is fully accessible. Disabled parking spaces are available, automatic wide entrance; level access and low level reception area. Guide dogs are also welcome. Staff available on site to assist if appropriate Part of clinical assessment is to assess level of understanding. Joint working with SLT to understand and maximise communication/understanding Joint work with carers and patient either in clinic or at home. Attendance of carers at goal setting meetings and case reviews to allow expression of views/concerns. Dependent upon need and outcome of assessment / treatment Page 6 of 8

7 Would staff in the service be interested in receiving training or accessing advice in the following areas: Autistic Spectrum Disorders Mental health awareness Sensory impairments Learning disabilities Learning difficulties e.g. dyslexia, dyspraxia Lesbian, gay, bisexual health Gender reassignment awareness Religious and cultural awareness Asylum seeker/refugee awareness E&D signed off: Ruth Besford Date: Page 7 of 8

8 Age Disability Gender Reassignment Marriage/Civil Partnership Pregnancy/Ma ternity Race Religion/Belief Sex Sexual Orientation Equality Report EqA Completion Date Potential barriers identified Protected Characteristic Group Affected Other Groups Affected Actions Lead Due concerns Staff to access training requested E&D Sept.2014 Training Requested Autistic Spectrum Disorders Mental Health Awareness Sensory Impairments Learning Disabilities Learning Difficulties (e.g. dyslexia, dyspraxia) Lesbian, gay and bisexual health Gender reassignment awareness Religious and cultural awareness Asylum seeker/refugee awareness Report Sign Off Service Lead Name: S Lightfoot Date: E&D Lead Name: Ruth Besford Date: Action Plan Review Date September 2014 Page 8 of 8