Equality Delivery System 2 (EDS 2) outcome evidence template

Transcription

1 Equality Delivery System 2 (EDS 2) outcome evidence template Please see supporting EDS Goals and Outcomes below and identify which one your evidence supports. Evidence can be strategic or operational but must demonstrate outcomes. We are only looking for evidence for Goals 1 & 4 for grading on 27 October All evidence must address at least one of the Equality Act 9 Protected Characteristics which are: age, disability (physical, mental, sensory, learning, long term health conditions), gender, race, religion and belief, pregnancy and maternity including breastfeeding, sexual orientation, gender reassignment, marriage and civil partnership. Evidence must show: How do people from protected groups fare compared to people overall [in healthcare]? Evidence is put forward for external scrutiny at a public grading panel event this year. Please think creatively about how you would like to present your evidence (stories, pictures, film, audio, presentations, case study etc). Please ask for support if needed. CCG: North Staffordshire and Stoke on Trent CSU Directorate/Team: Governance Contact person: Alex Palethorpe (NSCCG) EDS Goal and Outcome: Outcome 4.1: Boards and senior leaders routinely demonstrate their commitment to promoting equality within and beyond their organisation. Also applies to required Outcome 4.2: Papers that come before the Board and other major Committees identify equality-related impacts including risks, and say how these risks are managed.

2 Which of the following protected characteristics have been addressed? xage What is the evidence for each protected group indicated? Applies to all 9 protected characteristic groups as below. xgender xgender re-assignment xdisability xrace xreligion or Belief xsexual orientation xmarriage and Civil Partnership xpregnancy maternity

3 What is your focus / Area of good practice Governance arrangements and leadership processes which impact on CCG planning and decision making ie providing an audit trail of evidence of CCGs taking due regard or deliberate consideration of the local 9 protected groups in all our planning and decision making processes. Examples include: Training development North Staffs CCG Stoke on Trent CCG Board Development 05/08/15 06/10/15 focus on senior decision maker responsibilities for legal compliance / appropriate challenge when Papers presented for sign off or approval by Board and senior committees EDS Overview 07/10/15 10/11/15 WRES Overview 02/12/15 Jan 2016 date tba 1. Board front cover sheets include suggested questions to prompt discussion at Board meetings and Senior Committees about an audit trail of due regard or deliberate consideration of the 9 protected groups (Equality Act 2010 requirement evidence meeting the PSED or Public Sector Equality Duty), and Inclusion Health groups where there are local concerns (Health and Social Care Act 2012 requirement). 2. Separate CCG Organisational Development Committee receives periodic operational detailed updates for Equality & Inclusion progress (6 monthly) against agreed Equality Objectives (see end April 2015 last update); also standing agenda updates for EDS & WRES on progress made on embedding into how CCGs work. 3. Joint Organisational Development Committee (ODC) Paper and cover sheet: 20 October 2015 meeting. Equality & Inclusion Progress Report April to September Note: ODC became joint June Equality Impact & Risk Assessment (EI&RA) process embedded into commissioning cycle; project management (PMO) working; and strategy / policy scrutiny for due regard. Each year the Commissioning Intentions or Strategy informs which commissioning areas will require an EI&RA scrutiny

4 for any adverse impacts on local protected groups. CCG receive feedback, consider and mitigate or re-shape services to be more inclusive wherever possible. 5. Engagement specifically with local protected group reps across Stoke on Trent and North Staffordshire. A new CCG webpage has been developed showing open and closed dates for engagement on commissioning work under consideration by CCG. Local communities of interest are being encouraged to visit this page frequently and provide feedback on any negative impacts arising prior to sign off by governing body / senior committees. CCG want to work with the vulnerable patient voice to shape services to be more inclusive of local protected groups. 6. Close working with provider partner organisations for equality legal compliance and good outcomes. CCGs work closely with our providers who are required to submit evidence to their lead commissioner organisation of how they are using monitoring (where declared by patients) of who is taking up services by protected groups and how differentially satisfied are they? This was introduced in 2015 into the contract. 7. Partnership working with the local authorities; Public Health colleagues; joint development of the Joint Strategic Needs Assessment (JSNA). Outcome - what happened? CCG senior planners, decision makers and commissioners / strategy / policy makers have embedded inclusive processes / ways of working to ensure that deliberate thought is promoted when planners and decision makers consider the 9 protected groups and mitigate / re-shape services where possible, to be more inclusive where feedback is received of any negative barriers or impacts arising. This takes place at the earliest stages of consideration by CCG of key healthcare changes ie before Paper signed off / approved by Governing Board / Body / senior committees. This is our evidence of an audit trail of showing due regard. We are on a journey for improvement and embedding this way of working into our business planning and scrutiny. CCGs are recognising that each service we are developing, we need to re-think how we are engaging and including protected characteristic groups and their local representatives. It s a learning exercise for CCGs who are relatively young in their development ie we are currently only in our 3 year. We are starting to review our processes we can be better at evidencing engagement which specifically includes protected groups. CCGs are serious about our equality and inclusion responsibilities. We buy in a specific Equality & Inclusion service from Midlands and Lancashire Commissioning Support Unit (M&L CSU) as part of our commitment in this key area. Our most recent 20 October 2015 Joint ODC Equality & Inclusion Progress Report highlights the work we have addressed and embedded over the past 6 months. In addition, the E&I Business Partner works closely with staff from both CCGs to

5 provide strategic and operational advice and support. We are working on detailing due regard discussions when Papers are presented for approval and how CCG have been able to re-shape services for inclusion of local protected groups. However, we are developing different ways of trying to involve protected group reps to provide regular feedback on healthcare changes being considered by CCG. We want to listen to the vulnerable patient voice in all parts of our local communities. One way of doing this is to make a clear record of the engagement work with local communities including protected group, within our Equality Impact & Risk Assessment (EI&RA) process for due regard or deliberate consideration of local protected groups. We are also working to provide the option to our Patient Congress to demographic profile our members and this should be included within our Terms of Reference. Examples of EI&RA work carried out jointly by CCGs across North Staffs and Stoke on Trent during 2014 to date: 1. At home first. My care. My way. 2. Step Up. Step Down programme 3. Hearing Aid Service 4. Individual Funding Requests Policy 5. New Commissioning Policy 6. Policy on the prioritisation of healthcare services 7. Frail Complex Programme 8. Continuing Health Care Plan 9. Long Term Conditions 10. Frail Complex Programme 11. Mental Health & Learning Disability Workbooks 12. Risk Stratification Policy 13. GP Out of Hours / Front of House Services. In 2015, CCGs have made available targeted training Workshops (7) for all commissioners; strategy / policy/ programme developers in the EI&RA scrutiny for inclusion process. EI&RAs can take some time to be completed, as this involves offering up a reasonable programme of engagement with local protected group reps. CCG encourage feedback where any negative impacts or barriers to inclusion are found by protected groups. As EI&RA work is completed, CCG will build up additional evidence for mitigation ie You said. We did.