Equality Analysis and Impact Assessment Tool

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1 Equality Analysis and Impact Assessment Tool Blackburn with Darwen Alcohol Strategy 2014 Preventing Harm, Improving Outcomes EIA version [2.0] 1

2 Guidance Please refer to the Impact Assessment and Human Rights Screening Guidance v1.5 which is available on the Intranet via the following link: If you require further assistance please contact your department s Corporate Equality & Diversity group representative. This information is available from the Corporate Policy Department. EIA version [2.0] 2

3 Section 1: Initial Assessment Please provide as much information as possible Name of activity: Manager or Sponsoring Directors Name: Department/Directorate: Service: Assessment Lead: Blackburn with Darwen Alcohol Strategy Dominic Harrison Public Health Alcohol Strategy Helen Lowey / Joy Evans Telephone: Who else will be involved in undertaking the equality analysis and impact assessment: Joy.Evans@blackburn.gov.uk Public Health Consultant - Helen Lowey Partner Agencies represented on the Alcohol Strategy Group include: - Public Protection Service Licensing and Trading Standards) - Greater Manchester West (GMW), - Family Health and Wellbeing Consortium - Lancashire Constabulary - Drinkwise North West - Lancashire Care Foundation Trust - Public Health England - Department of Work and Pensions - Lancashire Fire and Rescue - East Lancashire Hospital Trust - Ambulance Service - Clinical Commissioning Group - Probation Service - Independent Pharmacy Representative - Community and Voluntary Sector - Lifeline (see Appendix B of the Strategy attached for full list). The Strategy has been informed and developed by partner agencies on the Alcohol Strategy Group. This group includes commissioners, provider services and service user groups. Who are you consulting with and how? Community engagement including Citizen Jury for Alcohol specifically Minimum Unit Price (MUP) and consultation with Children and Young People. Data and evidence collated in the Joint Strategic Needs Assessment. Update: May 2014 The Alcohol Strategy has been approved by the EIA version [2.0] 3

4 Executive Board. The draft strategy has been presented to: Council governance arrangements the Executive Board Senior Policy Team Licensing Committee Legal and Finance Boards Partnership governance arrangements - Clinical Commissioning Group Governing Body - Community Safety Partnership - Community Pharmacy Network - Families Health and Wellbeing Forum - Service User Groups - Joint Commissioning Group - Health and Wellbeing Board Partnership and the Children s Partnership Board. Please insert any information around surveys and consultations undertaken: References Please identify additional sources of information you have accessed to complete the EIA for example, websites; journals; reports etc. The approved strategy can be viewed here: Joint Strategic Needs Assessment (JSNA) Alcohol Integrated Strategic Needs Assessment nts/isnasummary2013.pdf Regional and National data. CCG Outcomes Indicator Set, also see JSNA above) Drink Wise North West (2012). The Cost of Alcohol to the North West Economy content/uploads/2012/05/the-cost-of-alcohol-to-the- North-West-Economy-Part-A.pdf DWP (2013), Number of ESA and IB/SDA claimants with a main disabling condition of Alcoholism in England: Baseline Research (2011). Too Much Too Young? Problem substance use among young people in Blackburn & Darwen. Department of Health, (2014) Health behaviours and EIA version [2.0] 4

5 well-being. attachment_data/file/278140/health_behaviours_and_w ellbeing.pdf National Alcohol Strategy, March attachment_data/file/224075/alcohol-strategy.pdf Health First Strategy, March ents/alcoholstrategy-updated.pdf Public Health England Local Alcohol Profiles, 2012 and Marmot Review Fair Society Healthy Lives, Implementation date: Type of activity: National Association of Lesbian and Gay Addiction Professionals, April 2014 once approved by the Executive Board Budget changes Change to existing policy Commissioning Decommissioning How was the need for the activity identified? New policy Response to National Alcohol Strategy. Response to local Joint Strategic Needs Assessment and Integrated Strategic Needs Assessment Blackburn with Darwen has the highest proportion of non-drinkers in the North West at 22%, compared with regional average of 15% (Public Health England, 2012). However, despite having the highest percentage of nondrinkers in the North West and below national average alcohol consumption rates, the harm caused by alcohol is significantly high. Blackburn with Darwen is ranked 30 th worst out of 211 CCGs for all liver disease mortality in under 75s with 22 per 100,000 compared to 15 per 100,000 nationally (CCG Outcome Indicator Set, 2012). Hospital admissions due to alcohol related disease have risen by 200% over a 10-year period ( ) in Blackburn with Darwen which is over twice the rate of increase seen in the North West as a whole (LAPE, 2012). EIA version [2.0] 5

6 All forms of violence are strongly associated with alcohol and research shows that violence increases when alcohol is consumed. 47% of violent crimes committed involve the offender being under the influence of alcohol. The borough has approximately 1,110 alcohol related crimes per year. In addition, alcohol abuse costs Blackburn with Darwen 27.4 million each year in lost productivity due to absenteeism, reduced employment and premature death (Drinkwise, 2010) and the borough has the 5 th highest rate in the country of people claiming incapacity benefits (Incapacity Benefit, Severe Disablement Allowance and Employment Support Allowance) where main disabling condition is alcoholism (DPW, 2013). The strategy takes a whole system, life course approach, considering primary, secondary and tertiary prevention for individuals, families and communities. What is the activity looking to achieve? What are the aims and objectives? The four key strategic priorities are: 1. Licensing and trade responsibility To ensure all sections of the alcohol trade promote responsible retailing that supports a reduction in alcoholrelated harm by: a) Restricting availability, very cheap/high alcohol content: Support & lobby for minimum unit price (MUP) for alcohol Explore opportunities to reduce availability of superstrength alcohol Challenge 25 and proxy sales messages b) Supporting a positive and responsible alcohol trade by: Challenge 25 policies Engage in the community alcohol network Licensing procedures use data to reduce the impact of health related harm 2. Health and Wellbeing Services To ensure a health and wellbeing focussed treatment and recovery support is employed to address the needs of persons and their families experiencing alcohol related misuse, by providing: Services High quality services for individuals and families, developed in partnership, with service user representation and volunteer advocates. A priority service development is the hospital alcohol liaison service (HALs) including on-going opportunities to enhance outcomes Screening EIA version [2.0] 6

7 Improve opportunities to deliver training packages which include identification and brief advice (IBA) across communities Treatment and Recovery Support and promote the development of recoverybased Health and Wellbeing services that promote and deliver prevention, sensible drinking and abstinence as their core business as appropriate 3. Prevention across the life course To ensure that a coordinated whole family approach is taken for initiatives that work with children, young people, families and communities, protecting those most affected by alcohol, by: Ensuring children & young people are safeguarded from harms caused by alcohol Continued commitment to the Alcohol Pledges for Children and Young People. Utilising a whole population / life-course approach to address the needs and issues of all residents. - Targeted support for vulnerable individuals and groups e.g. children of alcohol abusers, young people, older people living in isolation, black and minority ethnic groups, offenders. - Supporting local people to understand the true long term health impact of alcohol - Empowering local people to understand the impact of alcohol upon mental health and wellbeing Services currently provided: 4. Protection for the Community To mitigate the role of alcohol in fuelling Crime, Anti- Social Behaviour, Violence and Domestic Abuse, by: Early intervention Intervene early with individuals who are at risk of causing harm fuelled by alcohol, including harm within the home, families seeking support and within our neighbourhoods where alcohol is a particular risk factor for anti-social behaviour and violence Prevention and outreach Implement a robust approach, combining assertive outreach with bespoke innovative long term support options and, where necessary, enforcement to our known hazardous drinkers Universal services (those services which are available to all) include: Individual agency social marketing campaigns across the life course e.g. Dry January, Alcohol Awareness Week, Children and Young People Alcohol Pledges activities. NHS Health Checks Local intelligence licensing and policing activity. Identification and brief intervention training and delivery for all relevant personnel EIA version [2.0] 7

8 Targeted interventions include: Increasing training and roll-out of Identification and Brief Advice to all relevant personnel. Commissioning of a One Voice to deliver IBA training to members of the BME community to build community assets Standard Hospital Alcohol Liaison Service (HALS). Project officer responsible for the delivery of adult carers support. Commissioning of a range of specialist treatment services including Drugs and Alcohol Liaison Midwife Continued support and development with the recovery community. Recommendations following change in service: Please outline recommendations that have been identified for implementation following a review of the activity. NB: IBA is the evidence based approach to reducing drinking among those consuming alcohol at above lowrisk levels. Information about alcohol is provided, safe drinking levels and units discussed and simple questions about a person s alcohol intake. Advice is then offered about the potential harms and possible ways of reducing consumption. Increased awareness of the impact of alcohol use and misuse on health, crime and disorder and society. A more coordinated, consistent and comprehensive approach to communication and engagement regarding alcohol to increase awareness and understanding of the harm alcohol can cause. This will help maintain those who drink sensibly (low-risk drinkers) and help raise awareness of the dangers of harmful and hazardous drinking. Engagement with and increased resources allocated to those at greatest risk of alcohol related harm will be facilitated via the various plans embedded within the strategy. The strategy seeks to maximise opportunities to reach out into the communities via Identification and Brief Advice (IBA), assertive outreach programmes such as the Nightbus for young people and Community Safety innovations e.g. SCRAM Alcohol Monitoring System. Improved services i.e. a more comprehensive HALS service. Improved data and intelligence i.e. collection of Trauma and Injury Intelligence Group (TIIG) data. Further develop the work re. Minimum Unit Price Improved engagement with the public via communications strategy and Citizen s Jury on MUP. Remodelling of Recovery Orientated Integrated (treatment) Services (ROIS). Continued commitment to public health commissions Monitoring of performance outcomes. Where we recognise that engagement with some marginalised groups potentially needs further development, a range of consultation opportunities will continue to be pursued with Black and Minority EIA version [2.0] 8

9 Ethnic communities (whose ability to metabolise alcohol may be significantly less than for white people, an issue for those who choose to drink within this community), children of alcohol (and drug) misusers, Homeless/ Houses of Multiple Occupancy (HMO) population, offenders and problematic offenders. This work will be delivered collaboratively with other agencies and has established links with other programmes and strategies including, Making Every Adult Matter (MEAM), Adverse Childhood Experiences (ACE) and REACh, Making Every Contact Count (MECC). Carers or family Yes No Indirectly General Public Yes No Indirectly Who does the policy or decision being made impact upon?* Partner organisations Yes No Indirectly Service Users Yes No Indirectly Staff Yes No Indirectly Signature and Date: Joy Evans, 23rd May 2014 *If no impact is identified on any of the groups a full EIA may not be required. Please contact your departmental Corporate Equality & Diversity representative for further information. EIA version [2.0] 9

10 Does the activity have the potential to: Section 2: Equality Analysis and Impact Assessment Have a positive impact (benefit) on any of the groups? Have a negative impact / exclude / discriminate against any person or group? Explain how this was identified? Evidence / Consultation? Please refer to the notes in the full guidance document page 13 NB: Requires (existing or new) consultation with relevant people who are from these groups or who have knowledge insight into these groups. NB. Marriage & CP is only protected in terms of work-related activities NOT service provision Group Positive (Y/N) Negative (Y/N) Don t know Reasons for positive / negative impact (Please include all evidence you have considered as part of your analysis) Action No. Whilst many aspects of the Alcohol Strategy are universal, research evidence outlined in the local JSNA, Local Alcohol Profiles (LAPE), Adverse Childhood Experiences (ACE) and national research have identified specific age groups for targeted interventions. These include: Age Y N 1. Children and Young People (Too Much, Too Young, 2013). The Children and Young People Alcohol Pledges ensure a commitment to reducing the harms to this age group by engagement, education, targeted services, and informing and increasing the knowledge and skills of parents. 2. The increase in alcohol related harm within the ageing community, the JSNA highlighted the need for efforts should be made to cultivate a better understanding of alcohol-related harm in later life, develop appropriate interventions, and ensure that services are aware of and respond to the alcohol-related needs of older people. It also worth noting that the according to the Trading Standards North West survey young people s alcohol consumption is decreasing except in a small group of heavy drinkers (>20 units of alcohol per week). This intelligence must EIA version [2.0] 10

11 be closely monitored and addressed by the work outlined in point 1 above. Regarding services, adults accessing alcohol treatment in Blackburn with Darwen are more likely to have children living with them than is nationally the case. In 2011/12, 48% of clients in alcohol treatment were living with children dropping to 46% in 2012/13. This compares to 30% and 28% nationally in each year respectively. All alcohol interventions and services are accessible to all regardless of their disability status. Disability Y N All clients accessing specialist treatment are asked to identify if they have any disability and this will be reflected in their care plans to ensure this does not reduce their potential for positive outcomes. Successful implementation of this strategy to reduce alcohol related harm also has the potential to reduce incidence of illnesses that may lead to disability, e.g. stroke, liver disease and a range of mental health conditions. Marriage & Civil Partnership N/A Pregnancy and maternity Y N The Alcohol Strategy aims to address the impact of this alcohol related harm by supporting work with carers, providing a wide range of treatment options and the extension of Adverse Childhood Experience (ACE) training. Drinking during pregnancy and the potential harm it causes, including the difficult to diagnose Foetal Alcohol Spectrum Disorder (FASD) is highlighted in the strategy. The strategy will increase the reach of Identification and Brief Advice to include those in maternity services, to enable and increase confidence of professionals to use this tool and Make Every Contact Count. Data collection regarding the number of babies diagnosed with FASD would aid the future development of this strategy and service delivery. 1 EIA version [2.0] 11

12 Race Y Y The alcohol strategy supports the current specialist service providing interventions to address alcohol use involves specific delivery interventions from a commissioned specialist midwife. Preliminary findings from monitoring data has shown that drug and alcohol clients achieve good outcomes for their babies in terms of gestational age and birth weight which is positive given overall figures for BwD re: low birth weight. Blackburn with Darwen has the highest proportion of non-drinkers in the North- West at 22%. This is an asset within our community, recent Department of Health research states that An individual s drinking habits are strongly affected by the habits of their family and friends. Drinkers were more likely to have social contacts that drank similar amounts. Non-drinkers were more likely to have friends and relatives that were non-drinkers (DH, 2014). The JSNA highlights research to show that although those within the Pakistani and Muslim community are much more likely to abstain, those who do drink have a higher consumption than drinkers in other religious and ethnic groups. It is also recognised that there may be barriers to accessing services particularly for adults from minority ethnic groups. Whilst we may assume the reasons for this, further exploration, engagement and understanding is needed and this will then inform future service development. There is very little evidence here in BwD to suggest if there are issues of this nature but we also concur that we need to address the gaps in information. This however is not the case with young people, the number of those accessing treatment services is in line with their overall representation in the community. There are a range of training packages available across the Borough which are available to all communities. Part of the universal offer is to raise awareness of the issues caused by drugs and alcohol across all of our communities which will be cascaded often by volunteers, community members / educators. 2 EIA version [2.0] 12

13 Access to interpreters is via a range of mechanisms including the contract processes but also via community volunteers and programmes. The JSNA and more detailed localised Needs Assessment work highlights the needs of all communities which inform this and future strategy and action plan development and the commissioning of services. Where possible Public Health commissions specific providers to liaise and consult with BME groups, to increase knowledge of alcohol harm and awareness of the services available for example: commissioning One Voice to conduct engagement activity within the BME communities to increase awareness of drugs and alcohol across the lie courses, and increase awareness of support available and train community members to deliver low-level interventions. Increased intelligence is always considered regarding consumption, access to services and treatment outcomes for harder to reach groups. The needs assessment process is regularly reviewed, to ensure the needs of these populations are better understood and addressed as we continue to develop our strategies. Currently available synthetic estimates do not provide estimates of alcohol related need by ethnic community. Data analysis (2012/13) shows that on average 450 primary alcohol clients and 1000 primary drug clients accessed treatment during this period, a proportion of which were seeking treatment for poly substance misuse i.e. both drugs and alcohol. The national data provided historically by the National Treatment Agency concurs that this has been a fairly consistent picture over the previous 5 year period. Of those accessing adult treatment services in Blackburn with Darwen the ethnicity breakdowns are demonstrated as follows: - EIA version [2.0] 13

14 94% are White British 2% as White Irish or White Other 2% as Asian 1% identify as White & Black Caribbean, 1% as Chinese and 1% as other. From a total of 123 Young People who accessed specialist structured treatment locally in 2012/13 the ethnicity breakdowns are demonstrated as follows: - 81% white 15% Asian/Asian British 3% Mixed Race Locally collated needs assessment data suggests that ethnicity does not have a significant impact on treatment journeys. 100% of Asian/Asian British clients exiting treatment in 2012/13 did so with a successful planned exit, compared to 89% of white clients. All universal services are available to all irrespective of their religion or belief system, where services use eligibility criteria this is based on need and takes no account of this protected characteristic. Religion or belief Y Y However as stated in the previous section, it is acknowledged that an individual s religion or belief may have an impact on how they access services and the ensuing treatment. This is an area that has been identified as a knowledge gap and is being addressed by further engaging with the BME communities. The feedback will then be incorporated into the strategy and services will be amended accordingly where needed. 2 EIA version [2.0] 14

15 All universal services are available to all regardless of their sex. The JSNA states that men s alcohol consumption is higher than women s at both lower and higher risk limits, that men have higher rates of alcohol-related hospital admissions and there is a large and growing gender gap in alcohol-related mortality rates. Sex Y N This is reflected in the numbers of those accessing adult alcohol treatment services. Local treatment data shows that in 2011/12 67% of those accessing specialist alcohol treatments were male rising to 73% in 2012/13. However, local evidence shows that women do proportionately better with higher rates of successful outcomes. In 2012/13, 84% of female clients achieved successful alcohol treatment outcomes, compared to 69% of males. This data is frequently updated and used to inform planning, service development and delivery as well as communications and engagement strategies. Sexual orientation Y Y All universal services are available to all irrespective of their sexual orientation, where services use eligibility criteria this is based on health need and takes no account of an individual s sexual orientation. Available studies indicate that LGBT people are more likely to use alcohol, tobacco and other drugs than the general population, are less likely to abstain, report higher rates of substance abuse problems, and are more likely to continue heavy drinking into later life (National Association of Lesbian and Gay Addiction Professionals, NALGAP, 2002). There is an acknowledgement within the strategy that the size and needs of the LGBT community are difficult to quantify. The size of the population is difficult to determine as is their substance misuse and gaining knowledge in this area is something that we can work on developing over the coming years. 3 All commissioned interventions are available to a range of individuals regardless of gender or sexual orientation i.e. there is no exclusion criteria. EIA version [2.0] 15

16 Gender reassignment Y Y As above, all universal services are accessible to all irrespective of their gender reassignment status. Where services use eligibility criteria, this is based on health need and takes no account of this protected characteristic. The strategy acknowledges that adults accessing alcohol treatment in Blackburn with Darwen are more likely to experience multiple compounding factors and present with more complex needs than is nationally the case. In 2012/13, 28% of those accessing treatment locally experience 3 compounding factors and 19% experiencing 4 or more, this compares with 16% and 8% nationally respectively. Young people also access treatment with higher levels of complexity than is nationally the case. Vulnerable Groups Y N 5% of those accessing adult treatment in 2012/13 were of no fixed abode (NFA) or had an urgent housing problem with a further 16% having a housing problem. Clients accessing treatment locally have consistently higher levels of housing need than is regionally or nationally the case. The Youth Offending Team is consistently the largest single referrer of young people into substance misuse treatment, accounting for 66% of all referrals in 2012/13 with a consistent decline in referrals from Children s & Families Services. 1% of those in young people s treatment in 2012/13 were Children in our care (COIC) children under local authority care. EIA version [2.0] 16

17 The Alcohol Strategy was informed by the National Alcohol Strategy, NICE guidelines and the Marmot Review. The latter highlighted how hospital admission rates due to alcohol increase with deprivation. Alcohol mortality rates have also been found to be more than twice as high in the most deprived quintile of wards than in the least deprived. Indeed alcohol has been identified as one of the main reasons for the failure to reduce the life expectancy gap between the most deprived Spearhead authorities and England as a whole. Deprived Communities Carers Y N A number of services are provided in response to this evidence and targeted interventions are commissioned as a result of the information which is made available via the JSNA and a more detailed local needs assessment work for example the Too Much Too Young report. The local Community Safety Partnership recognises the key challenges associated with deprived neighbourhoods and links work such as Troubled Families, the integrated offender management response of the Revolution Project and the work around Making Every Adult Matter to address the need. A number of projects are commissioned to deliver services to meet the needs associated with the deprived neighbourhoods for example assertive outreach for the under 25s via the Got It Covered Bus. The DAAT currently commissions a post within the Carers Service to mitigate the harm of alcohol misuse responding to the evidence that family members need supporting in their own right and that resilience needs to be built into the family structures to mitigate the negative effects of alcohol and complement coping strategies. BwD Borough Council & Child Action Northwest work together to support Young Carers aged 8-19 years and their Families. In 2012/13, 25% of those supported by this service were referred due to parental substance misuse. EIA version [2.0] 17

18 Other (please state) If no negative impacts have been identified, please explain why A lack of negative impacts must be justified with evidence and clear reasons. Highlight how the policy negates any possible negative impacts. Does the activity raise any issues for Community Cohesion? Does the activity contribute positively to Community Cohesion? Does the activity raise any issues in relation to Human Rights as set out in the Human Rights Act 1998? What is the overall cost of implementing the activity? GUIDANCE Input cost e.g. Financial investment, HR, to No Engagement via a Citizens Jury on Minimum Unit Pricing. By addressing the issues, there would be a positive impact on community cohesion, increased dialogue, and awareness of issues, targeted and coordinated response aligned to the expressed need of residents within the borough. GUIDANCE (page 15) If the policy positively impacts some groups and negatively impacts or overlooks other sections of the community, what effect will this have on the relationship between these groups? How will you manage this relationship? If the policy will make a positive contribution to relations between sections of the community please outline them. No GUIDANCE (Page 10) It is important to note that if the decision removes or engages a person s absolute rights the policy/decision will need to be changed. Where it is a Limited or Qualified Right the decision needs to be proportional and legal. Cost & Source(s) of funding No additional expenditure. There is a financial commitment within the Public Health budget line for drug and alcohol misuse. EIA version [2.0] 18

19 realise and achieve benefits of the activity Source e.g. specific funding stream, pooled budget or mainstream budget Does the activity support / aggravate existing departmental and corporate risk? GUIDANCE Is the activity on the departmental risk register? If not, should it be? Action following analysis: The cross-cutting, multi-disciplinary nature of this strategy supports departmental and corporate risk and will contribute to the successful delivery of other Council priorities and objectives. No major change in policy GUIDANCE It is important that the correct option is chosen depending on the findings of the analysis. The action plan must be completed as required. Adjust policy Continue policy Stop and reconsider policy EIA version [2.0] 19

20 Section 3: Action Plan No. What is the negative/adverse impact? 1 Limited knowledge of the numbers of babies born in Blackburn with Darwen with FASD. Actions required to reduce/eliminate the negative impact Increased awareness of FASD. Improved diagnosis of FASD. Improved data collection and analysis. Resources required* (see guidance note below) Audit training of staff re FASD. Access to training. Recording of and access to data. Who will lead on action? Public Health and CCG Target completion date December Limited knowledge of consumption and alcohol-related harm within the BME community. 3 Limited knowledge of alcoholrelated harm within the LGBT community. Commission an exploratory study. Share findings and use them to inform further strategy and service development. Continue to review national evidence and guidance, including considering the key recommendations of the Lesbian and Gay Foundation Research. Public Health - DAAT Public Health - DAAT Initial findings to be shared by December September 2014 Continue to develop JSNA accordingly. * Resources required is asking for a summary of the costs that are needed to implement the changes to mitigate the negative impacts identified. EIA version [2.0] 20

21 Section 4: Monitoring and Review Monitoring guidance The responsibility for establishing and maintaining the monitoring arrangements of the EIA action plan lies with the service completing the EIA. These arrangements should be built into the performance management framework. Monitoring arrangements for the completion of Equality Impact Assessments will be undertaken by the Corporate Equality & Diversity Group and the oversight of the consequent action plans will be undertaken by the Management Accountability Framework. If applicable, where will the departmental action plan be monitored? GUIDANCE For example, Service Management Team; Service Leadership Team; Programme Area Meeting. Alcohol Prevention Action Group which meets on a bi-monthly basis. The accountable structure for the Alcohol Strategy has been reorganised and will now encompass: a. The Alcohol Expert Reference Group b. The Drug and Alcohol Strategy and Prioritisation Group. The Terms of Reference for both groups are currently being developed and are to be agreed at the next meetings, June Reviewing guidance The responsibility for establishing and maintaining the review arrangements of the Impact Assessment and the action plan lies with the service completing the Impact Assessment. Date of the next review of the Impact Assessment? It should be reviewed at least every three years to meet legislative requirements How often will the EIA action plan be reviewed? E.g. Quarterly as part of MAF The JSNA will be reviewed in The Alcohol Strategy will be reviewed in The action plan will be reviewed quarterly Who will carry out this review? This will now be overseen by the Drug and Alcohol Strategy and Prioritisation Group. EIA version [2.0] 21

22 Signature of Equality Impact Assessment lead officer: Joy Evans Date updated: 23 rd May 2014 Signature of Head of Service / Directorate Lead: Helen Lowey Date: 3 rd June 2014 This signature signifies the acceptance of the responsibility and ownership of the EIA and the resulting action plan (if applicable). Signature of Cohesion and Equalities Manager, Blackburn with Darwen Borough Council: Date received: 3 rd June 2014 This signature signifies the acceptance of the responsibility to publish the completed EIA as per the requirements of the Equality Act EIA version [2.0] 22

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