SCREENING TEMPLATE. The purpose of the policy is to set out in summary how spiritual care services are recognised and provided within the BHSCT.

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1 SCREENING TEMPLATE For further information on screening, please refer to the Guidance tes, which are also available in hard copy from the Health and Social Inequalities Team. 1

2 SCREENING TEMPLATE For further information on screening, please refer to the Guidance tes, which are also available in hard copy from your organisation s equality contact. (1) INFORMATION ABOUT THE POLICY/DECISION 1.1 Title of policy/decision Proposed BHSCT Spiritual Care Policy 1.2 Description of policy/decision what is it trying to achieve? (aims/objectives) how will this be achieved? (key elements) what are the key constraints? (e.g. financial, legislative) The purpose of the policy is to set out in summary how spiritual care services are recognised and provided within the BHSCT. The Belfast Health and Social Care Trust (BHSCT) recognises that spiritual care is an integral aspect of healthcare. Total care includes care for the physical, social, psychological and spiritual dimensions of the person. Spiritual care is often used as the overall term and is relevant for all. For some their spiritual needs are met by religious care - the visits, prayers, worship, rites and sacraments often provided by a faith leader or representative of the faith community or belief group. Spiritual care is generally given in a one-to-one relationship, and makes no assumptions about personal conviction or life orientation. Religious care is given in the context of shared religious beliefs, values, liturgies and lifestyles of a faith community. To demonstrate respect for the spiritual needs (including religion/belief/culture) of our patients and staff To raise staff awareness of spiritual needs To improve holistic care for patients To improve multidisciplinary working To reflect the Trust s commitment to delivering patient centred care To reflect the Trust s commitment to Equality and Diversity and meeting the human rights of individuals. 2

3 1.3 Main stakeholders affected (e.g. staff, actual or potential service users, other public sector organisations, voluntary and community groups, trade unions/professional organisations or private sector organisations) Staff, Patients,Trade Unions. 1.4 Other policies/decisions with a bearing on this policy/decision what are they? who owns them? 3

4 (2) SCREENING THE POLICY/DECISION 2.1 In terms of groupings under Section 75, what is the make up of those affected by the policy/decision? Group Gender Please provide details All patients that request spiritual care Below are the population statistics for Belfast. Source: rthern Ireland Census 2001 Key statistics (except Age. NISRA 2007 Mid-Year Population Estimates). Male 47.4% Female 52.6% Age 0 to 9 10 to to to to to to to and Over 11.8% 14.4% 15.9% 13.0% 14.0% 10.6% 8.9% 7.2% 4.3% Religion Roman Catholic Protestant Other Religion Religion or ne Stated 37.4% 44.7% 0.6% 17.3% 4

5 Political Opinion (Based on council seats on Belfast City and Castlereagh Borough Councils) Marital Status (based on over 16s) DUP UUP Alliance SDLP Sinn Fein PUP Traditional Unionist Voice Independent Single (never married) Married Re-married 38.9% 39.5% 2.4% 26 seats 12 seats 8 seats 10 seats 14 seats 2 seats 1 seat 1 seat Dependent Status (based on households with children between 0 and 15 or a person between 16 and 18 in full-time education) Separated Divorced Widowed Dependent Children Dependent Children 5.1% 4.8% 9.2% 30.4% 69.6% 5

6 Disability (based on households with one or more person with a limiting long-term illness) Ethnicity Disabled t Disabled White Irish Traveller Mixed Indian Pakistani Bangladeshi Other Asian Black Caribbean Black African Other Black Chinese Other Ethnic Group 43.6% 56.4% 98.63% 0.07% 0.26% 0.15% 0.06% 0.02% 0.03% 0.02% 0.06% 0.03% 0.51% 0.16% The Trust recognises that the Census figures do not provide a truly, accurate and up-to-date reflection of the rthern Ireland population, given that it was conducted in There have been significant demographic changes since then and the Trust does not rely solely on these census figures but rather looks to complement the statistics with other relevant quantitative and qualitative information sources. One of the most significant changes in the demography of rthern Ireland has been the increase in numbers of different ethnic minorities coming to live and work in the Province. 6

7 In the absence of routine or uniform gathering of ethnicity across the sites, another source of information is use of requests for rthern Ireland Health and Social Services Interpreting Services. This gives an indication of the language needs of foreign nationals and ethnic minorities. Sexual Orientation Research indicates that 10% of a population is LGB. (Source: Rainbow Project July 2008) 2.2 Is there any indication or evidence of higher or lower participation or uptake by different groups? Group Gender Yes// Don t Know Please provide details 7

8 Age Religion Information from Trust Chaplains indicate that the uptake reflects the religious composition in rthern Ireland with higher numbers of patients from the Roman Catholic and Protestant religions and lower uptake from other religions such as Hindu, Muslim etc. Political Opinion Don t know Marital Status Don t know Dependent Status Disability Don t know Ethnicity There would be a low proportion of patients from Minority Ethnic backgrounds. Sexual Orientation Don t know 8

9 2.3 Is there any indication or evidence that different groups have different needs, experiences, issues and priorities in relation to the policy/decision? Group Gender Yes// Don t Know Please provide details Age Religion Political Opinion Marital Status Dependent Status Disability Ethnicity Spiritual care is often used as the overall term and is relevant for all. For some their spiritual needs are met by religious care - the visits, prayers, worship, rites and sacraments often provided by a faith leader or representative of the faith community or belief group. Spiritual care is generally given in a one-to-one relationship, and makes no assumptions about personal conviction or life orientation. Religious care is given in the context of shared religious beliefs, values, liturgies and lifestyles of a faith community. If a patient has a disability that requires assistance with communication, this will be provided. If a patient requires an interpreter, this will be provided. 9

10 Sexual Orientation 2.4 Is it likely that the policy/decision will meet those needs? Group Ethnicity Yes// Don t Know Yes Please briefly give details Disability Yes Religion N.B. continue as appropriate Yes 2.5 Is there an opportunity to better promote equality of opportunity or good relations by altering the policy/decision or working with others in government or in the larger community? Group Suggestions The policy is aimed at ensuring that all patients that require spiritual care are provided with it appropriate to their religious and spiritual needs. N.B. continue as appropriate 10

11 2.6 What changes to the policy/decision if any or what additional measures would you suggest to ensure that it promotes good relations? Group Religion Political Opinion Suggestions The Trust is committed to the promotion of good relations. There are a number of measures and policies in place to ensure that all patients and users feel welcome and safe in relation to all Trust services and premises. As above Ethnicity As above 2.7 Is there an opportunity to better address the health and social inequalities of groups/areas in greatest social, economic or educational need by altering the policy/decision? Suggestions 11

12 2.8 Have previous consultations with relevant groups, organisations or individuals indicated that particular policies create problems that are specific to them? Also, please detail information used to answer any of the questions above (e.g. statistics; research reports; views of colleagues, service users, or other stakeholders). 2.9 Please detail what data you will collect in the future in order to monitor the effect of the policy/decision on any of the groups under Section 75? The Trust monitoring framework developed in relation to the monitoring of service change impact in relation to of Section 75 groups will be followed. 12

13 (3) SHOULD THE POLICY/DECISION BE SUBJECT TO EQUALITY IMPACT ASSESSMENT? Equality impact assessment procedures are confined to those policies/decisions considered likely to have significant/major implications for equality of opportunity. If your screening has indicated that a policy/decision is likely to have an adverse differential impact, how would you categorise it? Please tick. Significant/major impact Low impact X Do you consider that this policy/decision needs to be subjected to a full equality impact assessment? Yes X Please give reasons for your decision. The Belfast Health and Social Care Trust (BHSCT) recognises that spiritual care is an integral aspect of healthcare. Total care includes care for the physical, social, psychological and spiritual dimensions of the person. Spiritual care is often used as the overall term and is relevant for all. For some their spiritual needs are met by religious care - the visits, prayers, worship, rites and sacraments often provided by a faith leader or representative of the faith community or belief group. The policy is aimed at ensuring that BHSCT provides appropriate spiritual care to all patients that require it and there is no evidence to suggest that the policy will have an adverse impact on patients. 13

14 (4) DISABILITY DISCRIMINATION 4.1 Does the policy/decision in any way discourage disabled people from participating in public life or does it fail to promote positive attitudes towards disabled people? 4.2 Is there an opportunity to better promote positive attitudes towards disabled people or encourage their participation in public life by making changes to the policy/decision or introducing additional measures?. Where assistance or support is required for communication this will be provided. 4.3 Please detail what data you will collect in the future in order to monitor the effect of the policy/decision with reference to the disability duties? The Trust Standard Complaints Procedure will apply This information will be reported to the Health and Social Inequalities Team annually for two years. 14

15 (5) CONSIDERATION OF HUMAN RIGHTS 5.1 Does the policy/decision affect anyone s Human Rights? [PLEASE COMPLETE THE TABLE BELOW] ARTICLE POSITIVE IMPACT NEGATIVE IMPACT = human right interfered with or restricted NEUTRAL IMPACT Article 2 Right to life Article 3 Right to freedom from torture, inhuman or degrading treatment or punishment Article 4 Right to freedom from slavery, servitude & forced or compulsory labour Article 5 Right to liberty & security of person Article 6 Right to a fair & public trial within a reasonable time Article 7 Right to freedom from retrospective criminal law & no punishment without law. Article 8 Right to respect for private & family life, home and correspondence. Article 9 Right to freedom of thought, conscience & religion Article 10 Right to freedom of expression Article 11 Right to freedom of assembly & association Article 12 Right to marry & found a family 15

16 Article 14 Prohibition of discrimination in the enjoyment of the convention rights 1 st protocol Article 1 Right to a peaceful enjoyment of possessions & protection of property 1 st protocol Article 2 Right of access to education If the effect you have identified is positive or neutral please move on to Question If you have identified a likely negative impact who is affected and how? At this stage we would recommend that you consult with your line manager to determine whether to seek legal advice and to refer to Human Rights Guidance to consider: whether there is a law which allows you to interfere with or restrict rights whether this interference or restriction is necessary and proportionate what action would be required to reduce the level of interference or restriction in order to comply with the Human Rights Act (1998). 16

17 5.3 Outline any actions which could be taken to promote or raise awareness of human rights or to ensure compliance with the legislation in relation to the policy/decision. The policy promotes human rights by ensuring the right to spiritual/religious care if requested. Policy/Decision Screened by: Derek Johnston (Chaplaincy) Date: 1 September 2011 Veronica McEneaney (Health & Social Inequalities 17

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