eds_engagement_final_report_july_2012

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Equality Delivery System (EDS) Engagement Report

1. Background The Equality Delivery System (EDS) has been designed by the Department of Health to help NHS organisations measure their equality performance, and understand how driving equality improvements can strengthen the accountability of services to patients and the public. It will support NHS Calderdale, Kirklees & Wakefield District identify local needs and priorities, particularly any unmet needs of populations, and allow them to assist in the commissioning of services to deliver better health outcomes . It will also help NHS organisations to demonstrate compliance with the Equality Act 2010. At the heart of the EDS is a set of 18 outcomes grouped into four goals;

1. Better health outcomes for all 2. Improved patient access and experience 3. Empowered, engaged and well-supported staff 4. Inclusive leadership at all levels

(Appendix 1, Goals & Outcomes)

2. Engagement approach Public Engagement One of the features of the EDS is that it relies on organisations working with local interests to assess organisational performance. This engagement will strengthen existing relationships and build new ones, ensuring that patients and the public have a voice in the grading and setting of objectives for the organisation. The engagement focused on the following goals with local interests;

1. Better health outcomes for all 2. Improved patient access and experience

A consistent approach to engagement was carried out across NHS Calderdale, Kirklees & Wakefield District. A short questionnaire was developed to use generically across the cluster and six events were organised, two within each cluster area. (Appendix 2, Questionnaire) To ensure effective engagement with local interests the Equality team worked closely with the Engagement team to;

recruit representative communities and local people to attend the local events

visited community groups and gave out flyers and questionnaires

attended events to raise awareness of the EDS and the upcoming events

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Those who returned the interest forms were sent an invitation to attend the 2 events for their chosen cluster area to be part of an Equality Panel to help grade and set objectives for the organisation. They were also asked what their area of interest was, of the 9 protected characteristics

Age

Disability

Sexual Orientation

Religion & Belief

Race

Pregnancy & Maternity

Marriage & Civil Partnership

Sex (gender)

Transgender

Given the short timetable the events were developed to use people’s own knowledge and experience of the NHS and that of the groups they represented. To enable the events to be interactive and inclusive, colour coded voting cards were used to grade each of the 18 outcomes. Votes were recorded alongside any feedback given by the participants to add depth to the voting.

Undeveloped

Developing

Achieving

Excelling

Six events were run over a period of three weeks across NHS Calderdale, Kirklees and Wakefield District. Two events were carried out in each locality. Event 1 Participants were presented with the organisations self-assessment of each of the 18 outcomes and overall assessment for Goals 1 and 2. They were then asked to consider the evidence presented and grade the organisation with the colour coding voting cards, whilst giving feedback on their own or their service users’ experiences of NHS services; in respect of their interest areas around the 9 protected characteristics. (Appendix 3, Grading Template) Their experiences often related to services that are provided, which the PCTs commission. It would not have been possible to engage with the public to discuss how they feel about our commissioning decisions in the accessible format we chose to adopt. Event 2 Participants were presented with the collated grades and their feedback from the previous meeting and were asked to seek agreement. As there were some different people at each event this allowed for people to catch up on what had happened and also feed in their views should they disagree with the grade given. Some grades were adjusted. Those present then looked at the areas of weakness for the PCT concerned. They gave feedback about what would make a difference to those areas and we agreed priority areas for action.

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Wakefield PCT carried out additional pieces of engagement in partnership with Wakefield Together Public Sector Engagement group. The outcomes of these events were also incorporated into the findings of the final grades for the EDS. Staff Engagement Engagement with staff was also undertaken to ensure their views and experiences also contributed to the final 2 goals of the EDS;

3. Empowered, engaged and well-supported staff 4. Inclusive leadership at all levels

To assess our progress against the above two goals a staff survey was developed and shared with all staff via the electronic newsletter as an article and a link to the survey. (Appendix 4, Staff Survey).

This was circulated twice with limited success. There were 9 respondents from Calderdale and 2 from Kirklees and Wakefield. To address this, feedback was also extracted from the national NHS staff survey, which is undertaken every autumn. The responses are analysed via some protected characteristics, although monitoring is done over more areas than are analysed. The resulting grades are detailed at Appendix 5, 6 and 7. The EDS is a new process and this was the first time it was used. To have undertaken the grading in the manner described in the handbook would have been unworkable within the timescales we were working to. It is recognised that narrow timescales had a negative impact on the process; however this practical and accessible approach was developed to create a baseline of information to be used within the first year and in future years. The process will be evaluated and lessons learnt to influence future implementation.

3. Findings Questionnaire People were able to complete the questionnaire electronically and in paper format, with the paper version providing a free post address to return to NHS Calderdale. The majority of the respondents were from Wakefield or used Wakefield services (15/19) one used Kirklees and 3 skipped the question. Given this response rate the return for Wakefield alone will be detailed here. Question 1, asked which area people lived, where they use NHS Services or which area their organisation covers

Where do you live?

Response

Percent

Response

Total

1 Calderdale 0.00% 0

2 Kirklees

6.25% 1

3 Wakefield

93.75% 15

4

Where do you live?

Response

Percent

Response

Total

answered 16

skipped 3

Question 2, asked for views on services asking people to grade how much they agreed or disagreed with certain statements.

1. Better health for everyone

1. Local NHS services meet the needs of

local communities Percent Total

1 Strongly agree 0.00% 0

2 Agree

33.33% 5

3 Neither agree or

disagree

40.00% 6

4 Disagree

26.67% 4

5 Strongly

disagree 0.00% 0

answered 15

2. The local NHS promotes well being and

healthy lifestyles Percent Total


2 Agree

80.00% 12

3 Neither agree or disagree

13.33% 2

4 Disagree

6.67% 1

5 Strongly disagree 0.00% 0

answered 15

3. The local NHS does enough to reduce health

inequalities Percent Total


2 Agree

13.33% 2

3 Neither agree or

disagree

46.67% 7

5

3. The local NHS does enough to reduce health

inequalities Percent Total

4 Disagree

20.00% 3

5 Strongly disagree

20.00% 3

answered 15

4. Patients health needs are assessed adequately and services provided in effective

and appropriate ways

Percent Total


2 Agree

33.33% 5


26.67% 4

4 Disagree

40.00% 6


answered 15

5. Patients move smoothly from one health

service department to another Percent Total


2 Agree

6.67% 1


46.67% 7

4 Disagree

33.33% 5

5 Strongly disagree

13.33% 2

answered 15

6. If a patient has to move to another service by a transfer it is discussed with them

Percent Total


2 Agree

26.67% 4

3 Neither agree or

disagree

73.33% 11

4 Disagree 0.00% 0


answered 15

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7. The safety of patients is a priority Percent Total

1 Strongly agree

6.67% 1

2 Agree

20.00% 3


33.33% 5

4 Disagree

40.00% 6


answered 15

8. NHS services are free from abuse, harassment, bullying and violence from other

patients and staff

Percent Total

1 Strongly agree

7.14% 1

2 Agree

28.57% 4

3 Neither agree or

disagree

28.57% 4

4 Disagree

21.43% 3

5 Strongly disagree

14.29% 2

answered 15

9. Screening services meet the needs of local communities e.g. breast cancer or cervical

screening

Percent Total

1 Strongly agree

15.38% 2

2 Agree

30.77% 4


38.46% 5

4 Disagree

7.69% 1

5 Strongly disagree

7.69% 1

answered 15

10. Vaccination programmes meet the needs of


1 Strongly agree

13.33% 2

2 Agree

33.33% 5

3 Neither agree or

46.67% 7

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10. Vaccination programmes meet the needs of


disagree

4 Disagree 0.00% 0

5 Strongly disagree

6.67% 1

answered 15

2. Improved patient access and experience

11. I can easily access the NHS services I need Percent Total

1 Strongly agree

26.67% 4

2 Agree

40.00% 6

3 Neither agree or

disagree

6.67% 1

4 Disagree

20.00% 3

5 Strongly disagree

6.67% 1

answered 15

12. After being diagnosed with a condition, or after having treatment, everything was

explained to me in a way that I could

understand

Percent Total

1 Strongly agree

13.33% 2

2 Agree

46.67% 7


20.00% 3

4 Disagree

6.67% 1

5 Strongly disagree

13.33% 2

answered 15

13. I have taken an active part in decisions

about my treatment Percent Total

1 Strongly agree

13.33% 2

2 Agree

46.67% 7


20.00% 3

4 Disagree

6.67% 1

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13. I have taken an active part in decisions

about my treatment Percent Total

5 Strongly disagree

13.33% 2

answered 15

14. I have been able to decide on the best place for me to have my treatment.

Percent Total

1 Strongly agree

20.00% 3

2 Agree

33.33% 5

3 Neither agree or

disagree

20.00% 3

4 Disagree

13.33% 2

5 Strongly disagree

13.33% 2

answered 15

15. Health professionals who cared for me, listened and respected my views

Percent Total


2 Agree

66.67% 10

3 Neither agree or

disagree

6.67% 1

4 Disagree

13.33% 2

5 Strongly disagree

13.33% 2

answered 15

16. My dignity and privacy were respected Percent Total

1 Strongly agree

13.33% 2

2 Agree

53.33% 8


20.00% 3

4 Disagree

6.67% 1

5 Strongly disagree

6.67% 1

answered 15

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17. If you made a complaint, it was handled

with respect and efficiency. Percent Total


2 Agree

20.00% 3

3 Neither agree or

disagree

60.00% 9

4 Disagree

13.33% 2

5 Strongly disagree

6.67% 1

answered 15

Equality Monitoring - Questionnaire

The person that reported they were disabled had a number of impairments.

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One person skipped this question Two people skipped this question

Of those that declared they had a religion 80% were Christian and 20% Muslim There is little benefit in analysing the results by equality group as there are too few respondents to identify any genuine trends at this time. Events In total 22 people attended all six events, with 8 people attending in Calderdale, 11 people attending in Kirklees and 4 in Wakefield.

Event 1 Participants were presented with the organisations self-assessment of each of the outcomes and overall assessment for Goals 1 and 2. Participants were then asked to grade the organisation in view of their interest areas around the 9 protected characteristics for each of the outcomes. Some people chose more than one interest area

Interest area Calderdale Kirklees Wakefield

Age 6 7 3

Disability 7 5 4

Sexual Orientation 1 - 2

Religion & Belief 4 3 3

Race 3 2 2

Pregnancy & Maternity 1 2 2

Marriage & Civil Partnership 4 1 2

Sex (Gender) 1 - 2

Transgender 1 - 2

Participants had a choice of four grades;

Excelling - working well for all of the protected groups

Achieving - working well for most of the protected groups

Developing - working well for some of the protected groups

Undeveloped is- working well for just a few or none of the protected groups

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Event 2

Between the events the feedback was collated and analysed alongside the returned questionnaires. This was then presented to the next meeting and an opportunity given to review the grades and make adjustments as required.

Having finalised the grades the groups then used this information to determine which areas were priorities for action. Each group then considered what activity could make a difference to the areas concerned and this feedback was developed into the organisations strategic equality objectives. As the objectives were developed after the meeting they were emailed out to the participants for further comment. No comments were received. A low number of people participated in the Wakefield event, with four people who participated at the first event and only one person attending the second event, which meant the second event, had to be cancelled. Despite low attendance at these events we were able to grade the EDS based on the returns from the questionnaire and those present at the first event. Further information was also obtained through the engagement events held by the Wakefield Together Public Sector Engagement Group, this was also used to inform Wakefield Districts final grading’s

Calderdale Appendix 5, Final grading - Calderdale Kirklees Appendix 6, Final grading - Kirklees Wakefield Appendix 7, Final grading - Wakefield

Staff survey Given the low number of returns from other organisations, only the results from the Calderdale staff questionnaire are detailed below.

1. How we recruit and select staff is inclusive

and fair Percent Total

1 Strongly agree

22.22% 2

2 Agree

22.22% 2


11.11% 1

4 Disagree

33.33% 3

5 Strongly disagree

11.11% 1

answered 9

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2. Our staff, including the board and directors

are representative of the Calderdale community

Percent Total

1 Strongly agree

11.11% 1

2 Agree 0.00% 0


44.44% 4

4 Disagree

44.44% 4


answered 9

3. Staff have effective personal development

and performance appraisal Percent Total


2 Agree

66.67% 6


11.11% 1

4 Disagree

22.22% 2


answered 9

4. Staff are supported, trained and developed

to be competent and confident to plan, procure or deliver services that meet the needs of all

communities in Calderdale

Percent Total


2 Agree

55.56% 5

3 Neither agree or

disagree

22.22% 2

4 Disagree

22.22% 2


answered 9

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5. Staff are free from abuse, harassment,

bullying and violence from patients, their relatives and colleagues

Percent Total

1 Strongly agree

11.11% 1

2 Agree

55.56% 5

3 Neither agree or

disagree

22.22% 2

4 Disagree

11.11% 1


answered 9

6. Staff have access to a full range of flexible working options

Percent Total

1 Strongly agree

33.33% 3

2 Agree

55.56% 5

3 Neither agree or

disagree 0.00% 0

4 Disagree

11.11% 1


answered 9

7. Staff are supported to remain healthy and have access to initiatives that promote healthy

lifestyles

Percent Total

1 Strongly agree

22.22% 2

2 Agree

77.78% 7


0.00% 0

4 Disagree 0.00% 0


answered 9

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8. Board members and senior leaders, lead the

organisation effectively, communicating their vision for equality, actively creating diverse

teams and developing diverse talent in the organisation

Percent Total


2 Agree

44.44% 4

3 Neither agree or

disagree

44.44% 4

4 Disagree

11.11% 1


answered 9

9. Board members and senior leaders, ensure

equality is considered as part of mainstream business and internal assurance processes

Percent Total

1 Strongly agree

11.11% 1

2 Agree

22.22% 2

3 Neither agree or

disagree

55.56% 5

4 Disagree

11.11% 1


answered 9

10. Middle and line managers, motivate and support their staff in understanding and

responding to the needs of, communities and

staff from the protected groups and support culturally competent ways of working?

Percent Total


2 Agree

44.44% 4


33.33% 3

4 Disagree

22.22% 2


answered 9

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Equality monitoring

Gender – what sex are you?

Response

Percent

Response

Total

1 Female

88.89% 8

2 Male

11.11% 1

3 Prefer not to say 0.00% 0

answered 9

skipped 0

How old are you?

Response

Percent

Response

Total

1 Under 25 0.00% 0

2 26-35

33.33% 3

3 36-45

33.33% 3

4 46-55

22.22% 2

5 56-65

11.11% 1

6 66 + 0.00% 0


answered 9

skipped 0

What is your ethnic group?

Response

Percent

Response

Total

Kashmiri

11.11% 1

British -

English/Scottish/Welsh/Northern Irish

88.89% 8

answered 9

skipped 0

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Do you consider yourself to have a disability?

Response

Percent

Response

Total

1 Yes 0.00% 0

2 No

77.78% 7

3 Prefer not to say

22.22% 2

answered 9

skipped 0

What is your sexual orientation?

Response

Percent

Response

Total

2 Lesbian (same sex)

11.11% 1

4 Heterosexual/Straight

(opposite sex)

88.89% 8

answered 9

skipped 0

Do you consider yourself to belong to any religion?

Response

Percent

Response

Total

1 Yes

55.56% 5

2 No

44.44% 4


answered 9

skipped 0

Do you provide care for someone

Response

Percent

Response

Total

1 Yes

22.22% 2

2 No

66.67% 6

3 Prefer not to say

11.11% 1

answered 9

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4. Equality data All participants who completed a questionnaire or attended events were asked to complete an equality monitoring form. (Appendix 8, Equality Monitoring)

5. Recommendations To continue to work with the equality leads to establish future work of the EDS to meet the objectives developed by the Equality Panels.

To maintain and develop relationships with interested parties, to develop an Equality Panel in each locality across the cluster.

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Appendix 1. Goals & Outcomes

Goal Narrative Outcome

1. Better health

outcomes for all

The NHS should achieve

improvements in patient health,

public health

and patient safety for all,

based on comprehensive

evidence of needs and

results

1.1 Services are commissioned, designed and procured to meet the health needs of local

communities, promote well-being, and reduce health inequalities

1.2 Patients’ health needs are assessed, and

resulting services provided, in appropriate and effective ways

1.3 Changes across services are discussed with patients, and transitions are made smoothly

1.4 The safety of patients is prioritised and

assured

1.5 Public health, vaccination and screening

programmes reach and benefit all local communities and groups

2. Improved

patient access and

experience

The NHS should

improve accessibility and

information, and deliver the right

services that are targeted, useful,

useable and used in order to

improve patient

experience

2.1 Patients, carers and communities can readily

access services, and should not be denied access on unreasonable grounds

2.2 Patients are informed and supported so that they can understand their diagnoses, consent to

their treatments, and choose their places of

treatment

2.3 Patients and carers report positive

experiences of the NHS, where they are listened to and respected and their privacy and dignity is

prioritised

2.4 Patients’ and carers’ complaints about services, and subsequent claims for redress,

should be handled respectfully and efficiently

3.

Empowered, engaged and

well-supported

staff

The NHS should

Increase the diversity and

quality of the working lives of

the paid and

non-paid workforce,

supporting all staff to better

respond to patients’ and

communities’ needs

3.1 Recruitment and selection processes are fair,

inclusive and transparent so that the workforce becomes as diverse as it can be within all

occupations and grades

3.2 Levels of pay and related terms and conditions are fairly determined for all posts,

with staff doing the same work in the same job being remunerated equally

3.3 Through support, training, personal development and performance appraisal, staff

are confident and competent to do their work, so

that services are commissioned or provided appropriately

3.4 Staff are free from abuse, harassment, bullying, violence from both patients and their

relatives and colleagues, with redress being open and fair to all

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Goal Narrative Outcome

3.5 Flexible working options are made available

to all staff, consistent with the needs of patients, and the way that people lead their lives

3.6 The workforce is supported to remain

healthy, with a focus on addressing major health and lifestyle issues that affect individual staff and

the wider population

4. Inclusive

leadership at all levels

NHS

organisations should ensure

that equality is

everyone’s business, and

everyone is expected to take

an active part, supported by

the work of specialist

equality leaders and champions

4.1 Boards and senior leaders conduct and plan

their business so that equality is advanced, and good relations fostered, within their

organisations and beyond

4.2 Middle managers and other line managers support and motivate their staff to work in

culturally competent ways within a work environment free from discrimination

4.3 The organisation uses the NHS Equality &

Diversity Competency Framework to recruit, develop and support strategic leaders to advance

equality outcomes

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Appendix 2. Questionnaire

We would like to hear your views on how well we are doing with

meeting our Equality goals.

What is the survey about? The survey is about our Equality Delivery System (EDS) which has been

developed to help the NHS understand how well it is doing on promoting equality and making sure services are suitable for those that need them.

What will happen to my views?

Your views will support NHS Calderdale, Kirklees and Wakefield District to identify local needs and priorities and allow them to shape services around

people’s specific circumstances, and so help to deliver better outcomes. It will also assist organisations to meet their duties under the Equality Act 2010.

Your views will help us to understand your needs, so we can provide local

services which help to strengthen existing relationships and build new ones.

What are the goals for the EDS?

The EDS has four goals, divided into 18 outcomes. These focus on areas which mean the most, or are likely to have the greatest impact on patients, carers

and staff.

Your response Please help us to improve services by completing the questionnaire. You can

do this as an individual or organisation.

We need to have received all responses by Friday 2nd March 2012. You can send the response by freepost (no stamp needed) to the following

address,

FREEPOST

RLTG-JAYY-ZSRX PPI Team @ Calderdale PCT

Dean Clough Office Park, F Mill Halifax, HX3 5AX

Please tick the appropriate boxes and add information where requested. If you do not know the answer or do not want to answer please leave the question

blank.

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1. Please state which area you live in, where you use NHS services or which

area your organisation covers. Tick all that apply.

Calderdale O Kirklees O

Wakefield O

We commission (buy) a number of NHS services on your behalf. These services include GP practices, pharmacies, dentists and opticians, services you

receive in the community and in hospital.

We want you to tell us your view about these services using the statements below. Please tell us how much you agree or disagree with

the following;

Statement

Strongly agree

Agree

Neither

agree or disagre

e

Disagree Strongly disagree

1. Better health for everyone

Local NHS services meet the needs of local communities

O O O O O

The local NHS promotes well being and healthy lifestyles

O O O O O

The local NHS does enough

to reduce health inequalities (Health inequalities are when

some people, due to their location, income or because

they belong to different groups have different health

outcomes, such as living shorter lives or more health

problems)

O O O O O

Patients health needs are assessed adequately and

services provided in effective and appropriate ways

O O O O O

Patients move smoothly from one health service

department to another

O O O O O

If a patient has to move to another service by a transfer

it is discussed with them

O O O O O

The safety of patients is a

priority

(This would include things like being treated with a

professional standard of care,

O O O O O

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in clean and safe environments)

NHS services are free from abuse, harassment, bullying

and violence from other patients and staff

O O O O O

Screening services meet the

needs of local communities e.g. breast cancer or cervical

screening.

O O O O O

Vaccination programmes

meet the needs of local

communities

O O O O O

We also want you to think about your experience of services by telling

us how much you agree or disagree with the following statements.

2. Improved patient access and experience

I can easily access the NHS services I need

O O O O O

After being diagnosed with a condition, or after having

treatment, everything was explained to me in a way that

I could understand

O O O O O

I have taken an active part in decisions about my treatment

O O O O O

I have been able to decide on

the best place for me to have my treatment.

O O O O O

Health professionals who cared for me, listened and

respected my views

O O O O O

My dignity and privacy were respected

O O O O O

If you made a complaint, it was handled with respect and

efficiency.

O O O O O

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Appendix 3. Grading Template

EDS Goal 1 „Better health outcomes for all‟

EDS Outcome 1.1

“Services are commissioned, designed and procured to meet the health needs of local communities, promote well-being, and reduce health inequalities”

Factor

Undeveloped →

Developing →

Achieving →

Excelling

Through the use of best available evidence how many

protected groups can the organisation demonstrate that the health needs of patients & carers are being

met, and well-being is promoted?

No evidence

at all or, for few or none of

the protected groups

For some

protected groups

For most

protected groups

For all

protected groups

EDS Outcome 1.2 “Individual patients‟ health needs are assessed, and resulting services provided, in appropriate and

effective ways”

Factor

Undeveloped →

Developing →

Achieving →

Excelling

Through the use of best available evidence how many

protected groups can the organisation demonstrate that patients from protected groups have their

health-needs assessments, and resulting services, provided in appropriate and effective ways?

No evidence

at all or for few or none of


For some

protected groups

For most

protected groups

For all

protected groups

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EDS Outcome 1.3

“Changes across services for individual patients are discussed with them, and transitions are made smoothly”

Factor

Undeveloped →

Developing

→

Achieving

→

Excelling

Through the use of best available evidence how do service changes and transitions for patients from

protected groups compare with the changes and transitions for patients as a whole?

No evidence at all or no

difference for few or none of


No difference for some

protected groups

No difference for most

protected groups

No difference

for all protected

EDS Outcome 1.4

“The safety of patients is prioritised and assured. In particular, patients are free from abuse, harassment,

bullying, violence from other patients and staff, with redress being open and fair to all”

Factor

Undeveloped

→

Developing

→

Achieving

→

Excelling

Through the use of best available evidence can the organisation demonstrate that patients from

protected groups have their safety prioritised and assured?

No evidence at all

Or For few or

none of the protected

groups

For some protected

groups

For most protected

groups

For all protected

groups

25

EDS Outcome 1.5

“Public health, vaccination and screening programmes reach and benefit all local communities and groups”

Factor

Undeveloped →

Developing

→

Achieving

→

Excelling

Through the use of best available evidence can the

organisation demonstrate that public health, vaccination and screening programmes reach and

benefit all protected groups within local communities?

No evidence

at all Or

For few or none of the

protected groups

For some

protected groups

For most

protected groups

For all

protected groups

EDS Goal 2 „Improved patient access and experience‟

EDS Outcome 2.1

“Patients, carers and communities can readily access services, and should not be denied access on unreasonable grounds”

Factor

Undeveloped

→

Developing

→

Achieving

→

Excelling


organisation demonstrate that patients, carers & communities from protected groups can readily access

services, and are not denied access on unreasonable grounds?

No evidence

at all Or


protected

groups

For some

protected groups

For most

protected groups

For all

protected groups

26

EDS Outcome 2.2

“Patients are informed and supported to be as involved as they wish to be in their diagnosis and decisions about their care and to exercise choice about treatments and places of treatment”

Factor

Undeveloped →

Developing →

Achieving →

Excelling


organisation demonstrate that patients from protected groups are informed and supported to be involved in

decisions about their care, and to exercise choice about treatments and place of treatment?

No evidence

at all Or


protected groups

For some

protected groups

For most

protected groups

For all

protected groups

EDS Outcome 2.3 “Patients and carers report positive experiences of their treatment and care outcomes and of being

listened to and respected and of how their privacy and dignity is prioritised”

Factor

Undeveloped

→

Developing

→

Achieving

→

Excelling


organisation demonstrate that patients & carers report and enjoy positive experiences of the organisation,

including being listened to and respected, and having their dignity and privacy prioritised?

No evidence

at all Or for few or

none of the protected

groups

For some

protected groups

For most

protected groups

For all

protected groups

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EDS Outcome 2.4

“Patients‟ and carers‟ complaints about services, and subsequent claims for redress, should be handled respectfully and efficiently”

Factor

Undeveloped

→

Developing

→

Achieving

→

Excelling


organisation demonstrate that complaints by patients & carers from protected groups, and any subsequent

redress, are handled respectfully and efficiently?

No evidence

at all Or


protected

groups

For some

protected groups

For most

protected groups

For all

protected groups

EDS Outcome 3

Empowered, engaged and well-supported staff

“Recruitment and selection processes are fair, inclusive and transparent so that the workforce becomes as

diverse as it can be within all occupations and grades”

Factor

Undeveloped →

Developing →

Achieving →

Excelling

Through the use of best available evidence, can the organisation demonstrate that staff from protected

groups experience inclusive and equitable recruitment and selection processes within all occupations and

grades?

No evidence at all

Or For few or

none of the

For some protected

groups

For most protected

groups

For all protected

groups

28

protected groups

Levels of pay and related terms and conditions are fairly determined for all posts,with staff doing equal

work and work rated as of equal value being entitled to equal pay”

Factor

Undeveloped →

Developing →

Achieving →

Excelling


groups enjoy levels of pay and related terms &

conditions no different to the pay and related terms & conditions for staff as a whole doing equal work or work

rated as of equal value?

No evidence at all

Or


protected groups

For some protected

groups

For most protected

groups

For all protected

groups

“Through support, training, personal development and performance appraisal, staff are confident and

competent to do their work, so that services are commissioned or provided appropriately”

Factor

Undeveloped →

Developing →

Achieving →

Excelling


groups receive both personal development and

performance appraisals no different to that received by staff as a whole?

No evidence at all

Or


protected groups

For some protected

groups

For most protected

groups

For all protected

groups

29

“Staff are free from abuse, harassment, bullying, violence from both patients and their relatives and

colleagues, with redress being open and fair to all”

Factor

Undeveloped →

Developing →

Achieving →

Excelling

Through the use of best available evidence, can the

organisation demonstrate that staff from protected groups are free from abuse, harassment, bullying and

violence from patients, their relatives and colleagues

No evidence

at all Or


protected groups

For some

protected groups

For most

protected groups

For all

protected groups

“Flexible working options are made available to all staff, consistent with the needs of the service, and the

way people lead their lives”

Factor

Undeveloped →

Developing →

Achieving →

Excelling


organisation demonstrate that staff from protected groups have access to a full range of flexible working

options?

No evidence

at all Or


protected groups

For some

protected groups

For most

protected groups

For all

protected groups

30

“The workforce is supported to remain healthy, with a focus on addressing major health and lifestyle

issues that affect individual staff and the wider population”

Factor

Undeveloped →

Developing →

Achieving →

Excelling


organisation demonstrate that staff from protected groups are supported to remain healthy and have

access to initiatives that promote healthy lifestyles?

No evidence

at all Or


protected groups

For some

protected groups

For most

protected groups

For all

protected groups

“Boards and senior leaders conduct and plan their business so that equality is advanced, and good relations fostered, within their organisations and beyond”

Factor

Undeveloped →

Developing →

Achieving →

Excelling

Do Board members and senior leaders communicate

their vision for services and workplaces that are personal, fair and diverse within the organisation and

beyond to the wider health and care system?

No evidence

at all Or


protected groups

For some

protected groups

For most

protected groups

For all

protected groups

EDS Outcome 4 Inclusive leadership at all levels

31

“Middle managers and other line managers support and motivate their staff to work in culturally competent

ways within a work environment free from discrimination”

Factor

Undeveloped →

Developing →

Achieving →

Excelling

Do middle and line managers actively take steps to

create high performing diverse teams and develop diverse talent in the organisation?

No evidence

at all Or


protected groups

For some

protected groups

For most

protected groups

For all

protected groups

“The organisation uses the Competency Framework for Equality and Diversity Leadership to recruit,

develop and support strategic leaders to advance equality outcomes”

Factor

Undeveloped →

Developing →

Achieving →

Excelling

Does the organisation use the Competency Framework

for Equality and Diversity Leadership?

No evidence

at all Or


protected groups

For some

protected groups

For most

protected groups

For all

protected groups

32

Appendix 4. Staff Survey

Equality Delivery System (EDS)

NHS CKW have committed to implement the EDS, this is a performance monitoring framework to assess the progress of equality within the NHS.

It relies on the engagement of patients, the public and yourselves to assess and grade itself against four goals, divided into 18 outcomes. These focus on areas which mean the most, or are likely to have the greatest impact on

patients, carers and staff. Performance will be analysed, graded and future plans determined.

The goals are;

1. Better Health Outcomes for all 2. Improved patient access & experience

3. Empowered, engaged & well supported staff 4. Inclusive leadership at all levels

Staff are asked for their feedback against goals 3 & 4 in the questions outlined below. The questions mirror some of

the content of the annual staff survey, this is intentional and will capture some of the issues for the organisation before the release of the 2011 survey results. The results of the 2010 staff survey will also be considered as part of

the EDS.

33

Please indicate, using the tick box how much you agree with the following statements

Strongly

agree Agree

Neither agree

or disagree Disagree Strongly disagree

How we recruit and

select staff is inclusive and fair

Our staff, including the board and directors are representative

of the Calderdale community

Staff have effective personal

development and performance appraisal

Staff are supported, trained and developed to be competent and

confident to plan, procure or deliver services that meet the

needs of all communities in Calderdale

Staff are free from abuse, harassment, bullying and

violence from patients, their relatives and colleagues

Staff have access to a full range

of flexible working options

Staff are supported to remain

healthy and have access to initiatives that promote healthy

lifestyles

34

Board members and senior

leaders, lead the organisation effectively, communicating their

vision for equality, actively creating diverse teams and

developing diverse talent in the organisation

Board members and senior

leaders, ensure equality is considered as part of

mainstream business and internal assurance processes

Middle and line managers,

motivate and support their staff in understanding and responding

to the needs of, communities and staff from the protected

groups and support culturally competent ways of working?

35

Appendix 6. Outcome of grading – Calderdale

EDS Goal 1 - „Better health outcomes for all‟

EDS Outcome 1.1 Services are commissioned, designed and procured

to meet the health needs of local communities, promote well-being, and reduce health inequalities

Developing

EDS Outcome 1.2 Individual patients’ health needs are assessed, and


Developing

EDS Outcome 1.3

Changes across services for individual patients are discussed with them, and transitions are made

smoothly

Under developed

EDS Outcome 1.4

The safety of patients is prioritised and assured. In particular, patients are free from abuse,

harassment, bullying, violence from other patients

and staff, with redress being open and fair to all

Developing

EDS Outcome 1.5

Public health, vaccination and screening programmes reach and benefit all local communities

and groups

Achieving

Overall - Developing

EDS Goal 2 – „Improved patient access and experience‟

EDS Outcome 2.1

Patients, carers and communities can readily access services, and should not be denied access on

unreasonable grounds

Developing

EDS Outcome 2.2

Patients are informed and supported to be as involved as they wish to be in their diagnoses and

decisions about their care, and to exercise choice about treatments and places of treatment

Developing

EDS Outcome 2.3

Patients and carers report positive experiences of their treatment and care outcomes and of being

listened to and respected and of how their privacy and dignity is prioritised

Under developed

EDS Outcome 2.4

Patients’ and carers’ complaints about services, and subsequent claims for redress, should be handled

respectfully and efficiently

Developing


36

EDS Goal 3 - „Empowered, engaged and well-supported staff‟

EDS Outcome 3.1

Recruitment and selection processes are fair, inclusive and transparent so that the workforce

becomes as diverse as it can be within all


Developing

EDS Outcome 3.2

Levels of pay and related terms and conditions are fairly determined for all posts, with staff doing equal

work and work rated as of equal value being entitled to equal pay

Ungraded

EDS Outcome 3.3

Through support, training, personal development and performance appraisal, staff are confident and

competent to do their work, so that services are commissioned or provided appropriately

Achieving

EDS Outcome 3.4 Staff are free from abuse, harassment, bullying,

violence from both patients and their relatives and colleagues, with redress being open and fair to all

Achieving

EDS Outcome 3.5

Flexible working options are made available to all staff, consistent with the needs of the service, and

the way that people lead their lives. (Flexible working may be a reasonable adjustment for

disabled members of staff or carers)

Achieving

EDS Outcome 3.6 The workforce is supported to remain healthy, with

a focus on addressing major health and lifestyle issues that affect individual staff and the wider

population

Achieving

Overall – Achieving

EDS Goal 4 - „Inclusive leadership at all levels‟

EDS Outcome 4.1 Boards and senior leaders conduct and plan their

business so that equality is advanced, and good relations fostered, within their organisations and

beyond

Achieving

EDS Outcome 4.2 Middle managers and other line managers support

and motivate their staff to work in culturally competent ways within a work environment free

from discrimination

Achieving

37

EDS Outcome 4.3 The organisation uses the “Competency Framework

for Equality and Diversity Leadership” to recruit,

develop and support strategic leaders to advance equality outcomes

Under developed

Overall - Achieving

38

Appendix 6. Outcome of grading - Kirklees

EDS Goal 1 - „Better health outcomes for all‟



Under developed



Developing

EDS Outcome 1.3 Changes across services for individual patients are

discussed with them, and transitions are made smoothly

Developing

EDS Outcome 1.4


harassment, bullying, violence from other patients and staff, with redress being open and fair to all

Achieving

EDS Outcome 1.5 Public health, vaccination and screening

programmes reach and benefit all local communities

and groups

Developing


EDS Goal 2 - „Improved patient access and experience‟

EDS Outcome 2.1

Patients, carers and communities can readily access services, and are not denied access on unreasonable

grounds

Achieving

EDS Outcome 2.2 Patients are informed and supported to be as

involved as they wish to be in their diagnosis and decisions about their care,

and to exercise choice about treatments and places of treatment

Achieving

EDS Outcome 2.3 Patients and carers report positive experiences of

their treatment and care outcomes and of being


Achieving

EDS Outcome 2.4 Patients’ and carers’ complaints about services, and

subsequent claims for redress, should be handled respectfully and efficiently

Developing

39

Overall - Achieving

EDS Goal 3 - „Empowered engaged and well supported staff‟

EDS Outcome 3.1 Recruitment and selection processes are fair,

inclusive and transparent so that the workforce

becomes as diverse as it can be within all occupations and grades

Ungraded

EDS Outcome 3.2 Levels of pay and related terms and conditions are

fairly determined for all posts, with staff doing equal work and work rated as of equal value being entitled

to equal pay

Ungraded

EDS Outcome 3.3 Through support, training, personal development

and performance appraisal, staff are confident and competent to do their work, so that services are

commissioned or provided appropriately

Achieving

EDS Outcome 3.4

Staff are free from abuse, harassment, bullying, violence from both patients and their relatives and

colleagues, with redress being open and fair to all

Achieving

EDS Outcome 3.5 Flexible working options are made available to all

staff, consistent with the needs of the service, and the way that people lead their lives. (Flexible

working may be a reasonable adjustment for disabled members of staff or carers)

Achieving

EDS Outcome 3.6

The workforce is supported to remain healthy, with a focus on addressing major health and lifestyle

issues that affect individual staff and the wider population

Achieving



EDS Outcome 4.1

Boards and senior leaders conduct and plan their business so that equality is advanced, and good

relations fostered, within their organisations and beyond

Achieving

EDS Outcome 4.2

Middle managers and other line managers support and motivate their staff to work in culturally

competent ways within a work environment free from discrimination

Achieving

40




Under developed


41

Appendix 7. Outcome of grading - Wakefield

Event 1, Outcome of grading - Wakefield EDS Goal 1 - „Better health outcomes for all‟



Developing



Developing

EDS Outcome 1.3

Changes across services for individual patients are discussed with them, and transitions are made

smoothly

Developing

EDS Outcome 1.4


harassment, bullying, violence from other patients

and staff, with redress being open and fair to all

Developing

EDS Outcome 1.5 Public health, vaccination and screening

programmes reach and benefit all local communities and groups

Developing


EDS Goal 2 - „Improved patient access and experience‟

EDS Outcome 2.1 Patients, carers and communities can readily access

services, and are not denied access on unreasonable grounds

Developing

EDS Outcome 2.2 Patients are informed and supported to be as

involved as they wish to be in their diagnosis and decisions about their care,

and to exercise choice about treatments and places

of treatment

Achieving

EDS Outcome 2.3

Patients and carers report positive experiences of their treatment and care outcomes and of being


Achieving

EDS Outcome 2.4

Patients’ and carers’ complaints about services, and subsequent claims for redress, should be handled

respectfully and efficiently

Developing

42

Overall – Developing

EDS Goal 3 - „Empowered engaged and well supported staff‟

EDS Outcome 3.1

Recruitment and selection processes are fair, inclusive and transparent so that the workforce

becomes as diverse as it can be within all


Developing

EDS Outcome 3.2

Levels of pay and related terms and conditions are fairly determined for all posts, with staff doing equal

work and work rated as of equal value being entitled to equal pay

Ungraded

EDS Outcome 3.3

Through support, training, personal development and performance appraisal, staff are confident and

competent to do their work, so that services are commissioned or provided appropriately

Achieving

EDS Outcome 3.4 Staff are free from abuse, harassment, bullying,

violence from both patients and their relatives and colleagues, with redress being open and fair to all

Achieving

EDS Outcome 3.5

Flexible working options are made available to all staff, consistent with the needs of the service, and

the way that people lead their lives. (Flexible working may be a reasonable adjustment for

disabled members of staff or carers)

Achieving

EDS Outcome 3.6 The workforce is supported to remain healthy, with

a focus on addressing major health and lifestyle issues that affect individual staff and the wider

population

Achieving



EDS Outcome 4.1

Boards and senior leaders conduct and plan their business so that equality is advanced, and good

relations fostered, within their organisations and

beyond

Ungraded

EDS Outcome 4.2

Middle managers and other line managers support and motivate their staff to work in culturally

competent ways within a work environment free from discrimination

Achieving

43




Ungraded

Overall – Developing

44

Appendix 8. Equality Monitoring - Events

eds_engagement_final_report_july_2012

Documents

local events

goals outcomes

engagement team

nhs organisations

upcoming events

better health outcomes

local interests

nhs calderdale