nhs highland disability equality scheme update december 2007 · • review impact on disabled...
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NHS Highland Disability Equality Scheme Update December 2007 If you require this document in an alternative format please contact Marie Gilbert on ������������ ����������������������������������������������� !�� �� "�#��� �������������������������$%&�%������'�(����)���������#"#�"#� *�������)���'�%������+����(������,�������������$%&�%������'-�.��)���%����-/����0��'�,���-+�(���������+1�� /2� This Document has not yet been ratified by the NHS Highland Board but will be incorporated into the Equality and Diversity Progress Report to the Board in February 2008 This document provides an update of the NHS Highland Disability Equality Scheme (DES) published in December 2006 A traffic light scheme using red, amber and green to describe progress on the actions from the original scheme has been used. Red is denotes no or limited progress, Amber denotes reasonable ongoing progress but not completion and green denotes an action that has been completed. The updated document then describes what NHS Highland needs to do to progress existing actions and take on new actions resulting from our work so far. Fair for All Disability recently circulated a report on a national picture of disability equality in NHS Scotland. NHS Highland was recognised for good practice in terms of engagement and the presentation of its demographic profile. This updated action plan aims to build on these areas of good practice and also recognises other areas of work that can be improved, developed and promoted in order to work towards disability equality. The priority areas for the next year highlighted in the update are; Engagement Staff Involvement Training Impact Assessment Procurement and contracting This update includes information about the different departments, services and groups responsible for delivering actions and measuring success. The NHS Highland Equality and Diversity Steering group take an overview of the scheme and will regularly review progress and report to the NHS Highland Board and Corporate Team.
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Glossary of Abbreviations
Abbreviation Full Term
CBT Cognitive Behavioural Therapy
CHP Community Health Partnership
DDA Disability Discrimination Act
DES Disability Equality Scheme
EQIA Equality and Diversity Impact Assessment
FFA Fair for All
FHC For Highland’s Children
HR Human Resources
ICP Integrated Care Pathway
KSF Knowledge and Skills Framework
NHSH National Health Service Highland
PDM Policy Development Manager in Community and Health Improvement Planning Team
PDP Personal Development Plan
SAIF Scottish Accessible Information Forum
SHOW Scotland’s Health on the Web
SMR Standardised Mortality Ratio
SWISS Scottish Workforce Information Standard System
W3 World Wide Web Consortium
WBA Wellbeing Alliance
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Objective 1 Evidence Leadership for Disability Equality
Action in DES
Current Status What We Will Do Now Who is Responsible
Output/Outcome
Provide Equality and Diversity development session for Board and extended Corporate Team
GREEN • Session provided
• Ensure future training
made available to all NHSH staff and Board members
Community & Health Improvement Planning Team & Board Secretary
• Equality and Diversity
training available to all NHSH Staff
Develop equality champions’ network to increase number of champions, widen geographical and role spread, provide further training and development opportunities
GREEN • Equality and Diversity
Training Programme underway across NHSH training includes involvement of members of disability groups
• Continue to develop
training programme and associated resources for NHSH staff
Community & Health Improvement Planning Team
• Increase in staff
confidence to promote good practice and challenge practice in relation to equality and diversity
Review role, remit and membership of Equality & Diversity Steering Group to ensure appropriate expertise on disability issues and representation from all key parts of NHS Highland
GREEN • Role and remit of group
revised. • PDMs working in CHPs to
ensure Equality and Diversity Agenda embedded at a local level
• Workforce Group now in place to embed HR issues.
• Continue to ensure
disability issues are represented within NHSH Equality and Diversity Agenda
Chair Equality & Diversity Steering Group
• Working towards disability
equality undertaken as part of all NHSH activity
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Objective 1 Evidence Leadership for Disability Equality continued
Action in DES
Current Status What We Will Do Now Who is Responsible
Output/Outcome
Continue to provide lead for WBA on Equality & Diversity
GREEN • WBA Group continuing to
develop effective partnership approach to meeting duties
• Continue to develop
WBA Strategy action plan ongoing
Community & Health Improvement Planning Team
• Relevant Equality and
Diversity issues addressed with partners where partnership increases value of activity
Work towards harmonising approaches to disability equality across the whole of NHSH Highland, to promote equity in service provision and disability equality work
AMBER/GREEN • Pilot Equality and Diversity
Training programme focuses on developing skills and improving practice in the workplace
• New guidance on accessibility in consultation
• Agree approach for
evaluating impact of training on practice in NHSH November 2008
• Complete consultation and publish accessibility guidance February 2008
Equality & Diversity Steering Group & Corporate Team
• Training available to all
NHSH staff • Increase in staff
confidence to promote good practice and challenge practice in relation to equality and diversity
Continue to promote the message that disability equality needs to be mainstreamed across the whole organisation
AMBER/GREEN • Key part of revised remit for
NHSH Equality and Diversity Group
• Key message in all equality and diversity training
• Key element of PDM role in CHPs
• Agree approach for
evaluating impact of NHSH E&D Group and PDP role in embedding disability equality
Equality & Diversity Steering Group & Corporate Team
• Publicised impacts on
practice of promoting disability equality
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Objective 2 Improve Physical Accessibility of Services
Action in DES
Current Status What We Will Do Now Who is Responsible
Output/Outcome
Continue improvements to estate as per identified priorities and available funds ensuring any emergency or unplanned building work takes cognisance of opportunities to make more DDA compliant Where budgets permit consider additional low cost changes to buildings or internal environment in response to good practice guidance or reported experience
AMBER New builds, repairs and adjustments are DDA Compliant based on building regulations discussion with members of access panels has highlighted that best practice requires more consideration
Ensure involvement of disabled people in agreeing specs for new builds
GREEN Involvement takes place at a locality level
• Work with the
Representatives from Disability Groups, Access Panels to develop standardised protocols and guidance on best practice re engagement and meeting need May 2008
• Measure impact of a more standardised NHSH response across all CHPs January 2009
Estates Team Community & Health Improvement Planning Team Equality & Diversity Steering Group
• Standardised guidance
for NHSH staff about physical accessibility best practice
Audit DDA compliance of new builds incorporating views of disabled people
RED Audit has not taken place
• Work with the
Representatives from Disability Groups, Access Panels and Estates Team to carry out audit of DDA compliance and impact on disabled people of such compliance. February 2008
Equality & Diversity Steering Group & Estates Team
• NHSH has access to
practice examples of DDA compliance in buildings and impacts on Disabled people
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Objective 3 More Effective Communication with Disabled People Action in DES
Current Status What We Will Do Now Who is
Responsible Output/Outcome
Improve communications on disability actions and issues – including communication with staff, NHS Board, the public and disability groups
GREEN • Disability groups given feedback
on DES and action planning. • Pilot Staff training programme
underway • Report to Board on activities in
February 2008 • Articles in Staff publications
limited due to reduced publications – resolved December 2007
• Engagement with Disability groups ongoing through WBA
• extend training programme
based on findings from pilot • Increase awareness raising
through staff publications ongoing
• Use findings from WBA engagement exercise to build on engagement July 2008
• Review impact on disabled people of increased communications with disability and staff groups December 2008
Community & Health Improvement Planning Team Communications Team
• 4 articles every 12
months in staff publications focusing on disability issues
• Appropriate Mechanisms in place to encourage peer support for disabled staff
Ensure disability focus in all organisational communication plans
GREEN • Support available via PDM role
in CHPs • Equality and Diversity impact
assessment used to check positive impact on disabled people.
• Include impact assessment
as part of review of actions in local CHP plans November 2008
• Promote use of accessibility guidance within CHPs March 2008
CHPs Community & Health Improvement Planning Team Communications Team
• Increased confidence of
disability groups in the NHSH communication
• NHSH Communication Strategy highlights best practice re accessible communication
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Objective 3 More Effective Communication with Disabled People continued
Action in DES
Current Status What We Will Do Now Who is Responsible
Output/Outcome
Together with disabled people review Communications Strategy Action Plan and Communications Toolkit against issues raised by focus groups and report back on changes made
RED/AMBER Feedback form focus groups incorporated into action plan No other formal engagement undertaken Communications Strategy Action Plan is a high level corporate action plan, it has been agreed that in order to influence day to day practice the review of other communication plans would have more significant impact
• Review newly revised
Communications and Engagement Plan with Disability Group Representatives, against accessibility guidance after consultation period July 2008
• Publish review and any recommendations September 2008
Communications Team Community & Health Improvement Planning Team
• Increased confidence of
disability groups in NHSH communications
• NHSH Communication Strategy highlights best practice re accessible communication
Together with disabled people develop and implement a policy on accessible information
AMBER • Draft guidance developed
based on SAIF and FFA best practice due for consultation December 2007
• Complete consultation on
guidance with disabled groups and staff January 2007
• Launch Guidance February 2008
• Develop NHSH Accessibility Policy April 2008
• Assess impact of guidance with disabled people and staff July 2008
Community & Health Improvement Planning Team
• Good Practice
Accessibility Guidance in place for all NHSH Staff
• Improved Accessibility for Disabled People
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Objective 3 More Effective Communication with Disabled People continued
Action in DES
Current Status What We Will Do Now Who is Responsible
Output/Outcome
Develop further the NHS Highland SHOW web page providing links to accessible information to include good practice guidance and to further extend the range of accessible information available on the site
AMBER • Website meets current
accessibility basic standards
• Develop information
available on line using findings of consultation on accessibility guidance and engagement with Disability groups and staff April 2008
• Work with Website implementation group to agree approach to including accessibility as standard for all NHSH staff inputting to the site June 2008
Communications Team Community & Health Improvement Planning Team
Ensure all NHS Highland web sites are accessible, including having ‘Browse Aloud’ capacity
GREEN Browse Aloud available throughout site
Incorporate relevant changes on website as result of launch of new national accessible website standards August 2008 Assess impact of website with disabled people and September 2008
Communications Team Community & Health Improvement Planning Team
• Accessibility good
practice available on line for NHSH staff and partners.
• NHSH SHOW website uses accessibility best practice beyond the requirements of W3 guidelines
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Objective 4 Improve Disabled People’s Experiences of Services
Action in DES
Current Status What We Will Do Now Who is Responsible
Output/Outcome
Address specific service issues raised in focus groups and questionnaires and report back on changes made
GREEN/AMBER • Voluntary Sector contracting and service
level agreements being developed • NHSH and partners undertaking
awareness raising and service review to extend current client group using palliative care services
• Review of NHSH targets show no clear issues re access to physiotherapy services
• Discussion with Speech and Language Therapy not undertaken, support for the role of the Carer addressed within the new Carer’s Strategy
• Mental Health Plan acknowledges delays in CBT services and proposes range of responses.
• Feedback provided to groups
• Impact assess Physiotherapy
services and Speech and Language Services across NHSH. March 2008
• Impact assess Carers Strategy Feb 2008
• Impact assessment of stroke services June 2008
• Impact assess proposals resulting from other equality schemes supporting alternative mechanisms for the delivery of CBT and other psychological interventions June 2008
• PDPs will work with CHPs to develop access at selected GP practices including implementation of good practice using accessibility guidance
• Promote equality and diversity training in primary care ongoing
• Continue to feedback developments
Community & Health Improvement Planning Team Physiotherapy Service Speech and Language Service Cardiology Service CHPs
• Increase
proportion of service changes and developments made based on engagement with equalities groups
• Increase confidence of people with disabilities in impact of engagement exercises
• Improved service provision for people with disabilities
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Action in DES
Current Status What We Will Do Now Who is
Responsible Output/Outcome
Address specific service issues raised in focus groups and questionnaires and report back on changes made (continued)
• Consultant contracted to carry out feasibility study on use of technology to promote BSL/English interpreting in remote and rural areas
• Awareness raising courses on using BSL/English Interpreters available to NHSH staff
• Health Awareness resources for people with Learning Disabilities developed and delivered
• Training trainers undertaken by people with Learning Disabilities to raise awareness with staff in relation to sexual health and relationships
• Meet with HUG to develop responses to concerns about GP services Jan 2008
• Evaluate impact of awareness raising courses July 2008
• Sexual health and relationships toolkit for NHSH staff in development
• With partners seek funding to continue Health awareness work to support people with Learning Disabilities
Community & Health Improvement Planning Team Physiotherapy Service Speech and Language Service Cardiology Service CHPs
• Increase
proportion of service changes and developments made based on engagement with equalities groups
• Increase confidence of people with disabilities in impact of engagement exercises
• Improved service provision for people with disabilities
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Objective 4 Improve Disabled People’s Experiences of Services continued Action in DES
Current Status What We Will Do Now Who is Responsible Output/Outcome
Develop systematic means of recording ‘ad hoc’ issues raised and recording and monitoring of how these are responded to and fed back to individual/group that raised them
AMBER • Key principle of pilot training
programme to ensure that staff are able to transfer principles and guidance given into good practice in the workplace
• Evaluate impact of training on
practice December 2008 • Feedback to disability groups
positive impacts highlighted by staff
Community & Health Improvement Planning Team
• Disability groups
impact on service provision of developing good practice
Further develop mechanisms to support and encourage the involvement of disabled people in service planning and redesign
AMBER • Awareness raising undertaken with
Highland Health Voices members about gathering equality data for membership development
• Revised communication and engagement template provides guidance for all NHSH staff on engaging with equality groups
• Review newly revised
Communications and Engagement Plan with Disability Group Representatives, against accessibility guidance after consultation period July 2008
• Promote Highland Health Voices Membership during consultations with disability groups
Communications Team Community & Health Improvement Planning Team
• Disabled People
involved in service planning and design
Consider how best to further develop and use the idea of the patient or carer ‘expert’
GREEN/AMBER • Carers’ Strategy Consultation
undertaken • Long term conditions equity audit
underway
• Carers’ Strategy to be launched • Undertake any actions resulting
from audit • Impact assess service changes
and development resulting from audit
Public Health Directorate Community & Health Improvement Planning Team
• Positive Impact
of Carers formally recognised by SHSH and partners within the Carers’ Strategy
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Objective 4 Improve Disabled People’s Experiences of Services continued
Action in DES
Current Status What We Will Do Now Who is Responsible Output/Outcome
Ensure evidence of completed EQIA in all new service developments
AMBER • EQIA embedded within Clinical Policy
Ratification Group • Guidance provided for all NHSH
Board members on impact assessment as a requirement of information presented to the Board
• Review impact of including EQIA
evidence in service developments October 2008
• Deliver EQIA training across NHSH December 2008
Clinical Policy Ratification Group Corporate Team/Board Members Community & Health Improvement Planning Team
• Working towards
embedding EQIA into NHSH activity
Work to further extend use of equalities monitoring across services, including joint services
AMBER • Development of equalities monitoring
as part of SMR recording • Work underway to standardise use of
common assessment document for inpatient care across NHSH
• Work not progressed around joint services
• Review use of equalities
monitoring on outpatient questionnaire
• Develop equalities monitoring within joint services
• Develop and provide training for NHSH staff in relation to equalities monitoring and recording patient need
Community & Health Improvement Planning Team eHealth CHPs
• Working towards
ensuring NHSH has effective and standardised equalities monitoring protocols.
Evaluate pilot on equalities monitoring of complaints and further develop according to results of this evaluation
AMBER • Pilot undertaken in NHSH • Equalities monitoring analysed by
central government • High level of completion by
complainants
• Develop actions based on
analysis when it is made available February 2008
NHSH Equality and Diversity Steering Group
• NHSH is aware
and can take action on any patterns and trends in complaints relating to disability
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Objective 4 Improve Disabled People’s Experiences of Services continued Action in DES
Current Status What We Will Do Now Who is Responsible Output/Outcome
Ensure that promotion of disability equality and elimination of harassment included in all contracts with suppliers of goods and services, and with voluntary organisations in receipt of NHS Highland grants monies
RED • Commitment to include information
in all contracts, currently only included in voluntary organisations with new service level agreements
• Current conditions of contract do not include specific reference to equalities legislation although development of appropriate information for inclusion is now underway
• Agree guidance for staff involved
in contracting April 2008 • Agree statements for inclusion in
contract conditions May 2008 • Develop protocol for post
contractual monitoring June 2008
Highland Healthcare Supplies Community & Health Improvement Planning Team
• All NHSH
contracted suppliers are aware of the disability equality duties in relation to provision of goods and services
Continue to promote awareness of Independent Advocacy services, and train staff in the value base and benefits of Independent Advocacy
AMBER Promotion being undertaken as part of PDM role Value base and benefits of independent advocacy built into broader equality and diversity training pilot
Advocacy specific training developed in South East CHP January 2008 Training rolled out across CHPs December 2008
Community & Health Improvement Planning Team
• NHSH staff
aware of Advocacy services and able to signpost patients and clients appropriately
Address issues re children’s services within framework of For Highland’s Children 2
RED/AMBER • Impact assessment of CAMHS
undertaken • FHC2 overall strategy not impact
assessed • Impact assessment of specific
services within strategy undertaken by partners
• Impact assessment of children’s
services to be undertaken as a result of QIS review January 2008
• Agree with partners process for impact assessing FHC3 that is currently in development September 2008
Children’s Services in NHSH and partner organisations Wellbeing Alliance
• Disability
Equality embedded in FHC3
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Objective 5 Promote Equality and Disability Awareness
Action in DES
Current Status What We Will Do Now Who is Responsible
Output/Outcome
Roll out Same Difference e-learning equality and diversity resource to 7500 staff and develop local ‘study’ meetings
AMBER Technical difficulties delaying the project now resolved.
• Online learning programme made
available to 7,500 staff April 2008 • Evaluate impact of resource on staff
practice December 2008
eHealth Community & Health Improvement Planning Team
• 75% of all
registered users complete one module of online equality and diversity training programme
December 2008
Continue and further improve range and uptake of awareness raising opportunities e.g. Deaf Action sessions
GREEN/AMBER • Pilot Equality and Diversity
training programme made available to NHSH staff
• DEAF ACTION sessions made available to NHS Staff
• Positive responses from those attending but relatively low uptake as percentage of whole organisation.
• Continue to develop training
programme based on ongoing evaluation ongoing
• Continue to ensure clear links with PDPs as part of equality and diversity training ongoing
• Link future training opportunities with external agencies to KSF and PDP ongoing
• Include accessibility guidance in awareness raising with generic trainers ongoing
Learning and Development Team Community & Health Improvement Planning Team
• NHSH staff
aware of a range of disability equality training available and how this relates to PDPs
Work with Wellbeing Alliance and Argyll & Bute Community Planning Partnership to promote public awareness of disability equality issues
RED/AMBER • Resource identified and agreed
to produce an analysis of any gaps in equality and diversity in order to develop a prioritised work plan in Argyll and Bute
• Take forward actions prioritised in
work plan May 2008 • Specifically include raising public
awareness as part of broader plans aimed at reducing inequalities December 2007
Argyll and Bute CHP NHSH Equality and Diversity Steering Group
• Timetable of
activities to promote Disability Equality in Argyll and Bute
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Objective 5 Promote Equality and Disability Awareness continued
Action in DES
Current Status What We Will Do Now Who is Responsible
Output/Outcome
Ensure regular features on disability equality in staff newsletter
AMBER • Limited number of articles
published
• Increase awareness raising through
increased input to staff publications
Community & Health Improvement Planning Team
• 4 articles every
12 months in staff publications focusing on disability issues
Consult on and develop action plan for Wellbeing Alliance strategy
AMBER/GREEN Action Plan to be presented to WBA December 2007 WBA Violence against Women Training includes issues about disability equality
WBA to adopt NHSH accessibility guidance April 2008
Wellbeing Alliance
• Relevant
Equality and Diversity issues addressed with partners where partnership increases value of activity
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Objective 6 Promote and Improve Engagement with Disabled People
Action in DES
Current Status What We Will Do Now Who is Responsible
Output/Outcome
Audit and monitor Health Voices and other PFPI work to support and develop best practice in engaging disabled people.
AMBER • Basic feedback mechanisms in
place
• Undertake analysis of feedback and
link this with feedback from NHSH staff and uptake of the communications and engagement plan toolkit
Communications Team NHSH Equality and Diversity Steering Group
• Increase in
engagement with Disabled People in Highland
Review engagement with disability groups and disabled individuals in Argyll & Bute, and develop and implement action plan
AMBER • 2 days a week identified within
Argyll and Bute PFPI Team to focus on Equality and Diversity within the CHP
• Resource identified and agreed to produce an analysis of any gaps in equality and diversity in order to develop a prioritised work plan in Argyll and Bute
• Embed existing good practice
highlighted within NHS Highland into Argyll and Bute CHP ongoing
• Take forward actions prioritised in work plan May 2008
Argyll and Bute CHP NHSH Equality and Diversity Steering Group
• Increase in
engagement with Disabled People in Highland
• Timetable of activities to promote Disability Equality and encourage best practice in Argyll and Bute
Develop and promote to all staff a checklist of good practice re accessibility / involvement of disabled people
AMBER • Draft guidance developed
based on SAIF and FFA best practice due for consultation December 2007
• Complete consultation on guidance
with disabled groups and staff January 2007
• Launch Guidance February 2008 • Continue to include good practice
information within Equality and Diversity training
Community & Health Improvement Planning Team
All NHSH staff have access to accessibility guidance
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Objective 6 Promote and Improve Engagement with Disabled People continued Action in DES
Current Status What We Will Do Now Who is
Responsible Output/
Outcome Engage disability groups and individuals in implementation and monitoring of this DES
AMBER Engagement mechanisms in place as result of work undertaken by the Wellbeing Alliance. Resulting Action Plan to be presented to WBA December 2007
Ensure disability groups have named point of contact with NHS on issues of disability equality
AMBER NHS Highland resource within
Community & Health Improvement Planning Team identified
• Consult on ratified action plan in order to
prioritise actions most relevant to people with disabilities January 2008
• Continue to build links with disability groups in relation to health issues and other NHS related issues.
• Continue to work with WBA partners to develop appropriate engagement mechanisms across equality groups
Community & Health Improvement Planning Team Wellbeing Alliance
With partners, disseminate and discuss analyses of questionnaires and focus groups with participants and other disability groups and individuals
GREEN Analysis, discussion and
dissemination completed Although final report not available
until after DES submission, Key issues included in DES. Final Report available online
Include disability groups that have an
expressed an interest as a result of this exercise in broader engagement exercises
Wellbeing Alliance NHSH Equality and Diversity Steering Group
Engage disabled individuals and disability groups in preparation of WBA Equality & Diversity Action Plan
GREEN Consultation undertaken and completed Proposed Action Plan to be ratified December 2007
• With partners continue work with access
panels to prioritise identified actions • Support capacity building within disability
groups to develop engagement • Continue to build on multi agency
approaches to supporting disability groups
Wellbeing Alliance NHSH Equality and Diversity Steering Group
• Increase in
engagement with Disabled People in Highland
• Increase
proportion of service changes and developments made based on engagement with equalities groups
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Objective 7 Further Develop the Demographic Profile
Action in DES
Current Status What We Will Do Now Who is Responsible Output/ Outcome
Work with Wellbeing Alliance to improve range and quality of demographic information
GREEN Continue to work with WBA in order
to develop range and quality of demographic information across all equality strands
Multi agency response to census consultation
Focus on developing current NHSH Staff
demographic, promoting purpose of data gathering and developing mechanisms for data gathering and analysis
Community & Health Improvement Planning Team Wellbeing Alliance
Increased
understanding of staff population in relation to disability and reasonable adjustment
Look at further analysis of demographic data to highlight multiple disadvantage
AMBER Analysis underway Long Term Conditions Equity Audit
in draft due for publication early 2008
Community Pharmacy needs assessment underway
NHSH has committed to a sample boost
(increase in sample size) for the new format Scottish Health Surveys which will in future years help build up a helpful and relevant set of data in relation to disability at CHP level
Revisit Scottish Household data in the DES in order to develop our understanding of multiple disadvantage in relation to equality and diversity October 2009
Health Intelligence and Knowledge Team Pharmacy Services Community & Health Improvement Planning Team Public Health Directorate
• Improvements
in data analysis to allow more in depth understanding of need in relation to disability
Ensure availability of appropriate demographic information is promoted across NHS Highland
AMBER The most recent CHP demographic
profiles pre-dated the DES although subsequent information has been made available through consultation and promotion of the DES and the Long term conditions equity audit
Include the most up to date equality and
diversity related information in subsequent CHP demographic profiles December 2009
Health Intelligence and Knowledge Team CHPs Community & Health Improvement Planning Team
• Demographic
information in relation to disability available and relevant to the whole of NHSH
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Objective 8 Further Develop Impact Assessment Action in DES
Current Status What We Will Do Now Who is
Responsible Output/
Outcome
Complete prioritised EQIAs on CHD, stroke, cancer, mental health and PIN guidelines
AMBER Impact assessment on CHD and Stroke Services
underway, due for completion February 2008 Impact assessment on PIN guidelines underway
with significant recommendations made for changes to encourage positive action and promotion of equality and diversity
Impact assessment on ICPs agreed in principle as pathways develop.
ICP Project Manager now in post
Follow up and publicise
changes and impact of changes resulting from EQIA recommendations
Impact assess ICPs as developed
Working with service providers and community groups, agree plan for impact assessing mental health services as part of ICP development
Relevant Service Managers Community & Health Improvement Planning Team
Services working specifically within disability related health issues are impact assessed
Agree with Corporate Team further prioritised programme of impact assessment
AMBER • EQIA Training emphasising engagement and
involvement underway • Revision of tool used to carry out EQIA
underway, consultation on proposed tool December 2007
• Information about current
and anticipated impact assessment will be part of a report to the NHSH Board on Equality and Diversity activity in February 2008
Community & Health Improvement Planning Team
Publicised timetable of impact assessment for 2008/09
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Objective 8 Further Develop Impact Assessment continued
Action in DES
Current Status What We Will Do Now Who is Responsible
Output/ Outcome
More vigorously implement and audit policy of ensuring impact assessment on all new service developments and redesign
AMBER Project Initiation documents now include information about equality and diversity and impact assessment Clinical Policy Ratification Group only accept policies that have been impact assessed NHSH Chairman and Chief Executive verify status of impact assessment on agenda items before inclusion at Board meetings
• Make impact assessment
tool available on line • Ensure all completed EQIA
Summaries are available on line on new NHSH website
• Increase availability of EQIA Training
Community & Health Improvement Planning Team Corporate Team
• Impact
assessment tool available to all staff
• Impact assessment summaries available to the public
Extend current Board protocol on reporting Impact Assessment to other appropriate committees and the DHS Management Team
AMBER/GREEN • Clinical Policy Ratification Group only accept
policies that have been impact assessed • Guidance for production of Board Papers
includes EQIA information • Increase in impact assessment being included
in CHP Committee Meetings
• Deliver EQIA Training across
CHPs may 2008 • Launch of impact assessment
guidance across NHSH February 2008
Community & Health Improvement Planning Team
Institute annual audit of completed Impact Assessments
RED/AMBER • As a result of initial review of impact
assessment process, tool has been reviewed to include quality assurance processes and is currently in consultation.
• Audit has not been conducted this year
• Update on current activity
within Board Progress Report February 2008
• Review of impact assessments completed August 2008
NHSH Equality and Diversity Steering Group
• Increase in
number of gateways for ensuring impact assessment is undertaken within NHSH
• level of impact is recorded and reviewed across NHSH
• EQIA Training is available to all staff
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Objective 8 Further Develop Impact Assessment continued
Action in DES
Current Status What We Will Do Now Who is Responsible
Output/ Outcome
Develop and roll out programme of training on Impact Assessment across organisation
AMBER EQIA training pilot December 2007
• Evaluate pilot and roll
out across NHSH as part of launch of new EQIA tool August 2008
Ensure positive publicity on experience of impact assessment in staff newsletter
RED/AMBER Incorporated into EQIA Pilot training Included in other Equality and Diversity Training
• Include examples in
equality and diversity articles in NHSH publications throughout year
Community & Health Improvement Planning Team
Ensure clinical policy ratification group guidelines reflect good practice in impact assessment
GREEN All policies to be ratified by group are scrutinised
• Include feedback from
this group for the audit of impact assessment August 2008
NHSH Equality and Diversity Steering Group
• Increase in number of gateways for ensuring impact assessment is undertaken within NHSH
• level of impact is recorded and reviewed across NHSH
• EQIA Training is available to all staff
22
Objective 9 Ensure NHS Highland is a Good ad Equal Opportunities Employer
Action in DES
Current Status What We Will Do Now Who is Responsible
Output/ Outcome
Ensure benefits of completing SWISS proforma promoted to all staff
AMBER National information circulated. Workforce Equality and Diversity Subgroup now in place.
• Support completion by
ensuring that information provided is meaningful for Highland employees April 2008
Use SWISS data to analyse staff complement and compare with demographic profile Agree programmes of positive action to address any issues arising from analyses of SWISS data
RED/AMBER Returns not yet available Workforce Group work plan developed using currently available (incomplete) returns information and other sources of data including staff surveys
• Analyse completed SWISS
data and respond to highlighted issues including development of positive action May 2008
Workforce Equality and Diversity Sub Group
Increased understanding of staff population in relation to disability and reasonable adjustment
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Objective 9 Ensure NHS Highland is a Good ad Equal Opportunities Employer continued
Action in DES
Current Status What We Will Do Now Who is Responsible
Output/ Outcome
Agree mechanism to capture data on equalities on hand-completed application forms
AMBER Resource identified to undertake analysis
Analysis completed and opportunities for positive action highlighted and built into workforce action plan August 2008
Workforce Equality and Diversity Sub Group
Increased evidence base of impact of recruitment processes in NHSH
Explore means of consulting and involving disabled staff in identifying and addressing relevant issues
AMBER • Investigation with Disabled
staff, Trade Union and other Staff Representatives the potential for developing Staff Disability Group underway
Agree appropriate approach for building capacity for a disabled staff group and resources to facilitate group May 2008
Community & Health Improvement Planning Team
NHSH staff group focusing on disability in place
Implement and audit Equal Opportunities Policy Review and implement Dignity at Work Policy
AMBER/GREEN Impact assessment on PIN
guidelines underway with significant recommendations made for changes to encourage positive action and promotion of equality and diversity
Staff workshops promoting an understanding of bullying and harassment undertaken
Launch reviewed policies
March 2008
Workforce Equality and Diversity Sub Group
NHS Highland Partnership Forum
All NHSH staff
provided with awareness raising opportunities in relation equal opportunities and dignity at work
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Objective 9 Ensure NHS Highland is a Good ad Equal Opportunities Employer continued
Action in DES
Current Status What We Will Do Now Who is Responsible
Output/ Outcome
Further develop work with providers of Unlock your Potential and Pathways initiatives
AMBER Report of evaluation of unlock
your potential project undertaken
• Use evaluation findings to
review current practice including Pathways initiative towards developing seamless provision and supporting continued intervention with groups of disabled people that otherwise do not have contact with services March 2008
Workforce Equality and Diversity Sub Group
NHS Highland Partnership Forum
• Review of
evaluation findings complete and action plan in place
Ensure roll out of management training on equal opportunities in employment practice
AMBER Training delivered to HR staff National delay in recruitment and retention PIN guidance has had impact on delivery
• Provide training to NHS
Highland Partnership Forum May 2008
• Develop and deliver training on specific issues as highlighted in initial training July 2008
APF HR Subgroup Workforce Equality and Diversity Sub Group
• All HR Staff have
undertaken equality and diversity training