Later Life & Dementia Service Consultation
This document is available in alternative formats such as electronic format or large print upon request
Please contact the Equality, Diversity and Human Rights Team on 01903 845724 or email
[email protected]
1. Equality and Human Rights Impact Analysis (EHRIA)
1.1 Board Lead:
Help
John Child
1.2 Analysis Start Date:
3rd of April 2014
1.3 Analysis Submission Date:
29th of April 2014
1.4 Analysis Team Members:
1) Author / Editor: Liz Jacobs Jacky Austen
1.5 If this is a cross agency policy/service
or strategy please indicate partner
agencies and their formal title
2) Frontline Staff: Carey Wright, Clare Rowland, Sue Hubbard, Rai Brady, Anne Fellbaum
Brighton & Hove City Council re section 75
1.6 Completion Statement
1.7 Policy Aim
3) End User: Nick McMaster, Staff Side.
I/We, being the author(s), Service Managers, acknowledge in good faith that this analysis uses accurate
evidence to support accountable decision-makers with due regard to the National Equality Duties, and
that the analysis has been carried out throughout the design or implementation stage of the service or
policy.
This is a consultation to realign the Later Life staff currently working in the Assessment and Treatment /
Recovery Service to the existing Dementia services.
To provide information for all partners and stakeholders to enable effective co-operation, coordination &
communication.
Send draft analysis along with the policy, strategy or service to [email protected] for internal quality control prior to ratification.
1.8 Quality Assessor sign off
1.9 Reference Number
Equality and Human Rights Impact Analysis (EHRIA)
Tereza Kaplanova
TK 166
2.1 Types of evidence identified as relevant have X marked against them
X
X
Recent Local Consultations
X
Research Findings
Complaints / PALS / Incidents
X
DH / NICE / National Reports
Good Practice / Model Policies
X
Service User / Staff Surveys
Sussex Demographics / Census
Contract / Supplier Monitoring
Data
X
Risk Assessments
X
Equality Diversity and Human
Rights Annual Report
Patient / Employee Monitoring
Data
Letter sent to staff:
Many colleagues with Later Life expertise, working in Assessment &
Treatment Services across Sussex have raised concerns regarding
the service provision to older people with a functional mental
health problem in “age-integrated” pathways. These are concerns
which have been echoed by the Royal College of Psychiatrists. Other
concerns include colleagues not feeling part of a team with the
associated support and not having sufficient access to identified
medical input
Recognising that we may not have been getting this right for people
in Later Life has triggered further discussions within the Strategic
Governance Group for Dementia and Later Life.
To address these issues the trust is looking to develop a Frailty,
Later Life and Dementia pathway. Local Divisions have been tasked
with ensuring this works well for the local area, taking into account
the local context and ensuring the pathway meets the needs of
patients and carers. It is recognised in Brighton & Hove that
uniquely we operate services which are integrated with social care.
At the present time the proposed criteria for this new service is:(Please remember this will be different from the services that have
been in place in the past).
1. Dementia regardless of age.
2. Very late on-set psychosis and depressive illness over the
© Sussex Partnership NHS Foundation Trust March 2011
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2.1 Types of evidence identified as relevant have X marked against them
3.
4.
5.
6
age of 65, if no previous contact with any service is in place.
Co-morbid cognitive and functional mental health problems.
This will need more clarity.
Interdependencies between physical health and mental
health problems. and again we do need more clarity on this
one.
Presentations with complex mixtures of psychological ,
cognitive, functional, behavioural, physical and social
problems related to ageing.
If no other factors apply then people over the age of 75 with
complex medical need in mental health and again this
should be for discussion with the older age clinicians.
Also the premises and equipment have been risk assessed as part of the
RIP as required by SPT.
-------SPT Human Resources have provided demographics for the services
across the protected characteristics.
The demographic breakdown is below
For SPT :8 are male and 13 are female
Nationality
19 people are white British
2 people are any other white background
Disability
© Sussex Partnership NHS Foundation Trust March 2011
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2.1 Types of evidence identified as relevant have X marked against them
14 people said no disability
4 people are undefined
3 people not declared
The manager has confirmed the special provisions have been put in
place to deal with the disabilities for identified staff.
------Information from BHCC is as follows:
It’s not going to be possible for me to provide this information.
This is because the staff group is too small and equalities data
is considered highly sensitive. You should not be placed in a
position as the manager where you are able to identify the
characteristics which apply to the people you manage.
I hope that makes sense. This is an approach cleared by our
Equalities Team.
Thanks
Kieron Ives
3. Impact and outcome Evaluation – Any impacts or potential outcomes are described below.
Help
© Sussex Partnership NHS Foundation Trust March 2011
Sexual
Orientation
Human
Rights
Sex
Religion &
Belief
Race
+ –
outcomes for the protected characteristics.
outcomes for the protected characteristics.
Age
Ref
Describe how this policy, strategy or service will lead to positive
Describe how this policy, strategy or service will lead to negative
The Service
Disability &
Carers
Gender
Reassignment
Pregnancy &
Maternity
People’s Characteristics (Mark with ‘X’):
Mark
one X
4
outcomes for the protected characteristics.
outcomes for the protected characteristics.
Sexual
Orientation
Human
Rights
Describe how this policy, strategy or service will lead to positive
Describe how this policy, strategy or service will lead to negative
The Service
Religion &
Belief
Mark
one X
Disability &
Carers
Gender
Reassignment
Pregnancy &
Maternity
People’s Characteristics (Mark with ‘X’):
X
Consultation paper is available in different formats upon request.
X
3.2
X
As part of the consultation staff with protected characteristics will have their needs met,
whether it is equipment to assist with dyslexia or working from an accessible location.
X
3.3
X
Group/individual meetings will have suitable access, reasonable adjustments will be
considered.
X
3.4
X
All staff have the ability to join a union of their choice, Union representatives are readily
available with in SPT and BHCC. Staff are able to have a union representative, or a colleague
employed by the trust for support at their one to one meetings.
X
3.5
X
There will be workshops for staff to discuss how things can be changed within the team to
accommodate the new service specification.
X
3.6
X
Some staff have attended stakeholder groups.
X
Only two staff have to change location, this has been discussed with them prior to the
consultation and they are happy with the changes.
X
X
3.8
X
Some staff may be able to claim travel expenses following the outcomes of this consultation.
However, this is unlikely to affect anyone.
X
X
3.9
X
No staff are at risk.
3.7
© Sussex Partnership NHS Foundation Trust March 2011
Sex
3.1
Race
+ –
Age
Ref
X
X
5
4. General Duty – Due Regard
Help
Sex
4.1 Eliminate unlawful discrimination,
harassment and victimisation and
other conduct prohibited by the
Equality Act 2010; Help
The consultation has been developed giving due regard to the
nine protected characteristics and has taken each into
consideration. The consultation document will be agreed by SPT
staff side and Human Resources staff with the aim of preventing
unlawful discrimination. The impact on staff is minimal.
Sexual
Orientation
Human
Rights
Religion &
Belief
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Age
Race
Describe how this policy, strategy or service will show due regard for the three aims of the general duty across
the protected characteristics listed. Please describe in full. (Please make sure that you address each of the
protected characteristics in your answers)
Disability &
Carers
Gender
Reassignment
Pregnancy &
Maternity
People’s Characteristics (Mark with ‘X’):
When designing the op. policy, due regard will be given to
eliminate unlawful discrimination, harassment and victimisation
and other conduct prohibited by the Equality Act 2010. The op.
policy will state that the service does not only aim to treat
individuals with Dementia and Later Life issues, but also to
educate professionals, carers and the wider public about the
problems and stigma persons with these diagnosis face. It is
hoped that a better understanding and awareness will help to
eliminate victimisation and discrimination.
4.2 Advance equality of opportunity
between people from different
groups; Help
Staff will be invited to a meeting to explain what will happen in
the consultation. In the meeting human resources and staff side
will be present , staff will have a copy of the consultation ( large
print , brail and other languages will be available if needed) This
will be followed up by individual meetings as needed. For all
meetings booked the choice of venue will be considered to
ensure that there is suitable access arrangements for all staff.
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When designing the op. policy, due regard will be been given to
advance equality of opportunity for staff & volunteers. The op.
policy will state that SP and BHCC Equal Opportunity policies
apply to the process of recruitment and promotion of staff as well
as to the referral process.
4.3 Foster Good relations between
people from different groups Help
This service is delivered in partnership between SPT and BHCC.
Due regard has been given to the section 75 agreement,
providing clarity of everybody’s roles. Workshops for training are
designed to allow the whole team to learn and grow together and
to develop a strong identity based on a good mutual
understanding of and respect for the ethos of all organisations.
This will allow all staff to act in close co-operation and support
when dealing with difficult and stressful experiences. It will also
be the base for good relationships especially with patients who
are less well and have a need for extra care / care packages.
Similarly, close co-operation is sought with colleagues from the
wider treatment team, community, carers and family in regular
treatment reviews.
4.4
The arrangements to monitor the effectiveness of the policy,
strategy or service considering relevant characteristics? E.g.
↘ survey results split by age-band reviewed annually by EMB
and Trust Board
↘ Service user Disability reviewed quarterly by Equality and
Diversity Steering Group or annually in the EDHR Annual
Report
X
X
X
X
X
X
X
X
X
The commissioners will receive quarterly reports, which will contain information
about the service. The information provided will help to monitor the effectiveness of
current arrangements.
Service user and Carer feedback will be used to monitor service user experience.
Staff supervision and appraisal structure will be used to monitor best practice, staff
competencies and performance.
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The Impacts identified in sections ( ) have their reference numbers (e.g. 4.1) inserted in the appropriate column for each relevant right or freedom
+
–
A2. Right to life (e.g. Pain relief, DNAR, competency, suicide prevention)
A3. Prohibition of torture, inhuman or degrading treatment (e.g. Service Users unable to consent)
3.2, 3.3, 3.7
A4. Prohibition of slavery and forced labour (e.g. Safeguarding vulnerable patients policies)
A5. Right to liberty and security (e.g. Deprivation of liberty protocols, security policy)
A6&7. Rights to a fair trial; and no punishment without law (e.g. MHA Tribunals)
A8. Right to respect for private and family life, home and correspondence (e.g. Confidentiality, access to family etc)
3.1, 3.8, 3.9
A9. Freedom of thought, conscience and religion (e.g. Animal-derived medicines/sacred space)
A10. Freedom of expression (e.g. Patient information or whistle-blowing policies)
3.5, 3.6
A11. Freedom of assembly and association (e.g. Trade union recognition)
3.4
A12. Right to marry and found a family (e.g. fertility, pregnancy)
P1.A1. Protection of property (e.g. Service User property and belongings)
P1.A2. Right to education (e.g. accessible information)
P1.A3. Right to free elections (e.g. Foundation Trust governors)
Consequence of negative
impacts scored (1-5)
1
4.4 Likelihood of negative
impacts scored (1-5):
© Sussex Partnership NHS Foundation Trust March 2011
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4.5 Equality & Human Rights Risk Score
= Consequence x Likelihood scores:
1
8
X
X
4.6 The outcome selected (A-D):
4.7 Summary for the outcome decision (mandatory)
A. Policy, strategy or service addresses quality of outcome and is positive in its language
and terminology. It promote equality and fosters good community relations
B. Improvements made or planned for in section 9 (potential or actual adverse impacts
removed and missed opportunities addressed at point of design)
C. Policy, service or strategy continues with adverse impacts fully and lawfully justified
(justification of adverse impacts should be set out in section 3 above
D. Policy, service or strategy recommended to be stopped. Unlawful discrimination or
abuse identified.
Impact Reference(s)
(from assessment)
Action
The consultation explains the changes to the existing
workforce and the process the existing staff will go
through. The consultation won’t have significant
impact on staff.
The authors are committed to developing access to
this service for older people. This will be reviewed
with due regard for all people with protected
characteristics in a quarterly report, completion and
update RIP (yearly) and CQC documentation
(ongoing) to general managers and commissioners.
Lead Person
Timescale
Resource Implications
Add more rows if necessary
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