Single Equality Scheme 2010 – 2013 Consultation Draft 1 Tuesday, 06 July 2010 Chairman Stephen Wragg - Interim Chief Executive Paul O’Connor Chief Executive Forward Dear Reader, I am very proud to launch our first Single Equality Scheme. Barnsley Hospital Foundation Trust takes seriously the legislative requirements of equality and Human Rights both to its staff and in the way it delivers its services. We are passionate about listening to local people, to help improve their health and well being, and to also ensure we provide well trained staff to deliver a quality service. The outcomes we commit to are a clean, safe and accessible hospital, patients their family and friends can enjoy visiting whatever their sex, religion, nationality or disability needs are. We also commit to ensure our staffs are treated fairly and with dignity and respect in the workplace. A Single Equality Scheme is a commitment of work with an associated action plan spread over a number of years, which will be monitored to ensure timely delivery and leadership against individual actions. We are aware of the many health inequalities that persist in our community despite the progress in life expectancy and overall improved health outcomes. This is a real concern for us. The purpose of the Single Equality Scheme is to help the prevention of discrimination and to reduce inequality between groups of people, underpinned by three general duties: Promote Equality of opportunity Promote good relations between others Eliminate unlawful discrimination. 2 Tuesday, 06 July 2010 Chairman Stephen Wragg - Interim Chief Executive Paul O’Connor Through these general duties we can ensure we build in equality at the beginning of any policy making process and not at the end of the process. Now the responsibility is placed firmly on the individual to make a complaint of discrimination. The responsibility for delivery and compliance is now placed firmly with the Trust. We will ensure we seek out any potential discriminatory practices and address it in the first instance. This Single Equality Scheme and its associated actions will be presented and agreed by the Trust Board after the consultation process has been completed. We would warmly welcome comments on this Single Equality Scheme from community, voluntary, faith and individuals and also other partners and stakeholders. We would also warmly welcome any organisation or individuals who would like to help us in the effective delivery and monitoring of our Single Equality Scheme, or would wish to be involved in any future planning process. I am keen that the actions which emerge from our equality impact assessments continue to inform the services and functions we provide. Our associated Action Plan is a living document which will be added to or amended as we develop over the next three years. Paul O’Connor Interim Chief Executive 3 Tuesday, 06 July 2010 Chairman Stephen Wragg - Interim Chief Executive Paul O’Connor A free interpreting service is available if you need help with this information. Please telephone: PALS 01226 432430 English Email: Bezpłatne usługi tłumaczeniowe są dostępne jeśli potrzebujesz pomocy z tą informacją. Proszę dzwonić na numer: PALS 432430 Polish Email: Свободное обслуживание интерпретации доступно, если Вы нуждаетесь в помощи с этой информацией. Пожалуйста телефонируйте: PALS 01226 432430 Russian Электронная почта: 01226 如果您需要帮助来了解这些资料,我们可以提供免费的翻译服务。 请致电01226 432430与「病人咨询及联络服务(PALS)」联系。 Mandarin 电邮: .خزمهتگوزاری وهرگێڕانی خۆڕایی ئامادهیهگهر پێویستت بهیارمهتی ههیهدهربارهی ئهم زانیاریه پاڵس:تکایهزهنگ بدهبه01226 432430 Kurdish Sorani :ئیمهیڵ دارد وجود اط العات درمورد شما ب ه ک مک ب رای شما ن یاز صورت در م ترجمی رای گان سروی س ی ک. ب ه ب زن ید زن گ ل ط فا: پ ال ز01226432430 ای م یلFarsi : م توف رة ال مجان یة ال ترجمة خدمة, ال م ع لومات هذه ب خ صوص م ساعدة إل ى ب حاجة ك نت إذا. ی رجىPALS 01226 432430 ع لى هات ف یا االت صال: اإلل ك ترون ي ال بری د: 4 Tuesday, 06 July 2010 Chairman Stephen Wragg - Interim Chief Executive Paul O’Connor Consultation of the Trust Single Equality Scheme Barnsley NHS Foundation Trust is committed to involving patients and carers and staff in the planning and decision-making of our Single Equality Scheme. Cabinet office rules dictate there is a thirteen week requirement of consultation of this scheme with an explicit time table for consultation, an agreed community of consultees and a published report on consultation, identifying a response to all the points raised. Consultation is a critical component to the Single Equality Scheme. We want to give you, members of the public, people who use services, their carers and stakeholders, the third sector and voluntary and community groups the opportunity to tell us if the principles in the SES are right, or suggest to us areas for change. Barnsley Population Key data from the Joint Strategic Needs Assessment (JSNA) helps us to understand the health needs of the residents of Barnsley. The JSNA has been updated this year and there has been a larger emphasis on equality issues, the ethnic minority population and its associated needs and inequalities. The JSNA demonstrates a growth in our ageing population. Our work around Equality Impact Assessments (EqIA) reflects how seriously we take this trend. 1 The Trusts supports twenty-one wards in Barnsley, with a diverse mix of urban and rural areas. This includes some of the most deprived wards in the country. The population of Barnsley has seen an increase over the years in a number of ways. In 2001 there were 218,100 people living in Barnsley, in 2007 this figure saw an increase of 6.5% bringing the total population to 224,600. Ethnicity The 2001 Census identified Barnsley as having a relatively small Black Minority and ethnic population (BME) this was 0.9%. Regional and national data comparisons reflect 6.5% and 9.1% respectively. This data has proved a challenge in terms of accessing and analysing our population data, as we have been dependent on census data, and the Office of National 1 Doh Developing Services for minority ethnic older people; The audit tool. 5 Tuesday, 06 July 2010 Chairman Stephen Wragg - Interim Chief Executive Paul O’Connor Statistics Annual Population Survey. Recent population statistics2 tell us Barnsley’s BME population is rising faster than the regional and national average. In 2007, Barnsley had 3.3% of its population from BME groups3. This figure represents a three-fold increase since 2001. However, the Barnsley BME population still remains significantly below the proportional average for South Yorkshire (8.5%), the Yorkshire and Humber region (10.7%) and England (15.3%). The JSNA indicates that some people from BME backgrounds experience poorer health 4 and have unequal access to health services compared to the general population. Key health issues for BME children are Sickle Cell disease and thalassaemia5. Hospital admissions for mental illness are higher in people from BME backgrounds.67 The Trust work closely with the local Barnsley Black and Ethnic Minority Initiative (BBEMI) to support us in raising awareness through our cultural training and helping us steer policy change through representation at our Strategic Groups. Gender The Joint Strategic Needs Assessment 2010 (JSNA) highlights health inequalities that exist between men and women, including access to acute and primary care services and uptake of prevention services in Barnsley. This indicates that there is a need to ensure we target our health services and make them more accessible to males in any communication campaigns. We recognise the importance of engaging with minority groups particularly around the gender agenda. The Trust actively engages in partnership with local organisations, and is represented on local community groups. The Trust last year, was involved in the strategic planning of Barnsley first PRIDE event, and also financially supported this through our Improving Working lives project. 8 Barnsley’s first PRIDE event in 2009. This strand of diversity is also reflected inside the Trust 2 2007 annual population estimates from the National Office of Statistics Equivalent to 7400 people 4 The JSNA reports that diabetes, coronary heart disease, hypertension, stroke and osteoporosis are more common in some BME groups. 5 Higher in people from Africa and some Mediterranean countries. 6 Delivering race equality in mental health care. Doh 3 7 Doh Report on the self reported experience of patients from black and minority ethnic groups. 8 Doh Improving working Lives: Good practice guidance. 6 Tuesday, 06 July 2010 Chairman Stephen Wragg - Interim Chief Executive Paul O’Connor through our Equality Impact Assessment toolkit (EqIA) and in our Equality training delivery. The Trust also has two community workers male and female from the LGB&T community, who support ourselves in the delivery of cultural training to our senior health staff and in this undertaking, help us to raise our awareness on health matters. 9 10 The JSNA has identified the following vulnerable groups who are not profiled in current census statistics: Asylum Seekers and Refugees Asylum seekers and refugees are often vulnerable as a result of persecution within communities. A BMA report on asylum seekers’ health in 200211 showed that a significant number of asylum seekers are prone to particular health problems, including diseases such as tuberculosis, HIV and the physical and psychological effects of war and torture. Gypsies and Travellers Health inequality for Gypsies and Travellers is even more pronounced than other socially deprived or excluded groups 12. Access to services is limited by difficulty in registering for a GP. It should be noted that population figures from the National Office for Statistics do not currently identify the Gypsy Traveller Community13. Migrant Workers Migrant workers in Barnsley are likely to experience greater deprivation than the rest of the population. They are likely to have poorer access to and knowledge of local services than other people14. 9 Stonewall-Serves you right. 10 Stonewall Prescription for change. Lesbian and bisexual women’s health check. 11 Asylum Seekers and their Health Needs, October 2002 12 Reference: 2004 report by the Department of Health on the health status of Gypsies and Travellers. Doh An Improved Path to a better road- information booklet for healthcare & other professionals. 13 7 Tuesday, 06 July 2010 Chairman Stephen Wragg - Interim Chief Executive Paul O’Connor Disability 12.9% of people in Barnsley receive Incapacity Benefit and Severe Disability Allowance (IBSDA), compared to 7% nationally and 7.8% in Yorkshire and the Humber. Mental health illness is the main medical reason given for claiming IBSDA. 15 In the 2001 Census, 30% of males and 20% of females described themselves as being disabled, as opposed to 17% nationally. Chronic conditions, such as diabetes, dementia, stroke and high blood pressure are major causes of ill-health and disability locally. Nationally, significant health inequalities for people with learning disabilities have been highlighted in the Sir Jonathon Michael’s report ‘Healthcare for All’. Work has been undertaken by the Trusts named Safe Guarding Nurse16 in this area with the effective delivery of mandatory training targeting all staff clinical and none clinical. Information is also available on the Trusts website. Faith We have little more than Census 2001 data on religion. We aim to find out more about the needs of people with different faiths and religions through our future equality impact assessment work, to ensure that we provide an appropriate service to people of all faiths, as far as possible. The Trust has a Multi Faith room and Chaplaincy, which is accessible to staff, patient and service users. The Trust also has a cultural guide placed on all wards. Sexual Orientation Stonewall research indicates that around 6% of the UK’s population is lesbian, gay or bisexual (LGB). It is important that we develop our knowledge of the health needs of LGB people and ensure that the services we provide are appropriate to people of any sexual orientation. We have an LGB staff network, hosted by Berneslai Homes, which is currently under review. 14Based 15 16 on a recent study by Leeds University: ‘The Social and Economic Experiences of Asylum Seekers, migrant Workers, Refugees and Overstayers’ JSNA data Local Government Ombudsman, six lives: The provision of public services to people with learning disabilities. 8 Tuesday, 06 July 2010 Chairman Stephen Wragg - Interim Chief Executive Paul O’Connor Age The population of Barnsley is projected to increase by 9% between 2007 and 2029. This is slightly below the national projection of 10.8%. The most significant increase is projected for the population aged 75+ (80.5%)17 and the increase in people aged 65 + (67%). Both these figures are significantly higher than the national average. This has a major impact on how we plan and deliver our services. The Trust also has appointed on the other end of the scale a Children and Young people senior Nurse, to help us address specific health issues and safe guarding issues on behalf of the Trust. Mandatory training for all staff is a key requirement in this area.18 19 The Trust ensures integral links are made through an Aim Higher project worker, who links in with young people to help support educational aspirations.20 Economic Deprivation There are high levels of economic deprivation within the Borough: 23% of Barnsley’s Super Output Areas21 (SOAs) fall within the most deprived 10% of SOAs in England, covering a number of areas 22% of Barnsley’s SOAs fall into the category above the most deprived 10% but still very deprived in a national context 17 This figure is significantly higher than the national average which is 60% 18 Doh. Every child matters. 19 Doh. Healthy lives, brighter futures. 20 Education and skills- Diversity matters. 21 Super Output Areas (SOAs) are a way of mapping small geographic areas. 9 Tuesday, 06 July 2010 Chairman Stephen Wragg - Interim Chief Executive Paul O’Connor Only 9% of Barnsley SOAs fall within the 40% least deprived SOAS in England. All of these more affluent SOAs are found in the Borough’s rural and suburban areas A key area for development The trust is exploring further learning and information from programmes like Pacesetters, which identifies health needs of different groups of people to co-design services that meet service user needs. This helps us to obtain a greater insight into the health outcomes and needs of different groups of people in our region. For example: gaining an insight into the different health outcomes for Cancer across the equality groups. Effective community engagement is key to progressing our understanding of health inequalities, and this forms a core part of the Trust’s Equality and Diversity Advisors work. HOW WE ARE MEETING OUR LEGAL DUTIES Workforce Monitoring Workforce monitoring is a cornerstone in meeting our legal duties, however, we extend what is required by the law because we recognise the value of having robust data which forms a key source of evidence for equality impact assessment of all workforce related functions. A Workforce Indicator Report is published quarterly and annually and covers the previous financial year (2008/2009). The new Electronic Staff Record ESR system is populated with staff data, which includes the capture of data across the six equality strands. This is reported on annually through our Report. This report is available on the Equality and Diversity webpage. Staff data is analysed by: Ethnicity: Across the organisation Medical / Non Medical 10 Tuesday, 06 July 2010 Chairman Stephen Wragg - Interim Chief Executive Paul O’Connor Ethnicity by gender Gender (including pay band data) Disability Age Sexual Orientation Length of Service Full time / part time staff Starters Leavers Promotion Staff accessing training Recruitment: Disability Disciplinary Grievance 11 Tuesday, 06 July 2010 Chairman Stephen Wragg - Interim Chief Executive Paul O’Connor Barnsley NHS Foundation Trust - Single Equality Scheme Action Plan for 2010-2013 Socio economic Human Rights Race 1976(2000) Disability (1995) Religion or Belief Sexual Orientation Trust Board and Clinical Executive demonstrate equality and Human Rights knowledge and commitment. NHS Constitution Trust Board to make a public commitment to promote equality, Diversity and Human Rights. Ongoing Chief Executive The Board’s E&D champion and Executive Director lead make clear the commitment of the organisation. Ongoing Chairman NHS Constitution Ensure that Human rights, dignity and respect are embedded in all trust functions, policies and processes, specifically Human Right articles 14 and 3. Demonstrate and reflect Divisional and operational leadership of the Equality Act Reporting structures in place to the Trust Board annually and Quarterly, considering workforce analysis and civic engagement. Ongoing Director of HR & OD June2011 Trust Divisional leads. Director of HR & OD NHS Constitution NHS Constitution Ongoing 12 Trust Lead Age Timescale Gender Objective Action 1. Leadership, Corporate Commitment and Governance Barnsley NHS Foundation Trust - Single Equality Scheme Action Plan for 2010-2013 NHS Constitution NHS Operating Framework NHS Operating Framework NHS Operating Framework NHS Operating Framework Ensure that the organisation delivers on its SES commitments and SES Action Plan – through robust quality assurance frameworks via the Trust Equality and Diversity Steering Group. September 2010 E&D Steering Group. Identify and appoint a senior Equality champion to lead and demonstrate top down commitment to the implementation of the Single Equality Scheme. September 2010 E&D Steering Group. Demonstrate effective systematic equality assurance and monitoring mechanisms in the Trust. Identify and monitor any equality gaps in staff development that block the effective delivery of the Trust informatics monitoring. Assurance equality informatics is an integral part of Trust operating plans. Demonstrate cross-sector equality approach to partnership working to achieve improved clinical outcomes for all. E.g. keeping older people independent. Tackling alcohol misuse, giving children a health start. LGB&T equality of access and improved experience in the acute environment. Sustain robust equality information through Trust strategic Governance. Demonstrate improved equality and Human Rights outcomes for older people September 2010 Trust Operating Framework lead. September 2010 Head of Informatics. September 2010 September 2010 Trust Operating Framework lead Trust Operating Framework lead September 2010 September 2010 Director of Quality and Standards Medical Director Chief Nurse. 13 Barnsley NHS Foundation Trust - Single Equality Scheme Action Plan for 2010-2013 Trust Clinical Risk lead. Chief Nurse & Divisional Directors Demonstrate Published declaration Trust has virtually eliminated mixed sex September 2010 Children and young people Demonstrate due regard for the Government response to the CAMHS review. In particular under the general equality duties. September 2010 NHS Constitution Demonstrate how the Trust is meeting April 2011 employee’s rights outlined in the NHS constitution. Demonstrate how Constitutional pledges, principles and values are embedded and ingrained into patient and public care, and the Trust workforce. Demonstrate key NHS Constitution April 2011 objectives are reflected at all levels of the PDR/Appraisal process, reflecting pledges to staff. Demonstrate how the Trust manages and April 2011 monitors staff complaints through the strands of diversity and underpinned by NHS Constitution. Director of HR & OD Director of HR & OD Ensure compliance with CQC standards and objectives, reflecting Equality, Diversity and Human Rights. September 2010 Appropriate mechanisms are in place to ensure that Human Rights considerations are identified when planning services and yearly objectives. September 2010 Chief Nurse Chief Nurse Director of HR & OD Monitoring & Compliance CQC 14 Barnsley NHS Foundation Trust - Single Equality Scheme Action Plan for 2010-2013 NHS Constitution Develop an in-year assurance framework against compliance with equality statutory duties/CQC. Ongoing Trust CQC lead All Divisional/Departmental have a monitoring EIA process in place, linking into any new policy development. June 2011 Divisional Directors. Agree a 3 year schedule of equality Impact assessment screening and prioritise existing functions and policies across Department/ Division. Reporting into Equality Diversity Steering Group quarterly for quality assurance process. October 2010 Divisional Directors. Develop a process of analysis and quality assurance of EIA measurements. Make recommendations and suggestions to the Trust and indentify any further developmental training needs as appropriate. Ongoing E&D Advisor. Develop effective Equality monitoring and reporting of Trust complaints from Service users and patients. Complaints team to consider and act on equality issues in the complaints process, utilising EQIA process. Annual and regular reporting structures to Board are implemented. Ongoing Complaints Manager Complaints Manager Ensure complaints reporting mechanism is fair and accessible to all with due regard to equality strands. 15 Barnsley NHS Foundation Trust - Single Equality Scheme Action Plan for 2010-2013 NHS Constitution Demonstrate through annual reports how Trust patient and public complaint process reflects the values of NHS Constitution and all equality strands through its monitoring process. June 2011 Complaints Manager Procurement of acute services All commissioning and procurement processes take account equality strands ensuing suppliers/service providers relate to the sub-contracting of services against NHS Barnsley contract. Demonstrating an understanding and commitment to the equality agenda. Action- to report against the NHS Barnsley procurement of acute services schedule. December 2010? Director of Business and Strategy Development. Demonstrate examples of Positive Action in the procurement of acute services. Reporting into Board December 2010 Demonstrate all possible Trust procuring intentions there is no evidence of discrimination biased. December 2010? Integrate Equality metrics into contract review mechanisms. April 2011 SES is monitored, refreshed and published annually. Made available on Trust intranet/internet site. Workforce data is published annually through annual Trust report and annual E&D report. To including: Recruitment and Promotion opportunities October 2010 Director of Business and Strategy Development Director of Business and Strategy Development Director of Business and Strategy Development Director of HR & OD. December 2010 Director of HR & OD Public Reporting and Publishing 16 Barnsley NHS Foundation Trust - Single Equality Scheme Action Plan for 2010-2013 across all equality strands. Gender Pay, National staff workforce survey and resulting action plan. Safeguarding CYP& Vulnerable adults. Raise the profile of Safeguarding vulnerable children and adults, highlighting appropriate mechanisms for reporting and training. Jan 2011 Appropriate mechanisms in place to reflect diversity if patient/public. Variety of Safe guarding reporting mechanism available and accessible to all users of Trust services. Reporting in to the Trust Board. Raise profile of Trust Bullying and harassment Advisors. Jan 2011 Named Safe guarding Nurse. Named Children and Young people lead. Named Safe guarding Nurse. Named Children and Young people lead. Director of HR & OD. Jan 2011 17 ` Barnsley NHS Foundation Trust - Single Equality Scheme Action Plan for 2010-2013 2. Employment – Aim: To develop a representative workforce as an employer Lead Directorate Religion or Belief Sexual Orientation Trust demonstrates good workforce and building practice relating to disability legislation (2 symbols). The Trust to demonstrate further workplace adjustments (i.e. customise telephones under DDA for deaf and deafened users. Ensure staff reasonable adjustments are maintained. Appropriate disabled parking and access for disabled service users and staff. Updated estates survey to help inform benchmark on any further DDA developments required. Ensure disabled access users are engaged in any consultation process. Trust to demonstrate all our workforce monitoring, training delivery, policy design and evaluation processes, reflective our commitment to Human Rights compliance and reflects our commitment to staff as stated in the NHS Constitution. September Chief Operating Officer January 2011 Director HR & OD December 2010 Asst. Director of HR&OD Equality and Diversity mandatory training undertaken by Trust staff. Completion to be monitored through staff PDR/Appraisal mechanism and KSF Competency framework. Evidence of assurance mechanism in place for staff not undertaken training within Age Staff aware of own Equality and Diversity responsibilities Gender Equality and Human Rights Legislative compliance Disability Timescale Human Rights Disability reasonable Adjustments (DDA) Race Action Objective 2010 18 Barnsley NHS Foundation Trust - Single Equality Scheme Action Plan for 2010-2013 reasonable time frame (3 years). Schedule of Equality Impact Assessment training/Master class is rolled out for staff involved in developing strategy, plans and policy HR Policies are refreshed in line with latest Equality legislation and good practice. Ongoing Trust to review all policies against the Equalities Bill (Act) and Human Rights Act 1998 to ensure Trust compliance. Action: 12monthly Review EIA toolkit. June 2011 E&D Advisor October 2010 HR Policies are all available on the HR refreshed intranet and internet sites where appropriate. Human rights policy embedded in all Trust functionality Promotion and development of minority groups, monitoring retention and progression. recruitment and job promotion Trust Equality Diversity& Human Rights policy approved by the Board. Uploaded on Trust internet and HR intranet. Ensure training is provided for line managers in equalities particularly around grievance, flexible working, special leave, bullying and harassment Identify and develop action possible reasons for any block to progression beyond Band 5 level, in Trusts underrepresented groups. E&D Advisor Divisional Directors. HR Director October 2010 Director of HR & OD October 2010 June 2011 HR &OD Director Trust to promote National Emerging Leaders and Breaking through programmes, monitoring the take up and management of programmes. 19 Barnsley NHS Foundation Trust - Single Equality Scheme Action Plan for 2010-2013 Religion/faith/ belief Area for private contemplation or worship Generate support structures crossregion, on all equality, diversity and Human Right related issues. Monitoring diversity regulations Embedding best practice E&D and Human Rights. Mental Health attitudes and support development Trust to review and action through development leaders from other minority groups in the workforce. i.e., disability, LGBT Action- use workforce monitoring data for meaningful outcomes. Evaluate current Trust prayer arrangements with Policy and Operations. Existing issue around privacy for Muslim staff who require an area much more regularly Work with healthcare partners and a cross section of voluntary sector and community groups to establish an equality network. April 20110 Chaplaincy. Ongoing 2010 Director of HR & ODs. Explore and support through SHA leadership, a countywide BME staff network. December 2010 Trust Race, Disability and Gender Equality Scheme’s are regularly updated, Confirming a commitment to race equality. Action plan to - be included in the SES - this will be monitored continuously through E&D Steering Group. All HR policies are Equality Impact Assessed. EqIA Master class training to be designed and delivered to Trust. All planned hospital restructures are supported by EQIA process. 6 monthly HR/ Ops & Policy Ongoing. Divisional Directors. June 2010 Director of HR & OD Rollout of Stress workshops in support of staff. Continual evaluation of Trust Bullying and Harassment Advisors to reflect NHS Constitution, and its pledge to fair and equal treatment in the 20 Barnsley NHS Foundation Trust - Single Equality Scheme Action Plan for 2010-2013 workplace of staff. NHS Constitution Trust evaluates diverse staff needs. LGB&T staff issues equality auditing. NHS Constitution NHS Constitution Carers Demonstrate how all staff is able to effectively engage in decision making processes which affect them and the services they provide. Evidenced through workforce annual report. Staff survey evaluated with key actions from staff survey built into local business plans. January 2012 Director of HR & OD December 2010 Divisional Director Trust to undertake benchmarking equality index audit - Stonewall. Key recommendations to be built into Trust Schemes/ action plans and monitored through E&D Steering Group. October 2010 Production of ethnicity and diversity training data to evaluate and inform Trust y which staff receive training opportunities and who is excluded. Action; Review of training polices using the EqIA process. Produce 3 year plan of EqIA L&D for policies. Diversity report on study leave opportunities, to be incorporated into workforce annual and quarterly report, ensuring none discriminatory practices. Understand key issues for staff who are carers, i.e. EqIA &Refreshing flexible working and special leave policy, Monitoring policy and carer feedback, c)Identifying carers and their priorities in the workforce Acting on staff survey producing meaningful outcomes. March 2011 Learning & Development Lead. December 2010 Director of HR & OD 21 E&D Steering Group. Barnsley NHS Foundation Trust - Single Equality Scheme Action Plan for 2010-2013 3. Clinicians to provide services appropriate to individuals specific needs. Religion or Belief Sexual Orientation December 2010 Clinical Governance lead. NHS Constitution Evaluate service provision to patients/users/public by analysing complaints across all user groups. Develop a quarterly report to Assurance Committee to include how Equality Diversity and Human Rights have impacted in complaints process. September 2010 Complaints Manager NHS Constitution Take up continual training and development opportunities around new and emerging equality and Human Rights health themes. Ensure staff through continual development, do not unwittingly discriminate against patients, medical students or staff and adhere to the general equality duties and Human Rights legislation Ensure that any business case to mandate a service review/design includes consideration and resource for the publication of information in different languages and alternative modalities. January 2013 Clinical Governance Committee Clinical Governance Committee Communication Dept. NHS Constitution January 2011 22 Age Working jointly with clinical engagement through existing clinical reference groups to analyse population demographics and clinical outcomes in relation to reducing discrimination and health inequalities and, safeguarding through all strands. Gender Lead Disability Timescale Race Action Human Rights Objective Barnsley NHS Foundation Trust - Single Equality Scheme Action Plan for 2010-2013 Age discrimination Embed use of Health Equality Data Audits and Health Impact tools Using JSNA data, actively engage with ‘hard to reach’ groups to understand their cultural and diverse health needs. Action Build into key Divisional clinical health needs objectives. Scope issues, developing work streams with outcomes to ensure the elimination of discrimination around age and a framework which includes age and health inequalities. Develop programme of cultural learning specifically to support the work of clinicians and support the patient experience agenda. Implement the recommendations of “Achieving age equality in health and social care” Divisional Directors. April 2011 Divisional Clinical Directors. May 2011 2010 July 2010 Director of HR & OD Clinical Audits /IT Process for quality assuring audits and analysis of the inequality themes to support annual reports to the Board. July 2011 Clinical Audits /IT Results and outputs of these audits are described in business cases and E&D annual reports. December 2011 Clinical Audits /IT January 2010 Clinical Audits /IT Identify a lead for the deliver of the Health Inequalities data work stream The protection of Vulnerable Adults January 2011 Trust strategy on the Protection of Vulnerable Adults to reflect safeguarding implemented. All staff to undertake mandatory Safeguarding training. Scope and develop a local action plan Ongoing Trust Safeguarding Lead Ongoing. Clinical lead/Trust Safeguarding Lead 23 Barnsley NHS Foundation Trust - Single Equality Scheme Action Plan for 2010-2013 Green light toolkit from Safe Guarding. Trust to develop a robust mechanism to improve mental health care of patients with learning disabilities. December 2010 Clinical lead/Trust Safeguarding Lead To ensure any redesign of the recovery and rehabilitation pathway meets the requirements of the single equality scheme Ensure any design and redesign of perinatal mental health care meets the requirement of the single equality scheme Establish/develop Translation Services Complete an equality impact assessment on proposals to redesign the Recovery and Rehabilitation pathway. Ongoing. Clinical Lead. Complete an equality impact assessment on proposals for a perinatal mental health service at the start and end of the service redesign. January 2011 Clinical lead Women and Children’s Produce effective translation service to address the needs of our diverse service users. Action: ensure the service can meet the needs of diverse service users, i.e.: race, gender, social class, age, religion April 2011 Pals lead Action: to implement and monitor and review the new contract and ensure that it meets the needs of our population and services September 2011 24 Barnsley NHS Foundation Trust - Single Equality Scheme Action Plan for 2010-2013 4a) Communications Human Rights Religion or Belief Sexual Orientation Consider diversity of service users& equality issues, demonstrating diverse methods of communication using a variety of mediums. Marketing and communications to proactively ensure that the public can access information and services (Trust website and materials reflect local demographics and equalities inc appropriate images). October 2010 Communication Dept Ensure the EIA’s are published on the Trusts webpage. December 2010 Communication Dept./E&D Advisor Communication Dept. Communication Dept. BDI Trust newsletter to demonstrate commitment to January equality and diversity through variety of diverse 2011 articles. BDI Trust newsletter exemplifies expected behaviours that treat people equally, value diversity and respects Human Rights January 2010 25 Age Lead Gender Timescale Disability Action Race Objective Barnsley NHS Foundation Trust - Single Equality Scheme Action Plan for 2010-2013 4b) Public Engagement Religion or Belief Sexual Orientation Public engagement encompasses all strands of diversity Establish local partnership networks and preferred communication methods with partner groups and key local equality organisations, to ensure the Trust reflect our local population, and engage together on common health themes. Action: Share evidence in Share point system. PALS to develop a public engagement toolkit which addresses Trusts responsibilities under the policy and provides guidance on how to undertake inclusive engagement activity. Action: regular review of toolkit to reflect any gaps in relation to changing demographics. Establish and maintain and share an up to date community stakeholder mapping list, for internal Trust staff distribution. Trust Engagement strategy demonstrates consideration and effective resources for the publication of information in different languages and alternative modalities January 2011 Div. Directors Ongoing PALS lead January 2011 Communications Dept January 2011 PALS lead. Develop equality mapping process to ensure engagement includes all under represented groups. Work with communication Dept. to publish results of EIA and consultations that demonstrate 26 January 2011 Communications Dept Monitors and challenges: E&D Advisor Age Lead Gender Timescale Disability Action Race Objective Barnsley NHS Foundation Trust - Single Equality Scheme Action Plan for 2010-2013 engagement with all local under represented groups. Develop local network of ‘critical Friends’ are mapped. Critical friends challenge, support and help direct the equality work of the Trust, including evaluate EIA’s. January 2011 27 E&D Steering Group. Barnsley NHS Foundation Trust - Single Equality Scheme Action Plan for 2010-2013 5. Access and Disability Evidence of actioning workforce survey and supporting Disability inequality Trust to invest in training to implement Bullying and Harassment Advisors. Action: Training to be reviewed, ensuring Advisors are upto-date with current equality legislation and equality issues relating to NHS workforce discriminatory issues. April 2011 Ensure Place to worship at work and private contemplation is accessible to all staff and supports our commitment to religion and belief agenda. Trust has in place room for diverse faiths for prayers or contemplation. Regular user evaluation of prayer facilities to ensure positive experience and ensure health and safety matters are considered. Ongoing Action: Ensure appropriate DDA access to places of worship. 28 Head of Estates and Facilites. Director of HR & OD Chaplaincy Sexual Orientation December 2010 Religion or Belief Feasibility review of the buildings compliance under the DDA. Outcomes with action plans shared with Divisional leads and Departmental leads. Age Trust can demonstrate working towards improving reasonable adjustments’ Lead Gender Timescale Disability Action Race Objective Barnsley NHS Foundation Trust - Single Equality Scheme Action Plan for 2010-2013 CQC Equality Human Rights standards Patient learning disabilities/Mental health. Ensure Building is compliant under DDA regulations. Action: procure Disabled Go to undertake a robust review of building and toilet access. Action: Reflect any work in CQC Audit SharePoint. Appropriate evidence under this key objective are collated and evidenced on behalf of the Trust. . Trust to develop a strategic clinical learning disabilities Group. Terms of reference and work stream demonstrates our commitment to dignity and respect. Safeguarding. Regular updates and report available through appropriate strategic group. Adult and Children safeguarding training embeds all equality and Human Right strands and is Mandatory to all staff, encompassing equality strands. 29 Trust Operating Framework lead June 2011 Ongoing Clinical Risk Advisor April 2011 Safeguarding Lead June 2011 Adult and Children and Young people lead. Barnsley NHS Foundation Trust - Single Equality Scheme Action Plan for 2010-2013 References NHS Guidelines and Frameworks: National NHS Constitution (Equal access and personalised care) NHS Operational Framework. Human Rights 1998 Equality Act 2010 Improving Working Lives Reducing Health Inequalities Healthcare for All Positively Diverse Care Quality Commission Regulations Vital Signs Pace Setters Stone Wall Reports Darzi Report Francis report Marmot Report Local strategies and agreements Trust Business Plan. 30
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