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					                                                                                     [LEWISHAM PCT] EDS GRADING OF OUTCOMES
Objective      Narrative                 Outcome                       Grade   Evidence Source    Protected          Key Disadvantaged                Action Taken/to be taken to improve                KEY
                                                                                                  Characteristics    Groups currently                 Equality Delivery System Grading
                                                                                                  covered            covered and/or
                                                                                                                     engaged with:
1. Better      The NHS should            1.1 Services are                                                                   Age (Older & Young
                                                                                                                                                                                                        PURPLE - Excelling - great
health         achieve improvements      commissioned, designed and                                                         People, including
                                                                                                                                                      JSNA to include analysis and needs               performance, fully engages
outcomes for   in patient health,        procured to meet the health                                                        Looked After Young                                                             with all 9 protected
               public health and         needs of local communities,                                                        People)                   assessment of further protected groups to
all
               patient safety for all,   promote well-being, and                                                            Adults with Learning      inform service development and delivery, with a characteristics and equality
                                                                                                                                                      view to covering all protected groups in future.       embedded into
               based on                  reduce health inequalities                                                         Disability                                                                        mainstream.
               comprehensive                                                                                                Adults with Mental
               evidence of needs and                                                                                        Health conditions (with   Single Equality Scheme 2008 - 2011 to be         GREEN - Achieving - good
               results                                                         JSNA (Website)                               focus on Race)            extended to 2013 as analysis informs current    performance, fully engages
                                                                               Health Inequalities                          (common & severe)         work and cuts across most protected                 with most of the 9
                                                                               Strategy                                     Pregnant Women            characteristics (awaiting new census data)       protected characteristics
                                                                                                      Age
                                                                               Public Health led                            (including Teenagers)                                                      and usually takes account
                                                                                                      Disability (Learning                            Clearer collation of community engagement /
                                                                               Needs Assessments                            Adults with Long Term                                                        of key disadvantaged
                                                                                                      Disability, Long Term                           feedback activity relating to key disadvantaged
                                                                               Health Equity Audits                         Health Conditions (with                                                             groups.
                                                                                                      Conditions & Mental                             groups to inform needs assessment / service
                                                                               Single Equality Scheme                       focus on Age, Sex &
                                                                                                      Health)                                         design / commissioning etc.                     AMBER - Developing - good
                                                                               2008 - 2011 (analysis                        Race)
                                                                                                      Sex (Men & Women)                                                                               performance, engages with
                                                                               section)                                     Individuals misusing
                                                                                                      Maternity & Pregnancy                           We understand that through completing the some of the 9 protected
                                                                               Equality Impact                              substances and Alcohol
                                                                                                      Race / Ethnicity                                above actions and using this                        characteristics and
                                                                               Assessments (Including                       Individuals living in
                                                                                                                                                      analysis/information to inform decisions in      sometimes takes account
                                                                               QIPP EqIAs)                                  areas of high
                                                                                                                                                      the wider health economy, and continuing
                                                                                                                                                                                                         of key disadvantaged
                                                                                                                            deprivation (with focus
                                                                                                                                                                                                                groups.
                                                                                                                            on Race)                  to actively listen to feedback from members
                                                                                                                            Migrants, Refugee &       of protected groups, that our rating will         RED - Underdeveloped -
                                                                                                                            Asylum Seekers            become Green                                     poor performance, rarely
                                                                                                                            Individuals who are                                                        engages with any of the 9
                                                                                                                            Homeless / living in      These actions will inform our broader            protected characteristics
                                                                                                                            poor quality housing      Equality Delivery Objectives.                   and rarely takes account of
                                                                                                                            Roma Gypsy/Travellers                                                     key disadvantaged groups.

                                         1.2 Patients' health needs            JSNA (Website)                               Age (Older & Young        Needs Assessment and Health Equity Audits to
                                         are assessed, and resulting           Health Inequalities                          People, including         be completed and include analysis of more
                                         services provided, in                 Strategy                                     Looked After Young        protected and key disadvantaged groups e.g.
                                         appropriate and effective             Public Health led                            People)                   Sexual Orientation and /or religion/belief
                                         ways                                  Needs Assessments                            Adults with Learning
                                                                               Health Equity Audits                         Disability                Increased collection and analysis of Equality
                                                                                                                            Adults with Mental        Monitoring Data across the 9 protected
                                                                               GP contract                                  Health conditions (with   characteristics to enable more focussed
                                                                               LES Contracts                                focus on Age, Sex &       community engagement activity and better
                                                                               Public Health led                            Race) (common &           informed Health Needs Assessment / Equity
                                                                               Needs Assessment &     Age                   severe)                   Audits. Providers to be actively encouraged to
                                                                               Equity Audits          Disability            Pregnant Women            develop Personal Information Collection tools
                                                                               Equality Impact        Gender (Sex)          (including Teenagers)     with service user groups and to provide training
                                                                               Assessments (INc.      Maternity & Pregnancy Adults with Long Term     to staff regarding their importance and use
                                                                               QIPP EqIAs)            Race                  Health Conditions (with
                                                                                                      Religion & belief in  focus on Age, Sex &
                                                                               Long Term Conditions   some instances        Race)                     We understand that through completing the
                                                                               Day (organised by                            Individuals misusing      above actions and using this
                                                                               Lewisham LINk)                               substances and Alcohol    analysis/information to inform decisions in
                                                                                                                            Individuals living in     the wider health economy, and continuing
                                                                               Pacesetters Projects                         areas of high             to actively listen to feedback from members
                                                                               2010 - Breast                                deprivation (with focus   of protected groups, that our rating will
                                                                               Screening & Stroke                           on Race)
                                                                                                                                                      become Green
                                                                               Pathway                                      Migrants, Refugee &
                                                                                                                            Asylum Seekers
                                                                                                                                                      These actions will inform our broader
                                                                               Patient Experience &                         Individuals who are
                                                                                                                                                      Equality Delivery Objectives for the coming
                                                                               Feedback                                     Homeless / living in
                                                                                                                                                      year - please contact us if you have any
1.3 Changes across services                                                                              Increased engagement with key disadvantaged
are discussed with patients,                                                                             groups regarding service transitions and
and transitions are made                                                                                 change with a focus on communication,
smoothly                        Pathway changes e.g.                                                     ensuring confidentiality and equity of access
                                Integrated Stroke                                                        etc
                                Project, Diabetes
                                project, Urgent Care                                                   Work is being completed on the discharge
                                Centre & Choose Well                                                   process from Acute to community/social care
                                campaign                                                               services to reduce risk of readmission (focus on
                                                                              Adult carers of children older people, people with Learning Disabilities
                                Community               Age                   with learning disability and Mental Health conditions)
                                engagement activity -   Disability            People with Long Term
                                reports back from       Gender (Sex)          Conditions               Focus on access and communication channels
                                LINks                   Maternity & Pregnancy People with low level of for: adults with learning disability, carers of
                                                        Race (in some cases) literacy and/or who       older people from all ethnic groups, carers of
                                Patient Experience                            speak english as a       young people with learning disability etc.
                                activity from providers                       second language
                                                                                                       Increased collection and analysis of Equality
                                Informal Dialogues                                                     Monitoring Data across the 9 protected
                                between Service Users                                                  characteristics will be sought to enable more
                                & Staff                                                                focussed community engagement activity and
                                                                                                       better comparison of experience between those
                                Pacesetters Project                                                    from protected groups and general population
                                2010 - Stroke Pathway
                                for Black Men                                                          We recognise that this outcome needs
                                                                                                       significant work and will therefore inform
                                                                                                       our Equality Objectives in the coming year -
                                                                                                       please contact us if you would like to share
1.4 The safety of patients is                                                                          Continued work to ensure safety of people with
prioritised and assured                                                                                learning disability, mental health conditions and
                                                                                                       other vulnerable people through out services

                                                                                                         Increased collection and analysis of Equality
                                                                                                         Monitoring Data across the 9 protected
                                                                                                         characteristics will be sought to enable more
                                                                                                         focussed community engagement activity and
                                                                              Adults with Learning
                                Safeguarding Children                                                    better comparison of experience between those
                                                                              Disability
                                & Adults Policy &                                                        from protected groups and general population
                                                                              Adults with Physical
                                Reports                                                                  overall
                                                                              Disability
                                SUI reviews
                                                        Age                   Children & Young
                                Contractual                                                              Work being completed to encourage patients to
                                                        Disability            People
                                Management                                                               adhere to medication guidance and dosage
                                                        Sex                   Adults with mental
                                CRB checks & Risk                                                        requirements
                                                        Maternity & Pregnancy health condition
                                Management
                                                                              Individuals misusing
                                NHS Constitution                                                         We understand that through completing the
                                                                              drugs & alcohol
                                Infection Control                                                        above actions and using this
                                                                                                         analysis/information to inform decisions in
                                                                                                         the wider health economy, and continuing
                                                                                                         to actively listen to feedback from members
                                                                                                         of protected groups, that our rating will
                                                                                                         become Green

                                                                                                         These actions will inform our broader
                                                                                                         Equality Delivery Objectives for the coming
                                                                                                         year - please contact us if you have any
                                         1.5 Public health, vaccination                                                      All groups and             Specific work to be completed about targeted
                                         and screening programmes                                                            individuals are targeted   promotion of vaccination and screening
                                         reach and benefit all local                                                         depending on criteria      programmes across protected groups (for
                                         communities and groups                                                              set for immunisation       example, to build on previous work around
                                                                                                                             and screening              increasing uptake of breast screening among
                                                                          Immunisation group
                                                                                                                             programmes. However        black women aged 45+ and do different
                                                                          minutes
                                                                                                                             promotion / awareness      activities to reach various groups)
                                                                          Immunisation
                                                                                                                             raising efforts have not
                                                                          Newsletter
                                                                                                                             traditionally been       Increased collection and analysis of Equality
                                                                          Immunisation Public
                                                                                                    Age                      targeted to protected    Monitoring Data across the 9 protected
                                                                          Health Dashboards
                                                                                                    Disability               groups.                  characteristics will be sought to enable more
                                                                                                    Sex                                               focussed community engagement activity and
                                                                          Needs Assessments:
                                                                                                    Maternity & Pregnancy    Promotion activity has better comparison of access/uptake between
                                                                          Cancer-2010
                                                                                                    Race                     so far been specific to: those from protected groups and general
                                                                                                    Religion & Belief (in                             population overall (linking to priority groups
                                                                          PH Dashboards
                                                                                                    some cases)              Age                      identified in JSNA & other NA’s)
                                                                                                    Sexual Orientation (in   Disability (Learning
                                                                          Pacesetters - Breast
                                                                                                    same cases)              disability)              We understand that through completing the
                                                                          screening project
                                                                                                                             Sex (Men & Women)        above actions and using this
                                                                                                                             Maternity & Pregnancy analysis/information to inform decisions in
                                                                          Health Promotion /
                                                                                                                             Race/Ethnicity           the wider health economy, and continuing
                                                                          Screening Promotion
                                                                                                                             Some visits to religious to actively listen to feedback from members
                                                                          Efforts
                                                                                                                             groups                   of protected groups, that our rating will
                                                                                                                                                      become Green

                                                                                                                                                        These actions will inform our broader
                                                                                                                                                        Equality Delivery Objectives for the coming
2. Improved      The NHS should          2.1 Patients, carers and         Equity Audits                                                                 Increased collection and analysis of Equality
patient access   improve accessibility   communities can readily          North Lewisham Needs                                                          Monitoring Data across the 9 protected
and              and information, and    access services, and should      Assessment & Plan                                                             characteristics will be sought to enable more
experience       deliver the right       not be denied access on          Contractual                                                                   analysis to take place around who is accessing
                 services that are       unreasonable grounds             Management (inc.                                                              our services and in what way
                 targeted, useful,                                        SLaM)
                 useable and used in                                      NHS Health Checks                                                             Work to take place together with key
                 order to improve                                         (Good Practice around     Age                                                 disadvantaged groups to develop information
                 patient experience                                       improved access &         Disability                                          resources around key priority areas as agreed
                                                                          EqIA)                     Sex                                                 by the HWBB: Smoking, Substance Misuse &
                                                                          IAPT Development (inc     Maternity & Pregnancy                               Alcohol and Health Weight, Healthy lives
                                                                          EqIA)                     Race
                                                                          Integrated Stroke         Religion & Belief                                   We understand that through completing the
                                                                          Pathway redesign                                                              above actions and using this
                                                                          QIPP EqIAs for projects                                                       analysis/information to inform decisions in
                                                                          delivered 2011-12                                                             the wider health economy, and continuing
                                                                          LES Development (e.g.                                                         to actively listen to feedback from members
                                                                          Alcohol)                                                                      of protected groups, that our rating will
                                                                          Cancer Screening                                                              become Green
                                                                          Services
                                                                                                                                                        These actions will inform our broader
                                         2.2 Patients are informed                                                                                      Equality Delivery Objectives for the coming
                                         and supported so that they       Contractual               Age
                                         can understand their             Management (inc.          Disability
                                                                                                                                                        Ensure providers recognise the need to value
                                         diagnoses, consent to their      SLaM)                     Gender (Sex)
                                                                                                                                                        diversity in the way patients are informed and
                                         treatments, and choose their     NHS Health Checks         Marriage & Civil
                                                                                                                                                        supported to understand their diagnoses, be
                                         places of treatment              (Good Practice around     Partnership
                                                                                                                                                        able to consent to treatments and exercise their
                                                                          improved access &         Maternity & Pregnancy
                                                                                                                                                        own choice (Policies and contractual
                                                                          EqIA)                     Race
                                                                                                                                                        management)
                                                                          IAPT Development (inc     Religion & Belief
                                                                          EqIA)                     Sexual Orientation
                                                                          Integrated Stroke
                                       2.3 Patients and carers                       Patient Experience                                Particular groups e.g.
                                       report positive experiences                   feedback from                                     Lewisham Speaking
                                       of the NHS, where they are                    providers                                         Up!
                                       listened to and respected                     Communications &
                                       and their privacy and dignity                 Engagement activity                               PALS
                                                                                                               Age                                              Increased collection and analysis of Equality
                                       is prioritised                                Long Term Conditions
                                                                                                               Disability                                       Monitoring Data across the 9 protected
                                                                                     Day                                               Engagement recorded
                                                                                                               Sex                                              characteristics will be sought to enable better
                                                                                     Lewisham LINks                                    in Engagement Report
                                                                                                               Race                                             analysis of patient experience and feedback via
                                                                                     feedback via database                             10/11.
                                                                                                                                                                community engagement activity
                                                                                     & Enter & View
                                                                                     Quality Accounts
                                                                                     GP Patient Surveys
                                                                                     Service Evaluations
                                                                                     Informal Dialogue &
                                       2.4 Patients' and carers'                     Contractual
                                       complaints about services,                    management of
                                       and subsequent claims for                     providers including
                                       redress, should be handled                    South London and
                                       respectfully and efficiently                  Maudsley NHS
                                                                                     Foundation Trust                                                           Increased collection and analysis of Equality
                                                                                     includes complaints       Age                                              Monitoring Data across the 9 protected
                                                                                     about services.           Disability                                       characteristics will be sought to enable
                                                                                     Patient Advice and        Sex                                              organisations to more effectively analyse
                                                                                     Liaison Services          Race                                             complaints and subsequent redress in terms of
                                                                                     monitoring. Compaints                                                      respect/efficiency experienced by those among
                                                                                     monitoring (althoug low                                                    protected groups
                                                                                     volumes).
                                                                                     LINKs comments
                                                                                     process.


3.            The NHS should           3.1 Recruitment and              Cluster to                             Age
Empowered,    Increase the diversity   selection processes are fair,    complete                               Disability
engaged and   and quality of the       inclusive and transparent so     Feb-Mar                                Sex
well-         working lives of the     that the workforce becomes       2012                                   Gender Reassignment
supported     paid and non-paid        as diverse as it can be within                                          Marriage & Civil
staff         workforce, supporting    all occupations and grades                                              Partnership
              all staff to better                                                                              Maternity & Pregnancy
              respond to patients'                                                                             Race
              and communities'                                                                                 Religion & Belief
              needs                    3.2 Levels of pay and related    Cluster to                             Sexual Orientation
                                                                                                               Age
                                       terms and conditions are         complete                               Disability
                                       fairly determined for all        Feb-Mar                                Sex
                                       posts, with staff doing the      2012                                   Gender Reassignment
                                       same work in the same job                                               Marriage & Civil
                                       being remunerated equally                                               Partnership
                                                                                                               Maternity & Pregnancy
                                                                                                               Race
                                                                                                               Religion & Belief
                                       3.3 Through support, training,   Cluster to                             Sexual Orientation
                                                                                                               Age
                                       personal development and         complete                               Disability
                                       performance appraisal, staff     Feb-Mar                                Sex
                                       are confident and competent      2012                                   Gender Reassignment
                                       to do their work, so that                                               Marriage & Civil
                                       services are commissioned                                               Partnership
                                       or provided appropriately                                               Maternity & Pregnancy
                                                                                                               Race
                                                                                                               Religion & Belief
                                                                                                               Sexual Orientation
                                          3.4 Staff are free from abuse,   Cluster to                            Age
                                          harassment, bullying,            complete                              Disability
                                          violence from both patients      Feb-Mar                               Sex
                                          and their relatives and          2012                                  Gender Reassignment
                                          colleagues, with redress                                               Marriage & Civil
                                          being open and fair to all                                             Partnership
                                                                                                                 Maternity & Pregnancy
                                                                                                                 Race
                                                                                                                 Religion & Belief
                                          3.5 Flexible working options     Cluster to                            Sexual Orientation
                                                                                                                 Age
                                          are made available to all        complete                              Disability
                                          staff, consistent with the       Feb-Mar                               Sex
                                          needs of patients, and the       2012                                  Gender Reassignment
                                          way that people lead their                                             Marriage & Civil
                                          lives                                                                  Partnership
                                                                                                                 Maternity & Pregnancy
                                                                                                                 Race
                                                                                                                 Religion & Belief
                                          3.6 The workforce is             Cluster to                            Sexual Orientation
                                                                                                                 Age
                                          supported to remain healthy,     complete                              Disability
                                          with a focus on addressing       Feb-Mar                               Sex
                                          major health and lifestyle       2012                                  Gender Reassignment
                                          issues that affect individual                                          Marriage & Civil
                                          staff and the wider population                                         Partnership
                                                                                                                 Maternity & Pregnancy
                                                                                                                 Race
                                                                                                                 Religion & Belief
4. Inclusive    NHS organisations         4.1 Boards and senior                         Cluster Corporate        Sexual Orientation
leadership at   should ensure that        leaders conduct and plan                      Equalities Group and E
all levels      equality is everyone's    their business so that                        & D working group.
                business, and             equality is advanced, and                     Lewisham Clinical
                everyone is expected      good relations fostered,                      Commissioning Group
                to take an active part,   within their organisations and                EDS sign up and
                supported by the work     beyond                                        completion.
                of specialist equality                                                  EDS Launch 14th
                leaders and                                                             November 2011 with
                champions                                                               Leadership of Chair
                                                                                        and Chief Executive of   Age
                                                                                        PCT Cluster              Disability
                                                                                        EqIA practice locally    Sex
                                                                                        EqIA on QIPP             Maternity & Pregnancy
                                                                                        intentions               Race
                                                                                        Equality Impact
                                                                                        included in board
                                                                                        papers / new policy
                                                                                        documents
                                                                                        Joint Commissioning
                                                                                        with LB Lewisham
                                                                                        Council subject to
                                                                                        council E & D
                                                                                        Leadership &
                                                                                        Processes
4.2 Middle managers and                     Equality and Diversity                              Ensure work plans are in place through the
other line managers support                 Policy for Staff                                    transition period to authorisation of Clinical
and motivate their staff to                 Equality and Diversity                              Commissioning Groups and the development of
                                                                        Age
work in culturally competent                training (Staff induction                           the National Commissioning Board and
                                                                        Disability
ways within a work                          up until March 2011) ?                              Commissioning Support Organsations.
                                                                        Sex
environment free from                       In current induction.
                                                                        Maternity & Pregnancy
discrimination                              Equality & Diversity
                                                                        Race
                                            Training - intranet
                                                                        Religion & Faith
                                            based
                                                                        Sexual Orientation
                                            EIAs evidence in Goals
                                            1 and 2 delivered by
                                            middle managers.
4.3 The organisation uses      Cluster to                               Age                     South East :London Cluster to drive forwards
the NHS Equality & Diversity   complete                                 Disability              the fulfillment of the NHS Equality & Diversity
Competency Framework to        Feb-Mar                                  Sex                     Competency Framework across all
recruit, develop and support   2012                                     Gender Reassignment     organisations
strategic leaders to advance                                            Marriage & Civil
equality outcomes                                                       Partnership
                                                                        Maternity & Pregnancy
                                                                        Race
                                                                        Religion & Faith
                                                                        Sexual Orientation
               great
       fully engages

eristics and equality



               good
mance, fully engages

ted characteristics
ually takes account



                good
mance, engages with
 of the 9 protected

 mes takes account




erformance, rarely
 s with any of the 9
 ted characteristics
ely takes account of
advantaged groups.

				
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