Central & North West London
Mental Health NHS Trust
Equalities and Diversity Committee
Minutes of the meeting held on 22nd February 2006
Present: Hiroo Chothia (Chair), Non-Executive Director
Harrison Aibangbee, Brent Adults
David Brettle, Director of Human Resources
Alison Devlin, Equalities and Diversity Co-ordinator
Eileen Dickinson, Occupational Therapy
Andrew Eagle, Psychology
Paddy Floyd, Substance Misuse Services
Mary Gould, Westminster Adults
Carol Harrison-Read, Harrow Adults
Alex Lewis, Medical Directorate
Edward Matt, Director of Operations
Sue McDonnell, K&C Adults
Gillian Trainor, Nursing Directorate
Nick Bell (minutes)
1. Apologies for Absence
1.1 Apologies for absence were received from Fiona Sutcliffe (Older
Adults), Alicia Etchegoyen (CAMHS), David Truswell (FIS Co-
ordinator), Richard Bryant-Jefferies (E&D Co-ordinator) and Malcolm
Alexander (K&C BME Healthcare Forum).
1.2 The Chair welcomed Harrison Aibangbee, who will be representing
Brent Adult Services in the future.
1.3 Edward Matt advised that he would raise members’ representation with
the Heads of Services, to ensure cover for absences.
2. Minutes of meeting held on 13th September 2005
2.1 The minutes were acknowledged as being a true and accurate record
of the last meeting.
3. Matters Arising
3.1 Item 3(a): E&D strategy consultation feedback – Sue McDonnell
reported that K&C would have liked to have seen some reference to
the consultation process within the document. This matter has been
addressed and, as such, it was agreed that the documents should be
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cross-referenced. Carol Harrison-Read, Mary Gould and Paddy Floyd
reported there were no responses from Harrow; Westminster; or SMS
groups. Harrison Aibangbee agreed to establish whether any
comments had been received from Brent. It was recommended to
members that they expand their local contacts database for future use
3.2 Item 3(b): Interpreting Contract Update – Alison Devlin advised that the
service has been awarded to a company called EITI on a 3-year
contract,effective from 6/3/06. They are in the process of implementing
their service and are currently taking bookings. There is currently no
central budget for this service. All members were requested to monitor
the service and ensure it meets local needs. Quarterly meetings with
EITI are also being set up to monitor the effectiveness of the service.
3.3 As Harrow’s current interpretation services are provided by the
Council, a crossover period is being worked on. However, because of
the small size of the local provider organisation, a number of HR and
governance issues have been encountered, which will need to be
resolved over the next few months. Additionally, Brent currently has a
two-tier system whereby their Social Workers use a service provided
by the Local Authority. They have been advised to continue using this
service, which will be monitored.
3.4 It was agreed that a clear policy needed to be developed detailing
when an interpreter should be used. There are currently guidelines to
this effect on Trustnet.
Action: AD /GT
3.5 Item 6: Headline Review of the Race Equality Scheme – Edward Matt
advised that Richard Bryant Jefferies has undertaken this project. The
first draft is a well-balanced document suitable for public release, and
will be finalised within the next fortnight. Members are requested to
pass on any further comments to Richard, as a matter of urgency. Of
special interest would be further examples of good practice and
achievements within the Trust.
3.6 Item 8.4: Impact Assessment – Edward Matt advised that a further
training and a support schedule had been sent out by Richard Bryant
Jeffries in the last few days,
3.7 Item 10.3: Good Practice Feedback from Harrow – Carol Harison-
Read advised that they had now held a study day entitled “Working
More Effectively with Refugees and Asylum Seekers”. There was a
good turnout with high-quality speakers. Feedback was positive but
suggested that in the future it would be worthwhile inviting community
3.8 Item 11: - Mental Health patients with hearing difficulties – Alison
Devlin confirmed that the details had been circulated to all.
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4. Ethnic Monitoring Report
4.1 The group discussed the draft Ethic Monitoring (EM) report. Issues
Legislative need to publish workforce data;
Data collected from HR is robust and reliable, however, it has
raised issues both of BME over and under-representation within
Patient activity data is not reliable, which may have provided
some skewed results within the report;
Any EM issues discussed and addressed by the Committee
previously to be included in RES review.
Agreed that members would provide commentary against the
data, wherever possible. Where there was no clear explanation
for the data or the data raised questions, this would be addressed
through local action-plans.
Alison Devlin to provide a paper to accompany the report to the
Board key issues.
Action: Alison Devlin
5. Engaging and Changing
5.1 Gill Trainor tabled a ‘traffic light assessment’ of the recommendations
within the Engaging And Changing Report. The Committee discussed
the actions required, focusing on the ‘red/ priority’ actions. These
a. Recording and monitoring ethnicity-
- (Item 5.2.1): Ethnicity recording leaflets for the clinical area – to
be corporately designed. Agreed action to be forwarded to the
Communications Steering Group.
- (Item 5.3.2): Ethnic data training currently not available. Agreed
that this could be provided through information on Trustnet, or a
staff leaflet which could be included with the patient leaflet.
Agreed to be forwarded to the Communications Steering Group.
b. Dealing with Racial Harassment
- (item 6.4.3):Training needs to be made available to recognise
and challenge racism. Matter to be picked up under the ‘training’
section of the corporate RES action-plan.
c. Interpreting Services
- (Item 7): Agreed that a policy needed to be developed. Gill
Trainor to discuss with Alison Devlin.
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d. Training & delivery of culturally sensitive care
- (Item 8): To be discussed at the next Committee meeting.
Action: Gill Trainor / HC
6. Equalities and Diversity Action Plan
6.1 Edward Matt confirmed that the action-plan needs to be sent out with
the Race Equality Scheme for consultation in May 2006. Although a
fairly comprehensive plan, its needs to be further edited and
streamlined. He advised that he would look at the requirements to see
how they could be restructured and prioritised and discuss this further
with the Chair.
Action: Edward Matt
6.2 Additionally, it was agreed that the Action Plan was too vast and it was
not reasonable to expect to completion of all actions over the two year
period: Agreed that Yr 1 actions would be prioritised and forwarded to
the committee members for inclusion in their local plans.
Action: Alison Devlin / Edward Matt
6.3 The Committee were advised that the Trust Board will wish to agree
the 2 year priorities and to monitor achievements, against clear
outcomes and timescales, and, in particular, will wish to measure how
the actions have affected or been integrated into Trust business. It will
also want measurable assurances, so that any fulfilled action points
can be evidenced.
7. Race Equality Scheme
7.1 Edward Matt advised that the review of the previous Race Equality
Scheme is now in a position to be finalised and published. The new
RES (with action plan) will need to be finalised in the coming months,
in order to be ready for consultation in May 2006.
8. Impact Assessment
8.1 Edward Matt advised that currently all policies are menat to be
developed centrally, with protocols developed locally. It was therefore
agreed that a timetable would be developed for corporate policies, with
particular priority for those policies affected by Delivery Race Equality
(DRE). Existing policies would be impact assessed as and when they
were due to be reviewed or by the deadline set out in the timetable,
whichever was sooner. It was also suggested that an independent
person should impact assess a policy, rather than the person
responsible for the policy formulation. Agreed that whilst this would
provide added objectivity to the process, it would require much greater
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resources than are available at present and as such could slow down
8.2 The Committee agreed that formation of any new services will also
have to be impact assessed.
8.3 Edward Matt will ask Richard Bryant-Jefferies to a) develop a protocol
for the implementation of Impact Assessment b) develop the timetable;
and c) to lead on Impact Assessment.
Action: Edward Matt/ Richard Byrant-Jeffries
9. Delivering Race Equality FIS Project
9.1 David Truswell advised that the latest FIS update has been posted on
Trustnet. Committee members would also receive a copy.
10. Good Practice Feedback
10.1 Sue McDonnell presented information about the K&C Women &
Mental Health Forum, which took place in November. This was a joint
venture between K&CPCT and the Trust, with the majority of funding
from the PCT.
10.2 The purpose of the day was to provide users and carers with the
opportunity to share their experiences of MH services as well as
provide a range of complementary therapies on the day. Breakdown
of the ethnic groups who attended was: White – 50%; Asian / Asian
Britsh – 2%; Black/ Black British – 17%; Mixed – 2%; Other ethnic
group – 15%; Not stated – 14%.
10.3 The discussions and the day, in general, were well received; further
women-only meetings would also be organised, and a men only
meeting would be held in June. It was also suggested that other
groups could look into doing something similar.
10.4 Agreed that at the next meeting an example of good practice would be
provided by Westminster.
11. Any Other Business
11.1 a) GP mental health project – Malcolm Alexander was not in
attendance to brief the Committee. If possible a briefing will be sent out
with the minutes or the pertinent information will be sent by email.
12. Date of next meeting and agenda items
12.1 The next meeting of the Equalities and Diversity Committee is on the
23rd May 2005 at 10.30am.
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