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					                                            EALING PRIMARY CARE TRUST


                                         EQUALITIES OPERATIONAL GROUP

                                            5th June 2007, 9.30am – 11.00am

                         at Ealing Primary Care Trust, 1 Armstrong Way, UB2 4SA

      Chair              Stephen James (SJ)                             Public Health (Minutes)
      Present            Milan Tailor (MT)                              Clinical Governance
                         Jiwan Ralh (JR)                                Corporate Governance
                         Rob Houlihan (RH)                              Learning and Development
                         Aziza White (AW)                               Human Resources

      Apologies          Ruth Barnes (RB)                               Director of Public Health
                         Suky Johal                                     Public Health
                         Azra Fazal                                     Speech and Language Therapy
                                                                        Commissioning and Strategic
                         Antoinette Scott (AS)

1       Welcome and Introductions

2       Minutes of the meeting of 11th April 2007

2.1     In the circulated minutes the report from Clinical Governance had been recorded
        under the Corporate Governance heading. There had been no report from
        Corporate Governance. With that amendment the minutes were agreed as a
        correct record.

3       Matters arising

3.1     Mental Capacity Act 2005

        It was noted that the title of this Act had been wrongly recorded at the last

        There is a working group for the PCT and the Council. Stephen James is invited
        to the group but could not attend the last meeting. Jiwan Ralh is in touch with the

        lead Council officer, Paul Knight. Race Equality Impact Assessment of
        implementation, and more generally assessment for equalities, is likely to be very
        important. The Ministry of Justice’s national Equality Impact Assessment was
        published on 30 May 2007 and is available through this link:

3.2     Non-Executive Director Lead

        Stephen James reported that he had not written to Marion Saunders to ask about
        a Non-Executive Director (NED) lead for the Equalities Operational Group,
        because she has explained that as Chair she herself is the NED lead. Neelam
        Kumar and two other Non Executive Directors had a leaving event and their
        contribution was publicly acknowledged.

        Stephen James said that membership of the Equalities Steering Group (ESG) has
        been extended to include representatives of organisations with an interest in a
        broader range of equalities, including disability, race and ethnicity and sexual
        orientation. The ESG will be the main corporate group to drive forward the Single
        Equalities Scheme (SES), and the Equalities Operational Group (EOG) will
        continue its role of putting into practice the broader strategy. It will be chaired in
        future by the lead Executive Director on equalities, Ruth Barnes, Joint Director of
        Public Health. In Ruth Barnes’s absence, Stephen James will chair the meetings.

        The change in name of the two PCT groups has been made in order to reflect
        changes in legislation and regulation. The new Commission for Equalities and
        Human Rights will cover all equalities dimensions, superseding the Commission
        for Racial Equality, the Equal Opportunities Commission etc. The law was being
        developed to ensure that the same requirements cover workforce, goods and
        services in respect of all equalities dimensions.

4       Gender Equality Scheme (GES)

        SJ reported that he had presented the draft Gender Equality Scheme to executive
        directors last week. Some amendments were made. The draft GES is now
        published on the PCT website.

        The GES will be presented to the Joint Negotiating and Consultative Committee
        (JNCC) in July. The guidance on GES lays strong emphasis on workforce issues.
        The legislation requires public bodies to: -

                  consult employees, service users and others (including trade unions)
                  take into account any information it has gathered or considers relevant as

                   to how its policies and practices affect gender equality in the workplace
                   and in the delivery of its services in formulating its overall gender equality
                  consider the need to have objectives to address the causes of any gender
                   pay gap

        Ian Hughes and Kyri Kyriacou are working to ensure the PCT meets these
        requirements and collects the necessary data.

5       Reports from Directorates

5.1     Clinical Governance

        Milan Tailor reported that a meeting had taken place of the reference group for
        the Palliative Care equity audit. He had invited members of the Sikh community
        who are active in Gurdwaras and who have also had some contact with specialist
        palliative care services in Hillingdon. He also invited the manager of an
        organisation for Somali people with disabilities. There are some shared issues,
        and some that are specific to communities. For example, there seems to be
        generally lower awareness in the Somali community about the way the NHS
        works and how GPs function as gate-keepers to hospital services. Some of the
        recurring questions about palliative care seem to be, for example:

        What is palliative care? What is cancer? What is a hospice? Can there be
        palliative care at home? Do people only go to a hospice to die? How are faith and
        culture respected in specialist palliative care?

        It was decided to prepare answers to some of the recurring questions which could
        form the basis of a leaflet in different languages and briefing for staff and
        ‘ambassadors’ for the specialist palliative care service.

        Stephen James said that the Race Equality Foundation has produced a useful
        resource about race, ethnicity and palliative care. One of the issues raised is that
        specialist palliative care tends to focus on patients with cancer but that there are
        other conditions for which they may benefit and these may be more common
        amongst some minority ethnic groups: for example, diabetic patients with end
        stage renal failure.

        The next meeting of the reference group will take place in July 2007

        Milan Tailor reported that Delia O’Rourke had recently undertaken a survey of
        PCT patients. This had shown a high level of satisfaction with PCT services.

        Stephen James mentioned a recent survey of diabetic patients; also, the 2006
        staff opinion survey has recently been published.
                                                                                                  MT, SJ
        It was agreed to circulate the three surveys to members of the group (patients
        survey; diabetes; staff opinion).

5.2     Public Health

        SJ said that the report on Interpreting and Translation had been presented to the
        BME Health and Social Care Forum. The Forum had supported the idea of setting
        up Ealing Language Network, which had previously existed but lapsed for several
        reasons. It will be important to work involve NHS Trusts and Local Authority,
        because patients often use several services and there needs to be a co-ordinated

        The first meeting of the re-instituted Network will take place on 11th July from
        9:30am at Ealing Town Hall.

5.3     Human Resources

        Aziza White said that the Bullying and Harassment policy has provision for
        Bullying and Harassment Advisors, but that no progress has so far been made on
        implementing this part of the policy. Manjinder Flora was was responsible for
        developing the policy, but will not necessarily be responsible for implementing it.

        Stephen James said that there have been mixed experiences of this and that
        Ealing PCT should speak to colleagues in Ealing Hospital and West London
        Mental Health Trust when planning implementation.

        The BME NHS Staff Network is planning a befriending scheme

        AW will speak to Manjinder Flora and clarify who will take forward the issue of
        Bullying and Harassment Advisors. Stephen James offered to help and liaise with
        the BME Staff Network.                                                                    AW, SJ

        Stephen James asked how the Equalities Operational Group will be used to
        review policies, as discussed with Michelle Cooper at the meeting in December
        2006. Aziza White said that this will happen as and when policies are reviewed
        and have an equalities aspect. She will inform the group when this arises.                   AW

5.4     Learning and Development

        Rob Houlihan said that seven half-day Applying Diversity Workshops have been
        arranged in 2007-8. Equality and Diversity training is mandatory and is part of the

        PCT’s risk management strategy. The workshops will run back to back with
        Induction Days, so it will be convenient for new staff to attend them, although they
        will be open to all staff. Staff who have not received any diversity training will be
        given priority. All new starters should receive induction within the first four months
        of their employment.

        The Core Learning Units are available on-line for all Ealing staff.

        You can visit the website and sign up: -

        There has been a

5.5     Finance

        No report

5.6     Service Delivery

        Stephen James reported that following the last meeting he had been invited to a
        meeting of Speech and Language Therapists on 17th April to discuss equalities in
        relation to their work. They had decided to set up an equalities working group to
        deal with a range of issues, including for example:

                 Quality of interpreting and awareness of interpreters about speech and
                  language therapy.
                 Sharing information about good interpreters between SLTs.
                 Translation of letters.
                 Gender and culture, e.g. when there are no male SLTs and the male head
                  of household cannot hold discussion with female SLT.
                 Cultural competency and awareness of SLTs of different cultures.
                 Case histories and language ‘family trees’ (who speaks and understands
                  which languages).

5.7     Corporate Assurance

        Jiwan Ralh said that there was no report to make at this meeting

5.8     Commissioning and Strategy

        Stephen James will follow up with Antoinette Scott the question raised at
        the last meeting about non-English speakers’ access to information about
        the diabetic retinopathy programme.

6     Health Equity Impact Assessment

      Stephen James reported that the Checklist had been updated following the
      workshop in February 2007. It is proposed to review the programme of Health
      Equity Impact Assessment with the help of members of the EOG. The main
      stages of this would be:

      At the next meeting, members will identify some key policies or functions in their
      directorate that are relevant to equalities. We will work as a group to begin Health
      Equity Impact Assessment for one or a few of these, as we did at the February
      meeting for Language and Interpreting.                                                 All members

      We will develop a programme of policies to assess over 2007-8. Over the next
      few meetings we will agree how to implement this programme.

      As a longer term aim, members will identify and list all policies and functions in
      their Directorates (for completeness). Not all these will be assessed for impact on
      equalities. But the PCT needs to screen all policies and functions and select
      those that will be assessed.

7     Dates of next meetings

      All meetings will take place 9:30 -11:00am at 1 Armstrong Way, Southall,
      Middlesex UB2 4SA.

      Tue, Aug 07, 2007
      Mon, Oct 08, 2007
      Tue, Dec 04, 2007