WAKEFIELD DISTRICT PRIMARY CARE TRUST by opd58739

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									       Single Equality Scheme (SES)
     “Building Healthier Communities”




Version:                   1

Committee Approved by:     Wakefield District Primary Care Trust Board

Date Approved:             April 2008

Author:                    Director of Corporate Services

Responsible Directorate:   Corporate Services

Date Issued:               April 2008

Date Reviewed:             April 2011
                              CONTENTS

                                     Page
1    Forward ………………………………………………………………. 3

2     Who we are ………………………………………………………….. 4

3     Purpose ……………………………………………………………… 8

4    Legislative Context ………………………………………………….10

5    Age Discrimination ………………………………………………… 13

6    Definition of disability ……………………………………………... 14

7    What is Equality & Diversity? …………………………………….. 22

8    Arrangements for Communications …………………………….. 23

9    Delivering through Policy Development ………………………... 23

10   Commissioning for Equality ……………………………………… 24

11   The PCT as an Employer ………………………………………….. 25

12   Employment & Gathering of Equality Data …………………….. 26

13   Equality Impact Assessments …………………………………… 26

14   Accountability ………………………………………………………. 27

15   Monitoring & Reviewing the Scheme …………………………... 27

16   Enforcing the Single Equality Scheme ………………………… 27

17   Health Care Commission – Standards for Better Health
     Relating to Equality & Diversity ………………………………… 28

18   Complaints …………………………………………………………... 29

Single Equality Schemes Actions ………………………………………. 30

Appendix 1 - Terms of Reference ……………………………………... 57

Appendix 2 - Human Rights Act –The Convention Rights ………... 60

Appendix 3 - Equality Impact Assessment Toolkit …………………. 63




                                  2
1   Foreword

    I am delighted to share with you Wakefield District Primary Care Trust‟s first
    draft Single Equality Scheme.

    Wakefield District Primary Care Trust is a new organisation (PCT) formed on
    the 1st October 2006 as a result of the reconfiguration of West Wakefield PCT
    and Eastern Wakefield PCT. As a new organisation we have been subject to
    change, and whilst change brings challenges it also presents us with real
    opportunities.

    Our first year, has included the recruitment of a new Senior Management
    Team, developing new structures, systems and processes and looking for
    new and improved ways of working.

    As Chief Executive, I have been working closely with my Senior Management
    Team to ensure that equality and diversity is firmly embedded within the
    organisations structures and functions. Both leadership and commitment at
    all levels will be vital to the success of this scheme and everyone within the
    organisation will have a responsibility to behave in a way which promotes
    equality, values diversity and respects human rights.

    Whilst the PCT has made improvements to the way in which it responds and
    delivers on equality, I recognise that as a learning organisation we still have
    some distance to travel in order to meet our ambitions.

    This document has been developed in light of the changes within equality
    legislation, the establishment of the Equality and Human Rights Commission
    and the ongoing changes as we seek to modernise the NHS. It is the starting
    point of making equality and diversity a reality, where our words are put into
    practical measurable actions, and where we make ourselves accountable to
    those we are accountable to.

    Genuine diversity cannot be achieved in isolation; it requires the collective mix
    of talents, skills and experiences to bring about positive and lasting change

    I hope you will take the time to read our scheme, your views, comments and
    experiences matter. Help us to continue to improve our approach to both
    service delivery and employment practices.

    Finally, I look forward to working with staff, strategic partners, equality
    representatives, patients and the public in making a difference to the
    health and wellbeing of local people within our communities.




    Alan Wittrick
    Chief Executive


                                         3
2   Who we are

    Wakefield District Primary Care Trust was established on 1st October 2006,
    bringing together the former Eastern Wakefield and Wakefield West PCTs to
    cover the entire Wakefield district with a population of approximately
    342,000 people.

    The PCT is responsible for commissioning hospital, specialist and community
    based health services to meet the needs of local people, and for monitoring
    the work of GP practices, dentists, pharmacists, and optometrists. We also
    provide a range of services in the community such as district nursing, health
    visiting, sexual health and contraception services, podiatry and child health
    services and work in partnership with local people and a range of local
    organisations to develop and deliver many of our services.

    A major part of our role is to improve and protect the health and wellbeing of
    local people. High levels of chronic disease such as stroke, coronary heart
    disease, and respiratory disorders mean that life expectancy in the district is
    below average, and our public health team is working to tackle the causes of
    these conditions, including smoking and obesity.

    Our Functions

    The main functions of Wakefield District PCT are to:

       Engage with the local population to improve health and wellbeing;
       Commission a comprehensive and equitable range of high quality
        responsive and efficient services, within allocated resources;
       Directly provide high quality responsive and efficient services where this
        gives best value.

    Our Health Vision

       To reduce age - standardised overall mortality for the population by 16% in
        men and 14% in women by 2010
       To reduce health inequalities as measured by the gap in life expectancy
        between Wakefield District and the national average for England by at
        least 10% and in addition to reduce inequalities within the district
        particularly between the most deprived and the least deprived localities.
       To reduce the waiting time for treatment in line with national expectations
        to ensure that by December 2008, no-one should have to wait more than
        18 weeks form referral from a GP to treatment for most medical conditions
       To promote patient choice whenever possible and to engage the public in
        shaping the future health strategy and plans.
       To ensure patients receive appropriate and safe care as close to home as
        possible and with the ability to provide safe services in appropriate
        surroundings and within the overall resources available.

    Our Vision for the Wakefield PCT as an organisation

    In order to move forward with our health vision for Wakefield the PCT is
    committed to:

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   Transforming health and healthcare
   Being a successful organisation, which delivers value for money;
   Delivering national targets in a way that benefits local people;
   Treating staff, patients and the wider community with respect;
   Being an employer of choice
   Creating a culture of shared values in which there is clarity of purpose,
    roles and responsibilities at all levels;
   Developing effective partnerships to ensure health improvement
   Working with local people

Our Values

As an organisation the PCT will ensure that it develops an appropriate and
effective culture within its organisation which is conducive to delivering this
vision and which provides appropriate support to its staff and effective
relationships with key stakeholders. The PCT will strive to have „clear‟ values.

The PCT want to be recognised as a:

Caring
Learning
Ambitious and
Responsive organisation

A caring organisation where:

   People want to work and everyone‟s contribution is valued;
   Everyone understands how their bit fits into the whole, and there is
    personal accountability at all levels;
   There is clarity about what is expected of them;
   People at every level can demonstrate how they add value;
   Pay and reward systems support the internal values systems‟

A learning organisation where:

   Information and intelligence drives our actions;
   We learn from our successes and our mistakes;
   Systems and process support, not stifle, innovation;
   People are not frightened to try things, but take responsibility for their
    actions;
   Accountability involves people being clear about the „what‟ and taking
    personal responsibility for the „how‟;

       -   Acting in accordance with the vision and values of the organisation
       -   Communicating effectively and recognising their impact on others.

An ambitious organisation which:

   Ensures the best possible health and healthcare for local people;
   Sets itself high standards;
   Delivers national must dos, that sees national targets as a minimum;
   Sets goals relevant to the district

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      A responsive organisation which:

         Recognises the responsibilities to the community it serves;
         Is accountable to the public
         Explains its decisions
         Strives for success but accepts responsibility for its mistakes
         Recognises and respects diversity;
         Demonstrates value for money;
         Does not engage in blaming others.

      Corporate Structure

      The work of the Primary Care Trust is overseen by the Trust Board consisting
      of, six Non-Executive Directors (including the Chairman), together with the
      Executive Directors. The work of the Executive is undertaken through seven
      directorates together with the Chief Executive‟s office as follows:

      Director of Finance
      Director of Public Health
      Director of Strategy and Commissioning
      Director of Nursing and Quality Standards
      Director of Corporate Services
      Director of Operations
      Medical Director

2.1   Our Staff

      The PCT‟s greatest asset is its 1,591staff, whose hard work and commitment
      have enabled the PCT to continue to provide high quality health services.
      The PCT aims to provide a workplace where people enjoy their work and feel
      valued, and wherever possible have supported staff to work flexibly. It is also
      committed to helping staff reach their full potential through a wide variety of
      training and development and opportunities.

2.2   Our Buildings

      The PCT owns 11 health centres, White Rose House in Wakefield (office
      accommodation), a dental services building (Newstead House) in Wakefield
      and Rose Garth (a house which provides respite services for children with
      disabilities). Other premises including Castleford, Normanton and District
      hospital, are leased. We are continuing to work with local GP practices to
      develop new facilities in the community.

2.3   Partnership Approach

      Improving health goes wider than the PCT, the council or any other public
      body; individuals and families make vital choices everyday which affect their
      health. The PCT works to support people to take responsibility for their lives;
      otherwise the PCT would only make small inroads to tackling health
      inequalities.

      WDPCT is signed up to the Wakefield District Local Area Agreement (LAA), a
      key strategic partnership approach to meeting local needs and priorities,
                                           6
including health, work has included promoting smoking control, physical
activity and breastfeeding as well as extending alcohol treatment services and
improving mental health services.

As part of the Kirklees and Wakefield Partnership Board, the PCT also works
with partner organisations to ensure the provision of safe, effective healthcare
across the district, including finalising the plans for the new hospitals at
Pinderfields and Pontefract.

Another key partnership is working with patients and local people to develop
and improve the PCT‟s services, as well as consultation on specific projects,
such as changes to the short break services for children with disabilities. We
aim to involve patients and the public in our work on an ongoing basis. This
includes groups set up to identify any areas for improvement in our premises
or to ensure patient information we produce is easy to use and understand, or
to work with us on improving specific areas of care such as our diabetes and
stroke services.

Research carried out by the Audit Commission shows that the principles of
effective community engagement, includes:

   Commitment
   Support
   Structure
   Representation
   Willingness to hand over control
   Ability to learn from experience
   Focus on real results
   The need to involve patients and the public in all aspects of service and
    design and delivery is enshrined in law
   Public and patient involvement should occur right at the start of service
    planning
   Local community and voluntary groups are often best placed to
    understand the and reflect the needs of particular target or geographic
    communities
   It may be hard to reach a representative cross section of communities.
    More innovative approaches, which go beyond surveys and
    questionnaires, will be needed.
   Consultation is not enough

The PCT will continue to work on building and developing strong partnerships
in line with all relevant legislation including Section 11of the Health and Social
Care Act 2001, which came into force in January 2003, and places a general
duty on the NHS to consult and involve patients and the public in:

   Planning services
   Developing and considering proposals for changes in service provision
   Decisions affecting how those services operate




                                     7
24   Health Promotion

     One of the major tasks of Public Health is to tackle and reduce health
     inequalities and improve the health of the Wakefield population. This is
     particularly important in many areas of the district where there are high levels
     of deprivation.

     Members of the public health team are engaged in a wide range of activities
     and projects that range from addressing some of the major health issues for
     the district, such as coronary heart disease, cancer, stroke, respiratory
     disease and diabetes, through to community development work to help tackle
     inequalities and improve the health and well-being of all local people.

     We also provide a range of services, including support for people who want to
     quit smoking, for victims and perpetrators of domestic violence and for people
     with drug and alcohol addictions.

     We are also responsible for health protection and work with the Health
     Protection Agency to control communicable diseases, ensure effective
     immunisation, and efficient emergency planning. The team delivers the
     screening programmes and is responsible for Child Protection issues.

     Delivering on our activities cannot be achieved in isolation and effective
     partnership working is essential to public health work. The Public Health
     Team has extensive networks both in and outside the health service and
     works with other statutory sectors and the voluntary and community sector to
     ensure that together we make a real difference to the people in Wakefield.

3    Purpose

     This is the PCTs first Single Equality Scheme; it sets out the approach we will
     adopt to embed equality and diversity both as a health care organistion
     providing and commissioning health care services and as an employer of
     1,591 staff.

     This scheme responds to the PCTs statutory duties to promote equality in six
     areas:

        Age
        Racial Group (colour, ethnic origin, nationality and citizenship including
         gypsies and travellers, asylum seekers and refugees)
        Disability (including learning and physical disabilities, sensory impairment
         and mental health)
        Gender (including transsexuals)
        Sexual orientation
        Religion or belief




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                             General Duty                         Specific Duties
                   Eliminate unlawful racial                    Publish a Race Equality Scheme stating the functions and policies relevant to the
Race Equality       discrimination                                general duty
Scheme (RES)       Promote equality of opportunity              Set out arrangement to:
                   Promote good race relations                      - Monitor policies for any adverse impact on race relations
                    between people of different racial               - Assess and consult on the likely impact of proposed policies
                    groups                                           - Publish results of assessments, consultation and monitoring
                                                                     - Ensure the public have access to information and services
                                                                     - Train staff to implement the general and specific duties
Disability
Equality           To promote equality of opportunity           To publish a Disability Equality Scheme that contains a three year action plan,
Scheme              between people with disabilities and          outlining the direction of travel for the PCT re: Disability Equality and how it will fulfil its
(DES)               other people                                  general and specific duties
                   To eliminate discrimination that is          To include how the PCT will:
                    unlawful under the Disability                     - Involve disabled people
                    Discrimination Act                                - Methods for impact assessments
                   To eliminate harassment of people                 - Arrangements for gathering information re: employment and functions
                    with disabilities that is related to              - Arrangements for how the information will be used
                    their disability                                  - Publish a report containing a summary of the steps taken under the action plan
                   To promote positive attitudes                     - Prepare and publish a Gender Equality Scheme (GES) including an action
                    towards people with disabilities                      plan, showing how the PCT intends to fulfil the duties over the next three years
                                                                 In preparing the GES:
                   To encourage participation by
                                                                  - Consult with employees, service users and others (including Trade Unions)
                    people with disabilities in public life
                                                                  - Take into account information about how policy and practice affects gender
                   To take steps to meet people with
                                                                      equality
                    disabilities needs, even if this
                                                                  - Consider the need to have objectives to address the cause of any gender pay gap
                    requires more favourable treatment
                                                                  - Ensure a three year action plan is produced that outlines how the PCT will work
                                                                      towards achieving gender equality over the next three years
                                                                  - Implement the GES and actions for gathering and using information over the next
                       Eliminate unlawful discrimination
Gender                                                                three years
                       Eliminate harassment
Equality                                                          - Review and revise the scheme every three years
                       Promote equality of opportunity
Scheme                                                            - Report on progress annually, both within the PCT and externally
                        between men and women
(GES)




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4     Legislative Context

      In addition to the public duties, there are a number of pieces of
      legislation that underpin equality and diversity within the NHS. These
      are:

4.1   Employment Equality (Age) Regulations 2006

      The regulations (which do not affect the age at which people can claim
      their state pension)

         Ban age discrimination in terms of recruitment, promotion and
          training
         Ban unjustified retirement ages of below 65
         Remove the current age limit for unfair dismissal and redundancy
          rights

      They also introduce:

         A right for employees to request working beyond retirement age and
          a duty on employers to consider such a request
         A new requirement for employers to give at least six months notice
          to employees about their intended retirement date so that
          individuals can plan better for their retirement, being confident that it
          is not being used as a cover for unfair dismissal.

4.2   Disability Discrimination Act 1995 & 2005 (as amended)

         Provides advice and guidance on what constitutes a disability
         Prohibits discrimination in relation to employment of disabled people
         Requires service providers to make reasonable adjustments so that
          disabled people can access services

4.3   Sex Discrimination Act 1975 (as amended)

      The Sex Discrimination Act 1975 (SDA) prohibits:

         Sex discrimination against individuals in the areas of employment,
          education and the provision of goods, facilities and services and in
          the disposal or management of premises.

         Discrimination in employment against married people. Since the
          Civil Partnership Act 2004 came into force on the 5th December
          2005, the same protection is given to those in a civil partnership as
          those who are married.

         Victimisation because someone has tried to exercise their rights
          under the SDA or Equal Pay Act.



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         The SDA applies to women and men of any age, including children.

4.4   Equal Pay Act 1975 (as amended)

      The Equal Pay Act 1970 (EPA) gives an individual a right to the same
      contractual pay and benefits as a person of the opposite sex in the
      same employment, where the man and the women are doing:

         Like work
         Work rated as equivalent under an analytical job evaluation study;
          or
         Work that is proved to be of equal value

4.5   Race Relations (Amendment) Act 2000

      The Race Relations Act, makes it is unlawful to discriminate against
      anyone on the grounds of race, colour, nationality, (including
      citizenship), or ethnic or national origin. All racial groups are protected
      from discrimination.

      The Act generally applies to employment, planning, housing, the
      exercise of public functions (both by public authorities and also private
      bodies exercising public functions). It also applies to the provision of
      goods, facilities and services and to education.

4.6   Employment Equality (Religion or Belief) Regulations 2003

      The Employment Equality (Religion or Belief) Regulations 2003 outlaw
      discrimination in employment and vocational training on the grounds of
      religion or belief.

      This includes:

         Direct discrimination – treating people less favourably than others
          on the grounds of their religion or belief
         Indirect discrimination – applying a provision, criterion or practice
          which disadvantages people of a particular religion or belief which is
          not justified as a proportionate means of achieving a legitimate aim
         Harassment – unwanted conduct that violates peoples dignity or
          creates an intimidating, hostile, degrading, humiliating or offensive
          environment
         Victimisation – treating people less favourably because of
          something they have done under, or in connection with, the
          regulations, e.g. made a formal complaint of discrimination or given
          evidence in a tribuneral case




                                       11
4.7   Employment Equality (Sexual Orientation) Regulations 2003

      This piece of legislation bans discrimination on the grounds of sexual
      orientation in employment and vocational training. The legislation
      specifically bans direct and indirect discrimination, harassment and
      victimisation because of sexual orientation.

      The legislation provides protection to lesbian, gay and bisexual workers
      throughout the entire employment relationship – from recruitment to
      dismissal. This applies to terms and conditions, pay, promotion,
      transfers, training and dismissal.

4.8   Civil Partnership Act 2004

      The Civil Partnership Bill became law in November 2004 and came into
      effect in December 2005.

      Civil Partnership is for adult same-sex couples who are not in an
      existing registered partnership or marriage and they are not closely
      related. Couples who have a civil partnership have legal status as
      „registered civil partners‟ and have rights and responsibilities in the
      same way as married couples.

4.9   Equality Act 2006

      The Equality Act 2006 came into force in April 2007. The Act has four
      functions:

      (i)     To create a single commission. This will replace the Equal
              Opportunities Commission (EOC), the Commission for Racial
              Equality (CRE) and the Disability Rights Commission (DRC).
              The single commission will be called the Equality and Human
              Rights Commission (EHRC)
      (ii)    To make unlawful, discrimination on the grounds of religion or
              belief in the provision of goods, facilities and services, the
              management of premises, education and the exercise of public
              functions
      (iii)   To create a duty on public authorities to promote equality or
              opportunity between men and women and to prohibit sex
              discrimination in the workplace

      These are the main pieces of legislation that refer to equality and
      diversity. There are other pieces (too many to mention in this
      document) that offer protection from different social groups. These
      often are related to protection in employment and education, it is these
      pieces of legislation that often inform local policies.




                                       12
4.10   Gender Recognition Act 2004

       The Gender Recognition Act (2004) provides transgender people with
       legal recognition in their acquired gender, so for example, a male- to-
       female trans person is legally recognised as woman in English law and
       has the full right of the gender they have transitioned to. The legal
       recognition is known as a „Gender Recognition Certificate‟.

4.11   The European Court of Human Rights

       The European Convention on Human Rights (ECHR) was drafted by
       the nations of the Council of Europe (including the UK) after World War
       II. The Council of Europe was founded to defend human rights,
       parliamentary democracy and the rule of law, and to ensure that the
       atrocities and cruelties committed during the war would never happen
       again.

       In October 2000, the Human Rights Act came into effect in the UK.
       This meant that people in the UK could take cases about their human
       rights to a UK court, previous to this date individuals had to take their
       complaints about their human rights to the European Court of Human
       Rights in Strasbourg, France.

       The rights contained in the act (in schedule 1) are referred to as „the
       convention rights‟. Human Rights are rights and freedoms that all
       individuals have regardless of their nationality and citizenship. These
       rights are fundamental to maintaining a fair and civilised society.

       There are sixteen basic rights in the Human Rights Act, and concern
       matters of life and death, like the freedom from torture and being killed,
       but they also cover rights to a fair trial and other basic entitlements
       (See Appendix 2)

5      Age Discrimination

       We often think of age discrimination as being prejudice towards older
       people over the age of 65. The Employment Equality (Age)
       Regulations 2006 clearly state the importance of acknowledging that
       age discrimination can be an issue for any age group.

       Stereotypes and stigma around age focuses on two specific age
       groups younger people (largely considered under 18) and older people
       (largely considered over 65)

       The effects of stereotypes are very real in our society with particular
       age groups feeling marginalised and excluded. Often we do this
       without realising it.

       Within health and social care settings, for many years, particular age
       groups have been passed over for treatment simply because of their


                                       13
    age. The NHS Continuing Care Framework goes some way to
    ensuring fairer services for all. Yet this can only be recognised by
    services taking these issues seriously and not treating people unfairly
    because of their age.

6   Definition of disability

    A disability is classified by the Disability Discrimination Act (DDA) as:

    A mental or physical impairment that has an adverse effect on
    your ability to carry out day to day activities and where the
    adverse effect is substantial and long-term (lasted for 12
    months, or is likely to last for more than 12 months or for the
    rest of your life)

    Based on research, around one in five people of working age are
    considered by the Government and by the Disability Rights
    Commission (DRC) to be „disabled‟.

    This means that they have a disability or a long-term health condition
    that has an impact on their day to day lives; and as such have rights
    under the Disability Discrimination Act (DDA)

    Wakefield Profile -Disability

    The following tables provide some idea of the level of need within
    Wakefield District. Whilst we recognise that some people may not
    identify themselves as disabled, many face discrimination due to their
    disability. This also includes people with physical and sensory
    impairments, deaf people, people with learning disabilities, survivors of
    the mental health system, people who use mental health services and
    people living with HIV and AIDS.

    It is also recognised that discrimination and disadvantage my be
    compounded for many disabled people because they are female, are
    older, are from a black minority communities, are lesbian or gay.

    22.4% of the Wakefield District population are reported as having a
    long term illness, health problem, or disability.




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Table 1

Shows number of residents with disabilities receiving a service from
Wakefield Social services between April 2005 and March 2006.

 Condition              Age 18-64                Age 65+           Total
 Physical disability,   1053                     5712              6765
 frailty or sensory
 impairment
 Mental health          856                      388               1244
 Learning disability    697                      65                762
 Total                  2606                     6165              8771

Source: Wakefield MDC, Housing and Social Care 2006

In Wakefield sensory impairment is slightly over the national average of
blind and partially sighted people and slightly less than the national
average of deaf and hard of hearing people.

Table 2

Shows number of blind and partially sighted people living in Wakefield
2004

 Category     Numbers of           Total                 National
              people (by age)                            comparison
 Blind        0-17 18-64 65+       1,095 (0.35%)         (0.32 %)
              20    240 830
 Partially    50    265 1,325      1,640 (0.52%)         (0.32%)
 Sighted

Source: Cited in a profile of people with disabilities in the Wakefield
District 2004

Table 3

Shows number of people who are either deaf, hard of hearing living in
Wakefield 2004

Category       Numbers of people         Total           National
               affected (by age)                         comparison
Deaf           0-17 18-64 65+            269 (0.09%)     (0.10%)
               18     84    167
Hard of        19     114 638            771 (0.24%)     (0.29%)
Hearing

Source: Cited in profile of people with disabilities in Wakefield District
        2004




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6.1   Disability Nationally

      The British Household Panel Survey, Burchard (2003 and 2003a)
      suggested that 4.7% of the „at risk‟ working age population (i.e. those
      not already disabled) become disabled every year.

      DDA disability onset rates between spring 2003 and spring 2004
      according to the ONS are much higher, at 7.4% amongst those of
      working age.

      Jenkin and Rigg reference estimated onset disability as lower, but
      nevertheless significant as 1% in 16-34 year olds, 1.4 % in 35-49 year
      olds and 2.5 % in those aged 50+ years.

      The above tables demonstrate the need to get things right for this
      equality group as they become a larger consumer of healthcare, and
      everyday adjustments may be required for both this group of people
      and the organisation to which they belong. These issues are
      acknowledged as real barriers for disabled people and actions to reflect
      and address them will be contained within this document.

6.2   Gender – Nationally

      Gender Equality relies on ensuring that we are able to offer equal
      opportunities for both men and women – including transgender people -
      who come into contact with the PCT. As an employer approximately
      89% of our workforce is female, not uncommon for the NHS

      It is well documented that women experience considerable
      disadvantage in the workplace. Across the economy as a whole, the
      pay gap between men and women stands at 18.3% for full time
      workers and 43.2% for part-time workers. Only 11% of women work as
      senior managers or officials compared with 18% of men

      Source: Annual survey of hours and earnings 2004 (ONS)

      It is vital as both an employer and a service provider that we are able to
      support men and women in all areas of their lives. This might include
      specialist knowledge and support for such as trans people, employees
      with caring responsibilities, flexible working as well as supporting
      service user and carers in accessing services.

      We do also see a great separation in expected gender roles of men
      and women and our understanding of masculinity and femininity.
      Whilst many people do not conform to any assumed gender roles, we
      do still see stereotypes that can create disadvantage for both men and
      women, both as service users, carers and employees. Although
      specific gender roles do not always imply there is an inequality, it is



                                      16
      important to be aware of the assumptions we may make about people
      in relation to their gender.

6.3   Gender

            Of the 347,386 people registered with a GP Practice in Wakefield
             (October 2007), the gender split of the population is about equal
             with 49.8% Male compared to 50.2% Female.

      
                    Population Registered w ith a GP Practice in Wakefield:
                                 Gender Split (October 2007)
               180,000                                                                55.0%
               175,000
                                                                                      50.0%
               170,000
                                                                                      45.0%
               165,000
                                                                                      40.0%
               160,000

               155,000                                                                35.0%

               150,000                                                                30.0%
                                           Male                             Female

                  Actual                 173,007                            174,379
                  %                       49.8%                             50.2%

          Source: Information Team, Wakefield District PCT, October 2007.




6.4   Ethnicity

            2.3% is the proportion of Black and Minority Ethnic groups (BME) in
             the Wakefield area is very low when compared to both the England
             average (9.1%) and the Yorkshire & Humber regional average
             (6.5%). Low proportions of BME groups in Wakefield might be
             indicative of other issues as there are larger numbers in the other
             West Yorkshire Local Authority areas including Calderdale,
             Bradford, Kirklees, and Leeds.
            Of the BME groups, people with Asian background (1.4%)
             constitute the largest ethnic minority group compared to Blacks
             (0.1%), Mixed (0.5%) with the rest including people of Chinese
             background making up (0.3%).




                                                           17
                          Population: Ethnic Demographic                                                                          Population: BME Split

  100.0%                                                                                                  5.0%
   90.0%                                                                                                  4.5%

   80.0%                                                                                                  4.0%
                                                                                                          3.5%
   70.0%
                                                                                                          3.0%
   60.0%                                                                                                  2.5%
   50.0%                                                                                                  2.0%
   40.0%                                                                                                  1.5%
   30.0%                                                                                                  1.0%
                                                                                                          0.5%
   20.0%
                                                                                                          0.0%
    10.0%                                                                                                            Wakefield        Yorkshire & Humber        England

     0.0%                                                                          Asian                               1.4%                  4.5%                4.6%
                    Wakefield         Yorkshire & Humber        England                                                0.1%                  0.7%                2.3%
                                                                                   Black
    White               97.7%               93.5%                90.9%             M ixed                              0.5%                 0.9%                 1.3%
    BM E                2.3%                6.5%                 9.1%              Chinese or other ethnic group       0.3%                 0.4%                 0.9%

Source: Census, 2001.                                                           Source: Census, 2001.




                6.5             Religion

                                   At 78.2% people of the Christian faith constitute the largest religious
                                    group in the Wakefield area. This proportion is higher than both the
                                    regional average of 73.1% and the England average of 71.7%
                                    Christians.
                                   The very low proportion recorded for other faiths – e.g. Muslim
                                    (1.1%), Sikh (0.1%) – in the Wakefield area is on account of the
                                    very low share of population of BME groups in the area.
                                                             Population: Religion/Faith Split
                          80.0%
                          70.0%
                          60.0%
                          50.0%
                          40.0%
                          30.0%
                          20.0%
                          10.0%
                            0.0%
                                                                                                                                          Religion         Any ot her
                                      Christ ian    M uslim      Hindu    Buddhist          Sikh            Jewish      No religion
                                                                                                                                         not st at ed       religion

            Wakef ield                 78.2%           1 %
                                                        .1       0.2%       0.1%            0.1%              0.0%             1
                                                                                                                              1 .7%          8.3%            0.2%
            Yorkshire & Humber                Beliefs0.3%
                                Religions and 3.8%
                                       73.1%          (including non-religious beliefs)
                                                             0.1%  0.4%     0.2%    4.1
                                                                                   1 %                                                       7.8%            0.2%
            England                     71.7%         3.1%         .1
                                                                  1 %       0.3%            0.7%              0.5%         14.6%             7.7%            0.3%



          Source: Census, 2001.




                                The UK has more diverse faith communities than any other country in
                                the European Union, with the largest minority beliefs being Islam,
                                followed by Hinduism and Sikhism. An increasing minority of the
                                population also express no religious belief, ranging from atheism to
                                humanism.

                                Personal belief and observance of traditions and rules of faith, is an
                                important part of many peoples lives:


                                                                             18
         When people and relatives are unwell, religion often becomes more
          important. Prayer and other rituals can provide comfort and can
          make recovery faster.
         It is important to make sure that information on religion is collected
          and noted
         Religion may be linked to diet, fasting, medication, times of day
          when the person may wish to pray or other matters, such as when a
          child is born or at a death.

      It is unwise to guess a person‟s religion from their appearance. Some
      people wear particular clothes or symbols, such as a Sikh turban (not
      all Sikhs wear these). Muslims are found in every ethnic group but
      most Pakistanis, Bangladeshis, and those from North Africa are
      Muslim. People from South Asian origins (including India) may also be
      Christian, Buddhist or Hindu. Believers in many faiths like to start their
      day with early prayers and this may include washing to purify
      themselves.

      It is important to acknowledge that many people have strong beliefs
      and moral values that do not relate to religion. One common example
      of this is the belief in Humanism. This is the belief that people can live
      good lives without religious or superstitious beliefs. Humanists make
      sense of the world using reason, experience and shared human values
      and seek to make the best of the one life they have by creating
      meaning and purpose for themselves. They take responsibility for their
      actions and work with others for the common good. Although very
      different in many respects, humanism encompasses atheism and
      agnosticism.

6.6   Transsexuals – Nationally

      Trans is a term used to refer to transgender and transsexual people.
      Trans is often a preferred term as transgender and transsexual to some
      can be seen to „medicalise‟ trans people and treat them as having a
      disorder.

      The PCT will demonstrate that it will work to prevent discrimination, not
      only against trans people, who have undergone gender reassignment,
      but all those who intend to undergo gender reassignment in the future.
      It is important to remember that many people may identify as trans,
      transgender or transsexual but may not meet the legal definition by
      having gone through gender related medical procedures or acquiring a
      gender recognition certificate.

      Under the Gender Recognition Act 2004, people may hold a Gender
      Recognition Certificate, as granted under the act, are considered to be
      either male or female, depending on which gender they have applied
      for. A Gender Recognition Certificate is a document granted under the
      Act that allows a person the full rights and responsibilities of their


                                      19
      acquired gender. This can include legally being able to marry someone
      of the opposite gender and applying for a new birth certificate.

      There are other people who may have a somewhat more ephemeral
      sense of gender, including but limited to, those who are „transitioning‟
      from one gender to another. WDPCT respects all gender
      presentations, irrespective of the presence of a gender recognition
      certificate.

      As an employer and a provider of services, it is important for the
      following to be taken into account:

         If someone holds gender recognition certificate the individual has
          the full rights of that gender and should be treated as such. This
          includes access to single sex spaces such as wards, toilets and
          bathroom facilities
         Staff must not make assumptions about the needs of trans people
          as they can differ greatly, what works for one might not for another.
         To disclose to another person that someone holds Gender
          Recognition Certificate (without their consent) is a criminal offence.
         Service providers need to be aware of where further information can
          be obtained, whilst organisations will not have all the answers,
          being able to support an individual by signposting individuals to the
          most appropriate support services is good practice.

6.7   Whilst the census data captured a person‟s religion it did not take
      account of other beliefs. As an employer and a provider of services we
      acknowledge the need to recognise specific needs in relation to religion
      and belief. These might be:

         Access to (where appropriate) rooms for worship
         Sacred, quiet space that anyone can use for reflection, prayer,
          group support
         Understanding the religion of both staff and service users to help
          identify what support and assistance they may require to practice
          their religion

6.8   Sexual Orientation

      Sexual orientation refers to whether a person is attracted to people of
      the same sex, opposite sex, both or neither. It is based on the belief
      that it is not something someone chooses and is determined on an
      individual basis by attraction, relationships, sexual activity, personal
      feelings and personal identity.

6.9   Mental Health and Diversity

      There are many factors that can influence an individual‟s mental health.
      We often see higher rates of some mental health issues amongst
      minority groups. This is not altogether surprising as often people that


                                      20
       belong to these groups have been isolated in society and have
       experienced some form of discrimination.

6.10   Age and Ethnicity

       Between 1997 and 1999 7.5% of the population were aged 65 or
       over and belonged to an ethnic minority group. The largest of these
       minority groups consisted of Black-Caribbean people; the next largest
       was made up of peoples identifying as Indian.

6.11   Age and Suicide

       Young men continue to be the group with the highest risk of suicide,
       and this is the most common cause of death in men under the age of
       35. Overall 75% of suicides in the UK are by men – National Suicide
       Prevention Strategy.

6.12   Age and Disability

       There is a clear link between age and disability, with approximately
       75% of men and women over the age of 85 reporting a disability.

6.13   Ethnicity and Mental Health

       Young Black males are six times more likely than their white
       counterparts to be sectioned under the Mental Health Act for
       compulsory treatment. In addition Irish men are twice as likely as the
       general population to be in psychiatric care

6.14   Gender and Mental Health

       A high proportion of Irish women suffer from various mental health
       problems and Irish women have the highest rates of suicide and self-
       harm when compared with other women. Admission rates for
       depression amongst Irish women are 40% per 100,000 compared with
       a rate of 166 amongst English women.

       Young African and Caribbean men (especially second generation) are
       much more likely to receive a diagnosis of schizophrenia, are more
       likely to be detained under the Mental Health Act and less likely to be
       offered psychological treatments such as talking therapies

6.15   Mental Health and Transgender

       Many people including health professionals confuse transgender issues
       with sexual orientation. Mental health problems for trans people are a
       serious concern, but there are often few available specialist services
       available. In addition social prejudice and discrimination are a common
       experience as are self-harm and suicide.



                                      21
6.16    Sexual Orientation and Mental Health

        A report from MIND (2003) Mental health and social wellbeing of gay
        men, lesbians and bisexuals in England and Wales identifies that gay
        men, lesbians and bisexuals generally report more psychological
        distress than heterosexuals. In addition to this evidence there are often
        high levels of self-harm in these communities and gay and bisexual
        men are seven times more likely to attempt suicide than the general.

6.17    Single Equality Scheme

        The introduction of a single equality scheme places more responsibility
        on both staff and service providers to think strategically about equality.
        Everyone has the responsibility to contribute to policy development and
        ensure implementation, good practice and positive change.

        The single equality scheme is intended to make the management,
        communication and actions easier for the PCT. It will:

           Maximise the contribution to reducing health inequalities in
            Wakefield including promoting equality of access to, experience and
            outcomes of healthcare.
           Become an employer of choice.
           Meet its statutory duty to comply fully with current legislation

7      What is Equality and Diversity?

        Equality is essentially about creating a fairer society where everyone
        can participate and has the opportunity to fulfil their potential. It is
        backed by legislation designed to address unfair discrimination (past,
        present or potential) that is based on membership of a particular group.
        In some circumstances, positive action is encouraged to address
        discrimination. It is often summarised in terms of:

           Equal Access
           Equal Treatment
           Equal Outcomes

        Diversity is about the recognition and valuing difference in its broadest
        sense. It‟s about creating a working culture, practices and services that
        recognise, respect and harness difference for the benefit for the
        individual, organisation, and the community.

        Arrangements for Consultation and involvement

        Consultation and involvement is essential to ensure WDPCT has the
        input it needs to fulfil its duties discussed in legislation. WDPCT will
        use a variety of methods:




                                        22
       Publishing the Scheme to all staff on the intranet. The Achieving
        Equality Group Leads will assist the Equality lead in engaging and
        seeking the views of the organisation
       The Equality Lead will work with individuals across the organisation
        to ensure the widest diverse groups are given the opportunity to
        share their views.
       The scheme will be placed on the internet for the public to access

8   Arrangements for Communications

    WDPCT communicates through a variety of methods with staff,
    patients, relatives, and stakeholders. This includes the website, press
    and media, public newsletters and various communications that are
    distributed outlining developments in both policy and good practice.
    Internal Communication includes the intranet, Team brief (in
    development) and staff news letter.

    The Communications and Engagement Strategy (In development) will
    further assist in promoting our legal equality duties around consultation
    and communication.

    Existing arrangements will be used for Patient and Public Involvement.

    Arrangements include the PCT‟s Annual General Meeting, its Annual
    Report, the publication to every household in the WDPCT locality and
    specific stakeholder events such as A Question of Health Listening
    events.

    The Patient Advice and Liaison Service (PALS) will continue to ensure
    equality of services for patients. The PALS service provides advice
    and help on a range of health related matters. They provide the first
    point of contact for peoples concerns; help find solutions in a timely
    manner and provide information where appropriate and relevant.

9   Delivering through Policy Development

    The General duty of all legislation is around integrating equality into the
    culture of the organisation in practical and measurable ways. It should
    be included in policy development from the outset.

    WDPCTs Equality Impact Assessment Tool will support the
    organisation in placing and considering equality at the beginning of
    revised, new or proposed policies and strategies will be screened and
    will have undertaken an initial impact assessment. Information in
    respect of what action has been taken will in respect of the policy;
    strategy is required on the cover sheet of all Board reports.

    The PCT will continue to review previous PCT documentation from its
    predecessor organisations, and will take account of all equality
    legislation through the use of the equality impact assessment process.


                                    23
10   Commissioning for Equality

     The Wakefield District Population should be provided with services that
     meet their needs and where appropriate based around their gender,
     disability and race. The equality duty will help the PCT improve the
     way it delivers services to men and women through improved
     commissioning and provision of services targeted at a certain group
     where evidence suggests this would be appropriate.

     Equality of outcome is key to the PCT and therefore this may mean the
     targeting of specific groups of people where there are inequalities of
     health in terms of service provision.

     Black and minority ethnic (BME) communities continue to face
     significant inequalities in health status and quality of life. However
     these can be addressed by ensuring that services which are relevant,
     accessible and grounded in a thorough understanding of the needs of
     diverse communities are commissioned by WDPCT. This will be
     achieved by threading equality through every single stage and activity
     within the commissioning process.

     Commissioning is a transformational activity ensuring that services
     genuinely meet the needs of people from all communities, including
     those covered by equality legislation. In order to identify the needs of
     diverse groups WDPCT will utilise information from a range of sources
     to monitor who uses existing services and how this compares with the
     information relating to community needs. Once these needs have been
     identified WDPCT will through a number of different activities identify
     the necessary service response to meet those needs developing a
     service specification which sets out the purpose of the service and
     identifies through the use of clear statements relating to all the differing
     equality strands (age, ethnicity, disability, gender, sexual orientation,
     religion / belief).

     WDPCT will endeavour to involve all equality groups covered by
     legislation in planning, implementing and operating services and
     acknowledge that it may be difficult to reach a representative cross
     section of the Wakefield population; we will therefore adopt a range of
     innovative approaches, which go beyond surveys and questionnaires,
     to gain feedback.

     In addition the PCT aims to increase the degree of contestability within
     services with the aim of increasing the mix of service provision rather
     than just relying on what can be provided by public sector
     organisations. This will include working more closely with a range of
     equality groups and the voluntary sector to help them fulfil their
     potential as alternative providers of mainstream services.




                                      24
     Equality Impact Assessments will be carried out on commissioning and
     procurement processes, including the evaluation of how well our
     service providers are complying with equality legislation.

     Once the identification of needs and the planning of the service
     response to meet these needs have been completed by the PCT it will
     ensure it procures services which meet appropriate ant-discriminatory
     legislation through an open and transparent procurement process
     backed up with clear contractual clauses outlining the PCT‟s
     expectations of its providers. Where appropriate equality criteria will be
     included in any tendering assessment process.

11   The PCT as an Employer

     The PCT‟s greatest asset is its 1,591 staff, whose hard work and
     commitment have enabled the PCT to continue to provide high quality
     health services. The PCT aims to provide a workplace where people
     enjoy their work and feel valued, and wherever possible have
     supported staff to work flexibly. It is also committed to helping staff
     reach their full potential through a wide variety of training and
     development opportunities.

     The organisations equal opportunities policy sets out how the
     organisation aims to support staff including the process and steps in
     place should the policy be contravened. The policy makes reference to
     bullying and harassment, disciplinary and grievance and incorporates
     the principles of human rights.

     The following actions have been carried out to meet equality
     compliance.

        Review of recruitment process, ensuring fair recruitment processes
        Promoting and managing flexible working arrangements
        Managing leave, support and advice for carers and parents
        Providing maternity advice and the return from maternity leave
        Managing cases which contravene the equal opportunities policy
        Carrying out impact assessments on revised and new policies
        Ensure equal pay is given regardless of gender, race or disability,
         sexual orientation, religion or belief
        Developed robust electronic systems to ensure equality data is
         captured, monitored and analysed.
        Developing a Management Skills programme that has incorporated
         equality and diversity awareness within the course content
        Monitoring formal employment regulations across all equality
         strands

     The PCT has implemented an e-learning training package (Respect for
     People) which continues to be undertaken by all staff at all levels. This




                                     25
     increases staff awareness in relation to equality legislation, and their
     individual responsibilities

     Equal opportunities‟ training is provided as part of the organisation
     induction process which is mandatory for all staff. In addition specific
     training courses are provided for staff that require additional skills to
     carry out their duties effectively e.g. recruitment and selection, impact
     assessment training, grievance procedure.

     Equality is linked into the requirements of the NHS competency
     framework; this is known as Knowledge and Skills Framework (KSF).
     The framework has six core dimensions in which every member of staff
     must demonstrate competence. All staff will be expected to reach level
     two in the equality and diversity dimension. The Senior Management
     Team and all Heads of Service are required to reach level four.

     A range of other tailored training is provided within the various
     directorates to assist staff working out in the local communities.

     All job descriptions incorporate the need to carry out duties in line with
     equality legislation.

     All staff have access to counselling services, the Achieving Equality
     Group and the Joint Consultative Committee.

12   Employment and Gathering of Equality Data

     As a requirement of public authority duties for Race, Disability and
     Gender the WDPCT will publish its workforce profile on the internet

     WDPCT will also collect statistical data relating to age, ethnicity,
     disability, gender, sexual orientation, religion/belief for:

        Applications for employment
        Staff in post
        Staff leaving
        Staff involved in disciplinary and grievances
        Staff attending training
        Joint Development Review (JDR), including promotion

13   Equality Impact Assessments

     The Equality Impact Assessment Tool is a process that enables the
     PCT to assess how existing or new policies, strategies, functions,
     service affects different groups that are covered by legislation. It
     enables the organisation to look at evidence or to consult as to whether
     a service or policy is discriminating (actual or perceived) by any
     equality group and allows the PCT to change the policy or service if it
     potentially has an adverse effect on some groups. Equally the equality



                                      26
     impact assessment process can also highlight good practice if it is
     having a positive effect.

     The PCT has in place arrangements to assess whether existing or
     proposed policies, strategies, plans and services have an adverse
     effect on specific groups, and opportunities for promoting equality in
     relation to Race, Disability or Gender.

     If gaps and adverse impacts are found through the equality impact
     assessment process action plans will be developed by each directorate
     lead.

     In order to embed the use of impact assessments, support, guidance
     and training will be provided to all Directorates through the Head of
     Equality & Diversity.

     The PCTs Equality Impact Assessment Tool can seen in Appendix 2.

14   Accountability

     The Chief Executive and Trust Board have the legal responsibility for
     equality compliance.

     The Executive Director of Corporate Services is responsible for driving
     forward the Single Equality Scheme.

     The Achieving Equality Group will monitor the scheme with input from
     across the organisation, reporting regularly to the Quality and
     Performance Group and quarterly to the Senior Management Team. In
     addition an annual progress report will be provided to the Board for
     assurance of compliance.

     Action plans will be monitored through the above mechanisms and will
     be published annually.

     The lead for equality and diversity will develop future versions of this
     scheme; support directorate equality leads in updating action plans and
     mainstreaming equality.

     The Terms of Reference for the Achieving Equality Group are
     contained within Appendix 1

15   Monitoring and Reviewing the Scheme

     Progress made on the scheme will be reported to the Achieving
     Equality Group which meets bi monthly. Quarterly updates will be
     provided to the Senior Management Team and annually to the Board.




                                     27
     The scheme will be reviewed every three years and revised annually
     ensuring that it remains up to date with the policy position and
     legislation

     The PCT has a statutory duty to monitor its business for any adverse
     and differential impact on race, disability and gender. The results of this
     monitoring will be published on the internet annually. In addition there
     is a statutory duty to monitor staff by racial group under the Race
     Relations (Amendment) Act; the results of this monitoring will be
     published in the same way.

16   Enforcing the Single Equality Scheme

     The Commission for Equality and Human Rights will take on the
     enforcement powers of the previous Commissions‟ ensuring the
     enforcement of the specific duties of the Race Relations (Amendment)
     Act, the Disability Discrimination Act, and the Equality Act.


17   Health Care Commission -Standards for Better Health Relating to
     Equality and Diversity

     The Department of Health‟s standards for better health, monitored by
     the Healthcare Commission as part of the Annual Health Check,
     contain a number of core standards where equality and diversity
     feature including:-

     Standard C7e - Health Care Organisations challenge discrimination,
     promote equality and respect human rights.

     Standard C8b - Health Care Organisations Support their staff through
     organisational and personal development programmes, and address,
     where appropriate, under representation of minority groups.

     Standard C11a – Health care organisations ensure that staff concerned
     with all aspects of the provision of health care are appropriately
     recruited, trained and qualified for the work they undertake.

     Standard C13a – Health care organisations have systems in place to
     ensure that staff treat patients, their relatives and carers with dignity
     and respect.

     Standard C16 – Health Care Organisations make information available
     to patients and the public on their services, provide patients with
     suitable and accessible information on the care and treatment they
     receive, where appropriate inform patients on what to expect during
     treatment, care and aftercare.




                                      28
     Standard C17- The views of patients their carers and others are sought
     and taken into account in designing, planning, delivering and improving
     healthcare services.

     Standard C18 – Health care organisations enable all members of the
     population to access services equally and offer choice in access to
     services and treatment equitably.

     The PCT is required to declare its compliance with all the standards on
     an annual basis.

     The Board makes this declaration to the Healthcare Commission on
     behalf of the PCT. In order to make the declaration the Board has to
     be ssured that the PCT is meeting all of the core standards. To do this
     the PCT must provide evidence of systems, processes, implementation
     and outcomes such as reports, minutes, policies etc. that have been
     produced by the PCT as Board assurance. The Quality and Reference
     Group has a co-ordination and internal assurance role on compliance
     with core standards.

     The Healthcare Commission are responsible for monitoring the PCT‟s
     compliance with the standards, and following the PCT‟s declaration,
     the PCT may be selected either randomly or deemed as at risk of non-
     compliance, for an inspection visit.

18   Complaints

     Any complaints by patients against the implementation of this scheme
     will be dealt with under the PCT‟s Complaints Procedure. The process
     for making a complaint is outlined in the leaflet Making a Complaint.

     Help and advice can be obtained by contacting the equality lead within
     the PCT.

     Employees can complain through formal employment processes such
     as the grievance procedure, provided that it involves another employee
     and not patients or the public.




                                    29
                                                Wakefield District Primary Care Trust

                                           SINGLE EQUALITY SCHEMES ACTIONS
Name of function/     High    Proposed action                              Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure    medium                                                 services that you would   High impact          Groups
and list of areas    or low                                                have to link with to      2007/2008
where action is     impact                                                 review this further or    Medium impact
necessary                                                                  take action in            2008/2009
                                                                           partnership with          Low impact
                                                                                                     2009/2010
Information         Medium       Carry out an assessment on data          PCT provider services     June 2008            All Group
support to PCT                    that is currently available on ethnic    The Health Informatics
provider services                 group, faith group, disability, sexual   Service
                                  orientation, and socio economic          WMDC
                                  group
                                 Agree definition as to what data                                                        All Groups
                                  needs to be collected on faith group,
                                  disability, sexual orientation, and
                                  socio economic group
                                 Identify gaps and prioritise areas for
                                  action
                                 Identify whether/how information         Local Authority
                                  sharing with WMDC (Wakefield
                                  Metropolitan District Council) could
                                  support these requirements
                                 Increase awareness about the need
                                                                           Health Informatics



                                                                    30
Name of function/     High    Proposed action                               Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure    medium                                                  services that you would   High impact          Groups
and list of areas    or low                                                 have to link with to      2007/2008
where action is     impact                                                  review this further or    Medium impact
necessary                                                                   take action in            2008/2009
                                                                            partnership with          Low impact
                                                                                                      2009/2010
                                  to record data on ethnic origin on        Service
                                  SystmOne


Information         Medium       Continue to progress strategic needs Commissioning                  June 2008            Ethnicity,
support to PCT                    assessment that will include limited   Public Health                                     disability and
commissioner                      analysis of data on population and     WMDC                                              gender
services                          service provision for ethnic groups
                                 Continue to support the Shared
                                  Leadership for Change project on
                                  Mental Health for BME populations
                                 Carry out an assessment on data
                                  that is currently available on ethnic
                                  group, faith group, disability, sexual
                                  orientation, and socio economic
                                  group
                                 Agree definition as to what data is
                                  needed re faith group, disability,
                                  sexual orientation, and socio
                                  economic group to inform
                                  commissioning
                                 Identify gaps and prioritise areas for
                                  action



                                                                       31
Name of function/     High    Proposed action                            Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure    medium                                               services that you would   High impact          Groups
and list of areas    or low                                              have to link with to      2007/2008
where action is     impact                                               review this further or    Medium impact
necessary                                                                take action in            2008/2009
                                                                         partnership with          Low impact
                                                                                                   2009/2010
                                 Identify whether/how information
                                  sharing with WMDC (Wakefield
                                  Metropolitan District Council) could
                                  support these requirements

Identify equality   High         Review all existing systems and      Corporate Governance        Year 1               All Groups
relevance within                  processes to identify equality
Corporate                         relevance
Governance                        - Governance
Team                              - Risk Management
                                  - Complaints and Claims
Impact Assess    Medium          Review existing strategies and       Corporate Governance        Year 1 – 2           All Groups
policies and                      policies where new
strategies                       Identify gaps and develop actions
(Equality Impact                  where appropriate
Assessment Tool)                  - Risk Management
                                  - Incident reporting (including SUI)
                                  - Medical Devices
                                  - Health & Safety
                                  - Security
                                  - Complaints and Claims
                                  - Governance (including Standards
                                      of Business Conduct)



                                                                    32
Name of function/     High    Proposed action                                Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure    medium                                                   services that you would   High impact          Groups
and list of areas    or low                                                  have to link with to      2007/2008
where action is     impact                                                   review this further or    Medium impact
necessary                                                                    take action in            2008/2009
                                                                             partnership with          Low impact
                                                                                                       2009/2010
Identify Planned    Medium       Identify proposed documents for            Corporate Governance      Year 1 – 2           All Groups
Policies and                      equality relevance
Procedures to                    Carry out impact assessment based
ensure they                       on findings
incorporate                      Review proposed documents in light
Equality &                        of findings
Diversity                         - Being Open
Requirements                      - Whistle Blowing
                                  - Claims Management
                                  - External visits
                                  - Others identified to assist in
                                      NHSLA assessment process
Review Training     Medium       Review contents of training events         Risk Management Team      Years 1 – 2          All Groups
Events                            and incorporate where appropriate
                                  equality and diversity compliance
                                  - Risk Management Training
                                  - Induction Training
Premises            High         Ensure new developments reflect            Estates Team and          Year 1               All Groups
Development                       latest building regulations to meet        external partnerships
                                  equality legislation (disability, gender
                                  and ethnicity)
                                 Work with Public Patient                   Estates Team and PPI      Year 1               All Groups
                                  Involvement Team to engage and             Involvement



                                                                     33
Name of function/     High    Proposed action                              Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure    medium                                                 services that you would   High impact          Groups
and list of areas    or low                                                have to link with to      2007/2008
where action is     impact                                                 review this further or    Medium impact
necessary                                                                  take action in            2008/2009
                                                                           partnership with          Low impact
                                                                                                     2009/2010
                                  consult where relevant
                                 Carry out Patient Involvement in         Estates Team and PPI      Year 1               All Groups
                                  PEAT Audits to test the accessibility    Involvement
                                  of proposed sites (disability, gender)
                                 Liaise with key partners and             Estates Team and          Year 1               All Groups
                                  stakeholders in the delivery of          external partnerships
                                  specific projects (PPIF, OSC and         and Equality/Disability
                                  Disabled Network)                        Groups

Develop the         High         Identify equality relevance and carry    Estates Team              Year 1               All Groups
PCT‟s Estates                     out equality impact assessments on
Strategy and                      proposed strategies and
Strategic Service                 development plans
Development                      Develop action plans based on
Plan                              findings of the impact assessments
                                 Impact assessment of SSDP                                          Year 3               All Groups
Ensure PCT          High         Risk assess backlog maintenance          Estates Team              Year 3               All Groups
Owned Premises                    work included in the Capital
are Fit for                       Programme
Purpose                          Impact assess to ensure meeting
                                  equality legislation (DDA)
                                 Work with Public Involvement to
                                  comment on access and inclusive



                                                                    34
Name of function/     High    Proposed action                              Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure    medium                                                 services that you would   High impact          Groups
and list of areas    or low                                                have to link with to      2007/2008
where action is     impact                                                 review this further or    Medium impact
necessary                                                                  take action in            2008/2009
                                                                           partnership with          Low impact
                                                                                                     2009/2010
                                  design (signage, loops, disabled
                                  parking, Braille, visual impairments)
                                 Carry out audits of health centres
                                  using tool kit and independent
                                  practitioner premises to ensure they
                                  are fit for purpose
                                 Write up findings to incorporate any
                                  changes


To ensure all PCT High           Negotiate and monitor SLA                Estates Team              Years 2 – 3          All Groups
owned premises,                   Agreement ensuring compliance
CNDH and White                    with Equality and Diversity
Rose House are                    legislation (DDA)
fit for purpose                  Support Provider Services by             Estates Team              Year 1               All Groups
                                  providing Estates and Facilities
                                  information as they prepare suitable
                                  business models for plurality and
                                  competition in line with relevant
                                  equality legislation (disability, age,
                                  gender)
Ensure New HQ       Medium       Ensure option appraisal fully meets      Estates Team              Year 2               Disability, Gender
Option Appraisal                  all legislative compliance



                                                                    35
Name of function/      High    Proposed action                                 Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure     medium                                                    services that you would   High impact          Groups
and list of areas     or low                                                   have to link with to      2007/2008
where action is      impact                                                    review this further or    Medium impact
necessary                                                                      take action in            2008/2009
                                                                               partnership with          Low impact
                                                                                                         2009/2010
                                  Carry out impact assessment on
                                   option appraisal
Provide an         Low            Ensure that venues used for                 Organisational            Year 3               All Groups
internal                           activities used are suitable for            Development
organisation                       disabled access
development                       Ensure that the design of facilitated
consultancy                        activities takes into account the
service including                  sensory impairment of participants
coaching and                       so that all are able to participate fully
personal team                     Ensure that the design of facilitated                                                      Disability Group
development to                     activities takes into account the
improve individual                 sensory impairments of participants
and team                           so that they are able to participate
effectiveness and                  fully
to enable people
within the
organisation to
deliver the
Organisation‟s
Objectives

Plan, design and     Low          Ensure objectives selection criteria        Organisational            Year 3               All Groups
deliver leadership                 and procedures for selection                Development




                                                                       36
Name of function/       High    Proposed action                              Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure      medium                                                 services that you would   High impact          Groups
and list of areas      or low                                                have to link with to      2007/2008
where action is       impact                                                 review this further or    Medium impact
necessary                                                                    take action in            2008/2009
                                                                             partnership with          Low impact
                                                                                                       2009/2010
and management                     Ensure programmes follow PCT
programmes                          policies and procedures on equality
                                    and diversity
                                   Ensure that arrangements for
                                    flexible working and childcare are
                                    taken into account when planning
                                    any events
Design, plan and      Low          Ensure that venues use for activities    Organisational            Year 3               All Groups
deliver bespoke                     are suitable in terms of access          Development
development                        Ensure that the design of facilitated
activities for                      activities takes into account the
senior staff within                 sensory impairment of participants
the organisation
up to and
including Board
Executives
Identify equality     High         Medical Director to nominate             Medical Directorate       Year 1
and diversity lead                  equality and diversity lead to
within Medical                      represent and be involved in the
Directorate                         Achieving Equality Group

Identify functions    High         Carry out identifying Directorate        Medical Directorate       Year 1               All Groups
of equality                         functions for equality relevance



                                                                        37
Name of function/     High    Proposed action                             Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure    medium                                                services that you would   High impact          Groups
and list of areas    or low                                               have to link with to      2007/2008
where action is     impact                                                review this further or    Medium impact
necessary                                                                 take action in            2008/2009
                                                                          partnership with          Low impact
                                                                                                    2009/2010
relevance in                     Develop Directorate plans based on
relation to                       findings of equality relevance
Directorate                       pertaining to Directorate plan
Business Plan
Ensure all staff                 All staff to complete e-learning        Medical Directorate       Year 2
within Medical                    package (Equality & Diversity                                     (September 2008)
Directorate                       Respect for People)
complete the E-
learning training
package for
Equality &
Diversity
Ensure Equality &   High         Joint Development Reviews.              Medical Directorate       Year 1
Diversity is                      Review performance in relation to
reflected within                  KSF profiles (Equality & Diversity)
KSF Profiles for
the Medical
Directorate



Ensure that the     High         Notify Commissioning and Mid            Medical Directorate       Year 1               Gender,
assessments for                   Yorkshire of equality relevance in                                                     Disability,




                                                                     38
Name of function/     High    Proposed action                            Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure    medium                                               services that you would   High impact          Groups
and list of areas    or low                                              have to link with to      2007/2008
where action is     impact                                               review this further or    Medium impact
necessary                                                                take action in            2008/2009
                                                                         partnership with          Low impact
                                                                                                   2009/2010
equality and                      relation to capturing and monitoring                                                  Ethnicity
diversity                         statistical data
relevance are
shared with
Commissioning
and Mid Yorkshire
to encourage
partners to collect
equality &
diversity criteria
data (specifically
care shared
drugs,
exceptional
cases, new
products)
Working with        High         Ensure that when working with          Medical Directorate       Year 1               All Groups
Practices                         practices around the implementation
                                  of EPS that information is developed
                                  and communicated to address the
                                  equality and diversity agenda
Medicine            High         Review and update Medicine                                       Year 1               Gender, Disability
Management                        Management Policy to reflect and                                                      and Ethnicity




                                                                   39
Name of function/     High    Proposed action                              Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure    medium                                                 services that you would   High impact          Groups
and list of areas    or low                                                have to link with to      2007/2008
where action is     impact                                                 review this further or    Medium impact
necessary                                                                  take action in            2008/2009
                                                                           partnership with          Low impact
                                                                                                     2009/2010
Policy                            address equality and diversity
                                  legislation
Impact Assess     Medium         Prioritise impact assessments to         Medical Directorate       Year 2               All Groups
new products,                     ensure medium risk areas are
exceptional                       addressed
cases, new drugs,
EPS
Medical Review    Medium         Ensure that the Medicines Team           Medical Directorate       Year 2               All Groups
Services                          Medication Review Services are
                                  implemented fairly and equitably
                                  across GP practices and are all
                                  encompassing of the practice
                                  population
Management          Medium       Ensure that the Medicines                Medical Directorate       Year 2               All Groups
Waste Campaign                    Management Waste campaign is
                                  delivered in a method which
                                  encompasses a range of
                                  approaches to engage patients and
                                  members of the public


Medicines           Medium       Collect information regarding            Medical Directorate       Year 2               Gender, Disability
Management                        equality and diversity within the                                                       and Ethnicity



                                                                      40
Name of function/     High    Proposed action                             Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure    medium                                                services that you would   High impact          Groups
and list of areas    or low                                               have to link with to      2007/2008
where action is     impact                                                review this further or    Medium impact
necessary                                                                 take action in            2008/2009
                                                                          partnership with          Low impact
                                                                                                    2009/2010
                                  Medicines Management Patient
                                  Support Services. Review annually
Risk Management Medium           Work with Risk Managers to identify     Medical Directorate       Year 2               All Groups
                                  equality and diversity issues which
                                  relate to incidents involving
                                  medicines
NICE                Medium       Work with Clinical Governance to        Medical Directorate       Year 2               All Groups
Implementation                    ensure NICE implementation is
                                  executed in a way which addresses
                                  any equality and diversity issues
Enquiry Log         Medium       Update the Medicines Management         Medical Directorate       Year 2               All Groups
                                  Enquiry Log to ensure the collection
                                  and monitoring of equality and
                                  diversity data
Review              Low          Review the Directorate actions on       Medical Directorate       Year 3               All Groups
Directorate                       Equality & Diversity
Equality Actions




Nursing and         High         Raise awareness of equality and         Nursing and Quality       Year 1
Quality Standards                 diversity across the Directorate        Standards Directorate



                                                                     41
Name of function/     High    Proposed action                           Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure    medium                                              services that you would   High impact          Groups
and list of areas    or low                                             have to link with to      2007/2008
where action is     impact                                              review this further or    Medium impact
necessary                                                               take action in            2008/2009
                                                                        partnership with          Low impact
                                                                                                  2009/2010
                                 Each team to consider and
                                  document equality relevance against
                                  Directorate maintenance tasks and
                                  team functions
                                 Consider equality and diversity                                                      Gender, Disability
                                  duties in 2008/09, Directorate                                                       and Ethnicity
                                  Business Plan
                                 Ensure all Directorate team
                    Medium        members have successfully                                       Year 2
                                  completed e-learning package
                    Medium       Each team to undertake impact                                   Year 2               All Groups
                                  assessments where high relevance
                                  against directorate maintenance
                                  tasks and team functions identified
Intermediate Tier   High         Ensure an assessment of equality      Head of Service           Year 1               All Groups
Commissioning                     relevance and impact assessments      Redesign
                                  form part of the Commissioner-led     Strategy &
                                  Implementation Plan                   Commissioning
                                 Ensure service specifications,                                  Year 2
                    Medium        tendering processes and contracts
                                  with Providers of Intermediate Tier
                                  Services include requirements to
                                  comply with equality legislation



                                                                 42
Name of function/     High    Proposed action                             Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure    medium                                                services that you would   High impact          Groups
and list of areas    or low                                               have to link with to      2007/2008
where action is     impact                                                review this further or    Medium impact
necessary                                                                 take action in            2008/2009
                                                                          partnership with          Low impact
                                                                                                    2009/2010
                                 Monitor Provider compliance with
                    Low           equality legislation in line with the                             Year 3
                                  overall contract monitoring
                                  processes
Infection           High         Undertake equality impact               Director of Nursing and   Year 1               All Groups
Prevention                        assessments on current Infection        Quality Standards, Head
                                  Prevention policies for PCT Provider    of Infection Prevention
                                  Services                                Control
                    High         Seek assurance from Mid Yorkshire                                 Year 1
                                  on addressing equality impacts on       Operations
                                  infection control policies and
                                  procedures
                    Medium       Undertake assessment of equality                                  Year 2
                                  relevance for Mid Yorkshire Hospital                                                   All Groups
                                  Trust action plan
                    Medium       Monitor trends and common themes                                  Year 2
                                  from community and hospital Root
                                  Cause Analysis to identify any
                                  inequality issues


                    Low          Review and update Infection                                       Year 3
                                  Prevention Policies, ensuring any



                                                                   43
Name of function/     High    Proposed action                                Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure    medium                                                   services that you would   High impact          Groups
and list of areas    or low                                                  have to link with to      2007/2008
where action is     impact                                                   review this further or    Medium impact
necessary                                                                    take action in            2008/2009
                                                                             partnership with          Low impact
                                                                                                       2009/2010
                                  equality relevance is addressed
Nursing and         High         Ensure consultation process is             Head of Nursing and       Year 1               All Groups
Allied Health                     inclusive and equitable for all clinical   Clinical Leadership
Professionals                     staff
Strategy            High         Undertake an assessment of                 Operations                Year 1
                                  equality relevance and impact as
                                  part of the strategy and key
                                  implementation objectives
                    Medium       Ensure consideration equality                                        Year 2
                                  relevance and impact for the
                                  effective implementation of
                                  objectives
Quality and         High         Undertake an equality                      Head of Quality           Year 1               All Groups
Performance                       relevance/impact assessment on the         Improvement
Improvement                       Commissioning for Quality &
                                  Performance Improvement                    Head of Performance
                                  Frameworks                                 Management and
                    High         Ensure continued compliance and            Improvement               Year 1               All Groups
                                  Board assurance against relevant
                                  core standards for better health           All Directorates
                    Medium       Develop the improvement                                              Year 2
                                  frameworks to ensure inclusion of
                                  equality requirements



                                                                      44
Name of function/     High    Proposed action                          Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure    medium                                             services that you would   High impact          Groups
and list of areas    or low                                            have to link with to      2007/2008
where action is     impact                                             review this further or    Medium impact
necessary                                                              take action in            2008/2009
                                                                       partnership with          Low impact
                                                                                                 2009/2010
                                 Ensure monitoring processes
                    Medium        capture evidence of compliance with                            Year 2
                                  Equality and Diversity legislation and
                                  requirements
Safeguarding        High         Undertake an equality relevance and Nurse Consultant           Year 1               All Groups
Children                          impact assessment of the
                                  Safeguarding Programme and Plan        Human resources
                    Medium       Undertake a Training Needs                                     Year 2
                                  Analysis to ensure that all staff can  Operations
                                  equitably access Safeguarding
                                  Children Training
                    Medium       Update the training programme and                              Year 2
                                  plan to address any improvement
                                  areas identified following
                                  assessment and Training Needs
                                  Analysis


Support to          High         Ensure Equality Impact               All Heads of Service      Year 1               All Groups
Operations                        Assessments are undertaken for all
Directorate                       clinical policies for PCT Provider   Operations
                                  Services
                    Medium       Include completion of equality                                 Year 2



                                                                 45
Name of function/     High    Proposed action                              Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure    medium                                                 services that you would   High impact          Groups
and list of areas    or low                                                have to link with to      2007/2008
where action is     impact                                                 review this further or    Medium impact
necessary                                                                  take action in            2008/2009
                                                                           partnership with          Low impact
                                                                                                     2009/2010
                                  impact assessments as part of each
                                  service‟s Quality Improvement Plans
                                  for 2008/09 workstreams
Clinical Quality    High         Raise awareness of equality              Head of Quality           Year 1               All Groups
and Patient                       requirements through Clinical,           Improvement
Safety                            Quality and Patient Safety Group         Head of Nursing and
                                  and supporting Sub-groups                Clinical Leadership
                    High         Approve Clinical policies and                                      Year 1
                                  guidelines which demonstrably            Risk Management
                                  include equality impact assessments      Operations
                    High         Ensure Patient Safety Benchmarking                                 Year 1
                                  Tool includes consideration of
                                  equality relevance and impact
                    Medium       Undertake equality relevance as                                    Year 2
                                  appropriate with Clinical, Quality and
                                  Patient Safety Group and supporting
                                  sub-groups


World Class         High         Undertake equality relevance for         Director of Nursing and   Year 1               All Groups
Commissioning                     each action plan and complete            Quality Standards
                                  impact assessment where relevance        Head of Performance
                                  is High                                  Management



                                                                    46
Name of function/     High    Proposed action                              Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure    medium                                                 services that you would   High impact          Groups
and list of areas    or low                                                have to link with to      2007/2008
where action is     impact                                                 review this further or    Medium impact
necessary                                                                  take action in            2008/2009
                                                                           partnership with          Low impact
                                                                                                     2009/2010
                                                                           Head of Quality
                                                                           Improvement
                                                                           Head of Service
                                                                           Redesign
Workforce Data      High         Verify data held ton enable accurate     Head of Human             Year 1               All Groups
                                  reporting and monitoring to take         Resources
                                  place
                    High         Establish systems to publish data on                               Year 1
                                  Internet and Intranet and maintain
                                  these
Recruitment         High         Ensure all aspects of external and       Head of Human             Year 1               All Groups
                                  internal recruitment processes are       Resources
                                  free from bias and discrimination
                    High         Consider methods to attract BME                                    Year 1
                                  groups to the PCT
                    High         Re-validate the two Tick Disability                                Year 1
                                  Symbol to the PCT
                                 Monitor and analyse all applications
                    High          for posts by ethnicity, disability,                                Year ½
                                  gender, sexual orientation, age,
                                  religion and belief
Training and        Medium       Ensure there is equal access to          Head of Human             Year 2               All Groups
Development                       training and development for all staff   Resources



                                                                    47
Name of function/     High    Proposed action                           Name any other areas/      Proposed timescale   Relevant Equality
policy/procedure    medium                                              services that you would    High impact          Groups
and list of areas    or low                                             have to link with to       2007/2008
where action is     impact                                              review this further or     Medium impact
necessary                                                               take action in             2008/2009
                                                                        partnership with           Low impact
                                                                                                   2009/2010
                                  regardless of ethnicity, disability,     Workforce Development
                                  gender, sexual orientation, age
                                  religion and belief
                                 Provider diversity training and
                    Medium        employment law update for                                        Year 2
                                  members of the Board, Directorates
                                  and Heads of Service/Senior Staff
                                 Provide impact assessment training
                    Medium        to Heads of Service, Senior                                      Year 2
                                  Management Team and relevant
                                  others
                                 Review access and provision of
                    Medium        training and development in relation                             Year 2
                                  to ethnicity, disability, gender, sexual
                                  orientation, age, religion and belief
                                  and take appropriate action
                                 Ensure all staff have basis diversity
                    Medium        training by September 2008                                       Year 2
                                 All training and development policies
                    High          to be impact assessed
                                                                                                   Year 1




                                                                  48
Name of function/     High    Proposed action                               Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure    medium                                                  services that you would   High impact          Groups
and list of areas    or low                                                 have to link with to      2007/2008
where action is     impact                                                  review this further or    Medium impact
necessary                                                                   take action in            2008/2009
                                                                            partnership with          Low impact
                                                                                                      2009/2010
Job Evaluation      High         Ensure there is no bias when              Head of Human             Year 1               All Groups
                                  evaluation of jobs is undertaken and      Resources
                                  that staff are paid on the basis of the
                                  role their perform
                    Medium       Develop a robust process for
                                  evaluating posts consistently and                                   Year 2
                                  fairly
Workforce           Medium       Ensure that the PCT has robust            Head of Human             Year 2               All Groups
Planning                          workforce planning processes in           Resources
                                  place to ensure that we have a
                                  current and future workforce that is
                                  fit for purpose
                    Medium       Establish a Workforce Planning                                      Year 2
                                  Group
                                 Ensure all appropriate staff receive
                    Medium        training and development on                                         Year 2
                                  workforce planning and change
                                  management/transformational
                                  change
Employee            High         Ensure all HR Advice is free from         Head of Human             Year 1               All Groups
Relations Advice                  bias and staff are treated                Resources
                                  consistently in relation to HR issues
                    High         Develop a system to collect and                                     Year 1



                                                                     49
Name of function/     High    Proposed action                             Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure    medium                                                services that you would   High impact          Groups
and list of areas    or low                                               have to link with to      2007/2008
where action is     impact                                                review this further or    Medium impact
necessary                                                                 take action in            2008/2009
                                                                          partnership with          Low impact
                                                                                                    2009/2010
                                  analyse all HR issues including
                                  disciplinary, grievance, capabilities
                                  etc
                                 Develop and update frequently
                    High          asked questions/information                                       Year 1
                                  resource section for managers and
                                  staff on HR issues

Workforce           High         Impact assess proposed and              Head of Human             Year 1               All Groups
Policies                          existing policies to prevent            Resources
                                  discrimination occurring                Workforce Development
                    High         Develop a timetable to review                                     Year 1
                                  policies to be agreed
                    Medium       Ensure policies are amended or                                    Years 2/3
                                  developed should there be any
                                  developments in legislation and best
                                  practice
                    High         New and proposed policies to be                                   Year 1
                                  produced in consultation with staff
                                  representatives
Provider Services   High         Identify a Head from Provider           Head of Business          Year 1
                                  Services to become a member of the      Development
                                  Achieving Equality Group



                                                                     50
Name of function/     High    Proposed action                             Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure    medium                                                services that you would   High impact          Groups
and list of areas    or low                                               have to link with to      2007/2008
where action is     impact                                                review this further or    Medium impact
necessary                                                                 take action in            2008/2009
                                                                          partnership with          Low impact
                                                                                                    2009/2010
                    High         Achieving Equality Group‟s Provider                               Year 1
                                  Services member to undertake
                                  Equality and Diversity Training
                                  online
                    Medium       Conduct a baseline audit on the                                   Year 2
                                  recording of ethnicity information on
                                  SystmOne and other data/paper
                                  based information systems and
                                  develop an improvement plan as
                                  required
                    High         Training to be rolled out to Provider                             Years 1/2
                                  Services Directorate, Operational
                                  Heads and Business Manager
                    Medium       Identify priority staff with Provider                             Year 2
                                  Services to undergo training to
                                  support the completion of equality
                                  and diversity impact assessments
                    Medium       Pilot impact assessment tool in                                   Year 2
                                  Angel Lodge Asylum Seeker service
                    Medium       Roll out the Equality and Diversity                               Year 2
                                  Impact Assessments to all Provider
                                  services in a staged approach
                                  supported by the Equality and



                                                                   51
Name of function/     High    Proposed action                               Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure    medium                                                  services that you would   High impact          Groups
and list of areas    or low                                                 have to link with to      2007/2008
where action is     impact                                                  review this further or    Medium impact
necessary                                                                   take action in            2008/2009
                                                                            partnership with          Low impact
                                                                                                      2009/2010
                                  Diversity Manager and coordinated
                                  by the Business Development Team
Community           Medium       Develop community health profiles         Public Health             Year 2
Health Needs                      including data regarding ethnicity        Information
(Commissioning)                   and other diversity measures              THIS
                                  identifying demand for services           Public & Patient
                                  - demographic information                 Involvement
                                  - national data on disease
                                      prevalence
                                  - information on service user
                    Medium       Carry out involvement and                                           Year 2
                                  engagement exercises with local
                                  BME communities to identify any
                                  barriers they may perceive to
                                  healthy health style choices and
                                  access to health care. Engagement
                                  to also include identification of their
                                  experiences and expectations.
                    Medium       Identify uses of healthcare services                                Year 2
                                  by BME groupings
Commissioning of    Medium       Take into account community health        Public Health             Year 2               All Groups
Services                          needs when developing service             Information
                                  models and specifications                 THIS



                                                                     52
Name of function/     High    Proposed action                              Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure    medium                                                 services that you would   High impact          Groups
and list of areas    or low                                                have to link with to      2007/2008
where action is     impact                                                 review this further or    Medium impact
necessary                                                                  take action in            2008/2009
                                                                           partnership with          Low impact
                                                                                                     2009/2010
                                 Involve service users and                Public & Patient
                                  communities in drafting                  Involvement
                                  specifications                           Clinical Management
                                 Produce a number of standard             Committee
                                  specification clauses which will
                                  outline the PCT‟s expectations on
                                  providers in relation to equality and
                                  diversity
Procurement and     High         Scrutinise national contracts to         Nursing and Quality       Year 1               All Groups
Contracting                       ensure equality and diversity clauses    Information
                                  are sufficient                           Providers
                    Medium       Develop additional equality and                                    Year 2
                                  diversity contractual clauses where
                                  appropriate and necessary
                    Medium       Identify a range of equality and                                   Year 2
                                  diversity indicators and targets for
                                  service providers to achieve which
                                  will then be monitored during the lift
                                  span of the contract
Managing            Medium       Systems in place to receive              Information               Year 2               All Groups
Performance and                   information from service providers       THIS
Ensuring Quality                  about the service performance            Nursing and Quality
                    High         Review effectiveness of services in      Standards                 Year 1



                                                                    53
Name of function/     High    Proposed action                               Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure    medium                                                  services that you would   High impact          Groups
and list of areas    or low                                                 have to link with to      2007/2008
where action is     impact                                                  review this further or    Medium impact
necessary                                                                   take action in            2008/2009
                                                                            partnership with          Low impact
                                                                                                      2009/2010
                                  meeting the needs of users and of
                                  the wider community
                    Medium       Include a feedback mechanism to                                     Year 2
                                  take account of all service users         Nursing and Quality
                                  experiences of service                    Standards
Working with the    High         Identify how Public Health will           Substance Misuse          Year 1               All Groups
Public and                        effectively reflect back to
Partners in                       commissioners how diversity issues
effective                         are embedded within all aspects of
communication                     training
and engagement
and building a
culture which
empowers staff
(Public Health)

Ensure the          High         Develop and implement a Wakefield         Public Health             Year 1               All Groups
Strategic                         District PCT strategy in consultation
Development of                    with key partners and in line with a
health intelligence               Joint Public Health Unit at local level
and capability and High          PCT and partnership approach to                                     Year 1
capacity                          Health Equity audit and Health
                                  Impact Assessment agreed and



                                                                     54
Name of function/     High    Proposed action                                 Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure    medium                                                    services that you would   High impact          Groups
and list of areas    or low                                                   have to link with to      2007/2008
where action is     impact                                                    review this further or    Medium impact
necessary                                                                     take action in            2008/2009
                                                                              partnership with          Low impact
                                                                                                        2009/2010
                                  piloted in at lease one partnership
                                  setting
                    High         New one day programme for Chief                                       Year 1
                                  Officers and Senior managers
                                  regarding health inequalities in
                                  partnership with capacity and
                                  capability project at Local Authority
                                  across the region
                    High         Evaluation of new workforce                                           Year 1
                                  initiatives eg health trainers
                                  illustrates benefits to community
                    High         All staff within PCT understand there                                 Year 1
                                  role in relation to tackling inequalities
                                  and have this written into their job
                                  descriptions



Promote the         High         Identify HNA including PA methods           Public Health             Year 1               All Groups
sensitivity,                      to establish priorities
effectiveness and
appropriateness
of education for



                                                                      55
Name of function/     High    Proposed action                              Name any other areas/     Proposed timescale   Relevant Equality
policy/procedure    medium                                                 services that you would   High impact          Groups
and list of areas    or low                                                have to link with to      2007/2008
where action is     impact                                                 review this further or    Medium impact
necessary                                                                  take action in            2008/2009
                                                                           partnership with          Low impact
                                                                                                     2009/2010
vulnerable groups
to gain their
involvement
Ensure              High         Implement effective early                Public Health             Year 1               All Groups
Engagement                        intervention and prevention initiative
Framework is                     Develop more sophisticated
acted upon within                 outcome evaluation of public
the PCT as a                      education activities
WDP Member
Information         High         Ensure information technology is fit     Information               Year 1               All Groups
Management and                    for purpose and meets the diverse        Management and
Technology                        needs of its staff and external          Technology
                                  partners
                                 Ensure disabled staff are provided
                                  with appropriate technical support to
                                  meet their individual and persona
                                  needs
                                 Ensure networks meet the needs of
                                  community based staff
                                 Support the flexible working policy
                                  by providing remote access support




                                                                    56
                                                                   Appendix 1


             Wakefield District Primary Care Trust

                 ACHIEVING EQUALITY GROUP

                      TERMS OF REFERENCE
1   INTRODUCTION

    Equality and diversity - is essentially about the individual skills, talents
    and uniqueness our staff bring to the workplace, utilising the diversity
    of our workforce is a key component to strengthening our competitive
    edge both as an employer and in our approach to commissioning and
    delivering high quality services to meet the diverse health needs of
    local people. As a public sector organisation we are required by
    legislation to demonstrate how different equality groups are considered
    in employment and in the design and delivery of our services or
    through our contracts.

2   RESPONSIBILITY AND ACCOUNTABILITY

    The Achieving Equality Group is chaired by a Non Executive Director,
    supported by the Director of Corporate Services. To ensure good
    governance this group will report into the Governance Committee.
    A quorum shall be four members of the Group, with one NED present.

    If any member has an interest, pecuniary or otherwise, in any matter
    and is present at the meeting at which the matter is under discussion,
    he/she will declare that interest as early as possible and shall not
    participate in the discussions. The Chair will have the power to request
    that member to withdraw until the Achieving Equality Group‟s
    consideration has been completed.

    All declarations of interest will be minuted.

    The Chair, in consultation with the Director of Corporate Services, may
    also act on urgent matters arising between meetings of the Group.

    Secretariat support will be provided

    Frequency

    Meetings of the Achieving Equality Group will be held bi-monthly.




                                     57
    Authority

    The Group is authorised by the Board to investigate any activity within
    its terms of reference. It is authorised to seek any information it
    requires from any employee and all employees are directed to co-
    operate with any request made by the Group.

3   ROLE OF THE GROUP

    The role of the Achieving Equality Group is to enable the Board to carry
    out its responsibilities for equality and diversity across the PCT. This
    includes a commitment to equality of opportunity, both in employment,
    policies, practices and procedures which apply to staff, and in the
    delivery of services to the population of Wakefield.

4   KEY RESPONSIBILITIES

       Overseeing the development of an Equality and Diversity Strategy
        and associated implementation plan
       Agreeing PCT wide annual priorities for equality and diversity,
        providing a directorate lead to support the delivery of them.
       Ensure the PCT is consistent with national and regional policy and
        any emerging new guidance
       Provide regular updates to the group on directorate achievements
       Ensure the PCT‟s Equality and Diversity Strategy is monitored,
        reviewed and updated.

5   MONITORING AND REVIEW

       Ensure structures, processes and systems are in place to meet the
        Equality and diversity responsibilities of the PCT
       Monitor progress agreed regional and national priorities, reviewing
        plans as necessary in light of changes in policy and legislation
       Report to the SMT periodically on progress against equality
        deliverables
       Provide the Governance Committee with updates as required
       Publish an annual report on equality and diversity and contribute to
        the health declaration annually
       Ensure that equality and diversity issues within commissioned
        services are continually monitored and reviewed within service level
        agreements and contracts
       Review both provider and commissioner plans to ensure equality
        and diversity underpin at appropriate intervals in light of progress,
        new guidance/ policies/ legislation and feed back from staff,
        communities and users




                                    58
6    OPERATIONAL

        Promote a culture of equality and diversity
        Support and encourage staff through structured awareness
         sessions and training opportunities
        Conduct impact assessments on all functions, policies, practices
         and procedures
        Identify and address issues of discrimination and concern
        Promote clinical leadership at all levels of the organisation
         underpinned by the values of the PCT (equality and diversity)
        Engage with staff, user, carer and public involvement in the delivery
         of the equality and diversity strategy
        Model good practice through raising the awareness of diversity
         throughout the organisation

7    COMMUNICATIONS

        Establish, maintain and develop systems and networks for effective
         two way communication within the PCT around equality and
         diversity issues
        Place updated equality and diversity information on the PCT
         intranet site / website and ensure they are regularly updated
        Ensure staff and users of services are consulted and involved in the
         implementation and development of the strategy
        Establish, maintain and develop networks external to the PCT to
         facilitate collaborative working with partner organisation and
         communities around priorities relating to the equality and diversity
         agenda




June 2007




                                     59
                                                                                                                         Appendix 2

                       Human Rights Act – The Convention Rights
          Convention Right                                                          Definition
                        (Article 1 is introductory and is not incorporated into the Human Rights Act)


                                                   A person has the right to have their life protected by law.
           Article 2: Right to life                There are only certain very limited circumstances where it is acceptable for
                                                   the state to take away someone‟s life, e.g. if a police officer acts justifiably
                                                   in self defence.


      Article 3: Prohibition of torture            A person has the absolute right not to be tortured or subjected to treatment
                                                   or punishment which is inhuman or degrading.


Article 4: Prohibition of slavery and forced       A person has the absolute right not to be treated as a slave or to be
                   labour                          required to perform forced or compulsory labour.



  Article 5: Right to liberty and security         A person has the right not to be deprived of their liberty „arrested or
                                                   detained‟ – except in limited cases specified in the article (e.g. where they
                                                   are suspected or convicted of committing a crime) and provided there is a
                                                   proper legal basis in UK law.




                                                              60
                                                      A person has the right to a fair and public hearing within a reasonable
                                                      period of time. This applies both to criminal charges against them and to
                                                      cases concerning their civil rights and obligations. Hearings must be
                                                      carried out by an independent and impartial tribunal established by law. It
                                                      is possible to exclude the public from the hearing (though not from the
                                                      judgment) if it is necessary to protect things like national security or public
         Article 6: Right to a fair trial             order. If it is a criminal charge, the person is presumed innocent until
                                                      proven guilty according to law and has certain guaranteed rights to defend
                                                      themselves.


                                                      A person normally has the right not to be found guilty of an offence arising
                                                      out of actions which at the time they committed them were not criminal.
    Article 7: No punishment without law              They are also protected against later increases in the maximum possible
                                                      sentence for an offence.


 Apart from the right to hold particular beliefs, the rights in Articles 8 to 11 may be limited where that is necessary to achieve an
important objective. The precise objectives for which limitations are permitted are set out in each article, but they include things
                    like protecting public health or safety, preventing crime and protecting the rights of others.


  Article 8: Right to respect for private and         A person has the right to respect for their private and family life, their home
                  family life                         and their correspondence. This right can be restricted only in specified
                                                      circumstances.




                                                                  61
Article 9: Freedom of thought, conscience and     A person is free to hold a broad range of views, beliefs and thoughts, and to
                   religion                       follow a religious faith. The right to manifest those beliefs may be limited
                                                  only in specified circumstances.


                                                  A person has the right to hold opinions and express their views on their own
                                                  or in a group. This applies even if those views are unpopular or disturbing.
      Article 10: Freedom of expression           This right can be restricted only in specified circumstances.


    Article 11: Freedom of assembly and           A person has the right to assemble with other people in a peaceful way.
                 association                      They also have the right to associate with other people, which includes the
                                                  right to form a trade union. These rights may be restricted only in specified
                                                  circumstances.


          Article 12: Right to marry              Men and women have the right to marry and start a family. National law will
                                                  still govern how and at what age this can take place.


                                    (Article 13 is not included in the Human Rights Act)


   Article 14: Prohibition of discrimination      In the application of the Convention rights, a person has the right not to be
                                                  treated differently because of their race.




                                                             62
                       Appendix 3




Equality Impact Assessment

         Toolkit




            63
Stage 1 Assessment flow chart




   List all functions/policies or
   procedures you are
   responsible for




 If there are a large number, choose
 those you will initially assess and
 identify an action plan to ensure
 any missed are assessed at a
 future date



 Assess each one utilising the
 proforma. Note the outcome on
 the summary sheets and identify
 any necessary action




 If relevant, list those facilities from
 where you provide services and
 carry out a separate assessment
 utilising the facilities proforma




 File the assessments as evidence
 for future inspections




Send the completed summary forms and a
copy of any facility assessments undertaken to
Linzi.kendall@wdpct.nhs.uk




                   64
Notes to support the assessment of functions, policies,
procedures and facilities for impact on equality, diversity and
human rights

Introduction

The Primary Care Trust (PCT) has a general duty to assess any functions,
policies and procedures under the Race Relations (Amendment Act) 2000.
The same general duties are applied to disability and gender and there will be
new regulations concerning sexual orientation and age under proposed acts.
Government directives for service review and improvement through National
Service Frameworks also set duties for PCTs to assess functions and policies
to eliminate discrimination e.g. for older people. This process needs to be
carried out using a robust tool to identify priorities for action across all the
main diverse groups including the consideration of Human Rights. This
process will then be an ongoing exercise that is part of an impact assessment
of all new or proposed functions, policies, procedures and facilities.

Impact assessments must be completed during the review or
development of all functions, policies and procedures; they must stand
up to inspection and form written evidence to show how the PCTs are
meeting their duties. The whole process must be clear and transparent,
with any policy drafts retained to evidence where changes have been
made to meet the requirements of the Race Relations Act.

Guidance
The assessment of functions, policies, procedures will take place in a 3-stage
process

 Stage 1        Initial assessment/screening to ascertain relevance to
                equalities and identify any necessary action
 Stage 2        Collection of further data/evidence of those where there is
                concern, but insufficient evidence/information available to
                deem if they are relevant and subsequent review of initial
                assessment
 Stage 3        Full Impact Assessment of all new or old policies etc. where
                there may be significant impact on any diverse group.

Stage 1

All PCT functions, policies, procedures and facilities will be assessed utilising
the screening tools. All those assessed will be listed in the Equality and
Human Rights scheme with the results of the assessment. All those identified
as having a high impact on any diverse group will be progressed to stage 2 or
3 as appropriate and will be prioritised for action in the 3-year action plan as
part of the Single Equality Scheme. Any assessed as having a high impact
will be reported through the risk register.




                                       65
It is unlikely that no person will have all the expertise needed to answer all
assessment questions fully. A team approach to assessments should reveal
sufficient information to make a considered judgement of the likely impact. If
uncertain then move to stage 2 and identify in action plan.

Stage 2

Where there is concern that there may be a negative impact on any diverse
group but more evidence is needed then additional data/evidence should be
collected and a reassessment under stage one carried out.

Stage 3

All PCT policies, functions, procedures, facilities that are identified as likely to
have a high impact on any diverse groups should be subject to a full Impact
Assessment.

Definitions

The term function is intended to encompass the full range of the PCT‟s
duties and powers, which includes clinical and corporate services.
The term policy means the full range of formal and informal decisions made
in carrying out a function or delivering a particular service. Policies may take
the form of a clear written statement, or may be implicit in management
decisions or “custom” and “practice”. Policies may also take the form of a
strategy or action plan.
The term procedure means any process used to deliver a function or to apply
a policy.
The term facility refers to any accommodation where staff is based or
services are provided from.

A function, policy, procedure or facility is relevant if it has implications for or in
any way affects the elimination of unlawful discrimination, the promotion of
equality or good race relations. In practice any function policy or procedure
that has a direct or indirect impact on the public may be potentially relevant.
This may include functions, policies, procedures or facilities relating to service
delivery, policy formulation and employment. Some functions may be less
relevant but need to be included in the assessment process to provide an
audit trail showing that they have been considered and identifying any
evidence that supported the decision.
Consideration must also be given to all function, policies or procedures
carried out wholly or partly through a contractor and to those that are carried
out in partnership

Evidence

It is extremely important that there is clear evidence for the decision on
whether the function, policy, procedure or facility has a high, medium or low
impact. This may be through: -
Knowledge of e.g. the culture of a particular ethnic group


                                          66
Complaints
Performance data
Inspection/audit/ assessment
Anecdotal evidence

Some key points to consider when assessing the possible impact of
functions/ policies and procedures


      Could the policy or the way the function is carried out have an adverse
       impact on equality of opportunity for some diverse groups? In other
       words, does it put some diverse groups at a disadvantage?
      Could the policy or the way the function is carried out have an adverse
       impact on relations between different diverse groups?
      Is the adverse impact, if any, unavoidable? Could it be considered to
       be unlawful discrimination? Can it be justified by the aims and
       importance of the policy or function? Are there other ways in which the
       PCT‟s aims can be achieved without causing adverse impact on some
       diverse groups?
      Could the adverse impact be reduced by taking particular measures?
      Is further research or consultation necessary? Would this research be
       proportionate to the importance of the policy or function? Is it likely to
       lead to a different outcome?


Ethnicity and faith


      The provision of an interpreter for persons whose first language is not
       English,
      Written communication and use of language particularly jargon or
       colloquialisms etc.
      Dietary requirements, prayer facilities, gender of staff when caring for
       females.
      Respect for requests for time off for religious festivals and functions.
      Respect for dress codes.


Disability


      Reasonable steps that can be taken to accommodate the disabled
       persons requirements, such as, physical access, format of information,
       time of interview, personal assistance, interpreter, induction loop
       system, content of interview or course, etc.

      The duty under the Disability Discrimination Act to provide physical
       assistance to enable a disabled person to carry out their role



                                       67
      Steps to make reasonable adjustments to service delivery to ensure
       services accessible to all.

Gender (including marital status)

      Equal access to employment and opportunities for promotion to senior
       level for women.

      Childcare arrangements that do not exclude a candidate from
       employment and the need for flexible working.

      The provision of single sex facilities, toilets, wards, etc

      Equality of opportunity in relation to health care for individuals
       irrespective of whether or not they are single divorced, separated, living
       together or married.

Age

      Any discriminatory employment practices

      Services should be provided, regardless of age, on the basis of clinical
       need alone.

Sexual orientation

      Recognition and respect of individual‟s sexual preference.

      The maintenance of confidentiality about sexual preference

Human Rights

      Everyone should be treated with dignity and respect.

      That services effectively address the major causes of preventable ill
       health –and associated poverty – among the disadvantaged.
      The duty to prohibit torture, inhuman or degrading treatment or
       punishment. Examples of possible contraventions: long waits on
       trolleys in A&E, withholding treatment, enforced medication in geriatric
       wards, and forcible feeding.

      The duty to protect life and to keep the public informed of dangers to
       public health. Examples of possible contraventions: refusal to provide
       specific life saving treatments, the provision of care for persons who
       are suicidal, undue delay in the provision of treatment.

      Everyone is entitled to a fair and public hearing within a reasonable
       time Example of possible contraventions: serious complaints should be
       dealt with promptly and openly.


                                        68
   Everyone has a right to respect for his private and family life, his home
    and his correspondence. Examples of possible contraventions: the
    right to remain in an institution that has become a home, the right of
    access to personal records




                                    69
Proforma for initial assessment/screening of functions, policies, and procedures

Directorate/service                                Department                                   Person responsible for the assessment

                                                                                                --------------------------------------------------------------
--------------------------------------             -----------------------------------------
Name of                                            Date of assessment                            New policy/function/procedure                                   (please
function/policy/procedure                                                                       tick)


                                                   -----------------------------------------
----------------------------------------
                                                                                                Existing policy/function/procedure
1 Who are the main                         List:
  stakeholders intended to
  benefit from the function/
  policy/procedure?




2 How will each stake                      List for each stakeholder:
  holder benefit? (what are
  the aims?)




                                                                                           70
3   What forces/factors
    could contribute/detract
    from the outcomes?




4 Are there concerns that      State    Is there any evidence for this?   Score likely
  the function/ policy/        yes or                                     risk of
  procedure could have a       no                                         impact using
  differential impact on -                                                grading table

Ethnic groups




Faith group




                                                                  71
Disability


  a) physical (including
     sensory)




   b) mental




   c) learning disability




Sexual orientation




                            72
Age




Gender (including marital
status)



Socio-economic group

e.g. homeless



Human Rights




                            73
                            Risk Assessment Grading Tool

                                                    GRADING TABLE
            Risk Assessment                     Circle consequence,            SCORE
                                             likelihood and total score
                                                    e.g. 2 x 3 = 6
                                                    LIKELIHOOD/PROBABILITY OF REPEAT
               INCIDENT
            CONSEQUENCES                     None/       Possible      Likely         Highly           Certain
                                            Remote        20%          60%          Likely 90%
                                                         chance       chance          Chance

                                              1                 2         3             4                 5
        1        Insignificant                1                 2         3             4                 5
        2        Minor                        2                 4         6             8                 10
        3        Significant                  3                 6         9             12                15
        4        Serious                      4                 8        12             16                20
        5        Catastrophic                 5                10        15             20                25

Green     (score 5 or less)                         Low risk             Low priority   Prioritise for action
Amber     (score 6 to 15)                           Medium risk          Medium                      medium
                                                                                        Prioritise for action priority
                                                                         priority
Red       (score 16 to 25)                          High risk            High                      high priority
                                                                                        Reported through the risk register. 16+
Or any incident recorded as                                              priority       score senior management consider
Catastrophic regardless of the                                                          informing the board
likelihood/probability of repeat


Classifications of Impact

        Measures of impact

            Level           Descriptor            Example detail description
              1             Insignificant         No perceived impact
              2                Minor              May have a minor impact on a few or all people from this diverse
                                                  group
             3               Significant          Will have a significant impact on a few or all people from this
                                                  diverse group
             4                 Serious            Will have serious consequences on a few or all people from this
                                                  diverse group
             5              Catastrophic          Could cause death and/or result in major litigation and/or create
                                                  significant press interest

        Measures of likelihood

          Level       Descriptor                  Example detail description
             1           None/Remote              The impact may only happen in exceptional circumstances
             2           Possible 20%             The impact could occur at some time
                            chance
             3        Likely 60% chance           The impact may well occur at some time

             4           Highly Likely 90%        The impact will occur in most circumstances
                              chance
             5            Almost Certain          The impact is expected to occur in most circumstances




                                                        74
Proforma for the initial assessment of facilities

Directorate/service                        Department                                  Person responsible for the assessment



----------------------------------------   -----------------------------------------   --------------------------------------------------------------

Facility                                   Date of assessment



----------------------------------------
                                           -----------------------------------------
1 Who are the main stakeholders            List:
  intended to benefit from the facility




2 How will each stakeholder benefit?       List for each stakeholder:
  (what are the overall aims?)




                                                                           75
3 What forces/factors could
  contribute/detract from the
  outcomes/




4 Are there concerns that the   State    Is there any evidence for this?   Score likely
  facility from where this      yes or                                     risk of
  function is delivered could   no                                         impact
  have a differential impact                                               using
  on -                                                                     grading
                                                                           table
Ethnic minority groups




Faith group




                                                                  76
Disability

a) physical (including
   sensory)




b) mental




c) learning disabilities




Age




                           77
Sexual orientation




Socio-economic group

e.g. homeless




Human Rights




                       78
                                       Summary of equality and diversity assessments
                                        1 Where there is necessary action identified

   Directorate___________________ Service _________________

   Date _____________________

Name of function/        High    Proposed action                                       Name any other      Proposed
policy/procedure and   medium                                                          areas/ services     timescale
list of areas where     or low                                                         that you would      High impact
action is necessary    impact                                                          have to link with   2007/2008
                                                                                       to review this      Medium
                                                                                       further or take     impact
                                                                                       action in           2008/2009
                                                                                       partnership with    Low impact
                                                                                                           2009/2010




                                                            79
Name of function/        High    Proposed action        Name any other      Proposed
policy/procedure and   medium                           areas/ services     timescale
list of areas where     or low                          that you would      High impact
action is necessary    impact                           have to link with   2007/2008
                                                        to review this      Medium
                                                        further or take     impact
                                                        action in           2008/2009
                                                        partnership with    Low impact
                                                                            2009/2010




                                                   80
                     Summary of Equality and Diversity Assessments
                     2 Where there is no action identified


Name of function /policy/procedure                Name of function/policy/procedure




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