NHS Greater and Clyde Equality Impact Assessment Tool for Frontline Patient Services

Equality Impact Assessment is a legal requirement and may be used as evidence for cases referred for further investigation for legislative compliance issues. Please refer to the EQIA Guidance Document while completing this form. Please note that prior to starting an EQIA all Lead Reviewers are required to attend a Lead Reviewer training session. Please contact [email protected] for further details or call 0141 2014560.

Name of Current Service/Service Development/Service Redesign: Move of Older People’s Mental Health Wards Hospital – these will transfer to two fully refurbished wards and will function as dementia friendly designed wards on the Stobhill site.

Please tick box to indicate if this is a : Current Service Service Development Service Redesign √

Description of the service & rationale for selection for EQIA: (Please state if this is part of a Board-wide service or is locally determined). What does the service do?

There are currently two inpatient wards at and two at offering a service to older mental health patients. These wards will merge and relocate to Stobhill Hospital. This will provide two new 24 bedded wards. Capital funding to achieve this has been identified through NHSGGC Capital Planning Group and this scheme will be completed in August/September 2013. There will be no reduction in the services being delivered to this patient group and there will be significant improvements in the quality of accommodation available. With this in mind, the Equality Impact Assessment has focused on the possible barriers incurred in the physical move rather than the actual service being delivered.

Why was this service selected for EQIA? Where does it link to Development Plan priorities? (if no link, please provide evidence of proportionality, relevance, potential legal risk etc.)

This redesign forms part of the modernisation of Adult Acute Mental Health inpatient services. The review has concluded that acute adult admission should be consolidated to four principal admission hospitals.

Who is the lead reviewer and when did they attend Lead reviewer Training? (Please note the lead reviewer must be someone in a position to authorise any actions identified as a result of the EQIA) Name: Date of Lead Reviewer Training:

Janet Hayes

Please list the staff involved in carrying out this EQIA (where non-NHS staff are involved e.g. third sector reps or patients, please record their organisation or reason for inclusion):

Bob Gillies, In Patient Services Manager and Janet Hayes, Planning Manager

Lead Reviewer Questions Example of Evidence Required Service Evidence Provided Additional (please use additional sheet Requirements where required) 1. What equalities information is Age, Sex, Race, Sexual Orientation, This service is currently Data collected to be routinely collected from people Disability, Gender Reassignment, funded for patients over the made available using the service? Are there any Faith, Socio-economic status data age of 65 and all standard barriers to collecting this data? collected on service users to. Can admission data is collected. Outcome and be used to analyse DNAs, access Most of the patients admitted actions from issues etc. will have some form of Transport Survey to disability due to their age. be collated NHSGGC is moving to a more inclusive position for elderly/frail patients and this service will move towards removing age cut-offs in line with that wider aspiration and timeline.

Local demographics and minority ethnic information can be made available for the Parkhead Hospital catchment area. 2. Can you provide evidence of how A Smoke Free service reviewed This service redesign will the equalities information you service user data and realised that improve patient collect is used and give details of there was limited participation of accommodation for older any changes that have taken place men. Further engagement was people as the new provision as a result? undertaken and a gender-focused is DDA compliant, has easier promotion designed. access and will be within a dementia friendly environment. The mental health network, local community councils and friends and family of the patients have all been consulted on this redesign. 3. Have you applied any learning from Cancer services used information A transport survey is research about the experience of from patient experience research underway and information equality groups with regard to and a cancer literature review to from this will be used to removing potential barriers? This improve access and remove consider any barriers to may be work previously carried out potential barriers from the patient patient and visitor travel to in the service. pathway. and from the new site.

As above, consultation has been carried out with a variety of groups and findings will be incorporated into the new service

Key members of the programme team attended sessions with Stirling University to ensure the new wards were dementia friendly 4. Can you give details of how you Patient satisfaction surveys with Head of Service has met with have engaged with equality groups equality and diversity monitoring all Community Councils to get a better understanding of forms have been used to make The MH Network is part of the needs? changes to service provision. NE Redesign Board and has been given information and presentations on the service redesign Patients and their families and carers have been consulted on the redesign This engagement will continue until the service has relocated and beyond to ensure continued input from a wide range of stakeholders. 5. Is your service physically An outpatient clinic has installed This service will allow accessible to everyone? Are there loop systems and trained staff on patients to access a potential barriers that need to be their use. In addition, a review of modernised and fit for addressed? signage has been undertaken with purpose hospital clearer directional information now environment. There will be provided. increased single room accommodation with ground floor access. The design team for this building have been on a dementia friendly design course at Stirling University resulting in a much improved building with direct access to outside space and garden area. 6. How does the service ensure the A podiatry service has reviewed all The communication with way it communicates with service written information and included patients and visitors will users removes any potential prompts for receiving information in remain unchanged. If barriers? other languages or formats. The interpreters are required the service has reviewed its process for NHSGGC Accessible booking interpreters and has Information Protocol will be briefed all staff on NHSGGC’s followed. Communication Interpreting Protocol. about the move of the ward will be made available in a number of accessible formats upon request, in line with NHSGGC’s Accessible Information Protocol. 7. Equality groups may experience barriers when trying to access services. The Equality Act 2010 places a legal duty on Public bodies to evidence how these barriers are removed. What specifically has happened to ensure the needs of equality groups have been taken into consideration in relation to:

(a) Sex A sexual health hub reviewed sex There will be more single sex disaggregated data and realised inpatient accommodation and very few young men were attending single rooms for patients clinics. They have launched a local (approx. 60% single rooms promotion targeting young men and compared to 10% in current will be analysing data to test if accommodation). successful. Staff practice in terms of sensitive enquiry and responding to concerns about gender based violence will remain in line with NHSGGC practice.

(b) Gender Reassignment An inpatient receiving ward has The increased availability of held briefing sessions with staff single rooms will assist using the NHSGGC Transgender anyone undergoing gender Policy. Staff are now aware of legal reassignment should they protection and appropriate request a private room. approaches to delivering inpatient care including use of language and Staff are currently familiar technical aspects of recording with the NHSGGC patient information. Transgender policy (c) Age A urology clinic analysed their sex This service is for patients specific data and realised that over 65 and continues to be young men represented a funded for this age group. significant number of DNAs. Text Consideration is given to the message reminders were used to needs of these patients prompt attendance and particularly associated with appointment letters highlighted dementia and frailty. Special potential clinical complications of beds and equipment are non-attendance. available to patients in these wards.

We will move to an elderly and/or frail service within the Board’s timeline when applicable. (d) Race An outpatient clinic reviewed its Current processes and ethnicity data capture and realised protocols for booking that it was not providing interpreters will continue on information in other languages. It the new site. provided a prompt on all information for patients to request Patient information is copies in other languages. The produced to the NHSGG&C clinic also realised that it was Accessible Information Policy dependant on friends and family Standards interpreting and reviewed use of Links to compass service will interpreting services to ensure this be maintained and there will was provided for all appropriate be no negative impact on appointments. referrals to this and other services. (e) Sexual Orientation A community service reviewed its Data capture for patients fits information forms and realised that with the medical record it asked whether someone was requirements for the Board. single or ‘married’. This was amended to take civil partnerships Staff are familiar with relevant into account. Staff were briefed on policies (i.e. homophobia and appropriate language and the risk of datix) should this be required making assumptions about sexual for any staff member of orientation in service provision. patient/visitor. Training was also provided on dealing with homophobic incidents. (f) Disability A receptionist reported he wasn’t Findings from the Transport confident when dealing with deaf Survey and these will be people coming into the service. A noted and dealt with where review was undertaken and a loop possible. system put in place. At the same time a review of interpreting As previously stated, this new arrangements was made using site complies with DDA NHSGGC’s Interpreting Protocol to requirements and provides ensure staff understood how to easy access for staff, visitors book BSL interpreters. and patients.

(g) Religion and Belief An inpatient ward was briefed on There is access to chaplaincy NHSGGC’s Spiritual Care Manual service for all patients and a and was able to provide more multi purpose room will be sensitive care for patients with available as a quiet regard to storage of faith-based room/prayer room items (Qurans etc.) and provision for bathing. A quiet room was made available for prayer. (h) Pregnancy and Maternity A reception area had made a room This is not an issue for available to breast feeding mothers patients due to age range. and had directed any mothers to However, visitors wishing to this facility. Breast feeding is now breast feed will be able to do actively promoted in the waiting so but can also opt to use a area, though mothers can opt to use separate room if this is the separate room if preferred. preferable. (i) Socio – Economic Status A staff development day identified This service is free to patients negative stereotyping of working but there may be an impact class patients by some practitioners on travel costs for patients characterising them as taking up returning home on discharge too much time. Training was and for patients going home organised for all staff on social on passes – this is to test out class discrimination and if they can cope with returning understanding how the impact this home on a permanent basis. can have on health. There may also be an impact on travel costs for relatives/carers visiting the hospital site. Consideration will be given to this issue via the Transport survey currently being carried out. (j) Other marginalised groups – A health visiting service adopted a Other marginalised groups Homelessness, prisoners and ex- hand-held patient record for use the current service and offenders, ex-service personnel, travellers to allow continuation of this will remain unchanged people with addictions, asylum services across various Health when the service moves to seekers & refugees, travellers Board Areas. the new site. Current policies and protocols will continue to be used and there will be no direct impact other than travel costs as previously mentioned. 8. Has the service had to make any Proposed budget savings were The efficiency savings that cost savings or are any planned? analysed using the Equality and will be made do not affect the What steps have you taken to Human Rights Budget Fairness quality of service and will ensure this doesn’t impact Tool. The analysis was recorded result on an improved service disproportionately on equalities and kept on file and potential risk and environment for patients, groups? areas raised with senior managers staff and visitors. for action. 9. What investment has been made for A review of staff KSFs and PDPs Investment in staff learning staff to help prevent discrimination showed a small take up of E- and education will continue. and unfair treatment? learning modules. Staff were given Staff take part in e-learning dedicated time to complete on line as part of their ongoing learning. development and there will be at least two PCs in each ward with internet access to allow dedicated time to complete on line learning.

If you believe your service is doing something that ‘stands out’ as an example of good practice – for instance you are routinely collecting patient data on sexual orientation, faith etc. - please use the box below to describe the activity and the benefits this has brought to the service. This information will help others consider opportunities for developments in their own services.

A Design Statement has been prepared for the service and facililty to ensure a good quality design is in place to achieve the best outcomes for the service and its patients. The Design Team attended a dementia friendly design course at Stirling University resulting in a much improved building which will provide a dementia friendly environment and will have direct access to outside space and garden area.

Actions – from the additional requirements boxes completed above, please summarise the Date for Who is actions this service will be taking forward. completion responsible?(initials)

Cross Cutting Actions – those that will bring general benefit e.g. use of plain English in written materials

Specific Actions – those that will specifically support protected characteristics e.g. hold staff briefing sessions on the Transgender Policy

Ongoing 6 Monthly Review please write your 6 monthly EQIA review date:

Lead Reviewer: Name EQIA Sign Off: Job Title Signature Date

Quality Assurance Sign Off: Name Job Title Signature Date

Please email a copy of the completed EQIA form to [email protected], or send a copy to Corporate Inequalities Team, NHS Greater Glasgow and Clyde, JB Russell House, , 1055 Great Western Road, G12 0XH. Tel: 0141-201-4560. The completed EQIA will be subject to a Quality Assurance process and the results returned to the Lead Reviewer within 3 weeks of receipt.

PLEASE NOTE – YOUR EQIA WILL BE RETURNED TO YOU IN 6 MONTHS TO COMPLETE THE ATTACHED REVIEW SHEET (BELOW). IF YOUR ACTIONS CAN BE COMPLETED BEFORE THIS DATE, PLEASE COMPLETE THE ATTACHED SHEET AND RETURN AT YOUR EARLIEST CONVENIENCE TO: [email protected]

NHS GREATER GLASGOW AND CLYDE EQUALITY IMPACT ASSESSMENT TOOL MEETING THE NEEDS OF DIVERSE COMMUNITIES 6 MONTHLY REVIEW SHEET

Name of Policy/Current Service/Service Development/Service Redesign:

Please detail activity undertaken with regard to actions highlighted in the original EQIA for this Service/Policy Completed Date Initials Action: Status: Action: Status: Action: Status: Action: Status:

Please detail any outstanding activity with regard to required actions highlighted in the original EQIA process for this Service/Policy and reason for non-completion To be Completed by Date Initials Action: Reason: Action: Reason:

14 Please detail any new actions required since completing the original EQIA and reasons: To be completed by Date Initials Action: Reason: Action: Reason:

Please detail any discontinued actions that were originally planned and reasons: Action: Reason: Action: Reason:

Please write your next 6-month review date

Name of completing officer:

Date submitted:

Please email a copy of this EQIA review sheet to [email protected] or send to Corporate Inequalities Team, NHS Greater Glasgow and Clyde, JB Russell House, Gartnavel Royal Hospitals Site, 1055 Great Western Road, G12 0XH. Tel: 0141-201-4560.

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