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Equality & Inclusion Service User Monitoring & Assurance Report

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Equality & Inclusion Service User Monitoring & Assurance Report Public Sector Equality Duty Equality & Inclusion Service User Monitoring & Assurance Report; 2014 Patient & Customer Focus, Accountability, Continuous Improvement, Respect Page 1 of 37 Table of Contents 1. Executive summary Page 3 2. Introduction Page 4 3. Key achievements in 2014 Page 6 4. Ongoing work streams Page 12 5. Service user and population profile by protected characteristics Page 15 5.1 Salford overview Page 15 5.2 Gender profile Page 16 5.3 Age profile Page 17 5.4 Ethnicity profile Page 19 5.5 Religion and Belief profile Page 27 5.6 Disability profile Page 30 5.7 Sexual Orientation profile Page 33 5.8 Transgender profile Page 33 6. Recommendations Page 34 7. References Page 36 Page 2 of 37 1. Executive Summary This report is one of the mechanisms that the Trust uses to demonstrate, on an annual basis, progress to meet the requirements of the Equality Act 2010 and the Public Sector Duty. Organisations are required to publish information to outline the actions it has progressed and outcomes it has achieved. This report outlines progress made over the last 12 months, Oct 2013 to Sept 2014, across all our work streams, key demographic profiles of the local population compared with our service user profile and how these can impact on the delivery of care and identifies key recommendations to ensure that the Trust’s action plan is reviewed, transparent and fit for purpose. The following have been identified as key recommendations: Continue to improve the processes and systems for recording equality data including; supporting staff training and confidence and reduce the number of patients recorded as ‘not known’. Continue to gather information from staff on the changing population of Salford and the impact this has on their ability to deliver safe, clean and personal care. Undertake a review of the pilot ‘Meet, Greet & Support’ service, identifying areas for improvement to support and improve the patient experience. Continue to develop the role of the Service Users Forum and Sensory Impairment Working group, including working with the QI team & Governors to improve their knowledge of inclusion across the patient experience work stream and develop the project plan for the ‘Model Ward’ programme, identifying current impact on patients with sensory loss. Improve and embed the Trust’s Equality Analysis & Engagement Process for Service Transformation Projects, to ensure they are timely and meet with legislative standards. Update & review the Trust’s current equality objectives in light of the key recommendations form this paper to ensure that they are robust, effective and fit for purpose. Page 3 of 37 Introduction 2.1 Scope and Background of Report In line with the Equality Act and Public Sector duties, NHS Trusts are required to publish, on an annual basis, evidence to demonstrate that they are working towards meeting the aims and objectives of this legislation. Undertaking this data analysis enables the Trust to monitor the impact of our policies, procedures and services on protected groups and identify actual or potential health inequalities and identifies key recommendations and actions. The report reviews patient profiling data from inpatients, outpatients and community services from the period October 2013 to end of September 2014 by protected groups, where this data is currently available It also offers a snap shot of diverse communities residing in Salford, and Greater Manchester measuring their characteristics and revealing their geographical locations. Analysis of patient data in comparison to local communities, enables us to review the accessibility of our services in relation to the local population and identify areas that may require further scrutiny to identify positive and negative impacts. The recent local growth in the diversity of the local population means that increasing volumes of individuals from diverse backgrounds, will be turning to the Trust as a provider of hospital, specialist and community services. The data contained within this report will enable services to identify key areas for improvement and should be used to inform and shape decisions making process in relation to service improvement and service transformations processes. A range of available data, from a variety of sources has been used in its compilation, including the most recent census 2011 data where possible. NB Patients data reports are based on the single visit/admission of a patient as opposed to number of times a patient has been admitted. There are however gaps in some areas due to lack of information and this is highlighted throughout the report. 2.2 Trust Equality Objectives The Public Sector Equality Duty requires Trusts to publish equality data at least every four years. Specific objectives have been set for service delivery and for our workforce. Details can be found on the Trust website Equality Diversity Performance Report (page 5) 2.3 Equality Delivery System 2 (EDS2) In 2012 the department of health introduced the Equality Delivery System (EDS) It required all NHS organisations to benchmark themselves against 18 core outcomes. By using the Page 4 of 37 EDS we are able to demonstrate compliance with the requirements of the Equality Act as well as the ‘Essential Standards of Care’ required by our regulator and licenser the Care Quality Commission (CQC), Monitor, NHS Constitution and other legal and mandatory requirements. Through the implementation of the Equality Delivery System 1 the Trust was one of 6 organisations to achieve a national award from the EDS team and were actively involved in developing EDS2. The Trust undertook a review of its existing EDS scores in April 2014 with both public and staff. Our results shows the Trust has progressed in several areas and developed agreed actions in EDS 2 outcomes; Access to Services (2.1) and Free from Abuse (3.4). Current Scores can be found on the Trust website Equality Delivery System. Page 5 of 37 3. Key Achievements in 2014 3.1 Service users forum continue to help the Trust make improvements The forum was launched in November 2012 and provides a platform for individuals from local community/protected groups to have direct dialogue with the Trust and identify key areas for joint working, and number of developments were agreed based on the experiences reported by its members, they have been involved in several significant work streams over 2014. Key Outcomes Provides a patient voice and examples of patient experience, in particular for patients with disabilities. Included in the Trust’s Accessibility Audit, ensuring a reflective and inclusive audit was undertaken. Actively involved in developing accessible information for outpatients Reviewed and supported us in developing a new mandatory training package for staff. Instigated set up of the Sensory Impairment Working Group, by identifying poor patient experiences of this group when accessing services. Supported and assisted in the development of the Trust’s ‘Meet, Greet & Support’ service. 3.2 Selected as Health Champions Stonewall 2014/15 Stonewall is the leading lesbian, gay and bisexual (LGB) charity in Britain established to promote the human rights of LGB people. As Health Champions we have been receiving support to address any unmet needs and improve experiences. At present we are still in the process of delivering this project and work on this area will be on-going. Key Outcomes Supported the Trust is setting up a stonewall working group which identified 3 key areas for improvement for the Trust (targeted training, equality monitoring data and equality champions). Targeted training delivered to the Alcohol and Drug Team, to identity key outcomes to improve patient experience and access in relation to this service. Raised the profile of LGB patients and staff across the organisation. 3.3 E&D Partners status in 2013/14 E&D Partner status is determined against a number of measurable indicators put forward by ‘NHS Employers’. In doing so we have demonstrated that the Trust can be held up as an Page 6 of 37 exemplar in the field of equality and diversity and we have a robust equality and diversity work plan. (Single Equality Scheme 2013 – 2015 ) Key Outcomes Applied and were successful, second year running , of being awarded E&D partner status from NHS Employers. This is a nationally recognised award and enables the Trust to share and engage with leading organisations on this agenda, while continuing to raise the profile of the Trust. 3.4 Governor led engagement plan published for seldom heard groups The Equality and Diversity Team have supported the Governors work in ‘engaging with seldom heard groups’. Targeted training was delivered to Governors in 2014 including Men’s health and Sensory Impairments. Key Outcomes Review of Accident and Emergency by carrying out semi-structured interviews with patients including actively collecting the views of people with disabilities. Various other projects planned to address key health inequalities. A copy of the Governors Engagement Plan can be found at Public & Staff Engagement & Training Events 3.5 Identity and Impact staff briefings Training session delivered by external and internal subject experts to support staff to explore how best to care for patients and develop interventions given specific considerations. A series of briefing session were delivered by external organisations and subject experts to increase staff knowledge and understanding of patient’s needs. Topics included supporting people with hearing loss, guiding people with sight loss, dyslexia awareness, religious awareness including Islam, Judaism and Christianity, positive interventions with men, Transgender awareness and asylum seekers and refugees. Key Outcomes Staff better informed to care for patients and meet the diverse needs of staff in the workplace. Given opportunity to ask questions relevant to individual departments. 3.6 Improved staff awareness and action to improve access to services for people with sight and hearing impairments Page 7 of 37 A sensory impairment improvement programme is underway across the Trust.
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