Draft Single Equality Scheme 2010 Consultation

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Draft Single Equality Scheme 2010

Consultation Feedback Report of meetings held;

th Wrexham Medical Institute 11 February 2010

rd Ysbyty Gwynedd 23 February 2010

Feedback from consultation questionnaire

SES/EqualitiesDept/HMS/Cjones/March2010

Contents 1 Purpose of the workshop

2 Agenda

3 Welcome and Introductions

4 Background

5 Overview of the BCUHB’s approach to the development of a Single Equality Scheme

6 The Consultation questionnaire

7 Roundtable discussion and emerging key themes with comments

8 Final remarks and close

9 Amendments to scheme following consultation

Appendices 1 Invitation and Distribution list

1. Introduction and Purpose of the workshop

Across North Wales, 7 former NHS organisations have produced separate, Disability, Race and Gender equality schemes; 2 have developed single equality schemes. There were therefore 23 pre-existing schemes and action plans in place which required review and development in response to organisational reform.

Further development resulted in a draft Single Equality and Human Rights Scheme and Improvement Plan for health in North Wales. A meeting was held in October 2009 within Ysbyty Glan Clwyd to present the Draft Single Equality Scheme and Action Plan to staff and members of the public. The scheme was written to draw together the existing Equality Schemes (Race, Disability and Gender) of all former Trusts and Health Boards and include all strands of equalities.

The feedback and output from this meeting helped to inform the final version of the draft scheme, which was then published in December 2009.

Betsi Cadwaladr University Health Board recognise that we could not have developed a scheme which would be ‘fit for purpose’ for the people of North Wales without public involvement. We would like to thank everyone who has contributed to the development of this work.

The initial meeting which took place in October was attended by both staff and service users. The open meeting was held as an introduction to the scheme and to give individuals the opportunity to highlight areas of importance and what they felt were the key priorities.

Following on from the October meeting, 2 further meetings were scheduled for February 2010 which were held to build upon the recommendations made by stakeholders, review the draft Single Equality Scheme and to identify any gaps to enable us to; • Share our approach in advancing equality at BCUHB • Consult with individuals on the proposed plan to address issues previously raised • Seek help in working with the BCUHB to sustain engagement and further develop a shared vision for Equality in Health in North Wales

This report details the outcomes of the 2 meetings held in Wrexham Medical Institute on 11th February 2010 and Ysbyty Gwynedd on 23rd February 2010 and the key themes identified as a priority for the BCUHB.

2. Agenda

6pm - Welcome and Introductions - Mr Geoff Lang, Executive Director of Primary, Community and Mental Health Services and Mr Martin Jones, Executive Director, Work Force and Operational Development.

6.15pm - Background to the event - Mr Mark Sykes, Assistant Director Workforce and Organisational Development and Ms Sally Hughes Jones, Head of Equality, Diverstiy and Human Rights.

6.30pm - Overview of approach and developing the Single Equality Scheme - Mr. Mike Townson and Mrs Clair Tipton, Senior HR Manager.

6.45pm - Overview of emerging themes and action planning – the Improvement Plan - Ms Sally Hughes Jones

7pm - Round table discussion – the consultation questions

7.30pm - Feedback, questions and summary – Mr Mark Sykes / Ms Sally Hughes Jones

7.45pm Closing Remarks - M. Geoff Lang / Rev Wynne Roberts

3. Welcome and Introductions

Betsi Cadwaladr University Health Board is the largest health organisation in Wales, providing primary, community, mental health and acute hospital services for a population of around 676,000 people across the six counties of North Wales as well as some parts of Mid Wales, Cheshire and Shropshire. An employer of around 18,000 staff with a budget of around £1.1 billion. The BCUHB are responsible for the operation of 3 district general hospitals 22 other acute and community hospitals, and a network of over 90 health centres, clinics, community health team bases and mental health units. BCUHB also coordinates the work of 121 GP practices and NHS services provided by North Wales Dentists, Opticians and Pharmacies.

4. Background to the event

The strategic direction of the BCUHB 2009-2012 sets out BCUHB’s ‘Blueprint for The Future’ is an organisation where “…citizens can access the same standard and quality of care as others irrespective of who they are, the language they speak, where they work and live.” The values of fairness, justice and self-determination underpin the strategy.

5. Overview of approach and developing a Single Equality Scheme

BCUHB has; 1. Reviewed existing schemes from former North Wales NHS Trusts and Local Health Boards 2. Learned about adopting a Human Rights based approach in practice from Mersey Care NHS 3. Ensured that the plan is responsive, informed and shaped by inclusive stakeholder engagement 4. Reviewed what has already been learned from previous engagement events and activity which has been achieved through joint working and collaboration with PPI colleagues, Community Health Councils, Voluntary Service Councils and other representatives from the third sector. 6. The consultation questionnaire

A consultation pack was made available to all service users in a variety of formats upon request. The questionnaire was available on the BCUHB internet page (as below)

Link to Draft schemes and consultation questionnaire

The questions contained within the consultation pack were;

1. Do you agree with the priorities identified within the Scheme and the improvement plan? Yes or No

2. Do you wish to identify any further equality priorities that you think we should consider? Yes or No

3. If you have selected ‘Yes’ to question 2, please tell us more and include examples of how these issues could be addressed

4. Please let us know if there is anything else you wish to tell us

7. Roundtable discussion - comments taken from both groups held in

Wrexham and Gwynedd and email responses

When both groups were asked if they agreed with the priorities identified in the Improvement Plan? The groups discussed the question and initially commented that the themes identified were accurate and a true reflection of the outcomes of previous consultations.

Comments received by email included;

I agree with the principles within the scheme, however have doubts about the priorities as they are too general and do not appear to take note of local cultural differences from coastal to very rural population.

The content and wording is good, but as a service user and parent carer of users of the service, I have difficulty in seeing how the scheme will be implemented. I have from recent experience serious doubts about how you will achieve the change to inbred attitudes towards people with disabilities and the elderly.

Will there be an Independent person(s) within the scheme to ensure transparency and commitment. Will there be a champion for the scheme.

If there are incidents of non adherence to the scheme how will these be dealt with?

I’ve read through your scheme and can see that you have managed to identify a significant amount of information. In addition, the fact that you have had to bring together a number of organisations has added another level of challenge. Within that context I hope that you will take the following comments as constructive rather than critical.

In general I found the document as a whole difficult to follow. Therefore, it would be helpful to have distinct sections on service users and employees.

To give some specific examples the 3 current public sector duties are mentioned in various parts but a major focus is on learning disabilities / mental health; gypsy travellers and older people. There is also mention of work done with the Chinese community in the past in Gwynedd. However, age is not currently a duty, although obviously important. On page 19 you use the term “protected characteristics” with no explanation of what these are and the fact that they relate to the Equality Bill.

There is mention of religion in some parts and spiritual needs (page 34) but the current employment regulations cover religious and philosophical belief and “climate change” 6 has just been found to be an example of the latter. As religion and belief come within the “protected characteristics” this needs clarifying.

Although EIAs are mentioned along with the information that they can be accessed via your website I can find no trace of any.

Finally, I liked the information on your website re Betsi Cadwaladr. Have you thought about mentioning her in the introduction to your SES as a role model for E&D? This would give your scheme an individual slant and make it much more personal to your trust.

The groups at both Wrexham and Gwynedd were then asked to identify further key themes and comments or concerns regarding the scheme and improvement plan.

Key themes identified within SES and improvement plan

Theme Further comments Effective leadership and Role Models to set examples ownership Highlighting that Equality and Diversity is a key responsibility for all, not an individual responsibility for HR. Knowledge, training and Education to develop understanding but this understanding doesn’t have to be formal, patient stories – this is what happened and this is what it felt like very powerful. How do you change attitudes, values, cultural expected behaviours, Operational Development. Education – doesn’t have to be formal – story telling / innovation. Training – how will it involve service users, families and carers? People need to understand cultural religious issues

Resources Workforce – pressures, management support required. Monitoring and Evaluation Monitoring progress and implementation of plan. The Scope is huge, complex agenda, locality issues. Internal Governance arrangements. Develop measures . The Improvement Plan – needs actions which are monitored who and how, how’s it’s going to be implemented. We need to effectively evaluate initiatives we try out. How will we know we are achieving equality – BCU can’t identify this and will need to rely upon service users and carers and their families? Monitoring – how will we keep on listening?

Terminology and understanding What does ‘equality of access’ mean? What does ‘capacity’ mean?

Theme Further comments PPI / Consultation Need equality champions who are service users – inspirational Try different types of engagement e.g. Road shows? i.e. to different user groups Gypsy travellers etc The timing of this event was inappropriate for Some. Ensure everybody gets the opportunity to have their say Attitude of staff and How do you change attitude of staff / people service users Getting the little things right most of the time with a positive attitude Recognise the feelings and needs of family and carers – not just the patient carers should be a priority group within scheme Information Data Capture – data needs to be accurate if it is being used to inform service and planning. Data Capture remains a problem Use of information Identify areas of good practice – spread across BCU Health Board

Actually meeting the patients neeHow are we going to keep listening – what and Effective delivery of services works? How will we know we have achieved equality – we won’t know as BCU – but service users will

Service delivery appropriate to the needs of The service user e.g. Homeless, Mental health issues Holistic Care – treat the whole patient. Recognise the person and profile. Compliments, Concerns and How are we going to keep listening and Complaints and capturing views learning How do we capture peoples experience – Monitor how they felt about their experience. Moans and groans – how do we know that they are being managed and put right Sort out the ‘moans’ to prevent/reduce complaints. Communication Why bother asking if the information isn’t actioned upon – i.e. needle phobia Formats of information ensure they are appropriate to the user.

Theme Further comments Communication Staff need to attune communication to the audience – particularly in the case of children. Effective communication vital to establish a therapeutic relationship. Staff need to have the conversation – it’s okay not to know everything – staff need to know where to find the information or ask the individual Tag line ‘request other formats’ what happens if service users is unable to read Making it real and workable Generally the draft scheme was good – but how was it going to be made real – in the real world. It is ok to have a great policy or plan, but it needs to be achievable Difficult to achieve same standard across BCU – similar standard more achievable. Big cultural difference e.g. Between Bangor and Wrexham. SES document generally OK but the issue is now one of operational delivery. Information transfer from GP needed patient held records? Patient diary building an idea of united assessment. Responsibility and ownership Restructuring makes it more difficult

Confidentiality and instilling Anonymous feedback confidence in service users People don’t always feel comfortable asking questions or raising their concerns.

Give people what they actually Respect and Dignity – names – want with dignity, respect and fairness important to the patient Call me what I want to be called – Human Rights issue.

Theme Further comments Specific Issues pertaining to a Gaps identified for learning disability protected characteristic / difficulty service users need to: • Broaden profile to include physical disabilities and use social model terminology • Holistic Care – time to be able to treat patient as a person and not speak to them via a carer • Good practice (basic skills and understanding) should be identified and transferred to other staff.

Mental health Addressing Mental Health needs is an issue throughout the healthcare environment, not just within Mental Health CPG

8. Final remarks and close

Sally thanked all attendees for their time and input and added that the suggestions and comments made would help inform the final Single Equality Scheme. Sally advised the groups that a report from the meetings reflecting the discussions which had taken place would be distributed to all attendees and made available as a public document via the BCUHB website or upon request.

9. Amendments to scheme following consultation

Following comments received during the consultation a number of changes have been made, these include: • The addition of people with caring responsibilities to the groups previously identified to better identify barriers to access, to improve outcomes. • Use of the term learning difficulties, aligned to the social model of disability, instead of the term learning disability within the Scheme where appropriate. • Developing a mechanism to ensure the engagement of disabled people in formulating policies and practices, and in influencing outcomes in respect of specific access issues. • Clarification about how the document is structured • Definition of the term protected characteristics • Use of patient stories as an awareness raising tool • Further development of the approach to scrutinising progress by sustaining involvement with those stakeholders who have helped shape this work so far. On-going scrutiny of progress against implementation of the Improvement Plan

SES/EqualitiesDept/HMS/Cjones/March2010

will be carried out by the Equality, Diversity and Human Rights Forum, by the Partnership Forum, and by an External Equality Stakeholder Network that will meet twice per year. • Clarification in respect of some of the language used within the Scheme • Amendments to the timescales within the Improvement Plan.

Appendix 1 List of invitation distribution and invitation

22 June 201002 June 2010

Dear Sir/Madam,

Betsi Cadwaladr University Health Board - Single Equality Scheme (SES) Reference Group

Thank you for your valuable input into this group. Our workshop at Glan Clwyd hospital in October provided a great starting point for the development of our Single Equality Scheme for the new Health Board in North Wales.

Building upon the recommendations made by stakeholders at the October meeting, we have now arranged two further workshops which are scheduled to take place as follows:

6 - 8pm on Thursday 11th February in Room one of Wrexham Medical Institute

6 - 8p.m. on Tuesday 23rd February in the Dining Room of Ysbyty Gwynedd.

We therefore, hope that you will be able to continue to support the development of the scheme and would join us at one of the above events. Please feel free to pass this invitation on to other people/organizations who you feel may also be interested or perhaps were unable to make our first meeting.

The purpose of these meetings is to review the plans and actions that are described in the draft Single Equality Scheme and to identify any gaps that we need to address.

Please could you confirm your attendance and let us know if you have any specific requirements e.g. access, interpretation etc. by to: Catherine Jones, Equalities Officer, HM Stanley Hospital, St Asaph. LL17 0RS E-mail [email protected] Telephone 01745 589929 Ext 3929 Fax 01745 589780.

Your views are important to us. Thank you again for your interest and continued support.

Yours sincerely

Mike Townson and Sally Hughes Jones North Wales Health Communities Joint Equality Group Attached: Circulation list

A Abergele Community College Argoed Community Council BIRD Arthritis Care Black Voluntary Sector Abergele Library Arthritis Care - Porthmadog & Network Wales (BWSNW) District Branch Blaenau Ffestiniog Hearing Abergele Town Council Impaired Support Group Aberwheel Community Arthritis Care in Wales Council Asperger/Autism Support Blaenau Ffestiniog Library Anheddau Cyf Group, Gwynedd & Anglesey Bodelwyddan Community Assocation for Spina Bifida & Council Ableworld Hydrocephalus (ASBAH) Bodfarm Community Council ADHD Service Flintshire Assocation for Spina Bifida & Body Positive Cheshire & North Hydrocephalus (ASBAH) Wales

Autism Cymru Breatheasy (Wrexham Branch) Advance Brighter Futures AVOW Breatheasy

Age Concern Cymru AWETU Brighter Futures Backcare British Dyslexic Association Age Concern Gwynedd a B Bagillt Community Council (The) Mon Bagillt Library Bagillt Open Door Club Bala Day Centre British Dyslexics Age Concern North East Wales Bangor Deaf Club Age Concern North Wales Bangor Leisure Centre British Heart Foundation (BHF) Central Bangor Public Library British Heart Foundation Agorfa Bond Scheme Bangor Swimming Pool Bangor Agoriad - Bangor Barmouth Library Agoriad - Dolgellau British Heart Foundation Mold Agoriad - Pwllheli Barnardos - Cyfle Service British Medical Association All Wales Ethnic Minority Barnardos - Flintshire Young Cymru Wales Assocation AWEMA Carers Project All Wales Saheli Association Barnardos - Tenancy Support Alzheimer's Society Service British Red Cross - North Wales Barnardos Cymru Adoption Alzheimers Society Conwy and Fostering Services British Red Cross - Wrexham Alzheimers Society Barnardos Cymru North Wales Bro Dysynni Leisure Centre Denbighshire Office Bro Ffestiniog Leisure Centre Alzheimers Society Flintshire Barraclough Deaf Club Bathing Assessment Centre Bro Ffestiniog Swimming Pool Alzheimers Society North BAC Wales Bro Garmon Town Council BAWSO Bro Machno Town Council Alzheimers Society Wrexham Beaumaris Library Amlwch Library Bebington & West Wirral Anglesey Deaf & Hearing Primary Care Trust Broadgreen Hospital NHS Trust Impaired Club Benllech Library Broughton & Bretton Annie's Orphans Benzodiazepine Service, North Community Council Annie's Orphans East Wales Broughton Library Antur Dyffryn Ogwen Ltd Bethesda Library Bryneglwys Community Antur Waunfawr Cyf Betws Gwerfil Goch Council Community Council Arfon Access Group Brynford Community Council Arfon Tennis Club Betws Yn Rhos Town Council Brynteg Library Betwys y Coed Town Council Buckley Leisure Centre SES/EqualitiesDept/HMS/Cjones/March2010

Buckley Library, Museum & Clatterbridge Hospital NHS Gallery Cerigydrudion Town Council Trust

Buckley Town Council Cerrigydrudion Library Clubs for Youth People Wales Clwyd Community Health Buzz-Ah Chariotts Council Clwyd Community Transport BVSNW Cheshire West Primary Care Clwyd Special Riding Centre Caerhun Town Council Trust Caernarfon Community Group Clybiau Plant Cymru C Caernarfon Library CHICS Caernarfon Youth & Child Development Centre Community Centre Bangor Cochlear Implant Group Caerwys Town Council Child Development Centre Coed Celyn Rehabilitation Conwy Unit Camre Clwtwaith, Ruthin Children in Wales Coed Mawr Community Centre Canolfan Felin Fach Children Information Service Coedpoeth Library Canolfan Hamdden Arfon Children's Development Coleg Llandrillo Canolfan Noddfa Centre Rhuddlan Coleg Llysfasi Capel Curig Town Council Coleg Llysfasi - Wrexham Care & Repair Cymru North Children's Development Training Wales office Centre, Rhyl Coleg Menai

Care & Repair Conwy Chinese Community Group Colwyn Bay Library Chirk Library Colwyn Housing Services Care & Repair Denbighshire Christian Aid (North Wales) Chwarae Teg Commission for Racial Equality Care & Repair Flintshire Chynobyl Children Lifeline (CRE) Caernarfon Link Commission for Racial Equality Care & Repair Wrexham (Wales) (CRE) Cilcain Community Council Care & Repair Gwynedd Citizens Advice Bureau Deeside Communities First Gwynedd Care Standards Inspectorate Citizens Advice Bureau Wales Denbigh Communities First Kimnel Bay Carelink Citizens Advice Bureau Flint Carers Outreach - Gwynedd Citizens Advice Bureau Communities First Mold / Carers Outreach - Gwynedd Gwynedd & South Anglesey Shotton Carers Outreach Service - Citizens Advice Bureau North West Wales - Anglesey Holywell Carers Outreach Service North Citizens Advice Bureau Communities First PlasMadoc Wales Conwy Llangollen Communities First Rhyl Southwest Citizens Advice Bureau Mold Community Development Carers Wales Citizens Advice Bureau Cymru Carers Wales Llandudno Prestatyn Community Mental Health Branch Citizens Advice Bureau Rhyl Team North & South Locality Citizens Advice Bureau Ruthin Connah's Quay Library Carriages Citizens Advice Bureau Connah's Quay Sports Centre Cause for Concern Wrexham Connah's Quay Town Council Cefn Mawr Library Cefn Meiriadog Community Council Connection Cemaes Bay Library Citizens Advice Cymru Centre for Health Leadership Clocaenog Community Contact A Family Cymru Council Contact A Family Wales 15

Contact Youth Club Cyngor Cymuned Llanelltyd Continence Nurses Cyngor Cymuned Aberdyfi Conwy & Denbighshire Trust Cyngor Cymuned Cyngor Cymuned Llanengan Abergwyngregyn Conwy Access Group Cyngor Cymuned Llanfair Cyngor Cymuned Cyngor Cymuned Abermaw Llanfihangel-y-Pennant Conwy Area Housing Office Cyngor Cymuned Llanfrothen Cyngor Cymuned Arthog Conwy Connect Cyngor Cymuned Llangelynin Conwy County Borough Cyngor Cymuned Beddgelert Cyngor Cymuned Llangywer Council Conwy East / West Community Cyngor Cymuned Llanllechid Health Council Cyngor Cymuned Bethesda Cyngor Cymuned Betws Cyngor Cymuned Llanllyfni Conwy Federation of CHCs Garmon Conwy Library Cyngor Cymuned Cyngor Cymuned Llanor Conwy Town Council Bontnewydd Conwy Voluntary Services Council Cyngor Cymuned Botwnnog Cyngor Cymuned Llanrug Cyngor Cymuned Brithdir, Cyngor Cymuned Conwy Young Carers (NCH) Llanfachreth a Rhydymain Llanuwchllyn

Corwen Health Living Centre Cyngor Cymuned Bryncrug Cyngor Cymuned Llanwnda Corwen Leisure Centre Corwen Library Cyngor Cymuned Buan Cyngor Cymuned Llanycil

Corwen Town Council Cyngor Cymuned Clynnog Cyngor Cymuned Council for Wales of Voluntary Llanystumdwy Youth Services (CWVYS) Cyngor Cymuned Corris Cyngor Cymuned Maentwrog Cyngor Cymuned Criccith Cyngor Cymuned Cyngor Cymuned Mawddwy Countess of Chester Hospital Dolbenmaen Criccieth Library Cyngor Cymuned Dyffryn Cyngor Cymuned Nefyn Criccieth Memorial Hall Ardudwy a Thalybont Cyngor Cymuned Pennal Crohns & Colitis Crossroads Caring for Carers Cyngor Cymuned Pentir Crossroads Conwy Cyngor Cymuned Ffestiniog Cyngor Cymuned Ganllwyd Cyngor Cymuned Pistyll Crossroads Flintshire Cyngor Cymuned Harlech Cyngor Cymuned Talsarnau Cyngor Cymuned Crossroads Rhuddlan District Cyngor Cymuned Llanbedr Trawsfynydd

Crossroads South Cyngor Cymuned Llanbedrog Cyngor Cymuned Tudweiliog Denbighshire Cyngor Cymuned Llanberis Cyngor Cymuned Waunfawr Cyngor Cymuned Crossroads Wrexham Llanddeiniolen

Cruse Bereavement Care Cyngor Cymuned Llandderfel Cyngor Cymuned Y Bala CVSC Rural Outreach Office Cyngor Cymuned Y Felinheli Cyngor Cymuned Llandwrog Cyfeillion Croesor Cyngor Cymuned Llandygai Cyngor Dinas Bangor Cyffylliog Community Council Cyngor Cymuned Llanegryn Cyngor Cymuned Cyngor Tref Dolgellau Cyngor Cymuned Aberdaron Llanelhaearn 16

Cyngor Tref Frenhinol Caernarfon Family Friends for 5's to 11's Denbighshire Disability Forum Cyngor Tref Denbighshire Voluntary Penrhyndeudraeteh Services Council Family Planning Association

Cyngor Tref Porthmadog Derwen Community Council Filipino Association Diabetes UK Clwyd North FLHB - Chronic Disease Nurse - Group (Cymru) Coronary H Cyngor Tref Pwllheli FLHB - Chronic Disease Nurse - Diabetes UK Wrexham Group F Diabetes Cyngor Tref Tywyn FLHB - Chronic Disease Nurse - Disabilities Wales Respiratory Cynnwys FLHB - Commissioning Manager, Mental Health Cynwyd Community Council Disability Resource Centre FLHB - Expert Patient Programme Facilitator Cyswllt Disability Rights Commission FLHB - Parkinsons Support Group Cyswllt Deaf Children Society Flint & District Carer's Support Disability Sport Cymru Group Daffodils Flint Library Learner's Centre Flint Town Council D Deaf Assocation (North Wales) Disability Wales

Deaf Association Wales Disability Welfare Rights Flintshire Carelink Disablement Welfare Rights Dolgarrog Town Council Deaf Forum Dolgellau Library Flintshire Children's Centre Dolwyddelan Town Council Flintshire County Council Deeside Day Care Association Flintshire Disability Forum

Deeside Day Care Centre Down's Syndrome Association Deeside Handicapped Dwyfor Leisure Centre Swimming Club Dyffyn Madog Arts Centre Deeside Ice Rink Dyserth Town Council Flintshire First Access Team Deeside Leisure Centre Dyslexia Action Cymru Flintshire Forum for Learning Deeside Over 50's Forum Efenechtyd Community Disabilities Council Deeside Workscheme Deganwy Library Eglwysbach Town Council Flintshire Talking Newspaper Deiniolen Library FLVC - Flintshire Local Eirianfa Association Voluntary Group Eithiniog Leonard Cheshire Garden City Library Delyn & Deeside Sports Club Home Gelfyddydau Dyffryn Madog for the Disabled Arts Centre Denbigh Leisure Centre Epilepsy Wales - Wrexham Denbigh Library, Museum & E Branch Genesis Association (Wales) Gallery Glan Clwyd Renal Unit Glan Wnion Leisure Centre Denbigh Town Council EPP Co-ordinator Glaslyn Leisure Centre Equal Opportunities Gogledd Gwynedd Commission G Community Health Council Gresford Library Denbighshire Access Group Estuary Voluntary Car Scheme Gwernaffield Community Council Denbighshire County Council 17

Gwernaffield Library Holywell Library Gwernymynydd Community Council Holywell Town Council Llandoged & Maenan Gwersyllt Library Gwyddelwern Community Holywell Youth Centre Llandrillo Community Council Council Gwynedd Council Homestart Conwy Llandudlas & Rhyd y Foel Gwynedd County Council Llandudno Branch Carers UK Homestart Denbigh Wales Gwynedd Deaf Club Llandudno Junction Libreary Homestart Flintshire Llandudno Library Gwynedd Hospice at Home Llandudno Town Council Homestart Wrexham Llandyrnog Community Gwynedd Hospice at Home Council Gwynedd Library Service Hope Community Council Llanelidan Community Hafal in Wales Hope House (Children's Council Respite Hospice) Llanfair DC Community Council Hope Library Llanfairfechan Library Hafal Conwy Hope Sports Centre Llanfairfechan Library Hafal Denbighshire Islamic Cultural Centre Llanfairfechan Town Council Isle of Anglesey County Hafal Flintshire Council Llanfairtalhaiarn Town Council

H Hafal Gwynedd Ken Butterfield Llanferres Community Council Hafal Service User Groups Llanfinhangel Glyn Myfyr Town Keyring Living Support Council Hafal Wrexham Network Llangefni Library Kidney Patients Association for Hafal Wrexham Family North Wales Llangernwy Town Council Support Llangollen Leisure Centre Hafal Ynys Mon I Kidney Research Unit Fund Llangollen Library K Kim Project Llangollen Town Council Halkyn Community Council Halkyn Library Kimnel Bay Library Llangwm Town Council Harlech Leisure Centre Llangwrnyw Library Harlech Library Learning Disability Wales Llangynhafal Community Hawarden Community Council Council Leeswood Community Council Llanrhaedre YC Community Leonard Cheshire - Wales & Council Hawarden Library West Region Llansanffraid Glan Conwy Leukaemia - Mold & District Town Council Branch Health Commission Wales L Leukaemia Care Llantysillio Community Council Llanwrst Library Hearts & Minds Projects Leukaemia Care Library & Info & Culture Llanwrst Town Council Help the Aged Llanarmon yn Ial Community Council Llanynys Community Council Help the Aged Llanasa Community Council Llay Library Henllan Community Council Llanbedr DC Community Henryd Town Council Council Llfrgell Bro Tegid Library Higher Kinnerton Community Llanberis Library Council Llynfynydd Community Holyhead Library Council Llandegla Community Council Holywell Leisure Centre 18

Llys Emlyn Williams Supported Housing MENCAP Denbigh & District MENCAP Denbigh Gateway Motor Neurone Disease Club Association Llysfaen Town Council MENCAP Llandudno & District Motor Neurone Disease Llysfaen Youth & Community Gateway Association Centre MENCAP Rhyl & District Multiple Sclerosis Society - Macmillan Cancer Support Gateway Colwyn Bay & Llandudno Mancot Library Multiple Sclerosis Society Rhyl MENCAP Ruthin & District & District Mantell Gwynedd Meningitis Cymru Multiple Sclerosis Society Mental Health Advocacy Wales/Cymru Marie Curie Cancer Care Scheme Multiple Sclerosis Support M Marl HoH Club Centre, Flintshire Matra Residents Association Muscular Dystrophy Mental Health Forum Campaign MDF The Bi-Polar Organisation Mental Health Resource Mynydd Isa Library ME Support Group (Clwyd) Centre NACRO Cymru

MEWN Cymru NACRO Cymru Youth Choices ME Support Group (Clwyd) MEWN Cymru NACRO Cymru Youth Choices Medrwn Mon Meirionnydd Community Health Council MIND Aberconwy Nannerch Community Council Member of Parliament for Alyn N Nantglyn Community Council & Deeside MIND Cymru Nantmor Mountain Centre Member of Parliament for National Assembly for Wales - Ceredigion MIND Flintshire Constituency Assembly Member of Parliament for Member for Alyn & Deeside Clwyd South MIND Vale of Clwyd National Assembly for Wales - Member of Parliament for Constituency Assembly Clwyd West MIND Wrexham Member for Arfon Member of Parliament for MIND Ynys Mon National Assembly for Wales - Conwy Mobile Library (North Constituency Assembly Member of Parliament for Flintshire) Member for Clwyd South Delyn Mobile Library (South National Assembly for Wales - Member of Parliament for Flintshire) Constituency Assembly Meiorionydd Nant Conwy Member for Clwyd West Member of Parliament for Mochdre Town Council National Assembly for Wales - Vale of Clwyd Mold & District Carers Support Constituency Assembly Group Member for Delyn Member of Parliament for National Assembly for Wales - Wrexham Mold Community Car Scheme Constituency Assembly Mold Library, Museum & Art Member for Vale of Clwyd Member of Parliament for Ynys Gallery National Assembly for Wales - Mon Mold Sports Centre Constituency Assembly Menai Bridge Library Member for Wrexham Mold Town Council National Assembly for Wales - MENCAP Bangor & District Constituency Member for Ynys Mostyn Community Council Mon MENCAP Colwyn Gateway North Wales Mobility & Driving National Assembly for Wales - MENCAP Conwy County Assessment Service Constuency Assembly Mencap Society & Gateway Motability - Wheelchair & Member for Aberconwy Club Scooter National Assembly for Wales - MENCAP Cymru Motobility Member for Caernarfon MENCAP Deeside 19

National Assembly for Wales - North Wales Ability Member for Dwyfor NE Wales Institute of Higher Programme Meirionnyd Education North Wales Advice & National Assembly for Wales - Advocacy Service Member for Mid & West Wales NE Wales Institute of Higher North Wales Brain Injury Team National Assembly for Wales - Education (NWABI) Member for North Wales NE Wales Institute of Higher National Assembly for Wales - Education North Wales Cancer Network Member for Wrexham Nefyn Library National Assembly for Wales - North Wales Cardiac Network Regional Assembly Member Nercwys Community Council for North Wales North Wales Deaf Assocoation National Asssembly for Wales - NEWCIS Denbighshire North Wales Housing Assoc Member for Mid & West Wales NEWCIS NE Wales Carers North Wales Local Dental National Asssembly for Wales - Information Services Mold Committee Member for Mid & West Wales NEWCIS New Carers North Wales Local Medical National Asssembly for Wales - Information Service Committee Member for Mid & West Wales NEWCIS Wrexham North Wales Local National Asssembly for Wales - Pharmaceutical Committee Member for North Wales NEWCIS Wrexham North Wales Menieres & National Asssembly for Wales - Tinnitus Self Help Group Member for North Wales NEWI - Disability & Learning National Autistic Society Support Services North Wales Nursing & Flintshire Residential Homes Assocation North Wales Police Headquarters National Autistic Society NAS North Wales Race Equality Cymru Network (NWREN) National Childbirth Trust North North Wales Society for the Wales Blind National Childrens Homes (NCH) Cymru North West Wales NHS Trust National Childrens Homes North West Wales NHS Trust Flintshire Substance Misuse Service

Northop Community Council National Deaf Children's NEWT Public Members Northop Hall Community Society (NDCS) Wales/Cymru Council National Federation of NHS Centre for Equality and NSPCC Women's Institutes Human Rights National Health Service Nightingale House Hospice O Ddrws I Ddrws Retirement Fellowship Wrexham National Osteoporosis Society North East Wales Institute of Wrexham Higher Education One Stop Shop National Osteoporosis Society Conwy Over 50's Forum Flintshire National Probation Service For England and Wales Over 50's Forum Wrexham National Public Health Service O Overton Library for Wales National Youth Advocacy Service Pan Disability Athletics Club NCH Cymru - Gwynedd Youth Carers Project Pan Disability Group - Herons Pan Disability Multi Sports NE Wales Institute of Higher Holiday Club Education North East Wales NHS Trust 20

Relate North Wales Samaritans Rhyl Pan Disability Swimming S Samaritans Bangor P Sessions Relate Wrexham Papyrus (Prevention of School of Healthcare Sciences Suicides) Rhosllannerchrugog Library Parents and Friends of Rhosneigr Library SCOPE Cymru Rhuddlan Children's Centre R Rhuddlan Library SCOPE Cymru Parkinson's Disease Society - Vale of Clwyd Branch Rhuddlan Town Council Sealand Community Council Pavilion Leisure Centre Rhyl Deaf Club

Rhyl Islamic Centre Second Young Voice Penllyn Leisure Centre Rhyl Leisure Centre SENSE Cymru Penmaenmawr Library Rhyl Library SENSE Cymru Branch Penmaenmawr Town Council SENSE Mold Penrhyn Bay Library Rhyl Town Council SENSE North & Mid Wales Branch Riding for the Disabled - Penrhyndeudraeth Library Deeside Group Shelter Cymru Conwy Pensarn, Abergele & Towyn (PAT) Youth & Community RNIB Cymru Shelter Cymru Denbighshire Group RNIB Cymru Conwy RNID Cymru Shelter Cymru Flintshire Shelter Cymru Gwynedd RNID Cymru/Wales Shelter Cymru Wrexham Pentrefoelas Town Council Pen-y-ffordd Community Council Denbighshire RNID Mold Shopmobility Pen-y-ffordd Community Robert Jones & Agnes Hunt Council Flintshire Orthopaedic Hospital Shotton Town Council Penygroes Library Royal Blind Society Shropshire County Primary PHAB Delyn & Deeside Royal College of Nursing Care Trust Royal Liverpool Hospital NHS Physical Disability Action Trust SKILL Wales Group Royal Liverpool Childrens SNAP Cymru Hospital NHS Trust Plas Ffrancon Leisure Centre SNAP Cymru Plas Silyn Leisure Centre Royal Shrewsbury Hospital Porthmadog Library Prestatyn Leisure Centre RSVP Wales Prestatyn Library Ruabon Library Social Services Wrexham Rural Outreach Service: Vale Prestatyn Town Council of Clwyd Mind Ruthin Leisure Centre Social Services Wrexham Prospects Ruthin Library SOVA Serving Others through Prostate Cancer Support Ruthin Town Council Volunteer Action Group PSS Tegan Project RYAG SPAN - Denbighshire Pwllheli Library Speakability Queensferry Community RYAG Sports Club for the Physically Council Saltney Library Disabled Queensferry Library Saltney Sports Centre St Asaph Leisure Centre Reference & Information St Asaph Library Centre Saltney Town Council St Asaph Town Council 21

Welsh Border Community St David's Hospice Trelawnyd and Gwaenysgor Transport St Deniol's Residential Library Community Council Welsh Sports Association for St John Ambulance Tremeirchion, Cwm & Waen Disabled St John Ambulance Community Councils Whitford Community Council St John Ambulance Cymru Treuddyn Community Council Women's Aid Aberconwy St Kentigern House Tyddyn Bach Trust Women's Aid Colwyn Bay Stepping Stones Tywyn Library Tywyn Town Council Women's Aid Deeside Stonewall Cymru Women's Aid Delyn Unison University of Wales Students Women's Aid Denbigh Stonewall Cymru Bangor Union Women's Aid Rhyl & District

Unllais Conwy & Denbighshire Women's Aid Wrexham Stroke Assocation North Wales Unllais North East Stroke Assocation North Wales Unllais North West Wrexham Carers Forum Stroke Assocation North Wales Wrexham County Borough U Urdd Gobaith Cymru Council Sunrise Tenovus Cancer Charity V I Forum Wrexham Deaf Club Tenovus The Cancer Charity Vale of Clwyd Osteoporosis Wrexham Deaf Club Support Group Wrexham Disability Forum Terrence Higgins Trust Velindre NHS Trust Wrexham Forum for Learning Disabilities Terrence Higgins Trust Vision Support Conwy Wrexham HoH Club The Association for Real Wrexham Library T Change V Vision Support Mold Wrexham Refugee & Asylum Seekers Support Group Vision Support St.Asaph The Dean of Medicine's Office The Greenhouse Vision Support Wrexham Wrexham Voice The Gwynedd Children & VIVA West Rhyl Young Y Ganolfan Family Forum People's Project Y Ganolfan Gymdeithasol The Pavilion, Flint Blaenau Ffestiniog

Wales College of Medicine Yale College The Rowan Organisation Ynys Mon Community Health The Scarman Trust Wales Council for Deaf People Council TOCH Colwyn Bay Friendship Ynys Mon County Council Circle Wales Council for the Blind Wales Sports Association for the Disabled Ysbyty Ifan Town Council Touchstones 12 W WCVA Colwyn Bay WCVA Rhyl Ysceifiog Community Council Towyn and Kinmel Bay Town Y Ysgol Belmont Council Ysgol Delyn Treborth Riding for the Wellcheck Flintshire Ysgol y Bryn Disabled Welsh Amputees Sports Trefnant Community Council Association Welsh Association of Youth Trefriw Town Council Clubs