EQIA Clinic P Haematology D

NHS Greater Glasgow 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 2014560/4967 Name of Current Service/Service Development/Service Redesign: Clinic P, Haematology Day Clinic, New Victoria Hospital, Regional Services Directorate, Acute Services Please tick box to indicate if this is a : Current Service X 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? Clinic P is a Day Clinic, on the 2nd floor of the New Victoria Hospital, to provide Intravenous (IV) therapies for Oncology, Haematology and General Medicine (Rheumatology, Gastro and some Respiratory specialities). Clinic P also provides an outpatient haematology clinic. There are approximately 850 – 900 patients per month at this clinic that opens Monday – Friday 8am – 5 pm (core hours for patients is 8.30 – 4.30pm) The clinic also operates on public holidays apart from Christmas and New Years Day. IV therapies can take anything from 30 minutes to 6 or 7 hours depending on the patient’s condition and specific need. The Clinic works closely with Ward 24 at the Southern General Hospital which is for haematology patients. Oncology patients will be diagnosed at another service area but may be referred for treatment by their oncologist. General Medical patients may have had some other form of treatment elsewhere in the NHS and this may have failed or they are referred for treatment to reduce their symptoms. Patients who attend Nelson Mandela Place for Breast Screening, that receive a positive result re referred to the New Victoria Hospital. This means that these patients can be from the Lanarkshire area. There is: a reception and waiting area for 20 people 3 large treatment rooms (1x4 beds/chairs,1x6 beds/chairs and 1x9 beds/chairs ) 7 single rooms with ensuite facilities 3 consulting rooms 2 rooms for doing patient’s dressings. The service is for those age 16 and above with a dominant age range of 50-80. There are several Nurse Specialists that work closely with the Clinic and the Clinic also has its own pharmacists to ensure that treatments are accurately prepared. The Clinic also have introduced volunteers to assist with non nursing tasks, e.g. befriending patients. 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.) The Directorate Management Team selected this Clinic at random. 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: Laura Meehan, Senior Nurse, Haematology N/A 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): Healthcare worker; Senior Charge Nurse; Senior Admin Assistant; Staff Nurse; Deputy Staff Nurse; Senior Nurse; Quality Co-ordinator; Equality and Diversity Assistant. Lead Reviewer Questions Example of Evidence Required Service Evidence Provided Additional Requirements (please use additional sheet where required) 1. What equalities information is Age, Sex, Race, Sexual Orientation, The Trakcare patient management Devise a plan to analyse routinely collected from people Disability, Gender Reassignment, - system routinely collects information equality data. using the service? Are there any Faith, Socio-economic status data on age, gender and postcode. barriers to collecting this data? collected on service users to. Can TrakCare can also record be used to analyse DNAs, access requirements for interpreter and issues etc. preferred language. 2. Can you provide evidence of how A Smoke Free service reviewed Not applicable. the equalities information you service user data and realised that collect is used and give details of there was limited participation of any changes that have taken place men. Further engagement was as a result? undertaken and a gender-focused promotion designed. 3. Have you applied any learning from Cancer services used information The Clinic conducts Situation, research about the experience of from patient experience research Background, Assessment and equality groups with regard to and a cancer literature review to Recommendations (SBAR) to help removing potential barriers? This improve access and remove health care workers standardise may be work previously carried out potential barriers from the patient communication. The goal of SBAR is in the service. pathway. to ensure the use of clear and concise communication of clinical information. Thus improving patient safety and clinical outcomes. The Clinic won the Patient Centred Care Chairman’s Award. This award recognised that the staff tailor care to suit the needs of their patients. The patient survey highlighted that patients receiving chemotherapy would like to visit the Clinic before commencing their treatment. Patients now have this opportunity. 4. Can you give details of how you Patient satisfaction surveys with The team work closely with Clinical Include an equalities have engaged with equality groups equality and diversity monitoring Effectiveness teams and the monitoring form with future to get a better understanding of forms have been used to make Research Practitioner at the Beatson patient experience surveys. needs? changes to service provision. West Of Scotland Cancer Centre (BWOSCC) on patient experience surveys. The most recent patient experience survey highlighted that patients would like more information on transport links to the hospital, and chemotherapy patients would like to see the Clinic before they commence chemotherapy. A development of this is the production of an information leaflet for Clinic P. 5. Is your service physically An outpatient clinic has installed There are several transport links at accessible to everyone? Are there loop systems and trained staff on the New Victoria Hospital – there are potential barriers that need to be their use. In addition, a review of a number of buses that stop outside addressed? signage has been undertaken with the hospital and a train station which clearer directional information now has a lift from the platform to ground provided. level and a ramp for train access. The train station also has signs to the hospital. There are disabled car parking spaces available in both the overground and underground car parks. There is a drop off point outside the main entrance to the hospital and at the rear entrance to the hospital. There are automatic doors at the main entrance to the hospital. There is a ‘meet and greet’ service at the main entrance, whereby volunteers can direct patients to the appropriate clinics. At the reception desk, at the main entrance, patients can request a wheelchair to take them to the clinic. There are lifts which have tactile buttons and voice announcers. The Clinic has a lowered reception desk. 6. How does the service ensure the A podiatry service has reviewed all Organise a portable loop for way it communicates with service written information and included The reception desk in the Clinic has a use in the treatment or users removes any potential prompts for receiving information in fixed loop system. consultation rooms. barriers? other languages or formats. The service has reviewed its process for Staff are aware of how to book Obtain a code for telephone booking interpreters and has interpreters and other forms of interpreting from briefed all staff on NHSGGC’s communication support. NHSGG&C’s Interpreting Interpreting Protocol. Service and a cordless Patient information is quality assured phone. to ensure it is patient friendly and complies with NHSGG&C’s Accessible Information Policy. Appointment letters are generated by the Trakcare patient management system and comply with NHSGG&C’s Accessible Information Policy. There is a display Clinic which contains information for patients about conditions and treatments etc. Chemotherapy patients are given a ‘red book’ which contains information about their treatment; their consultant’s contact details; contact details for the clinic etc. If patients need to attend hospital, they can take this book with them and show it to the medical staff. The Clinic has used NHSGG&C’s Interpreting Service to contact a patient who was not responding to appointment letters. 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 are some single rooms disaggregated data and realised available. very few young men were attending To give patients some privacy, there clinics. They have launched a local are curtains around the beds/chairs. promotion targeting young men and There are door screens on the glass will be analysing data to test if panels to the single rooms to ensure successful. privacy, even although patients do not need to undress for their treatment. The staff in the Clinic are predominantly female; however staff would try to accommodate requests for a same sex health professional. Staff would ask patients if they would prefer a same sex interpreter. Patients have never disclosed any domestic violence issues, however, if they did, staff would signpost them to the appropriate agencies.

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