January 2015 Annual Equality Data Publication Trafford CCG 1 | P a g e CONTENTS PAGE 1.0 Executive Summary 3 2.0 Introduction 4 3.0 What is ‘due regard’? 5 4.0 Trafford local context 6 4.1 Public Health 8 4.2 Local protected characteristic groups and health inequalities 10 5.0 Compliance with Equality Legislation and the Public Sector 11 Equality Duty – legal obligations 6.0 4 year (delivery of) Equality Objectives 12 6.1 Outcomes from our Equality Objectives 14 7.0 What have we been doing to meet equality legislation 16 requirements? 8.0 Equality Delivery System – 17 NHS equality performance framework 9.0 Meeting statutory Human Rights requirements 19 10.0 Engagement in action with local people 20 10.1 Appendix 1: 28 List of community groups and organisations CCG engage with 11.0 Monitoring Equality Outcomes with our providers 31 12.0 Governance arrangements for equality diversity and human 32 rights 13.0 Way forward 32 14.0 Conclusions and Recommendations 34 15.0 Equalities 36 Tables Page 1 Ethnicity estimate (%) 6 2 Aims of the Public Sector Equality Duty 11 3 EDS(2) Grading explanation 17 4 EDS Goal 4: Inclusive Leadership at all levels – 18 summary of grading June 2014 Separate Appendices Page 1 Provider perspective of service delivery 1 2 Key Health Inequalities and Demographic Profiles by 2 Protected Groups for Trafford 3 Sexual Orientation Trafford 20 2 1 Executive Summary This is the Clinical Commissioning Group’s (CCG’s) second Annual Equality Data Publication. It shows Trafford CCG’s commitment to promoting equality and reducing health inequalities, and sets out the way in which the CCG fulfils its responsibilities arising from the Equality Act 2010. This Act requires public bodies to publish relevant, proportionate information showing compliance with the Equality Duty on or before 31 January each year. This information includes overviews of the CCG’s aims, and of Trafford’s diverse population and health challenges. It sets out the legal responsibilities of the CCG in demonstrating ‘due regard’ to the public sector equality duty’s three aims and will provide evidence for meeting the specific equality duty. It will set out the way in which the CCG strives to commission for inclusion. It shows progress on delivering the CCG’s Equality Objectives and explains how we monitor the equalities performance of our commissioned providers. The CCG needs to be assured that the organisations that provide the services we commission can effectively collect and analyse data to improve service provision and give better health outcomes for vulnerable groups in Trafford. This report is best read in conjunction with the equivalent reports published by our providers, which also must be published by 31 January. The report gives examples of work undertaken by the CCG to take account of the needs of our vulnerable communities, looks at the plans that we are making to improve the way we commission services and identifies future areas for development. It also shows the equality progress the CCG has made since our first Publication in January 2014. The report will also show any significant equality data gaps we have identified. We aim to use our equality data for information and service improvements, and to deliver the equality objectives set out in our Equality Diversity and Human Rights Strategy 2014 to 2018. 3 2 Introduction The annual Publication will set out how the CCG has been demonstrating ‘due regard’ to the public sector equality duty’s three aims and will provide evidence for meeting the specific equality duty, which requires all public sector organisations to publish their equality information annually. The report will also include Equality Objectives (including equality data) progress made during 2014 and since out first Publication in January 2014. In addition the Publication will set out what equality data we currently work with (mainly from provider partners and Public Health), any significant gaps in data and how they will be linked to our Equality Objectives and addressed during the coming year. 4 3 What is ‘due regard’? Due regard means that the Clinical Commissioning Group has given advanced consideration to issues of equality and prohibited discrimination before making any strategy, programme, policy or ‘key healthcare change’ decision that may potentially impact negatively on local protected groups. That is a valuable requirement that is seen as an integral and important part of the mechanisms for ensuring the fulfilment of the aims of anti-discrimination legislation set out in the Equality Act 2010. The CCG continues to work to show due regard to the aims of the Public Sector General Equality duty as set out in the Equality Act and as detailed below: Eliminate unlawful discrimination, harassment and victimisation Aims Advance Foster good equality of relations opportunity between between different groups different groups Through the adoption of the NHS Equality Delivery System the CCG aims to demonstrate to the people we serve how we are meeting the three aims of the Equality Duty. Equality Analysis is a further key process used by CCG to evidence ‘due regard’ or consideration of the 9 protected groups in CCG’s planning and decision making around significant healthcare changes. 5 4 Trafford Local Context Trafford is a Metropolitan borough in the North West region with a population of 226,578 (Census 2011). The area is made up of 21 wards. The ward with the largest population is Broadheath, representing 5.53% of the total resident population of the area, or 12,538 residents. The population density across Trafford is 21.40 persons per hectare. Within Trafford this varies from Clifford with the highest population density of 81.80 persons per hectare, and Bowdon with the lowest population density of 4.00 persons per hectare. The mean age of the population is 39 years. This compares with a mean age of 40 years for the North West region, and 39 years for England. Healthy Life Expectancy The life expectancy at birth for people living in Trafford is 79.4 years for males, and 83.5 years for females. This compares with the England life expectancy at birth for males at 78.3 years and 82.3 years for females for the same period (2006-10). Within Trafford, Bucklow-St Martins has the lowest life expectancy at birth for males at 75.1 years. Hale Central has the highest life expectancy at birth for males at 82.7 years. Urmston has the lowest life expectancy at birth for females at 80.9 years. Hale Barns has the highest life expectancy at birth for females at 88.8 years. Ethnicity 14.5% of the population is from a black or minority ethnic (BME) population. This compares with a BME population of 9.8% for the North West region, and 14.6% for England. Table 1: Ethnicity estimate Trafford (Source: 2011 Census) Ethnicity % Trafford NW England White British 80.4 182200 6141069 42279236 White Irish 2.2 5098 64930 517001 White Other 2.8 6496 151570 2430010 White Gypsy 0.02 40 4147 54895 Traveller Mixed: White 1.2 2658 39204 415616 and Black Caribbean Mixed: White 0.3 669 18392 161550 and Black African Mixed: White 0.7 1535 30529 332708 and Asian Other Mixed 0.5 1169 22766 283005 Asian British 2.7 6306 107353 1395702 (Indian) Asian British 3.1 7027 189436 1112282 (Pakistani) Asian British 0.2 457 45897 436514 (Bangladeshi) 6 Other Asian 0.9 1951 46750 819402 Black British: 0.8 1807 59278 977741 African Black British: 1.6 3802 23131 591016 Caribbean Black British: 0.4 931 15460 277857 Other Chinese 1 2232 48049 379503 Other – Arab 0.5 1259 24528 220985 Other any other 0.4 941 19688 327433 ethnic group The ethnic composition of the Trafford population is also changing, with the current Census (2011) showing that 14.5% of the population is from a black or minority ethnic (BME) population. This compares with a BME population of 9.8% for the North West region, and 14.6% for England. 7 4.1 Public Health Health of local protected groups - Public Health actions The nine characteristics protected by the Equality Act 2010 are as follows: • Age • Disability • Gender re-assignment • Marriage and civil partnership • Pregnancy and maternity • Race including nationality and ethnic origin • Religion or belief • Gender • Sexual orientation The following Public Health interventions have been undertaken in 2014/15 to improve the health or access to healthcare in these groups: Age Funding has been agreed from the public health grant for breastfeeding support work aiming to increase the uptake and continuation of breastfeeding. As part of the National Child Measurement Programme all children are weighed in school during reception and year 6, and written results are sent to their parents or carers. Funding has been agreed from the public health grant for the provision of a specialist weight management service for children. Previously this has only been available for adults. HENRY is a national initiative that provides training for health and early years practitioners who wish to develop their skills in supporting parents, carers and their children who are at risk of obesity. It combines prevention and targeted early intervention to tackle child obesity. A specialist young person’s sexual health clinic is provided. Flu vaccination is offered to everyone aged 65 and over due to their increased risk of adverse outcomes from flu infection. All people aged 65 and over receive a written invitation from their GP to attend the surgery for a flu vaccination. Wellbeing Wednesdays is a project in Sale West that addresses the 5 ways to wellbeing through a variety of activities for all ages.