Equality Delivery System February 2011

Equality and Diversity Council The Equality and Diversity Council was formed in 2009 with members from Dept of Health, NHS and other interests. The EDC supports the NHS to deliver services that are personal, fair, diverse and to promote continuous improvement. The EDC reports to the NHS Management Board and is chaired by David Nicholson. Major EDC products under development are : Guidance on the Equality Act 2010 The Equality Delivery System 2

Equality Delivery System The EDS is designed for the NHS by the NHS to fit into the new NHS structure It is driven by good engagement and evidence In the face of persistent difficulties for protected groups be they patients, community members or staff, the EDS is designed to help NHS organisations improve their performance, reduce health inequalities and be assured of progress. 3

Equality Delivery System - who it covers Protected characteristics The EDS helps NHS organisations to comply with the Equality Act. Age Disability Gender re-assignment Marriage and civil partnership Race including national identity and ethnicity Religion or belief Sex (that is, is someone female or male) Sexual orientation Pregnancy and maternity The Equality Act protects people from unfavourable treatment because of ‘protected’ characteristics, some of which apply to everyone while others apply to groups of people: The EDS can also be applied to groups of people not given protection by the Equality Act but who face stigma when accessing services such as homeless people, sex workers & people who use drugs

Equality Delivery System The views of over 660 people including patients, staff and other interests who attended 29 engagement events in 2010 The EDS is based on Reviews and reports on equality in the NHS, including patient and staff surveys Current good practice in the NHS, including an equality toolkit used in the North West The Local Government Equality Framework 4

EDS – Welcome and Support ‘ The EDC is to be congratulated for its development of the EDS. It will greatly help the NHS to respond positively to the requirements of the Equality Act, including the public sector duties. The EDS has the potential to make a real and positive difference to the lives of people living with diabetes from all sections of the community We welcome the EDS as a combined local and national quality assurance tool which should help to provide scrutiny of equality performance of NHS organisations. Equalities and Human Rights Commission Govt Equalities Office Diabetes UK This really has the potential to advance LGB&T equality within the NHS EDS is a simple set of guidelines for an organisation to follow giving the chance of excellence to all I am delighted that we have a mechanism to ensure that equality and diversity is integral to the NHS and its values Lesbian, Gay, Bisexual & Transgender Partnership Ashley Brooks, the first National Patient Champion Simon Morritt, NHS Bradford & Airedale 5

Equality Delivery System The EDS is led by Tim Rideout. He is the leader of NHS Leicester City. Tim is seconded to David Nicholson’s office to work on commissioning development. The EDS Technical Working Group with members from the NHS and CQC work together on general and specific aspects. An EDS Programme Office, located in NHS Newham, handles the day to day work and communication with the NHS. 6

Equality Delivery System: the process 7 Equality Delivery System: the process NHS organisations identify those local interests that will be involved in EDS implementation, and review evidence sources Step 1 With local interests, performance is analysed and graded against EDS outcomes Step 2 Equality Objectives are identified as part of mainstream business planning processes including tackling health inequalities Step 3 Priority actions are identified for each Equality Objective Step 4 Annual reviews involve new analyses against the EDS outcomes Step 5 Grades and priority actions are published locally, and shared with local authority Overview and Scrutiny Committees Step 6

Equality Delivery System How they meet the general and public sector duties of the Equality Act Equality Objectives When setting Equality Objectives and priority actions organisations should explain: How progress will be phased with milestones and how continuous improvement will be maintained The link to corporate goals and other major plans, particularly those for health inequalities The grades to be achieved over the planning period Which local interests were engaged and what the results were Joint Strategic Needs Assessments and other sources of evidence 8

Equality Delivery System: Analyses Organisations analyze and grade their equality performance against 12 outcomes grouped into 4 objectives: Better health outcomes for all Improved patient access and experience Empowered, engaged and included staff Inclusive leadership Account is taken of CQC Essential Standards 9

Equality Delivery System: gradings For each outcome, one of four grades can be chosen, and related to a RAG rating : Excelling - Gold star Achieving - Green Developing - Amber Undeveloped - Red ‘Excelling’ - high quality practice, and evidence of full partnership working and innovation ‘Undeveloped’ – practice is poor and/or evidence is not available and/or local interests have not been engaged Continuous improvement is prompted by the grades 10

Equality Delivery System: accountability Local Organisations publish their Objectives, priorities and grades on their websites and refer to them in annual reports Final plans are sent to the LA Overview & Scrutiny Committee and Health & Well-Being Boards for comment National Final plans are sent to the NHS Commissioning Board and CQC for appropriate action The EDS Programme Office publishes the grades of all organisations using a RAG rating The NHS Commissioning Board, and Ministers, should accept responsibility for any systemic equality failures in the NHS 11

Once implemented the EDS will: Equality Delivery System: what it delivers Retain a focus on fairness, personalisation and equality during transition Once implemented the EDS will: Help the NHS deliver on the Government’s commitment to fairness and personalisation Improve consistency by providing a national equalities framework for local adaptation Support NHS commissioners plan for the needs of their communities Help NHS providers respond better to CQC registration requirements Deliver better/more consistent equality performance Help organisations to respond to the Equality Act 12

Equality Delivery System – timeline July to November 2010 December 2010 February 2011 Early 2011 May / June 2011 July 2011 April 2012 From 2012/13 Design and engagement phase Full proposals endorsed by NHS Management Board and Ministers. Planning for implementation starts Regional consultation begins Draft implementation plans are completed EDS launched and an evaluation begins Evidence and sources are published EDS is implemented as Equality Objectives are agreed EDS reviewed 14

Equality Delivery System NHS Equality and Diversity Council Chaired by David Nicholson The Department of Health leads EDS policy and design work Tim Rideout Maqsood Ahmad Director of Inclusion NHS East Midlands maqsood.ahmad@nhs.net EDS Technical Working Group Swarnjit Singh Programme Manager swarnjit.singh@newhampct.nhs.uk Tel: 0207 059 6870 EDS Programme Office Claire Kennedy Communications Adviser claire.kennedy@newhampct.nhs.uk Tel: 0207 059 6871 Habib Naqvi Implementation Adviser Habib.naqvi@southwest.nhs.uk Tel:07545 033397 Harpinder Priest Programme Office Manager harpinder.priest@newhampct.nhs.uk Tel: 0207 059 6871 15