1. Find out more online: www.worcestershire.nhs.uk Principles of Equality, Diversity and Human Rights Kulvinder Hira Equality and Diversity Lead

2. Find out more online: www.worcestershire.nhs.uk Quiz

3. Find out more online: www.worcestershire.nhs.uk What is Equality ? Equality is about making sure that people are treated fairly and given fair chances. Equality is not about treating everyone in the same way or giving certain groups of individuals 'extra rights', but it recognises that their needs are met in different ways.

4. Find out more online: www.worcestershire.nhs.uk Equality is about... ● Fairness ● Participation ● Opportunity ● Human potential ● Moral...legal...business case...

5. Find out more online: www.worcestershire.nhs.uk The moral case for Equality ● The right thing to do ● Respect ● Dignity ● The NHS was created on: ● That it meet the needs of everyone ● That it be free at the point of delivery ● Based on clinical need, not ability to pay

6. Find out more online: www.worcestershire.nhs.uk The legal case for Equality ● Since the Race Relations Act (RRA 1976) a number of pieces of legislation have been enacted ● Human Rights Act 1998 ● RRAA 2000 ● Disability Discrimination Act 2005 ● Equality Act 2006

7. Find out more online: www.worcestershire.nhs.uk The business case for Equality Millions of pounds are wasted in NHS every on: ● Missed appointments ● Unnecessary investigations and procedures ● Consequences of misdiagnosis

8. Find out more online: www.worcestershire.nhs.uk What is Diversity? ● What is Diversity? Diversity is about valuing individual difference. It is much more than just a new word for 'Equality.' A diversity approach aims to recognise, value and manage difference to enable everyone to contribute and realise their full potential. Diversity challenges us to recognise and value all sorts of difference in order to make our Trust a better place to everyone to work and be treated. In doing so, diversity also encourages understanding and allows us to be more aware of difference and helps us respect these differences for their individual merits.

9. Find out more online: www.worcestershire.nhs.uk Key points: ● NHS is committed to equality and diversity ● It is an integral part of healthcare ● We all have a responsibility to integrate the principles into our everyday work ● KSF Core Dimension 6 Equality & Diversity in the NHS

10. Find out more online: www.worcestershire.nhs.uk Human Rights Principles (FREDA) Fairness – Right to a fair trial Respect – Right to respect or family and private life Equality – Right to not be discriminated against in the enjoyment of other human rights Dignity - Right not to be tortured or treated in an inhuman or degrading way Autonomy - Right to respect for private life

11. Find out more online: www.worcestershire.nhs.uk Why are human rights important in healthcare? ● Every single person in the UK comes into contact with the NHS at some point in their lives, usually when they are at their most vulnerable. Therefore it is essential that human rights are taken into account when delivering services to ensure quality care. Putting human rights at the heart of the way healthcare services are designed and delivered can make better services for everyone, with patient and staff experiences reflecting the core values of fairness, respect, equality, dignity and autonomy.

12. Find out more online: www.worcestershire.nhs.uk Principles into practice A man with Learning Disabilities was living in a residential care home. He was regularly tied to a bed or to a chair for sixteen hours at a time, to prevent him from hitting his head and face, causing him physical pain and mental anguish.

13. Find out more online: www.worcestershire.nhs.uk Human Rights: ● The right not be tortured or treated in an human or degrading way: ● Physical or mental abuse ● Even though may be not inflicted deliberately, it is still inhuman and degrading treatment.

14. Find out more online: www.worcestershire.nhs.uk Equalities Legislation There are six strands to the equalities agenda: Race Gender Disability Age Sexual Orientation Religion or Belief Transgender (2011)

15. Find out more online: www.worcestershire.nhs.uk How can you promote equality? ● Become aware of equality and diversity issues ● Understand the negative impact of discrimination ● Ensure staff and patients are treated fairly and equally ● Challenge discrimination – zero tolerance! ● Communicate your views and vision effectively – change the culture! ● Collect equalities data ● Use equalities data

16. Find out more online: www.worcestershire.nhs.uk Why do we need to collect data? ● Certain sections of the population experience health inequalities such as: ●Poorer health. ●Early death. ●Receiving less benefit from available health services. ●Ensuring services are accessible by all appropriate groups. ●Ensuring all groups are represented in line with the demographics of the county. ●Helping guide provision for health needs of each group. ●Bringing to the attention of staff the individual needs of different ethnic groups.

17. Find out more online: www.worcestershire.nhs.uk The Equality Bill The Aims……. ● Harmonise discrimination law; and ● To strengthen the law to support progress on equality It will do this by……. ● Introducing a new Public Sector Duty to consider Socio-economic inequalities ● Putting a new Equality Duty on public bodies ● Using public procurement to improve equality ● Banning age discrimination outside the workplace ● Introducing gender pay and equality reports ● Extending the scope to use positive action

18. Find out more online: www.worcestershire.nhs.uk - As an Employer ● Ensure the workforce is representative of the community ● Training and Development ● Development opportunities ● Publish workforce statistics ● Positive action in recruitment and selection process

19. Find out more online: www.worcestershire.nhs.uk As a Commissioner implementing the equality and human rights agenda ● Ensure equalities and human rights is integral to all contracts ● Ensure that equalities monitoring information is a requirement as part of performance management ● Ensure that provider services are compliant with legislation; i.e. does the organisation conduct Equality Impact Assessments?, is there any evidence? ● Ensure that services that are being commissioned have gone through an equitable and fair process

20. Find out more online: www.worcestershire.nhs.uk - As a provider ● Ensure services are accessible and equitable ● Collate equalities monitoring data, record and evaluate ● Adopt a Human Rights Based Approach ● Ensure that all policies and functions are equality impact assessed ● Equality and Human Rights Training to engage staff

21. Find out more online: www.worcestershire.nhs.uk Risks ● Non Compliance ● Discriminatory Organisation (Institutional Discrimination) ● Complaints ● Tribunals ● High Costs

22. Find out more online: www.worcestershire.nhs.uk A Negative Equality Model Health Inequalities Poor take up of services Poor recruitment Ignorance Prejudice Harassment Poor reputation

23. Find out more online: www.worcestershire.nhs.uk Key benefits of an equality and human rights based approach ● Improves Compliance with Legislation and reduces complaints/litigation ● Potential to become an exemplar organisation in Equalities and Human Rights ● Cultural, attitude and behavioural change – positive ● Excellent performance ● Leadership Commitment ● It helps improve experience and outcomes for patients, service users and staff by approaching services and decisions in a person centred way. ● It supports the delivery of wider NHS priorities

24. Find out more online: www.worcestershire.nhs.uk A Positive Equality Model Awareness raising Understanding Appropriate services Good employer Good reputation Good take up of services Reduction In Health Inequality

25. Find out more online: www.worcestershire.nhs.uk Thank you!