1. Embedding ethnic equality in commissioning practice Name, date, contact 1

2. What is ethnicity? Common physical and cultural characteristics, shared values and history Affects health and healthcare via several routes: - structural (exclusion; poor access to resources) - cultural (risks; responses; healthcare experiences) - biological/genetic factors Fluid and dynamic, complex identities, variation within and between ethnic 'groups' (age, gender, generation, class, religion), BUT important axis of difference and disadvantage

3. What is the issue? We live in a multi-ethnic society; ethnic diversity is increasing; 8.7% in 2011, 14.0% in 2011 Ethnic identity impacts on health through varied routes Health services should mitigate wider disadvantage, but can make things worse Inequalities in access, experience and outcomes 3

4. Local ethnic profile 4

5. Why does this matter? Commissioning has key role in addressing unmet need and driving up standards of care. BUT, to-date, impact on inequality very limited. Legal duty to proactively identify and reduce inequalities (2010 Equality Act) Morally right thing to do Equity is core to the NHS constitution Closely linked to other key commissioning drivers: ► Quality ► Efficiency ► Health Inequalities YET, remains a side-lined concern with limited resource and expertise 5