1. Approach to promoting race equality in the PCT LEADERSHIP LINKS: policies & Joint working SUSTAINING CHANGES: cycle of planning

2. Approach to promoting race equality in a PCT Leadership : Internal (individual or group) External (e.g. SHA or the Healthcare Commission) Links and joint working : Race equality and NSF Race equality and The NHS Implementation Plan Race equality and nGMS Race equality and IWL Sustaining change:cycle of planning Planning & delivery e.g. LDP Commissioning and review e.g. SLAs Performance management/corporate & clinical governance Staff employment & development

3. Using Maslow’s Hierarchy-of-needs to motivate healthcare development Developing basics: interpreting, translation, diet, multi-faith facilities. Planning and providing targeted services for specific high prevalence diseases or conditions such as Diabetes, CHD. Developing other services: replicate and systematically transfer learning and good practice to generic services. The Guide is a very helpful tool. Growth: less need for targeted services; race equality being mainstreamed and integrated in planning, commissioning and performance management, & in functions (e. g. employment)

4. Structure we used for self assessment of progress Commissioning Public HealthServices Voluntary sector Nursing Primary Care RES Steering Group Training & DevelopmentHRCommunication User & Community InvolvementClinical Governance

5. Highlights Commitment of Steering Group members essential. The Guide and Framework: Provided legitimacy Put race equality on organisational map Provoked dialogue and discussion Was comprehensive and rigorous Self-assessment Process provoked further rethinking & resulted in: Health Equity audits of smoking cessation and podiatry Race equality embedded in annual work plan of clinical governance & clinical audit Review of uptake of clinical training and development opportunities Integration of equality questions in job interviews

6. In the context of today, what will help to further promote race equality? Performance Management discussions Race equality must be a regular agenda item e.g. appraisals, targets, SHA reviews Healthcare Commission 68 (approx) proposed prompts to assess equality & human rights Link these to the ‘Guide-Performance Framework’