Community Impact Assessment Form
For a summary of this Community Impact Assessment, click here
Title of Community Impact Assessment (CIA): Joint Health and Wellbeing Strategy
Directorate: Community Health and Social Care (Public Health)
Date of assessment: February 2013
Names and roles of people carrying out the community impact assessment. (Please identify Lead Officer):
Alistair Fisher, Health and Wellbeing Officer, Salford City Council, Anne Lythgoe, Health and Wellbeing Board and Strategy Manager
Section A – What are you impact assessing?
(Indicate with an “x” which applies):A decision to review or change a service
A strategy
A policy or procedure
A function, service or project
x
Are you impact assessing something that is?:New
Existing
Being reviewed
Being reviewed as a result of budget constraints
x
1
Describe the area you are impact assessing and, where appropriate, the changes you are proposing?
The Health and Social Care Act (2012) sets out a statutory duty which requires the undertaking of a joint health and wellbeing strategy
by Salford City Council and NHS Salford Clinical Commissioning Group, discharged via the Health and Wellbeing Board. The Health and
Wellbeing Board is a committee of Salford City Council currently in shadow form until 1st April 2013. Nationally, Health and Wellbeing
Boards will have strategic influence over commissioning decisions across health, public health and social care.
The purpose of the Strategy is to inform commissioning decisions across local services focussing on the needs of service users and
communities based on evidence provided in the Joint Strategic Needs Assessment (JSNA). Local authorities and Clinical
Commissioning Groups (CCGs) will need to take the Joint Strategic Needs Assessment and Joint Health & Wellbeing Strategy into
account when producing commissioning plans so that their plans are fully aligned with the jointly agreed priorities in the Joint Health and
Wellbeing Strategy.
Following an extensive consultation and engagement period, during 2012, with local residents and organisations the Health and
Wellbeing Board identified three priorities to become the primary focus of the Strategy, they are:



Ensure all children have the best start in life and continue to develop well during their early years
Local residents achieve and maintain a sense of wellbeing by leading a healthy lifestyle supported by resilient communities
All local residents can access quality health and social care and use it appropriately
2
Section B – Is a Community Impact Assessment required (Screening)?
Consider what you are impact assessing and mark “x” for all the statement(s) below which apply
Service or policy that people use or which apply to people (this could include staff)
Discretion is exercised or there is potential for people to experience different outcomes. For example,
planning applications and whether applications are approved or not
Concerns at local, regional or national level of discrimination/inequalities
Major change, such as closure, reduction, removal or transfer
Community, regeneration and planning strategies, organisational or directorate partnership
x
strategies/plans
Employment policy – where discretion is not exercised
Employment policy – where discretion is exercised. For example, recruitment or disciplinary process
If none of the areas above apply to your proposals, you will not be required to undertake a full CIA. Please summarise below why a full
CIA is not required and send this form to your directorate equality link officer. If you have identified one or more of the above areas, you
should conduct a full CIA and complete this form.
Equality Areas
Indicate with an “x” which equality areas are likely to be affected, positively or negatively, by the proposals
Age
x
Religion and/or belief
x
Disability
x
Sexual Identity
x
Gender (including pregnancy and maternity and
marriage and civil partnership)
x
People on a low income (socio-economic inequality)
x
Gender reassignment
x
Other (please state below) (For example carers, ex
offenders, refugees and asylum seekers, gypsies and
travellers)
x
Race
x
x
If any of the equality areas above have been identified as being likely to be affected by the proposals, you will be required to undertake a
CIA. You will need only to consider those areas which you have indicated are likely to be affected by the proposals
3
Section C – Monitoring information
C1 Do you currently monitor by the
following protected characteristics or
equality areas?
Age
Yes (Y) or
No (N)
Disability
Yes
Gender (including pregnancy and
maternity and marriage and civil
partnership)
Yes
Gender Reassignment
No
Race
Yes
Religion and/or belief
Yes
Sexual Identity
Yes
People on a low income
(socio-economic inequality)
Yes
If no, please explain why and / or detail in the action plan at Section E how
you will prioritise the gathering of this equality monitoring data.
Yes
Yes
Currently the Joint Strategic Needs Assessment does not contain information
on gender reassignment. Therefore, information used in this section has been
accessed from the Lesbian and Gay Foundation.
Carers
Other (please state) (For example
carers, ex offenders, refugees and
asylum seekers, gypsies and travellers)
4
Section C (continued) – Consultation
C2 Are you intending to carry out consultation on your proposals?
Yes
If “yes”, please give details of your consultation exercise and results below
The strategy has been developed through extensive engagement work with Salford City Council, NHS Salford CCG, local organizations
and local citizens. Its development has been led by the Health and Wellbeing Board and is built on the evidence found in the 2012 Joint
Strategic Needs Assessment, partnership strategies and informed by the Annual Report of the Director of Public Health. The
consultation broadly falls into the following areas:






Health and Wellbeing Board development sessions and working groups
A public consultation using a range of methods, including social networking, web media and face-to-face discussions
A desk based review of existing consultation findings and Health Needs Assessments
Attendance at a number of local events and meetings to canvass views and experiences, including the HealthWatch Citizen
Transition Group, BASIS network and the Citizen and Patient Panel.
A Joint Strategy Needs Assessment Twilight session for Elected Members of Salford City Council
A lay people’s reference group to provide feedback on the Strategy’s priorities and outcome measures
The consultation and engagement has directly shaped the priorities and outcomes selected within the joint health and wellbeing strategy.
This was achieved by the preparation of reports and briefing notes which were used by the Health and Wellbeing Board to inform their
decisions related to the strategic intent of the strategy.
The consultation exercise was carried out in such a way as to maximise engagement, though the use of a variety of tools and techniques
such as those described above, the use of locations across the City and times throughout the day and week. Consultation was taken to
existing networks and structures to help people feel more comfortable with taking part. Consultation took place over a period of several
months to maximise opportunity to take part.
5
Section C (continued) – Analysis
C3 What information has been analysed
to inform the content of this CIA? What
were the findings?
Please include details of, for example,
service or employee monitoring
information, consultation findings, any
national or local research, customer
feedback, inspection reports, and any
other information which will inform your
CIA.
Please specify whether this was existing
information or was obtained specifically
in relation to this equality analysis and
CIA process
The following information has been used to inform the content of this CIA:

Results and recommendations: the joint health and wellbeing strategy’s emerging
priorities public engagement exercise– August 2012
 Joint Strategy Needs Assessment neighbourhood profiles 2012
 Joint Strategic Needs Assessment 2010
 Salford Health Profile 2012
 Child Health Profile 2012
 Better off in Salford: A strategy to end family poverty and improve life chances
 Carers in Salford Needs Assessment
 Homelessness Needs Assessment
 Infant mortality in Salford
 Learning Disabilities Needs Assessment
 Mental Well Being Needs Assessment
 Orthodox Jewish Community Needs Assessment
 Pharmaceutical Needs Assessment
 Public Health Annual Report 2010 to 2011
 Safeguarding children and young people in Salford
 Unintentional Injuries Needs Assessment
 LGB&T communities: a summary of JSNAs
For further information on needs assessments :
http://www.salford.gov.uk/needsassessments.htm
The Joint Strategic Needs Assessment is a strategic assessment of current and future needs
of local communities. (Salford's Joint Strategic Needs Assessment (JSNA) - Salford City
Council) The JSNA is an on-going process to analyse, understand and interpret data; and the
information produced is continually being updated, improved on and expanded. It includes
Neighbourhood profiles which allow you to access a wide range of information about health
and wellbeing issues in your local area. The JSNA also contains thematic needs
assessments, which are being updated and added to on a regular basis. Recent work has
focussed on children and young people’s needs and ongoing research is covering the needs
of older people.
6
Section D – Potential impacts and how these will be addressed
Could your proposals have a
differential impact relating to
age equality
Will people within certain age
ranges not be getting the
outcome they need?
Will people within certain age
ranges be disadvantaged as a
result of your proposals?
If the impact is negative, how
will it be reduced or eliminated?
If you are unable to eliminate,
reduce or mitigate negative
impacts, are your proposals
potentially discriminatory on the
grounds of age?
Yes (Y)
No (N)
Explain impact(s) and what evidence or data exists to support your analysis?
No
The Joint Strategic Needs Assessment highlights a number of key messages about
health and wellbeing needs of different groups of people. Evidence suggests that a
life-course approach to improving health and wellbeing should be adopted. This
approach is best described using five periods of development, which are:
No
No





Starting well
Developing well
Living well
Working well
Ageing well
At each stage the undertaking of specific activities will deliver the greatest health
and wellbeing outcomes. For example, being smoke free during pregnancy and the
initiation and continuing of breastfeeding during starting well and appropriate
support to live independently during ageing well.
As a result of this evidence the joint health and wellbeing strategy has prioritised
key outcomes at all stages of the life.
The Joint Strategic Needs Assessment is a strategic assessment of current and
future needs of local communities. (Salford's Joint Strategic Needs Assessment
(JSNA) - Salford City Council) The JSNA is an on-going process to analyse,
understand and interpret data; and the information produced is continually being
updated, improved on and expanded. It includes Neighbourhood profiles which
allow you to access a wide range of information about health and wellbeing issues
in your local area. The JSNA also contains thematic needs assessments, which are
being updated and added to on a regular basis. Recent work has focussed on
children and young people’s needs and ongoing research is covering the needs of
older people.
7
A communications and engagement plan will be prepared for the Joint Health and
Wellbeing Strategy, which will aim to facilitate and enable continued information
giving, engagement, promotion of health objectives, and influencing healthy
behaviours across all communities and domains. Where relevant to particular and
specific need, engagement will actively target specific sectors of the communities
of Salford where high levels of need exist, thereby allowing access to advice and
support to improve health and wellbeing.
Yes
The joint health and wellbeing strategy has prioritised best start in life. The Health
and Wellbeing Board will focus its collective action to increase health and wellbeing
outcomes related to breast feeding initiation, healthy weight in primary school aged
children and teenage pregnancy.
Will the proposals mean that
people within certain age ranges
will experience positive
outcomes?
Highlight any positive impacts
Are the proposals likely to
impact on community cohesion?
Is there potential to enhance
relationships between people
who share a protected
characteristic and those who do
not?
Identify areas where there is
potential to foster good relations
No
Yes
Wherever possible intergenerational work will be promoted.
Section D (continued) – Potential impacts and how these will be addressed
Could your proposals have a
differential impact relating to
disability equality
Will people with a disability not
be getting the outcome they
need?
Will people with a disability be
disadvantaged as a result of
Yes (Y)
No (N)
Explain impact(s) and what evidence or data exists to support your analysis?
No
Evidence suggests that people with a disability can experience different health and
wellbeing outcomes. For example, the Learning Disability Needs Assessment
states that :
No

People with learning difficulties have a shorter life expectancy and increased
8
your proposals?
If the impact is negative, how
will it be reduced or eliminated?
If you are unable to eliminate,
reduce or mitigate negative
impacts, are your proposals
potentially discriminatory on the
grounds of disability?
risk of premature death when compared to the rest of the population (66
versus 80)
No

People with learning disabilities are two and a half times more likely to have
health problems than other people.
The above inequalities are associated with the following increased risk of exposure
to well established ‘social determinants’ of health:



Communication difficulties and reduced health ‘literacy’
Personal health risks and behaviours
Deficiencies in access to and the quality of healthcare provision
As a result of this evidence the joint health and wellbeing strategy has prioritised
key outcomes to address the increased risk factors associated with disability which
will impact at all stages of life.
The Joint Strategic Needs Assessment is a strategic assessment of current and
future needs of local communities. (Salford's Joint Strategic Needs Assessment
(JSNA) - Salford City Council) The JSNA is an on-going process to analyse,
understand and interpret data; and the information produced is continually being
updated, improved on and expanded. It includes Neighbourhood profiles which
allow you to access a wide range of information about health and wellbeing issues
in your local area. The JSNA also contains thematic needs assessments, which are
being updated and added to on a regular basis.
A communications and engagement plan will be prepared for the Joint Health and
Wellbeing Strategy, which will aim to facilitate and enable continued information
giving, engagement, promotion of health objectives, and influencing healthy
behaviours across all communities and domains. Where relevant to particular and
specific need, engagement will actively target specific sectors of the communities
of Salford where high levels of need exist, thereby allowing access to advice and
support to improve health and wellbeing.
Will the proposals mean that
people with a disability will
Yes
The joint health and wellbeing strategy prioritised appropriate access to quality
care. The Health and Wellbeing Board will focus its collective action to increase
9
experience positive outcomes?
Highlight any positive impacts
Are the proposals likely to
impact on community cohesion?
Is there potential to enhance
relationships between people
who share a protected
characteristic and those who do
not?
Identify areas where there is
potential to foster good relations
health and wellbeing outcomes related to residents feeling confident to manage
their disability with quality services available in a timely manner.
No
Wherever possible reasonable adjustments will be made to service provision to
ensure all local people can access services regardless of ability.
Yes
Section D (continued) – Potential impacts and how these will be addressed
Could your proposals have a
differential impact relating to
gender equality (this includes
pregnancy and maternity and
marriage and civil
partnership)
Will men, women or boys and
girls not be getting the outcome
they need?
Will men, women or boys and
girls be disadvantaged as a
result of your proposals?
If the impact is negative, how
will it be reduced or eliminated?
If you are unable to eliminate,
reduce or mitigate negative
impacts, are your proposals
potentially discriminatory on the
grounds of gender?
Yes (Y)
No (N)
Explain impact(s) and what evidence or data exists to support your analysis?
No
A number of services provided by Health and Social Care organisations are gender
specific, for example midwifery. Other services report higher uptake from one
gender, for example community weight management.
No
No
As a result of this evidence the joint health and wellbeing strategy has prioritised
key outcomes to ensure all local residents can access quality health and social
care and use it appropriately.
The Joint Strategic Needs Assessment is a strategic assessment of current and
future needs of local communities. (Salford's Joint Strategic Needs Assessment
(JSNA) - Salford City Council) The JSNA is an on-going process to analyse,
understand and interpret data; and the information produced is continually being
updated, improved on and expanded. It includes Neighbourhood profiles which
allow you to access a wide range of information about health and wellbeing issues
in your local area. The JSNA also contains thematic needs assessments, which are
10
being updated and added to on a regular basis.
A communications and engagement plan will be prepared for the Joint Health and
Wellbeing Strategy, which will aim to facilitate and enable continued information
giving, engagement, promotion of health objectives, and influencing healthy
behaviours across all communities and domains. Where relevant to particular and
specific need, engagement will actively target specific sectors of the communities
of Salford where high levels of need exist, thereby allowing access to advice and
support to improve health and wellbeing.
Will the proposals mean that
men or women, boys or girls will
experience positive outcomes?
Highlight any positive impacts
Yes
Are the proposals likely to
impact on community cohesion?
Is there potential to enhance
relationships between people
who share a protected
characteristic and those who do
not?
Identify areas where there is
potential to foster good relations
Where required commissioning organisations will include KPIs into contracts to
ensure positive outcomes for related to gender.
No
Section D (continued) – Potential impacts and how these will be addressed
Could your proposals have a differential
impact relating to equality for people
planning, undergoing or who have
undergone gender reassignment?
Will people planning, undergoing or who
have undergone gender reassignment
not be getting the outcome they need?
Will people planning, undergoing or who
have undergone gender reassignment
Yes (Y)
No (N)
Explain impact(s) and what evidence or data exists to support your
analysis?
No
The LGF state that trans gender people are:
No


11
far more likely to live alone with fewer support networks in later life
Nearly half of trans people smoke, compared with a quarter of their
heterosexual peers

be disadvantaged as a result of your
proposals?
If the impact is negative, how will it be
reduced or eliminated?
If you are unable to eliminate, reduce or
mitigate negative impacts, are your
proposals potentially discriminatory on
the grounds of gender reassignment?
No
41% of trans people reported attempting suicide compared to 1.6%
of the general population
In addition it is suggested that care pathways for trans people are not
meeting the international standards.
As a result of this evidence the joint health and wellbeing strategy has
prioritised key outcomes to ensure all local residents can access quality
health and social care and use it appropriately.
The Joint Strategic Needs Assessment is a strategic assessment of current
and future needs of local communities. (Salford's Joint Strategic Needs
Assessment (JSNA) - Salford City Council) The JSNA is an on-going
process to analyse, understand and interpret data; and the information
produced is continually being updated, improved on and expanded. It
includes Neighbourhood profiles which allow you to access a wide range of
information about health and wellbeing issues in your local area. The JSNA
also contains thematic needs assessments, which are being updated and
added to on a regular basis.
A communications and engagement plan will be prepared for the Joint
Health and Wellbeing Strategy, which will aim to facilitate and enable
continued information giving, engagement, promotion of health objectives,
and influencing healthy behaviours across all communities and domains.
Where relevant to particular and specific need, engagement will actively
target specific sectors of the communities of Salford where high levels of
need exist, thereby allowing access to advice and support to improve
health and wellbeing.
Yes
Where required commissioning organisations will include KPIs into
contracts to ensure positive outcomes for trans gender people.
Will the proposals mean that people
planning, undergoing or who have
undergone gender reassignment will
experience positive outcomes?
Highlight any positive impacts
Are the proposals likely to impact on
No
12
community cohesion?
Is there potential to enhance
relationships between people who share
a protected characteristic and those who
do not?
Identify areas where there is potential to
foster good relations
Section D (continued) – Potential impacts and how these will be addressed
Could your proposals have a
differential impact relating to
race equality
Will certain racial groups not be
getting the outcome they need?
Will certain racial groups be
disadvantaged as a result of
your proposals?
If the impact is negative, how
will it be reduced or eliminated?
If you are unable to eliminate,
reduce or mitigate negative
impacts, are your proposals
potentially discriminatory on the
grounds of race?
Yes (Y)
No (N)
Explain impact(s) and what evidence or data exists to support your analysis?
No
The Joint Strategic Needs Assessment 2010 states that the ethnic diversity of
Salford has changed significantly in recent years. Not only has there been a rapid
growth of the Black and Minority Ethnic (BME) population as a whole, but there is a
greater diversity of communities. There are a number of well established ethnic
minority communities in the city include the Yemeni, Bangladeshi and Pakistani
communities in Eccles. There are other Black and Minority Ethnic communities
which are more geographically dispersed. And Salford has seen a rapid growth in
its Black African communities. In addition, the rapid growth in migrants from
eastern Europe has added a whole new cultural aspect to a range of areas in the
city.
No
No
The increasing diversity across the city has implications for health and social care
services, to be flexible and accessible to a wide range of needs. A clear example of
the inequality of access attributed to ethnicity is the Breast Screening Equity audit.
In 2006 the uptake rate was 61%. The audit found that there was a lower level of
uptake amongst BME communities.
As a result of this evidence the joint health and wellbeing strategy has prioritised
key outcomes to ensure all local residents can access quality health and social
care and use it appropriately.
The Joint Strategic Needs Assessment is a strategic assessment of current and
future needs of local communities. (Salford's Joint Strategic Needs Assessment
(JSNA) - Salford City Council) The JSNA is an on-going process to analyse,
13
understand and interpret data; and the information produced is continually being
updated, improved on and expanded. It includes Neighbourhood profiles which
allow you to access a wide range of information about health and wellbeing issues
in your local area. The JSNA also contains thematic needs assessments, which are
being updated and added to on a regular basis.
A communications and engagement plan will be prepared for the Joint Health and
Wellbeing Strategy, which will aim to facilitate and enable continued information
giving, engagement, promotion of health objectives, and influencing healthy
behaviours across all communities and domains. Where relevant to particular and
specific need, engagement will actively target specific sectors of the communities
of Salford where high levels of need exist, thereby allowing access to advice and
support to improve health and wellbeing.
Will the proposals mean that
people within certain racial
groups will experience positive
outcomes?
Highlight any positive impacts
Yes
Are the proposals likely to
impact on community cohesion?
Is there potential to enhance
relationships between people
who share a protected
characteristic and those who do
not?
Identify areas where there is
potential to foster good relations
Where required commissioning organisations will include KPIs into contracts to
ensure positive outcomes for related to ethnic diversity.
No
Section D (continued) – Potential impacts and how these will be addressed
Could your proposals have a
Yes (Y)
differential impact relating to
religion or belief equality
Will people of certain religions or
No (N)
Explain impact(s) and what evidence or data exists to support your analysis?
No
It is difficult to be sure of the impact of religion or belief has on health and social
14
who have particular beliefs not
be getting the outcome they
need?
Will people of certain religions or
who have particular beliefs be
disadvantaged as a result of
your proposals?
If the impact is negative, how
will it be reduced or eliminated?
If you are unable to eliminate,
reduce or mitigate negative
impacts, are your proposals
potentially discriminatory on the
grounds of religion or belief?
No
No
care outcomes as primary care does not routinely record religion. In addition to this
the definition of religious beliefs may be open to interpretation certain communities.
However, an example of the barriers faced by some religious groups are
exemplified Orthodox Jewish population, these include; access to services, up take
of immunisation and vaccinations and screening services.
As a result of this evidence the joint health and wellbeing strategy has prioritised
key outcomes to ensure all local residents can access quality health and social
care and use it appropriately.
The Joint Strategic Needs Assessment is a strategic assessment of current and
future needs of local communities. (Salford's Joint Strategic Needs Assessment
(JSNA) - Salford City Council) The JSNA is an on-going process to analyse,
understand and interpret data; and the information produced is continually being
updated, improved on and expanded. It includes Neighbourhood profiles which
allow you to access a wide range of information about health and wellbeing issues
in your local area. The JSNA also contains thematic needs assessments, which are
being updated and added to on a regular basis.
A communications and engagement plan will be prepared for the Joint Health and
Wellbeing Strategy, which will aim to facilitate and enable continued information
giving, engagement, promotion of health objectives, and influencing healthy
behaviours across all communities and domains. Where relevant to particular and
specific need, engagement will actively target specific sectors of the communities
of Salford where high levels of need exist, thereby allowing access to advice and
support to improve health and wellbeing.
Will the proposals mean that
people of certain religions or
who have particular beliefs will
experience positive outcomes?
Highlight any positive impacts
Are the proposals likely to
impact on community cohesion?
Is there potential to enhance
relationships between people
who share a protected
Yes
Where required commissioning organisations will include KPIs into contracts to
ensure positive outcomes for related to religion or belief.
No
15
characteristic and those who do
not?
Identify areas where there is
potential to foster good relations
Section D (continued) – Potential impacts and how these will be addressed
Could your proposals have a
differential impact relating to
sexual identity equality
Will gay, lesbian and/or bisexual people not be getting the
outcome they need?
Will gay, lesbian and/or bisexual people be disadvantaged
as a result of your proposals?
If the impact is negative, how
will it be reduced or eliminated?
If you are unable to eliminate,
reduce or mitigate negative
impacts, are your proposals
potentially discriminatory on the
grounds of sexual identity?
Yes (Y)
No (N)
Explain impact(s) and what evidence or data exists to support your analysis?
No
The LGF states that:
No



No







It is estimated that 6% of the population is LGB
1 in 10 men who have sex with men are living with HIV, and 1 in 3 HIV
positive men (in major UK cities) have undiagnosed HIV infection
Illicit drug use amongst LGB people is at least 8 times higher than in the
general population
Around 25% of LGB people indicate a level of alcohol dependency3
Nearly half of LGB&T individuals smoke, compared with a quarter of their
heterosexual peers
Lesbian, gay and bisexual people are at higher risk of mental disorder,
suicidal ideation, substance misuse and deliberate self harm
Demand for health and social care services is increasing
LGB older people are far more likely to live alone with fewer support
networks
Research suggests that gay men and lesbians are less likely to have routine
screening tests than heterosexuals
37% of lesbian and bisexual women identified they had been told by a
health professional that lesbian and bisexual women did not require a
cervical screening test
As a result of this evidence the joint health and wellbeing strategy has prioritised
key outcomes to ensure all local residents can access quality health and social
care and use it appropriately.
The Joint Strategic Needs Assessment is a strategic assessment of current and
future needs of local communities. (Salford's Joint Strategic Needs Assessment
16
(JSNA) - Salford City Council) The JSNA is an on-going process to analyse,
understand and interpret data; and the information produced is continually being
updated, improved on and expanded. It includes Neighbourhood profiles which
allow you to access a wide range of information about health and wellbeing issues
in your local area. The JSNA also contains thematic needs assessments, which are
being updated and added to on a regular basis.
A communications and engagement plan will be prepared for the Joint Health and
Wellbeing Strategy, which will aim to facilitate and enable continued information
giving, engagement, promotion of health objectives, and influencing healthy
behaviours across all communities and domains. Where relevant to particular and
specific need, engagement will actively target specific sectors of the communities
of Salford where high levels of need exist, thereby allowing access to advice and
support to improve health and wellbeing.
Will the proposals mean that
gay, lesbian and/or bi-sexual
people will experience positive
outcomes?
Highlight any positive impacts
Are the proposals likely to
impact on community cohesion?
Is there potential to enhance
relationships between people
who share a protected
characteristic and those who do
not?
Identify areas where there is
potential to foster good relations
Yes
Where required commissioning organisations will include KPIs into contracts to
ensure positive outcomes for related to sexual identity.
No
Section D (continued) – Potential impacts and how these will be addressed
17
Could your proposals have a
differential impact on socio
economic equality (people on
a low income)?
Will people on a low income not
be getting the outcome they
need?
Will people on a low income be
disadvantaged as a result of
your proposals?
If the impact is negative, how
will it be reduced or eliminated?
If you are unable to eliminate,
reduce or mitigate negative
impacts, are your proposals
potentially discriminatory on the
grounds of socio economic
inequality?
Yes (Y)
No (N)
Explain impact(s) and what evidence or data exists to support your analysis?
No
The Joint Strategic Needs Assessment 2010 states that nationally, the gradient in
life expectancy for men and women between social groups is persisting and the
differences in preventable deaths exist not only by social group but by geographical
area. This pattern is reflected in Salford, with wide variations in both the quality of
life and length of life people are living.
No
In childhood poverty is linked to:
No






Low birth-weight
Higher mortality rates;
Worse physical health and mental health outcomes ,
Unhealthy Lifestyle behaviours
Teenage Pregnancy
Poorer maternal health
As a result of this evidence the joint health and wellbeing strategy has prioritised
key outcomes to ensure; All children have the best start in life and continue to
develop well during their early years; Local residents achieve and maintain a sense
of wellbeing by leading a healthy lifestyle supported by resilient communities; and
All local residents can access quality health and social care and use it
appropriately.
The Joint Strategic Needs Assessment is a strategic assessment of current and
future needs of local communities. (Salford's Joint Strategic Needs Assessment
(JSNA) - Salford City Council) The JSNA is an on-going process to analyse,
understand and interpret data; and the information produced is continually being
updated, improved on and expanded. It includes Neighbourhood profiles which
allow you to access a wide range of information about health and wellbeing issues
in your local area. The JSNA also contains thematic needs assessments, which are
being updated and added to on a regular basis.
A communications and engagement plan will be prepared for the Joint Health and
Wellbeing Strategy, which will aim to facilitate and enable continued information
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giving, engagement, promotion of health objectives, and influencing healthy
behaviours across all communities and domains. Where relevant to particular and
specific need, engagement will actively target specific sectors of the communities
of Salford where high levels of need exist, thereby allowing access to advice and
support to improve health and wellbeing.
Yes
Will the proposals mean that
people on a low income will
experience positive outcomes?
Highlight any positive impacts
Are the proposals likely to
impact on community cohesion?
Is there potential to enhance
relationships between people
who share a protected
characteristic and those who do
not?
Identify areas where there is
potential to foster good relations
Where required commissioning organisations will include KPIs including Social
Return on Investment into contracts to ensure positive outcomes related to socioeconomic equality.
No
Section D (continued) – Potential impacts and how these will be addressed
Could your proposals have a
Yes (Y)
differential impact relating to any
other equality groups, for
example, carers, ex offenders,
refugees and asylum seekers,
gypsies and travellers)?
Will people within any other
groups not be getting the
outcome they need?
Will people within any other
groups be disadvantaged as a
result of your proposals?
If the impact is negative, how
No (N)
Explain impact(s) and what evidence or data exists to support your analysis?
No
Recent data reported in Joint Health and Social Care Needs Assessment for
Carers in Salford states that Carers fulfil a highly important role in providing unpaid
care for family members and friends who have care needs. However, carers can
themselves experience poor health and financial stresses and this can put them at
a higher risk of becoming in need of care themselves.
No
There are risks to physical and mental health and financial health to both adult and
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will it be reduced or eliminated?
If you are unable to eliminate,
reduce or mitigate negative
impacts, are your proposals
potentially discriminatory for
people within any other groups?
No
young carers. The social and educational development of young carers may be
adversely affected by their caring role. These risks increase when substantial care
is provided.
As a result of this evidence the joint health and wellbeing strategy has prioritised
quality of life for carers.
The Joint Strategic Needs Assessment is a strategic assessment of current and
future needs of local communities. (Salford's Joint Strategic Needs Assessment
(JSNA) - Salford City Council) The JSNA is an on-going process to analyse,
understand and interpret data; and the information produced is continually being
updated, improved on and expanded. It includes Neighbourhood profiles which
allow you to access a wide range of information about health and wellbeing issues
in your local area. The JSNA also contains thematic needs assessments, which are
being updated and added to on a regular basis.
A communications and engagement plan will be prepared for the Joint Health and
Wellbeing Strategy, which will aim to facilitate and enable continued information
giving, engagement, promotion of health objectives, and influencing healthy
behaviours across all communities and domains. Where relevant to particular and
specific need, engagement will actively target specific sectors of the communities
of Salford where high levels of need exist, thereby allowing access to advice and
support to improve health and wellbeing.
Will the proposals mean that
people within any other groups
will experience positive
outcomes?
Highlight any positive impacts
Are the proposals likely to
impact on community cohesion
Is there potential to enhance
relationships between people
who share a protected
characteristic and those who do
not?
identify areas where there is
potential to foster good relations
Yes
Where required commissioning organisations will include KPIs into contracts to
ensure positive outcomes related to carers.
No
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Section E – Action Plan and review
Detail in the plan below, actions that you have identified in your CIA, which will eliminate discrimination, advance equality of opportunity
and/or foster good relations.
If you are unable to eliminate or reduce negative impact on any of the equality areas, you should explain why
Impact (positive or
negative) identified
Proposed action
Person(s)
responsible
Where will action
Target date
be monitored? (e.g.,
Directorate
Business Plan,
Service Plan,
Equality Action
Plan)
Required outcome
The joint health and
wellbeing strategy CIA
has indentified existing
inequalities in health
and wellbeing
outcomes across all of
the protected groups.
The Strategy’s priorities
and outcomes reflect
this and aim to reduce
the level of inequality
recorded over the next
three years.
The joint health and
wellbeing strategy is a
high level plan which
the Health and
Wellbeing Board will
use as part of its work
going forward. The
commissioning plans
of NHS Salford CCG
and Salford City
Council should be
aligned to the Strategy.
NHS Salford
CCG, Salford
City Council
and
stakeholders
of the Health
and Wellbeing
Board
To be identified
Completed CIA and
annual review of
action plan
It is therefore
proposed that all
policy and
commissioning activity
that results as a
consequence of the
Strategy undergoes a
CIA to eliminate
discrimination,
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As required
advance equality of
opportunity and/or
foster good relations.
Could making the changes in any of the above areas have a negative effect on other groups? Explain why and what you will do about
this.
No
Review
Your CIA should be reviewed at least every three years, less if it has a significant impact on people.
Please enter the date your CIA will be reviewed: March 2016
You should review progress on your CIA action plan annually.
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Section F – Summary of your CIA
As your CIA will be published on the council’s website and accessible to the general public, a summary of your CIA is required. Please
provide a summary of your CIA in the box below.
Summary of Community Impact Assessment
Brief summary of proposal or what you are impact assessing
The purpose of the joint health and wellbeing strategy is to inform commissioning decisions across local health and social care
services and the wider determinates of health. It focuses on the needs of service users and communities based on evidence provided
in the Joint Strategic Needs Assessment (JSNA). Local authorities and Clinical Commissioning Groups (CCGs) will need to take the
Joint Strategic Needs Assessment and Joint Health & Wellbeing Strategy into account when producing commissioning plans so that
their plans are fully aligned with the jointly agreed priorities in the Joint Health and Wellbeing Strategy.
How did you approach the CIA and what did you find?
This CIA has been completed over a six month period. Data has been sourced from existing local needs assessments which form part
of the Joint Strategic Needs Assessment (JSNA) and where local data has not been available national information has been identified.
The findings of the CIA have been used during the development of the Strategy and to complete the CIA template. The CIA has
confirmed to the local health and social care system the specific barriers which communities within Salford face.
What are the main areas requiring further attention?



Ensure all children have the best start in life and continue to develop well during their early years
Local residents achieve and maintain a sense of wellbeing by leading a healthy lifestyle supported by resilient communities
All local residents can access quality health and social care and use it appropriately
Summary of recommendations for improvement
All policy and commissioning activity that results as a consequence of the joint health and wellbeing strategy undergoes a CIA to
eliminate discrimination, advance equality of opportunity and/or foster good relations
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Section G – Next Steps
Quality Assurance
When you have completed your CIA, you should send it to your directorate Equality Link Officer who will arrange for it to be quality
assured. Your CIA will be returned to you if further work is required. It is important that your CIA is robust and of good quality as it may
be challenged
“Sign off” within your directorate
Your directorate Equality Link Officer will then arrange for your CIA to be “signed off” within your directorate (see below). Your directorate
Equality Lead Officer or other senior manager within your directorate should “sign off” your CIA (below).
Name
Signature
Date
Senior Manager
Sue Lightup
11th June 2013
Lead CIA Officer
Anne Lythgoe (Public Health)
11th June 2013
Publishing
When your CIA has been signed off within your directorate, your directorate Equality Link Officer will send it to Elaine Barber in the
Equalities and Cohesion Team for publishing on the council’s website.
Monitoring
Your directorate Equality Link Officer will also send your CIA to your directorate Performance Officer where the actions identified within
your CIA will be entered into Covalent, the council’s performance management monitoring software so that progress can be monitored
as appropriate.
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