Community Impact Assessment Form
For a summary of this Community Impact Assessment, click here
Note: A Community Impact Assessment must be undertaken before and at
the time that a decision is being considered
Title of Community Impact Assessment: Commissioning Review of Services for
people
with Learning Difficulties
Directorate: Community, Health and Social Care Directorate
Date of assessment: 28th September 2011
Names and roles of people carrying out the community impact assessment.
(Please identify Lead Officer): Lead Officer: Jennifer McGovern – Assistant
Director, Joint Commissioning; Deborah Siddique – Principal Officer,
Commissioning
Section A – What are you impact assessing?
What are you impact assessing? (please tick which applies):o A decision to review or change a service
o A strategy
o A policy or procedure
A function or service
Are you impact assessing something that is?:o
o


New
Existing
Being reviewed
Being reviewed as a result of budget constraints
Describe the area you are impact assessing and, where appropriate, the changes
you are proposing?
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CHSC commission a range of services for vulnerable adults from Third Sector
providers, including advocacy; advice and information; day care; and support for:older people, disabled people, people with HIV/AIDS, people who experience
mental ill-health, cares and people with conditions and / or diseases such as
stroke and cancer. These services help people to live in the community and
maintain their independence, preventing or delaying their need for specialist
interventions.
The health and social care services provided by these Third Sector organisations
were reviewed in 2010/11 in response to the Comprehensive Spending Review,
which necessitated efficiency savings equivalent to 8%. Whilst this meant that
most organisations had to make adjustments to the way they carried out their
services the actual level of services received by vulnerable adults was largely
unaffected in 2011/12.
However the continuing requirement for efficiencies means that the level of
service provision is likely to be affected in 2012/13. This impact assessment is
considering services commissioned for Learning Disabled People.
The Commissioning cycle involves a continuous activity of assessing need,
identifying provision, identifying gaps, specifying service requirements, identifying
a budget, agreeing the contract, monitoring performance and reviewing the
service. As all the contracts with Third Sector organisations were coming to an
end on 31st March 2011 it was agreed that a strategic review of services was
necessary. In order to facilitate this all contracts were extended to 31 st March
2012.
The review involved:
 Individual meetings with providers
 Analysing review forms completed by providers to establish strategic relevance
and identify the full scope of their activity
 Stakeholders contacted for their views to input into the review and recommissioning process
 Questionnaire and focus group with service users
In addition the review has been informed by the:
 Joint Strategic Needs Assessment
 Client group specific commissioning strategies
 Commissioning Strategy for Personalisation
 Gap analysis based on the Adult Social Care / NHS Outcome Frameworks
 Analysis of policy, commissioning guidance and legislation
The outcome of the review is that three priorities have been highlighted for
commissioning services. These are:
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Personalisation
Services delivering advice, information and support; services providing advocacy;
services which can be purchased by individuals with their own resources,
including personal budgets
Rehabilitation and Prevention
Services delivering specialist rehabilitation and preventative support designed to
maintain independent living and prevent the need for admission to secondary care
or intensive social care
Infrastructure Support
Services which contribute to the infrastructure required to deliver effective
partnership working
It has been determined that there will be 5 single contracts commissioned from 1st
June 2012:
 General Information, Advice and Support
 Advocacy Services
 Dementia Support
 Carers Services
 Delivering Direct Payments
This means that the City Council will not directly commission a specific contract for
support services for learning disabled people.
In addition some services currently provided through a block contract will have to
be purchased by individuals using their own resources, including personal budgets
by April 2014. This includes: carers breaks and day care.
Section B – Is a Community Impact Assessment required?
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
Concerns at local, regional or national level of
discrimination/inequalities
Major change, such as closure, removal or transfer
Community and regeneration strategies, organisational or
3
X
X
X
X
X
directorate partnership strategies/plans
Employment policy – where discretion is not exercised
Employment policy – where discretion is exercised, e.g.,
recruitment or disciplinary process
If none of the areas above apply, you will not be required to undertake a community
impact assessment. Please summarise why a CIA is not required and send this form
to your directorate equality lead officer
Equality Areas
Indicate with an “x” which equality areas are likely to be affected by the proposals
Age
X
Religion and/or belief
X
Disability
X
Race
X
Gender (including pregnancy
and maternity)
Gender reassignment
X
Sexual Identity
X
X
People on a low income
X
Race
X
Other (please state) (For
example carers, ex offenders) Carers
If any of the areas above apply, 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.
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Section C – Information
Please provide a list of the information (monitoring and consultation) used to inform your CIA and what this
information tells you. If there are any gaps in information, explain how you will address this.
Equality area
List of information
What does this information tell you?
Age
Mid-Year Census data The majority of people with a Learning
Disability are in the 18 – 64 age range.
Service User data
Studies have shown that 0.35 – 0.46% of the
from providers
population will have a moderate to profound
learning disability and be likely to use
Service Provider
services of some kind. It is expected that
Review Forms
due to medical and health care advances
this is likely to increase by 14% by 2021 and
Stakeholder
that the majority of growth will be in the 65+
consultation
age group.
This means that in Salford we can expect
there to be between 751 and 987 individuals
with a moderate to profound learning
disability.
Community, Health and Social Care provide
community-based services to 606 (88.5%)
people with a learning disability age18 – 64
and 79 (11.5%) people age 65+.
Of those accessing the services of the
current providers 428 (98.4%) are age 18 –
64 and 7 (1.6%) are age 65+. In addition 39
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How will gaps be
addressed? (This should
also be detailed in the
action plan at section E)
There are no gaps in
information
Disability
Census data
Service User data
from providers
Service Provider
Review Forms
Stakeholder
consultation
Gender (including Census data
pregnancy and
maternity)
Service User data
from providers
Service Provider
Review Forms
carers age 65+ access the services.
This information tells us that learning
disabled people are accessing the current
services in line with expectations
It is predicted that 32.4% (10,780) of the 65+
population in Salford are unable to manage
at least one self-care activity on their own.
There were 14,999 people on the
Chronically Sick and Disabled Persons
Register in June 2008 and 18.5% of these
were under 65.
The current providers’ services are
specifically for people with a learning
disability. 20.75% of people using these
services also have a physical or sensory
disability that limits their ability to carry out
daily tasks independently.
Where services are provided in premises
these are all physically accessible and each
provider produces a range of information in
accessible formats.
This information tells us that learning
disabled people are accessing the services
they need
The prevalence of learning disability is
greater for men than women. In Salford it
has been estimated that there are likely to
be 2,261 (59.7%) men and 1,527 (40.3%)
women who are learning disabled. Of these
21% (463 men and 342 women) are likely to
be known to services.
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There are no gaps in
information
There are no gaps in
information
Stakeholder
consultation
Gender
Reassignment
No data available
Race
Census data
Service User data
from providers
Service Provider
Review Forms
Stakeholder
consultation
Of those receiving services from the current
Third Sector providers 49.2% are men and
50.8% are women.
This information tells us that slightly more
women are accessing services than
expected but this may be due to the type of
service.
It is estimated (by the Gender Identity
Research and Education Society) that the
prevalence of gender dysphoria is 20 per
100,000 population. This would equate to
43 in Salford. This is an area of growing
demand for medical treatment (doubles
every 5 years)
It is known that the BME population has
grown since 2001 and according to the 2007
ONS population estimate 7.98% of the
population in Salford is from a BME
community.
There is no breakdown of learning disability
within Salford’s BME population although it
is known that the prevalence of learning
disability within South Asian communities is
higher than in other communities.
Approximately 7% of people accessing
Community, Health and Social Care
Services are from BME communities.
Of the 474 people accessing the current
Third Sector provider services 6 (1.3%) are
from BME communities. A higher proportion
of people from BME communities use Direct
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Data on gender
reassignment is not
collected by the providers.
This will be required of
providers in future
There are no gaps in
information
Religion and/or
belief
Census data
Sexual Identity
Government data
Service User data
from providers
Service Provider
Review Forms
People on a low
income
Stakeholder
consultation
Service Provider
Review Forms
Payments, for example, in order to have
culturally sensitive services.
This information tells us that, overall,
learning disabled people from BME
communities are not accessing services in
proportion to the population, particularly
given the higher prevalence of learning
disability in South Asian communities.
The 2001 census indicated that 76.46% of
the population in Salford was Christian,
2.4% Jewish, 1.22% Muslim. It is known
that these figures have changed – for
example it is believed that the Jewish
population is now 5.5%.
Information on sexual identity was not
collected in the 2001 census but the
Government figure is that 5.7% of the
population is lesbian, gay or bisexual.
Most services for learning disabled people
are targeted at heterosexuals. Information
on sexual identity is not collected by the
current service providers
Whilst the employment status / income level
of people using services for learning
disabled people is not recorded all have
access to welfare benefits checks through
the providers.
The majority of service users will be people
who are not working due to their learning
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Data on religion is not
collected by the providers.
This will be required of
providers in future
Data on sexual identity is
not collected by the
providers. This will be
required of providers in
future
Data on income level /
employment status is not
collected by the providers.
This will be required of
providers in future
Other (please
state) (For
example carers,
ex offenders)
Service User data
from providers
Service Provider
Review Forms
Stakeholder
consultation
disability. Learning disabled people,
particularly those living on state benefits,
experience higher levels of deprivation
particularly as they grow older. Health
inequalities are also closely linked with
levels of deprivation
It is estimated that there are 20,000+ carers
in Salford of whom approximately 3,500
receive a service from Community, Health
and Social Care Directorate. Some carers
will be parents looking after their learning
disabled ’child’. 39 (8.2%) of those
accessing the current provider services are
carers.
This indicates that carers are accessing
services appropriately
There are no gaps in
information
Section D – Potential impact and how this will be addressed
The Equality Act 2010 requires public bodies to have “due regard” or to consciously think about the three aims of the
Equality Duty as part of the process of decision-making, in the following areas: Eliminate unlawful discrimination, harassment and victimisation
 Advance equality of opportunity between people who share a protected characteristic (link) and those who do
not
 Foster good relations between people who share a protected characteristic and those who do not
Indicate below how you will meet the Equality Duty.
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Eliminate discrimination
Equality area
Age
Advance equality of
opportunity
Based on information
What changes will you
detailed in Section C above, make to the function to
who is not, or may not be
maximise positive
getting the outcome they
outcomes for all groups?
need from the function?
Explain why.
People are accessing current The new contracts for:
services as expected in terms
 General Advice,
of the age demographics of
Information and Support
the learning disabled
 Advocacy
population
 Dementia Support
 Carers Services
As the learning disabled
 Delivering Direct
population becomes older and
payments
increases in size services will Will have service
need to ensure they reflect
specifications that include
the needs of a wider age
provision for learning disabled
range of service users
people. Providers will be
expected to demonstrate that
their service is appropriate to
people in different age
groups.
In addition it is expected that
people will also be able to
purchase a range of services
from providers of their choice
using their own resources,
including personal budgets
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Foster good relations
Is there potential to foster
good relations between
different equality groups?
Explain how you will do
this.
Third Sector provider
organisations are being
encouraged to diversify and
work in partnership to provide
services that are appropriate
to different equality groups
and reach as many vulnerable
adults as possible
Disability
Disabled people are
accessing the current
services appropriately.
Service providers will need to
ensure that their services are
accessible to learning
disabled people with physical
and/or sensory impairments.
Services also need to take
action to combat attitudinal
barriers
Gender (including
pregnancy and
maternity)
Slightly more women are
accessing services than
expected in terms of the
gender demographics of
learning disabled people, but
this may be due to the type of
The new contracts for:
 General Advice,
Information and Support
 Advocacy
 Dementia Support
 Carers Services
 Delivering Direct
payments
Will have service
specifications that include
provision for disabled people,
including people with a
learning disability. Services
should provide information in
formats other than English.
Providers will be expected to
demonstrate that their service
is appropriate for learning
disabled people.
In addition it is expected that
people will also be able to
purchase a range of services
from providers of their choice
using their own resources,
including personal budgets
The new contracts for:
 General Advice,
Information and Support
 Advocacy
 Dementia Support
 Carers Services
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Third Sector provider
organisations are being
encouraged to diversify and
work in partnership to provide
services that are appropriate
to different equality groups
and reach as many vulnerable
adults as possible
Third Sector provider
organisations are being
encouraged to diversify and
work in partnership to provide
services that are appropriate
to different equality groups
service.
As the learning disabled
population increases in size
and age range providers will
need to ensure that services
are appropriate to the needs
of men and women
Gender
Reassignment
No data available to indicate
whether or not people who
have changed gender are
accessing current services
 Delivering Direct
payments
Will have service
specifications that include
provision for learning disabled
men and women. Providers
will be expected to
demonstrate that their service
is appropriate for men and
women.
In addition it is expected that
people will also be able to
purchase a range of services
from providers of their choice
using their own resources,
including personal budgets
The new contracts for:
 General Advice,
Information and Support
 Advocacy
 Dementia Support
 Carers Services
 Delivering Direct
payments
Will have service
specifications that include
provision for learning disabled
transgender people. Services
should be also be sensitive to
people who are in the process
of gender reassignment or
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and reach as many vulnerable
adults as possible
Third Sector provider
organisations are being
encouraged to diversify and
work in partnership to provide
services that are appropriate
to different equality groups
and reach as many vulnerable
adults as possible
Race
Learning disabled people
from BME communities are
not accessing services in
proportion to the population,
particularly given the higher
prevalence of learning
disability in South Asian
communities.
Providers need to ensure that
their services are inclusive
and can adapt as the
population increases
have changed gender.
Providers will be expected to
demonstrate that their service
is appropriate for people who
have changed gender.
In addition it is expected that
people will also be able to
purchase a range of services
from providers of their choice
using their own resources,
including personal budgets
The new contracts for:
 General Advice,
Information and Support
 Advocacy
 Dementia Support
 Carers Services
 Delivering Direct
payments
Will have service
specifications that include
provision for learning disabled
BME people. Services should
be culturally sensitive and
provide information and
support in languages other
than English.
Providers will be expected to
demonstrate that their service
is appropriate for people from
all BME communities.
13
Third Sector provider
organisations are being
encouraged to diversify and
work in partnership to provide
services that are appropriate
to different equality groups
and reach as many vulnerable
adults as possible
Religion and/or
belief
In addition it is expected that
people will also be able to
purchase a range of services
from providers of their choice
using their own resources,
including personal budgets
Current providers do not
The new contracts for:
record the religion of service
 General Advice,
users.
Information and Support
Service providers will need to
 Advocacy
ensure data on religion / belief
 Dementia Support
is captured and that they
 Carers Services
provide appropriate spiritual
 Delivering Direct
welfare services
payments
Will have service
specifications that include
provision for learning disabled
people from different faiths
and beliefs. Services should
be sensitive to people’s
religion / beliefs and support
their spiritual welfare.
Providers will be expected to
demonstrate that their service
is appropriate for different
religious / belief communities.
In addition it is expected that
people will also be able to
purchase a range of services
from providers of their choice
using their own resources,
14
Third Sector provider
organisations are being
encouraged to diversify and
work in partnership to provide
services that are appropriate
to different equality groups
and reach as many vulnerable
adults as possible
Sexual Identity
People on a low
income
including personal budgets
No data available to indicate
The new contracts for:
whether or not people of
 General Advice,
different sexual identities
Information and Support
access services.
 Advocacy
Providers need to collect this
 Dementia Support
data and ensure that the
 Carers Services
environment and information
 Delivering Direct
is appropriate for communities
payments
of all sexual identities
Will have service
specifications that include
provision for learning disabled
people of different sexual
identities. Services should be
sensitive to individuals of
different sexual identities.
Providers will be expected to
demonstrate that their service
is appropriate for different
sexual identities.
In addition it is expected that
people will also be able to
purchase a range of services
from providers of their choice
using their own resources,
including personal budgets
Current providers do not
The new contracts for:
record income level or
 General Advice,
employment status of people
Information and Support
using their services. Learning
 Advocacy
disabled people living on a
 Dementia Support
15
Third Sector provider
organisations are being
encouraged to diversify and
work in partnership to provide
services that are appropriate
to different equality groups
and reach as many vulnerable
adults as possible
Third Sector provider
organisations are being
encouraged to diversify and
work in partnership to provide
services that are appropriate
state benefits experience
higher levels of deprivation
and therefore health
inequalities.
Service providers will need to
ensure data on income level /
benefit status is recorded and
that people are supported to
maximise their income
Other (please state)
(For example
carers, ex
offenders)
Carers are accessing the
services as expected.
Service providers need to
ensure that their services are
carer friendly.
 Carers Services
 Delivering Direct
payments
Will have service
specifications that include
provision for learning disabled
people. Services should help
individuals to maximise their
income.
Providers will be expected to
demonstrate that their service
helps to reduce socioeconomic inequality.
In addition it is expected that
people will also be able to
purchase a range of services
from providers of their choice
using their own resources,
including personal budgets
The new contracts for:
 General Advice,
Information and Support
 Advocacy
 Dementia Support
 Carers Services
 Delivering Direct
payments
Will have service
specifications that include
provision for carers of
learning disabled people.
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to different equality groups
and reach as many vulnerable
adults as possible
Third Sector provider
organisations are being
encouraged to diversify and
work in partnership to provide
services that are appropriate
to different equality groups
and reach as many vulnerable
adults as possible
Services should support
people in their caring role.
Providers will be expected to
demonstrate how their service
has benefitted carers.
In addition it is expected that
people will also be able to
purchase a range of services
from providers of their choice
using their own resources,
including personal budgets
Cross cutting
themes
(If your responses
cover all equality
areas, state here)
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.
None of the above should have an impact on other groups. The service specifications are intended to make
services inclusive to all communities / groups.
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Section E – Action Plan and review
Detail in the plan below, actions that you have identified in your community impact assessment, which will eliminate
discrimination, advance equality of opportunity and/or foster good relations.
Impact (positive or
negative) identified
Proposed action
Collection of data to
Lack of data on:
be included in new
Gender reassignment service specifications
Religion / belief
Employment status
Lack of specific
contract for support
services for learning
disabled people
Person(s)
responsible
Integrated
Commissioning
Managers
Design services with Integrated
specifications in the
Commissioning
each of the following Managers
areas:
 General Advice,
Information and
Support
 Advocacy
 Dementia
Support
 Carers Services
 Delivering
Direct
payments
that
 incorporate
appropriate
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Target date
Required outcome
Inclusion in
Specifications:
October 2011
Collection: from July
2012
Data will be available
from April 2013
Inclusion in
Specifications:
October 2011
Contracts in
operation: from July
2012
Redesigned, inclusive
services available
from July 2012
services for
learning
disabled people
within all
equality groups
 require
evidence that
services are
accessible to
learning
disabled people
Encourage Third
Lack of specific
Sector organisations
contract for support
to diversify and work
services for learning
in partnership to
disabled people
provide services that
are appropriate to
different equality
groups and reach as
many vulnerable
learning disabled
people as possible
Enable Third Sector
Services not covered organisations to
by the 5 contracts will make the transition
have to be purchased from block contracts
by individuals using
to providing services
their own resources
that individuals
purchase with their
personal budget
Commissioning Team December 2011 then
(in partnership with
on-going
Salford CVS)
Redesigned, inclusive
services available
from July 2012
Commissioning Team March 2014
(in partnership with
Salford CVS)
Wide choice of
services available for
people to purchase
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Review
Your CIA must 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: September 2014. 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
How did you approach the CIA and what did you find?
This CIA has been based on information gathered during individual meetings with
provider organisations, review forms completed by the provider organisations,
stakeholder questionnaires, current service user questionnaires and focus groups.
The CIA also takes into account the JSNA, appropriate commissioning strategies, a
gap analysis based on the Adult Social Care / NHS Outcome Frameworks.
The three priority areas identified: Personalisation; Prevention and Rehabilitation;
Infrastructure Support mean there will not be a contract specifically for learning
disabled people from June 2012.
The information indicates that learning disabled people are accessing current
services as expected, according to the demographics of the learning disabled
population in Salford, in relation to age, disability, race and carers; and that slightly
more women are accessing services than expected.
There is a lack of data in relation to level of income / employment status, religion /
belief, sexual identity and gender reassignment.
What are the main areas requiring further attention?
The redesigned services will form five new contracts which organisations, including
existing providers, can tender for as sole provider or as a partnership arrangement.
These are:
 General Advice, Information and Support
 Advocacy
 Dementia Support
 Carers Services
 Delivering Direct Payments
Each of the new contracts will have service specifications that:
 incorporate appropriate services for learning disabled people in all equality
groups
 require evidence that services are accessible to learning disabled people
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Some areas of current service provision may not be covered by the new contracts
e.g. day care, counselling. These will need to be purchased by individuals using their
own resources, including personal budgets. Organisations will be worked with to
ensure they are able to make the transition to this new purchasing model.
The new contracts will require providers to collect data on employment status,
religion / belief and gender reassignment.
Summary of recommendations for improvement
Services will be redesigned under 5 new contracts incorporating all equality groups
Organisations will be supported to operate successfully in the new Personalisation
model
Data on all equality groups will be collected by providers
Section G – Next Steps
Quality Assurance
When you have completed your CIA, you should send it to your directorate Equality
Lead Officer who will arrange for it to be quality assured. 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
Senior Manager
Signature
Keith Darragh
Date
14 November 2011
Lead CIA Officer
Anne Roberts
14 November 2011
Other Officers conducting
the CIA
Deborah Siddique
21st September 2011
Jennifer McGovern
21st September 2011
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Publishing
When your CIA has been signed off within your directorate, your directorate Equality
Link Officer will send it to 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 part of your directorate Business Plan.
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