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
Older people
Directorate: Community, Health and Social Care Directorate
Date of assessment: 19th 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 Older 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
Hospital Discharge and Stroke Services will continue to be provided by the
existing providers. This means that the City Council will not directly commission a
specific contract for support services for older 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, 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
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X
X
X
X
Community and regeneration strategies, organisational or
directorate partnership strategies/plans
Employment policy – where discretion is not exercised
Employment policy – where discretion is exercised, e.g.,
recruitment or disciplinary process
X
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
Age
List of information
What does this information tell you?
How will gaps be
addressed? (This should
also be detailed in the
action plan at section E)
Mid-Year Census data There are approximately 33,200 people over There are no gaps in
the age of 65 in Salford (15.4% of the
information
Service User data
population. This is expected to rise to
from providers
17.2% by 2025. It is predicted that 35.8%
(11,893) of people over 65 live alone, 10.7%
Service Provider
(3,581 are carers and 32.4% (10,780) are
Review Forms
unable to manage at least one self-care
activity on their own.
Stakeholder
The nature of existing services (Day Care,
consultation
Cancer Support, Stroke Support, Advocacy,
Hospital Discharge, Dementia Support)
means that the majority of people accessing
them are older people. However a number
of people age 50+ are affected by stroke,
cancer and dementia and this accounts for
up to 20% of people accessing such
services.
The current provider organisations engage
with a large number of Salford residents.
For example over 1,760 people receive
practical and emotional support, 11,760 day
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Disability
Census data
Service User data
from providers
Service Provider
Review Forms
Stakeholder
consultation
Gender (including Census data
pregnancy and
care places are provided, there are over
3,100 information / advice / advocacy
sessions, there are around 8,000 contacts in
relation to hospital discharge and 1,200
home visits to people with dementia.
The information tells us that older people are
accessing the current services in line with
expectations
Many older people become frail and unable
to carry out daily tasks due to the natural
aging process and / or conditions such as
stroke.
There are approximately 33,200 people age
65+ in Salford (15.4% of the population). It
is predicted that 32.4% (10,780) are unable
to manage at least one self-care activity on
their own.
Current providers deal with 1,365 stroke
referrals, help 3,400 people with hospital
discharge, support 246 people with
dementia and give practical and emotional
support to 132 people with cancer.
The premises of the current provider
organisations are all physically accessible
and each produces a range of information in
accessible formats.
This information tells us that older people
with a disability are accessing the services
they need
In 2008 there were 14,400 (43.2% men and
18,900 (56.8%) women over the age of 65 in
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There are no gaps in
information
There are no gaps in
information
maternity)
Service User data
from providers
Service Provider
Review Forms
Stakeholder
consultation
Gender
Reassignment
No data available
Race
Census data
Service User data
from providers
Service Provider
Review Forms
Stakeholder
consultation
Salford.
Women generally live longer than men and it
is the very elderly that are more likely to
need services. Of those receiving services
from the current Third Sector providers
35.2% are men and 64.8% are women.
This information tells us that men and
women are accessing the services in the
proportions expected
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)
The 2001 census showed that the older
BME population in Salford was very small –
72 people; although this does not include the
Jewish population. 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.
Of the individuals accessing current, not
BME specific, services approximately 4%
are from BME communities.
This information tells us that, given the
demographics of the older population people
from BME communities are accessing
services in line with expectation
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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
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%.
The people accessing the services of the
BME specific providers are doing so
because they are sensitive to their religious
needs
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 older people are targeted
at heterosexuals. Information on sexual
identity is not collected by the current
service providers
Data on religion is not
collected by all providers.
This will be required of
providers in future
Whilst the employment status / income level
of people using services for older people is
not recorded all have access to welfare
benefits checks through the providers.
All users will either be pensioners or people
who are not working due to their condition
(cancer, stroke, early on-set dementia).
Older people, particularly those living on a
state pension, experience higher levels of
deprivation as they become frailer and need
services due to other conditions. Health
Data on income level /
employment status is not
collected by the providers.
This will be required of
providers in future
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Data on sexual identity 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
inequalities are also closely linked with
levels of deprivation
It is estimated that there are 20,000+ carers There are no gaps in
in Salford of whom approximately 3,500
information
receive a service from Community, Health
and Social Care Directorate. A significant
number of carers will be older people looking
after a partner or their learning disabled
offspring.
This indicates that carers are accessing
services appropriately
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.
Eliminate discrimination
Equality area
Advance equality of
opportunity
Based on information
What changes will you
detailed in Section C above, make to the function to
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Foster good relations
Is there potential to foster
good relations between
Age
Disability
who is not, or may not be
maximise positive
different equality groups?
getting the outcome they
outcomes for all groups?
Explain how you will do
need from the function?
this.
Explain why.
People are accessing current The new contracts for:
Third Sector provider
services as expected in terms
organisations are being
 General Advice,
of the age demographics of
Information and Support encouraged to diversify and
older population
work in partnership to provide
 Advocacy
services that are appropriate
 Dementia Support
As the older population
to different equality groups
 Carers Services
increases in size and
and reach as many vulnerable
 Delivering Direct
becomes more frail services
adults as possible
payments
will need to ensure they
Will have service
reflect the needs of a wider
specifications that include
age range of service users
provision for older 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
Disabled people are
The new contracts for:
Third Sector provider
accessing the current
organisations are being
 General Advice,
services appropriately.
Information and Support encouraged to diversify and
Service providers will need to
work in partnership to provide
 Advocacy
ensure that their services are
services that are appropriate
 Dementia Support
accessible to people with
to different equality groups
 Carers Services
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 Delivering Direct
payments
Will have service
specifications that include
provision for disabled people,
including older disabled
people. Services should
provide information in formats
other than English. Providers
will be expected to
demonstrate that their service
is appropriate for physically
and sensory impaired 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
People are accessing current The new contracts for:
services as expected in terms
 General Advice,
of the gender demographics
Information and Support
of the older population.
 Advocacy
As the older population
 Dementia Support
increases in size and age
 Carers Services
range providers will need to
 Delivering Direct
ensure that services are
payments
appropriate to the needs of
Will have service
men and women
specifications that include
provision for older men and
women. Providers will be
physical and/or sensory
impairments.
Services also need to take
action to combat attitudinal
barriers
Gender (including
pregnancy and
maternity)
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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
Gender
Reassignment
No data available to indicate
whether or not people who
have changed gender are
accessing current services
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 older
transgender people. Services
should be also be sensitive to
people who are in the process
of gender reassignment or
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
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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
Race
Religion and/or
purchase a range of services
from providers of their choice
using their own resources,
including personal budgets
People from different BME
The new contracts for:
communities are accessing
 General Advice,
the services as expected
Information and Support
according to the
 Advocacy
demographics of the older
 Dementia Support
population.
 Carers Services
Given the size of the BME
 Delivering Direct
older population providers
payments
need to ensure that their
Will have service
services are inclusive and can specifications that include
adapt as the population
provision for BME older
increases
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.
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
Not all current providers
The new contracts for:
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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
belief
record the religion of service
users. Older people access
the BME specific providers
services because they are
religiously and culturally
sensitive.
All service providers will need
to ensure data on religion /
belief is captured and that
they provide appropriate
spiritual welfare services
Sexual Identity
No data available to indicate
whether or not people of
different sexual identities
access services. Providers
need to collect this data and
ensure that the environment
 General Advice,
Information and Support
 Advocacy
 Dementia Support
 Carers Services
 Delivering Direct
payments
Will have service
specifications that include
provision for 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,
including personal budgets
The new contracts for:
 General Advice,
Information and Support
 Advocacy
 Dementia Support
 Carers Services
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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
People on a low
income
and information is appropriate
 Delivering Direct
for communities of all sexual
payments
identities
Will have service
specifications that include
provision for older 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. Older
 Advocacy
people living on a state
 Dementia Support
pension experience higher
 Carers Services
levels of deprivation and
 Delivering Direct
therefore health inequalities.
payments
Service providers will need to Will have service
ensure data on income level / specifications that include
benefit status is recorded and provision for older people.
that people are supported to
Services should help
15
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
Other (please state)
(For example
carers, ex
offenders)
maximise their income
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
Carers are accessing the
services as expected.
Service providers need to
ensure that their services are
carer friendly.
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 older carers.
Services should support
people in their caring role.
Providers will be expected to
demonstrate how their service
has benefitted older carers.
In addition it is expected that
people will also be able to
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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
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 older
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
older people
within all
equality groups
 require
evidence that
services are
accessible to
older people
Encourage Third
Lack of specific
Sector organisations
contract for support
to diversify and work
services for older
in partnership to
people
provide services that
are appropriate to
different equality
groups and reach as
many vulnerable
older 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 older people
from June 2012.
The information indicates that older people are accessing current services as
expected, according to the demographics of the older population in Salford, in
relation to age, disability, gender, race and carers.
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 older people in all equality groups
 require evidence that services are accessible to older people
Some areas of current service provision may not be covered by the new contracts
e.g. day care, carers breaks. These will need to be purchased by individuals using
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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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