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
Carers
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 Carers.
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 continue to directly
commission a specific contract for support services for carers.
In addition carers will be able to access a Carers Personal Budget to purchase
breaks.
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
3
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
In Salford 13% of the 16 – 74 population are
consultation
carers which means there are approximately
20,600 carers in Salford.
The current provider organisations engage
with a large number of carers in Salford –
over 4,450. Where age has been recorded
the indication is that a large number of
carers are over 65 - 50% of carers using 4 of
the current providers services are 65+.
The information tells us that carers are
accessing the current services in line with
expectations
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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
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. 1,034 are registered with a
hearing loss, 220 are profoundly deaf, 989
are registered blind and 1,055 are partially
sighted; 175 people are deaf and blind.
Whilst many disabled people have a carer it
should also be noted that a significant
proportion of carers also have a disability.
Records produced by 4 of the current
providers show that 34.5% of their carers
are disabled.
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 carers with a
disability are accessing the services they
need
In 2008 there were 68,400 (38.6%) men and
108,985 (61.4%) women aged18 – 64 and
14,400 (43.2%) men and 18,900 (56.8%)
women over the age of 65 in Salford.
Women generally live longer than men and it
is the very elderly that are more likely to
need services. Women are also much more
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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
Religion and/or
belief
Census data
likely to be carers. Of those receiving
services from 5 of the current Third Sector
providers 30.7% are men and 69.3% 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)
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 4, not
BME specific, services approximately 4.3%
are from BME communities. Two services
are BME specific.
This information tells us that, given the
demographics of the BME population the
communities in Salford are accessing
services in line with expectation
The 2001 census indicated that 76.46% of
the population in Salford was Christian,
2.4% Jewish, 1.22% Muslim. It is known
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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
Data on religion is not
collected by all providers.
This will be required of
Sexual Identity
Government data
Service User data
from providers
Service Provider
Review Forms
People on a low
income
Stakeholder
consultation
Service Provider
Review Forms
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. Of the not BME specific service
providers two have recorded religion and
this indicates that 6.75% are from faiths
other than Christian
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
providers in future
Whilst the employment status / income level
of people using carers support services is
not recorded all have access to welfare
benefits checks through the providers.
Whist some carers will manage to work as
well as undertake their caring role many do
not – 14% of carers provide 20 -49 hours of
care each week and 24% provide over 50
hours. The employment status of carers has
only been recorded by one provider – this
Data on income level /
employment status is not
collected by the providers.
This will be required of
providers in future
8
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
indicates that 20.3% are unemployed.
Health inequalities are also closely linked
with levels of deprivation and carers often
have additional health problems – 15%
describe themselves as not being in good
health
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. Over 4,400
carers receive a service from Third Sector
providers (NB: many carers will receive a
service from both CHSC & the Third Sector).
A significant number of carers will be older
people looking after a partner or their
learning disabled offspring.
Overall 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
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 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
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.
Carers are accessing current The new contracts for:
services as expected in terms
 General Advice,
of the age demographics of
Information and Support
population
 Advocacy
 Dementia Support
As the older population
 Carers Services
increases in size and
 Delivering Direct
becomes more frail services
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 carers.
Providers will be expected to
demonstrate that their service
is appropriate to carers in
different age groups.
In addition it is expected that
carers will also be able to
purchase a range of services
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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
from providers of their choice
using their own resources,
including carers personal
budgets
Disabled carers are accessing The new contracts for:
the current services
 General Advice,
appropriately.
Information and Support
Service providers will need to
 Advocacy
ensure that their services are
 Dementia Support
accessible to people with
 Carers Services
physical and/or sensory
 Delivering Direct
impairments.
payments
Services also need to take
Will have service
action to combat attitudinal
specifications that include
barriers
provision for disabled carers.
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 carers.
In addition it is expected that
carers will also be able to
purchase a range of services
from providers of their choice
using their own resources,
including carers personal
budgets
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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
Gender (including
pregnancy and
maternity)
Gender
Reassignment
Carers are accessing current The new contracts for:
services as expected in terms
 General Advice,
of the gender demographics
Information and Support
of the population.
 Advocacy
Providers will need to ensure
 Dementia Support
that services are appropriate
 Carers Services
to the needs of men and
 Delivering Direct
women as the demographics
payments
of the carer population
Will have service
changes
specifications that include
provision for men and women
carers. Providers will be
expected to demonstrate that
their service is appropriate for
men and women.
In addition it is expected that
carers will also be able to
purchase a range of services
from providers of their choice
using their own resources,
including carers personal
budgets
No data available to indicate
The new contracts for:
whether or not carers who
 General Advice,
have changed gender are
Information and Support
accessing current services
 Advocacy
 Dementia Support
 Carers Services
 Delivering Direct
12
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
and reach as many vulnerable
adults as possible
Race
Carers from different BME
communities are accessing
the services as expected
according to the
demographics of the
population.
Given the size of the BME
population providers need to
ensure that their services are
inclusive and can adapt as
payments
Will have service
specifications that include
provision transgender carers.
Services should be also be
sensitive to carers who are in
the process of gender
reassignment or have
changed gender. Providers
will be expected to
demonstrate that their service
is appropriate for carers who
have changed gender.
In addition it is expected that
carers will also be able to
purchase a range of services
from providers of their choice
using their own resources,
including carers 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
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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
the population increases
Religion and/or
belief
Not all current providers
record the religion of service
users. Carers 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
provision for BME carers.
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 carers from
all BME communities.
In addition it is expected that
carers will also be able to
purchase a range of services
from providers of their choice
using their own resources,
including carers 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 from
different faiths and beliefs.
Services should be sensitive
to carers religion / beliefs and
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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
Sexual Identity
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
carers will also be able to
purchase a range of services
from providers of their choice
using their own resources,
including carers personal
budgets
No data available to indicate
The new contracts for:
whether or not carers of
 General Advice,
different sexual identities
Information and Support
access services. Providers
 Advocacy
need to collect this data and
 Dementia Support
ensure that the environment
 Carers Services
and information is appropriate
 Delivering Direct
for communities of all sexual
payments
identities
Will have service
specifications that include
provision for carers 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
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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
People on a low
income
Current providers do not
record income level or
employment status of carers
using their services. Many
carers are older people on
low income or state benefits
and 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 carers are supported to
maximise their income
sexual identities.
In addition it is expected that
carers will also be able to
purchase a range of services
from providers of their choice
using their own resources,
including carers 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. 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
carers will also be able to
purchase a range of services
from providers of their choice
using their own resources,
16
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
including carers personal
budgets
Other (please state)
(For example
carers, ex
offenders)
Carers are accessing the
current 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 carers. 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
carers will also be able to
purchase a range of services
from providers of their choice
using their own resources,
including carers personal
budgets
Cross cutting
themes
(If your responses
cover all equality
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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
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
One new contract for
Carers Support is
being tendered to
replace the 6 current
Third Sector Provider
contracts
One new contract for
New specification for
Carers Support
Services will
 incorporate
appropriate
services for
carers within all
equality groups
 require
evidence that
services are
accessible to
carers within all
equality groups
Encourage Third
Sector organisations
Person(s)
responsible
Integrated
Commissioning
Managers
Target date
Required outcome
Inclusion in
Specifications:
October 2011
Collection: from July
2012
Data will be available
from April 2013
Integrated
Commissioning
Managers
Inclusion in
Specifications:
October 2011
Contracts in
operation: from July
2012
Redesigned, inclusive
services available
from July 2012
Commissioning Team December 2011 then
(in partnership with
on-going
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Redesigned, inclusive
services available
Carers Support is
being tendered to
replace the 6 current
Third Sector Provider
contracts
to diversify and work
in partnership to
provide services that
are appropriate to
different equality
groups and reach as
many carers as
possible
Enable Third Sector
Services not covered organisations to
by the new contracts make the transition
will have to be
from block contracts
purchased by
to providing services
individuals using their that individuals
own resources
purchase with their
personal budget
Salford CVS)
from July 2012
Commissioning Team March 2014
(in partnership with
Salford CVS)
Wide choice of
services available for
people to purchase
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 continue to be a contract specifically for carers
from June 2012.
The information indicates that carers are accessing current services as expected,
according to the demographics of the population in Salford, in relation to age,
disability, gender and race.
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
The new Carers Support contract will have service specifications that:
 incorporate appropriate services for carers in all equality groups
 require evidence that services are accessible to carers in all equality groups
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 carers 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, sexual identity 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. Your CIA will be returned to you if more work is required.
Your directorate Equality Lead Officer or other senior manager within your directorate
should “sign off” your CIA.
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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