Community Impact Assessment Redefined offer for vulnerable adults Proposal to charge for Care on Call and to end visiting services Community Health and Social Care. May 2014 Names and roles of people carrying out the community impact assessment. Lead Officer : Angie Allan, Principal Manager Independent living Services, Lesley Thomas, Care on Call Manager Summary of community impact assessment The assessment considered the impacts on staff, service users and carers of charging for the emergency response service and ceasing the weekend and weekday visiting service that is currently provided by Care on Call. The formal resident 12 week consultation began in March 2014 and ended in May. All existing service users were sent a consultation pack call the vulnerable Persons Offer, which contained details of the proposal for Care on Call and asked a series of questions such as is it fair to pay? Would you pay £4.82 pw for the emergency response service? Would you pay £10.00 pw for a visiting service? The same consultation documentation was sent to Carers and a reminder letter was sent to all service users in May 2014 We approached the assessment by ensuring we found out who the people were who would be affected, what the communications issues might be due to disability or language and then considered how we would best find out people's views on the proposal. The emergency and visiting services are still in operation during the consultation period so there were ample opportunities for people to ask questions and for wardens to give advice. Wardens also encouraged service users during phone calls and visits to return the questionnaire. The council received a total of 1832 responses to its proposals to redefine its offer for vulnerable adults, of which 1364 variously referred to the care on call proposals. Just under half of respondents felt that it was fair to expect people to pay for the service, nearly two thirds said that they would pay £4.82 a week to continue the emergency response service, but only about a fifth said they would pay £10 a week to continue the visiting service. Staff engagement is in the form of team meetings with Management. Individual meetings for staff members is also available with either SCC staff and\or Unions. It has been established that there are no anticipated staff changes at this time as a result of previous changes to staff numbers and the requirement to have enough staff numbers to provide a 27 \ 7service. Partner organisations such as landlords, Age UK and Citizens advice have been consulted with to ensure they are made aware of the changes. 219511640 1/21 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 x x Are you impact assessing something that is?:New Existing Being reviewed Being reviewed as a result of budget constraints X X The area you are impact assessing and the changes you are proposing ‘Care on Call’ is a service provided by Salford City Council. The service offers an emergency response and monitoring service, as well as a 7 day warden visiting service. The service also offers a key holding service to enable quick access to a service user’s home by the Wardens and/or emergency services in the case of an emergency such as fall or no response. Care on Call Service Total number of service users, of which - sheltered tenants - housing association tenants - service users Extra care tenants. Minimal out of hours response. No. of service users 4462 1104 57 3301 161 The proposal focuses Care on Call on its core business of community alarm and telecare service providing an installation, monitoring and emergency response to people living in Salford. Currently it is provided free of charge to people who have a qualifying benefit. It is proposed that from August 2014 the service will be fully chargeable. There is also a possibility that the weekly and weekend visiting services will cease. 130 service users have weekend visits, 3 couples, 127 live alone, 110 service users are aged over 70. Age groups and numbers of service users in those groups are: 50 + - 2 80+ - 43 60+ - 15 90+ - 20 70+ - 45 100+ - 2 8 self payers @ £2.70 per week for a weekend visit, (48 wks), £1,036.80 p.a. 130 have one or more medical condition or disability: dementia, diabetes, heart problems, reduced mobility, visually and hearing impaired, amputees, COPD, arthritis, mental health problems etc Total number of service users having weekly visits 399 @ 29th October 2013. 340 of the 399 service users are aged 70+ Number of customers listed as living alone (who receive the visiting service) 380 Under 50 – 9 Under 90 – 159 Under 60 – 12 Under 100 – 52 219511640 2/21 Under 70 – 37 Under 80 – 89 100 + 3 Proposed timescale. July 2014 - four weeks formal notice of introduction of charging for all service users and cessation of visiting service August 2014 – charging commences and visiting service ends. 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 X 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 x discrimination/inequalities Major change, such as closure, reduction, removal or transfer X Community, regeneration and planning strategies, organisational or directorate partnership strategies/plans Employment policy – where discretion is not exercised x Employment policy – where discretion is exercised. For example, recruitment or disciplinary process 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 X People on a low income (socioX maternity) economic inequality) Gender reassignment X Other (please state below) (For X carers stakeholders example carers, ex offenders) Race 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 219511640 3/21 Section C – Monitoring information C1 Do you currently monitor by the following protected characteristics or equality areas? Age Disability Gender (including pregnancy and maternity) Gender Reassignment Race Religion and/or belief Sexual Identity People on a low income (socio-economic inequality) Other (please state) (For example carers, ex offenders) Yes (Y) If no, please explain why and / or detail in the action or No plan at Section E how you will prioritise the gathering (N) of this equality monitoring data. Y Y Y Y Y Y Y Y Staff – information held centrally in Humanagement Service users – information held on Care on Call system (where provided) Y 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 council has consulted about its Care on Call proposals as part of its proposed Redefined Offer for Vulnerable Adults. It posted an initial pack to 3221 service users and carers whose addresses it had. Approximately 8 weeks into the process it sent reminder to 3227 service users, and published an advert about the consultation at the same time. Stakeholders were contacted and advised of the consultation and proposed changes to the service. The council received 1832 responses to the overall consultation, of which 1364 referred to the care on call proposals. 995 of the responses were from users of the care on call services, 217 were from carers of users of the service, and 385 were from family or friends of users. In addition, Care on Call staff spoke to 444 service users about the proposals during phone calls and when visiting them to help with any queries about the consultation, some of whom had perhaps already responded to consultation letters. Q7 Fair to expect people to pay? Of all those who responded about whether it is fair to expect people to pay for care on call, 46% (630) either strongly agreed or agreed. The proportions were similar for users (47%, 465), carers (43%, 94) and family and friends (48%, 185). So, overall a slight majority disagreed or strongly disagreed that it is fair. Those who identified themselves as disabled people agreed less than those who identified themselves as not disabled, with only 42% (136) of all disabled respondents supporting it, compared to 51% (193) of non-disabled respondents. This difference was similar amongst users, but more pronounced amongst disabled carers (35%, 27) compared to other carers (50%, 32) and amongst disabled friends and family of service users (38%, 42) compared to other family and friends ((51%, 76). 219511640 4/21 Agreement was generally lower amongst those aged 45-64 (40%, 121) compared to those aged over 65 (49%, 241). It was lowest amongst those aged 25-44 who were users (29%, 10), carers of users (23%, 3) or family of friends of users (29%, 6). The proportions of men and women who strongly agreed and agreed that it is fair were very similar at between 46% and 48%. The exception was men who were carers amongst whom only 37% (20) strongly agreed or agreed. Only about half of respondents indicated whether or not they had a religious belief. Of those who indicated that they had a religious belief 47% (285) strongly agreed and agreed that it is fair, exactly the same proportion as amongst those who indicated that they had no religious belief (47%, 123). The majority of those who disclosed their religion (88%) were Christian. 48%(294) agreed that it was fair, with a similar proportion of Muslims (44%, 7). A much lower proportion strongly agreed and agreed of those who identified their religion as Jewish (25%, 3) and of those who identified their religion as other (28%, 7). Only about three quarters of respondents revealed their ethnic heritage, and of those who did 94% (910) were White British, 47% (428) of whom strongly agreed or agreed with the proposal, compared to only 35% (9) of the much smaller number of people who identified themselves as White Irish. Many respondents did not disclose their sexual identity (42%, 549). Of 46% (316) strongly agreed or agreed that it is fair to expect people to pay, compared to 59% (13) of those who identified as gay men, and 38% (6) of those who identified as bisexual. those who did Q8 Would you pay £4.82 a week? A total of 1085 people responded on this question. 915 people identified themselves as service users, 203 as carers of service users and 347 as family or friends of service users. These total more than the number of respondents on the question because some respondents indicated that they fulfilled more than one role. Of the 1085 respondents 63% (685) indicated that they would pay to continue the service. Higher proportions of users (68%, 623), carers of users (69%, 140) and family and friends of users (73%, 347) indicated that they would be willing to pay. 60% (283) of all those who identified themselves as disabled people indicated that they would pay to continue the service, rising to 66% (264) of disabled service users, 64% (49) of disabled carers and 68% (69)of disabled family and friends. These proportions were lower than for people who identified that they were not disabled with 68% (175) of all non-disabled respondents, 77% (150) of non-disabled users, 76% (42) of non-disabled carers and 76% (97) of non-disabled family and friends of users. Willingness to pay for the service generally increased with respondents’ ages. Only 37% of all respondents aged 25-44 said that they would pay, rising to 52% (16) of users in that age group and 50% (6) of carers and 47% (9) of family and friends. By contrast, comparable figures for those aged over 65 were 72% (320) of all respondents in that age groups, 73% (305), of users, 75% (47) of carers and 82% (79) of friends and family. 69% of respondents who indicated that they were women said that they would continue to pay, compared to 55% of respondents who indicated that they were men. These proportions increased to 73% and 63% respectively for users who indicated their gender, and to 76% and 219511640 5/21 60% for carers, and to 76% and 65% for family and friends. 66% (676) of respondents to this question indicated whether or not they had a religious belief. Of those who indicated that they had a religious belief 68% (350) said that they would continue to pay, compared to 52% (86) of those who indicated that they did not have a religious belief. The majority of those who indicated their religion 92% (516) indicated that they were Christian, of whom 69% (356) said that they would pay, compared to 56% (5) of the small number of respondents who indicated that they were Jewish, and 20% (2) of the similar number of people who indicated that they were Muslim. 59% (13) of those who indicated their religion as other said that they would pay. Only about three quarters of respondents revealed their ethnic heritage, and of those who did and responded to this question 97% (705) were White British, 68% (459) said that they would pay. Many respondents to this question did not disclose their sexual identity (45%, 469). Of those who did 63% (333) of those who identified themselves as heterosexual or straight indicated that they would pay, compared to 50% (6) who identified as bisexual, 33% (4) who identified as gay men. Q10 Would you pay £10 pw for the visiting service A total of 727people responded on this question, of whom 567 identified themselves as service users, 134 as carers of service users and 208 as family or friends of service users. These total more than the number of respondents on the question because some respondents indicated that they fulfilled more than one role. Of the 727 respondents 18% (134) indicated that they would pay to continue the service, with 19% (109) of users willing to pay, 17% (23) of carers and 23% (48) of family and friends. Lower proportions of those who identified themselves as disabled indicated that they would pay compared to those who indicated that they had no disability. 19% (50) of disabled users said they would pay compared to 28% (28) of non disabled users, 15% (8) of disabled carers compared to 27% (9) non-disabled carers and 23%(16) of disabled family and friends compared to 27% (18) of non-disabled family and friends. Respondents’ willingness to pay for the service was fairly similar across all age groups and statuses, generally ranging between 17% and 23% apart from in a couple of age groups and status categories in which there were few respondents. The other exception was amongst family and friends aged over 65, of whom 27% (16) said they would pay. 21% (63) of respondents who indicated that they were women said that they would continue to pay, compared to 19% (33) of respondents who indicated that they were men. The proportions were similar for users who indicated their gender, but 24% (14) of respondents who indicated that they were women and carers would pay compared to only 9% (3) of respondents who indicated that they were men and carers. The highest proportions were amongst respondents who indicated their gender and that they were family and friends of service users at 25% (22) of women and 26% (12) of men. 66% (449) of respondents to this question indicated whether or not they had a religious belief. Of those who indicated that they had a religious belief 19% (63) said that they would continue to pay, compared to 22% (28) of those who indicated that they did not have a religious belief. 219511640 6/21 The majority of those who indicated their religion indicated that they were Christian 91% (325), of whom 20% (65) said that they would pay, compared to none of the 7 respondents who indicated that they were Jewish, and none of the 10 respondents who indicated that they were Muslim. 19% (3) of those who indicated their religion as other said that they would pay. Only about three quarters of respondents revealed their ethnic heritage, and of those who did and responded to this question 97% (462) indicated that they were White British, of whom 21% (96) said that they would pay. Many respondents to this question did not disclose their sexual identity (39%, 321). Of those who did, 21% (73) of those who identified themselves as heterosexual or straight indicated that they would pay, compared to none of the 6 who identified as bisexual, 18% (2) who identified as gay men and 11% (1) of those who identified their sexuality as other. but 360 said they would pay for the service, with 74 willing to pay £7.66 a week for a weekly visit and the alarm service but not £10.00 a week. On the other hand 84 said that they would not pay. Staff engagement Staff engagement began on in February 2014. Four sessions have been held including a session with some staff members to discuss business ideas. It has been established that there are no anticipated staff changes at this time as a result of previous changes to staff numbers and the requirement to have enough staff numbers to provide a 27 \ 7service. Analysis C3 What information has been analysed to inform the content of this CIA? What were the findings? The Service user age Number of service users in age range*(excl. service collects ranges sheltered tenants who are all over 55) 20 - 29 4 30 - 44 45 45 - 49 201 60 - 64 115 65 - 74 511 75 - 84 1102 85 - 94 1124 95+ 95 information from service users and it is held on the Care on Call system. The information that has been analysed is customer held information and staff information. Service Type Cost per Number of service week users 24 hour monitoring and emergency response £4.82 4462 A weekly visit plus monitoring £7.66 399 Weekend visit 130 Pop in visit £3.35 1 Out of Hours service provision for other 65 landlords and 6 LD Supported Housing 219511640 7/21 Section D – Potential impacts and how these might be addressed Could your proposals have a differential impact relating to age equality Are your proposals discriminatory on the grounds of age? 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? 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 Yes (Y) No (N) Explain impact(s) and what evidence or data exists to support your analysis? Y N N The visiting service is provided to a wide age range although predominately to people over 70 years. Care on Call will still provide an emergency call monitoring and response service. The support the visit has offered people has focussed on helping people to help themselves. If people require help they will still be able to contact Care on Call who can sign post people to organisations who can assist them. 380 of the 399 people who receive weekly visit currenlty live alone. 127 of the 130 people who receive a weekend visit currenlty live alone. People often wait in for the Warden to do their visit which although are usually on the same day are not always at the same time. If people do not receive a visit they will be able to do other things instead of waiting in. Y Of the service users who provided their age and responded to the question Would you pay £4.82 per week? The data shows that 317 people would pay for the emergency response service against 187 who have said they would not. N 219511640 8/21 219511640 9/21 The majority group of people in Care on Call are age 65 and over. The responses received reflect that position. 219511640 10/21 Could your proposals have a differential impact relating to disability equality? Yes (Y) Are your proposals discriminatory on the grounds of disability? Will people with disabilities not be getting the outcome they need? Will people with disabilities be disadvantaged as a result of your proposals? If the impact is negative, how will it be reduced or eliminated? y Will the proposals mean that people with disabilities 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 (N) Explain impact(s) and what evidence or data exists to support your analysis? The consultation will ensure that the details of organisations that can assist people with disabilities are shared with service users. y The Care on Call emergency response service will still be available on a 24/7 basis. y Within the data held within Care on Call some service users have told us that they have specific needs when being communicated with. For example people with a hearing impairment may need a signer to be available if they require further information after receiving written information. 13 people have told Care on Call that they are profoundly deaf whilst 339 have told us they deaf or have issues with hearing. N There are 119 people identified with a mental health illness, dementia. Many others on the system report having some short term memory loss. A proportion of these service users may not understand the written information or remain unaware of the changes even after they have received it. The information will be sent to Carers too as in most cases a carer is listed as the service users next of kin. N The Care on Call service will continue as normal whilst the consultation is ongoing so advice and reassurance can be given by the Wardens to both service users and carers. If the proposal is approved a 28 day notice letter will be sent to all service users. Wardens will be available to talk through the implications of the change in the service and will also discuss any concerns if ultimately the service user cancels the service. Of the respondents who were service users 157 identified themselves as being disabled and 44 stated they were not. 116 people did not disclose this information. 219511640 11/21 Could your proposals have a Yes (Y) differential impact relating to gender equality (this includes pregnancy and maternity)? Are your proposals discriminatory on the grounds of gender? Will men or women, boys or girls not be getting the outcome they need? Will men or women, boys or girls be disadvantaged as a result of your proposals? If the impact is negative, how will it be reduced or eliminated? No (N) Explain impact(s) and what evidence or data exists to support your analysis? N The service employs 27 women and 5 men. Will the proposals mean that men or women, boys or girls will experience positive outcomes? Highlight any positive impacts N 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 The proposals affect all staff and service users regardless of gender. N N Whole Service gender make up (service users) Female 2950 Male 1513 Unknown 10 Of those respondents who provided comments 99 said that they already pay, 123 felt it was not affordable, 91 felt the service should be means or age tested, 16 stated they had already paid their taxes and 66 said it is a vital service and would pay. The responses to this question are proportionately representative of the whole service make up. N 219511640 12/21 Could your proposals have a differential impact relating to equality for people planning, undergoing or who have undergone gender reassignment? Are your proposals discriminatory 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 be disadvantaged as a result of your proposals? If the impact is negative, how will it be reduced or eliminated? Yes (Y) No (N) Explain impact(s) and what evidence or data exists to support your analysis? N The proposals affect all staff and service users in the same way. N N Will the proposals mean that people planning, undergoing or who have undergone gender reassignment will experience positive outcomes? Highlight any positive impacts N 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 N 219511640 13/21 Could your proposals have a differential impact relating to race equality Are your proposals discriminatory on the grounds of race? Will people within certain racial groups not be getting the outcome they need? Will people within certain racial groups be disadvantaged as a result of your proposals? If the impact is negative, how will it be reduced or eliminated? Yes (Y) No (N) Y N N N Will the proposals mean that people within certain racial 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 Explain impact(s) and what evidence or data exists to support your analysis? N Care on Call service user monitoring Service users Ethnic origin Number % White British 3194 71.58 Unknown 1082 24.25 White other 59 1.32 White Irish 58 1.30 White Scottish 12 0.27 Other 11 0.25 Black African 8 0.18 Asian Pakistani 6 0.13 Asian other 5 0.11 Mixed other 4 0.09 Polish 4 0.09 Mixed white and black Caribbean 3 0.07 Asian Chinese 2 0.04 Black Caribbean 2 0.04 Chinese 2 0.04 Mixed white and black African 2 0.04 White Welsh 2 0.04 Asian Bangladeshi 1 0.02 Asian Indian 1 0.02 Indian 1 0.02 Mixed white and Asian 1 0.02 Vietnamese 1 0.02 White Eastern European 1 0.02 Total 4462 99.96 219511640 14/21 The service assists people where English is not their first language and \ or they cannot read or write. On these occasions, where appropriate, we have : asked that a family member reads it to them and responds on their behalf provided literature in a suitable language undertaken meetings in peoples own homes with a family member who can translate on their behalf The literature will be sent to all service users and their next of kin to aid this process. Could your proposals have a Yes differential impact relating to (Y) religion or belief equality Are your proposals discriminatory on the grounds of religion or belief? Will people of certain religions or 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? 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 No (N) Explain impact(s) and what evidence or data exists to support your analysis? N Care on Call service user Religious make up N N N C of E Roman Catholic Christian Unknown Methodist Jewish Atheist Muslim Jehovah witness Hindu Orthodox Pentecostal Buddhist C of Scotland Unitarian Islamic 219511640 15/21 2832 769 309 278 99 76 36 14 12 5 5 5 4 4 4 3 63.47 17.23 6.93 6.23 2.22 1.70 0.81 0.31 0.27 0.11 0.11 0.11 0.09 0.09 0.09 0.07 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 N Presbyterian Mormon Lutheran Salvation Army Total 3 2 1 1 4462 0.07 0.04 0.02 0.02 100.00 Total Religious Belief Yes Buddhist Christian Jewish Muslim Hindu Sikh Other Total Religious belief not disclosed Did not respo nd 1 118 3 7 0 0 5 370 236 Yes 0 270 3 2 0 0 5 571 291 User No 0 114 3 4 0 0 6 311 184 Did not respo nd 0 58 2 7 0 0 5 207 135 Yes 0 165 1 1 0 0 4 317 146 No 0 72 2 4 0 0 4 187 105 The Buddhist and Christian responses are proportionate. The response rate for Muslim is approximately 50% and the response rate for Jewish service users is proportionately lower than expected. A third more people have not disclosed their religious belief than is indicated in the service numbers. It could be that those groups are underrepresented and it could also be that they are represented in the significantly larger unknown consultation response numbers. 219511640 16/21 Could your proposals have a differential impact relating to sexual identity equality Are your proposals discriminatory on the grounds of sexual identity? Will gay, lesbian and/or bi-sexual people not be getting the outcome they need? Will gay, lesbian and/or bi-sexual people be disadvantaged as a result of your proposals? If the impact is negative, how will it be reduced or eliminated? Yes (Y) No (N) N N N Will the proposals mean that gay, lesbian and/or bisexual people will experience positive outcomes? Highlight any positive impacts N 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 N 219511640 17/21 Explain impact(s) and what evidence or data exists to support your analysis? The proposals affect both staff and service users. Could your proposals have a differential impact on socio economic equality (people on a low income)? Are your proposals discriminatory on the grounds of socio economic inequality? 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? Yes (Y) No (N) Explain impact(s) and what evidence or data exists to support your analysis? y Over 80% of total service users receive the service at nil cost as a result of being in receipt of a qualifying benefit. Y The proposal to charge for the service will affect people who have a low incomes. All service users will be sent a 28 day notice letter following ratification of the decision which will include contact details to access a fairer charging assessment. Y Will the proposals mean that people on a low income will experience positive outcomes? Highlight any positive impacts N 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 N The service currently operates on a 48 week payment schedule because historically it was a property based housing service which aligned with the rent payment schedules of the landlord. The proposal intends to charge for each week of the service therefore it will be a 52 week minimum charge. It is proposed that the service maintains the 48 week charging policy for existing service users until the last pay week in March 2015. This will hopefully allow service users time to realign their finances. From the 01.04.15, all service users will be subject to a 52 week charge. Following the decision all new service users will be charged on a 52 week minimum basis. 90%+ of service users receive the visiting service at no cost to themselves because they are on a qualifying benefit. The consultation has highlighted that although people value the service the proposed charge of £10.00 is too expensive. 60 service users said they would pay it and 294 said they would not. 114 of total respondents would pay for it and 505 would not. Further feedback from service users has indicated that they would still like a visit and would pay for it if it remained at the £7.66 charge and if it included the 24\7 emergency response service. 219511640 18/21 Could your proposals have a Yes (Y) differential impact relating to any other equality groups, for example, carers, ex offenders? Are your proposals discriminatory in relation to any other groups? Will people within any other groups not be getting the outcome they need? Will people within any other Y groups be disadvantaged as a result of your proposals? If the impact is negative, how will it be reduced or eliminated? No (N) Explain impact(s) and what evidence or data exists to support your analysis? N A small proportion of service users do not have family living close by and take comfort knowing that someone is looking in on their family once a week. If service users do not wish to pay for the visiting service they are still able to access the emergency response service for a cheaper cost. Will the proposals mean that people within any other groups will experience positive outcomes? Highlight any positive impacts N 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 N N Carers - as above. 219511640 19/21 Section E – Action Plan 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 People responsible Where will action be monitored? (e.g., Directorate Business Plan, Service Plan, Equality Action Plan) Targe t date Required outcome Impact on people with a mental health disability or physical disability Ensure 121 consultation is available with identified people and carers. Ensure signers are available. Lesley Thomas Assistant Mayoral process Communication plan review TSA 26.05. 14 Lesley Thomas Communication plan review 26.05. 14 Everyone identified by business intelligence or who requests it gets a 121 meeting to explain the changes. Help discussing and taking options available. Ensure information and access to all support groups is readily available. Impact on service users increased isolation support with official documentatio n support with finances Ensure written information is sent to carers, where an address has been provided. Ensure landlords and support organisations such as welfare rights, Citizens advice and AgeUK are informed of the proposal to cease the visiting service. Give all service users details to access a fairer charging assessment. Delay implementing 52 week payment plan and keep payment schedule of 48 weeks for existing service users until 01.04.15. Consider keeping the charge for the visiting service and mobile response at £7.66 per week. Benefit maximisation. Lesley Thomas Consultation process review 219511640 20/21 Impact (positive or negative) identified Proposed action People responsible Where will action be monitored? (e.g., Directorate Business Plan, Service Plan, Equality Action Plan) Targe t date Required outcome Impact on carers Communicate as soon as possible giving people time for alternative arrangements by writing to carers. Ensure literature explains changes and possible impacts on them and their family members. Ensure staff are engaged with as early as possible so that they have as much time as possible to consider the range of options available to them. Team meetings 121’s with HR Angie Allan Communication plan review TSA 26.05. 14 Minimised carer stress. Angie Allan Assistant Mayoral process Communication plan review DMG Union consultation 26.05. 14 Staff have time to seek advice from all parties which will allow them to make informed choices about their future. Increased calls increased stress Impact on staff Consult with unions so that support can be offered to staff as early as possible. Support staff through process and ensure they are aware of all of the options available to them. Name Senior Manager Signature Date Lead CIA Officer 219511640 21/21