Community Impact Assessment Transport for adults to day centres Community Health & Social Care Date of assessment: May 2014 Names and roles of people carrying out the community impact assessment: Lead officer: Kim Drummond-Smith Service Manager, Day Services Summary of assessment Brief summary of proposal or what you are impact assessing The proposal is for the Passenger Transport Unit to save £600,000 in a full year, saving £500,000 in 2014/15 by reviewing each service user’s transport needs, and applying the Council’s revised passenger transport policy ‘Criteria for Transport’. As appropriate, service users would have access to Ring and Ride, taxis (with adaptations to support individual need), ordinary public transport or assistance from friends and family. How did you approach the CIA and what did you find? considered findings from of public consultation on the proposal as part of the council’s overall consultation on its proposed revised offer for vulnerable adults discussed alternative transport options with current users took into account the experience of previous users whom the council helped to move to alternative services What are the main areas requiring further attention? Continued support with travel planning and developing travel skills to use alternative means of transport. Summary of recommendations for improvement 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 x Are you impact assessing something that is New ? Existing? Being reviewed? Being reviewed as a result of budget constraints? x x Describe the area you are impact assessing and, where appropriate, the changes you are proposing? A total of 209 people with learning disabilities, physical disabilities and mental health problems use the Passenger Transport Unit to either get to day services or Granville respite 1/13 centre. The proposal for the Passenger Transport Unit is to save £600,000 in a full year, saving with £500,000 in 2014/15. This proposal will not affect the Home to School Transport service for children. The efficiency will be achieved by reviewing each service user’s transport needs, and applying the Council’s revised passenger transport policy ‘Criteria for Transport’. This would mean that service users would, if appropriate, have access to Ring and Ride, taxis (with adaptations to support individual need), ordinary public transport or assistance from friends and family. Discussions with the 209 service users have found that 169 of them could make adequate alternative arrangements, and that the other 40 could use an alternative form of transport with some support. A review of day services over the last few years has reduced building usage and focussed support on the most vulnerable adults whom the council has assessed as having either substantial or critical needs. They include people with learning difficulties, autism specific needs, challenging behaviours, profound and multiple complex needs and those who are over the age of 65 with dementia and other disabilities associated with health difficulties. In line with Just Enough Support and with Think Local Act Personal, during the review the Council helped over 300 people with moderate or low needs to move from social care settings in designated buildings to general community settings in local facilities and to start using alternative forms of transport to get there. Using facilities as near as possible to their homes has cut the length of their journeys, made them more independent of specialist transport services, and given them more transport choices. we have helped users and their families to decide how users can best reach their destinations. Full travel assessments identify any risks and the support needed to remove or mitigate them. Once agreed with users and their families, the council helps users to travel independently. We have been working towards this strategy following the re-structure of day services and so far over 90 people have moved to ordinary forms of transport. In March 2014, the Council approved its criteria for transport assistance which clarifies application of the criteria to provide a strategic, consistent and transparent approach to transport support for individuals’ transport needs. Section B – Is a Community Impact Assessment required (Screening)? Consider what you are impact assessing and mark “x” for all the statement(s) below which apply Service or policy that people use or which apply to people (this could include staff) Discretion is exercised or there is potential for people to experience different outcomes. For example, planning applications and whether applications are approved or not Concerns at local, regional or national level of discrimination/inequalities Major change, such as closure, reduction, removal or transfer Community, regeneration and planning strategies, organisational or directorate partnership strategies/plans Employment policy – where discretion is not exercised Employment policy – where discretion is exercised. For example, recruitment or disciplinary process 2/13 x x x x x 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 Disability x Sexual Identity Gender (including pregnancy X People on a low income (socio-economic X and maternity and marriage inequality) and civil partnership) Gender reassignment Other (please state below) (For example carers, x ex offenders, refugees and asylum seekers, gypsies and travellers) Race X Section C – Monitoring information C1 Do you monitor by these protected characteristics or equality areas? Yes (Y) or No (N) Age Disability Gender Gender reassignment Y Y Y N Race Religion and/or belief Sexual Identity Y Y N People on a low income (socio-economic inequality) Other (please state) (e.g. carers, ex offenders, refugees and asylum seekers, gypsies and travellers) y If no, please explain why and / or detail in the action plan at Section E how you will prioritise the gathering of this equality monitoring data. Assessments of needs take into account all aspects of people’s conditions, circumstances and characteristics, including protected characteristics. Assessments of needs take into account all aspects of people’s conditions, circumstances and characteristics, including protected characteristics. Assessments of needs take into account all aspects of people’s conditions, circumstances and characteristics, including their income. N C2 Are you intending to carry out consultation on your proposals? Yes, as part of the savings proposal of the redefined offer to vulnerable people If “yes”, please give details of your consultation exercise and results below During March, April and May 2014 the council consulting on this proposal as one of several in its overall consultation on a redefined offer for vulnerable people. The council wrote to everyone who was using transport to day services inviting their views. Officers also currently attended forums and carers’ groups to gather views directly. Specifically, about transport to day services the council asked: Q5. Do you agree that it is fair that people use available alternative transport options if they are able (e.g. transport from family or friends, bus, taxi, tram, Ring and Ride) 3/13 before the council provides a specialist service? To augment the consultation process, during April and May, officers discussed transport alternatives with individual service users to better understand what the impacts might be if the council decided to implement this savings proposal. The options include transport by families and friends, public transport, Ring and Ride services and community links, developing travel skills and using mobility benefits. Consultation results The Council received 1,832 responses to the overall consultation, of which 1,242 referred to the transport proposals. 172 respondents indicated that they were users of this service, 89 that they were carers of users of the service, and 98 that they were family or friends of users of the service. Of all those who responded about whether it is fair that people use available alternative transport options if they are able, 73% (630) either strongly agreed or agreed. This was in marked contrast to users of whom only 37% (64) strongly agreed or agreed, carers at 31% (28) and family and friends 35% (36). 72% (377) of respondents who identified themselves as disabled strongly agreed or agreed that it was fair, the same proportion as who indicated that they had no disabilities ((256). This similarity of response was maintained between disabled users and non-disabled users at 36% (26) and 35% (21) respectively. 36% (14) carers with disabilities strongly agreed or agreed that it was fair, compared to 23% (7) of carers without disabilities. The difference in views was smaller amongst family and friends, with 33% (11) of those with disabilities in support compared to 36% (16) of those without disabilities. Overall, lower proportions agreed amongst respondents aged 25-44 (66%, 98) and aged 4564 (67%, 192) than amongst those aged over 65 (78%, 336). 41% of respondents aged 45-64 agreed with the proposal whether they were users (23), carers (12) or family and friends (15). There was a wider variation between these statuses for those aged over 65 ranging from 39% (14) of users to 25% (4) of carers, with 35% (6) family and friends in agreement. The same figures for those aged 25-44 were 30% (11), 24% (5) and 29% (6). The proportions of men and women who strongly agreed and agreed that it is fair were similar at between 74% (416) for women and 71% ((215) for men. These proportions remained similar for respondents who identified that they had a disability and those who had not, and across all age groups. The numbers reflect that nearly twice as many respondents to this question identified their gender as female (559) as male (304). There were differences between the genders, however, amongst users, cares and family or friends, with a smaller proportion of women strongly agreeing or agreeing that it is fair in each case. 32% (22) of women who were users did so, compared to 42% (21)of male users, with 19% (6) women carers compared to 45% (15) of male carers. The exception was men who were carers amongst whom only 37% (20) strongly agreed or agreed. About two thirds of respondents to this question indicated whether or not they had a religious belief. Of those who indicated that they had a religious belief 74% (402) strongly agreed and agreed that it is fair, similar to the 72% (186) of those who indicated that they had no religious belief. 94% (555) of those who disclosed their religion were Christian, of whom 74% (410) strongly agreed or agreed, with similar proportions of Jewish respondents (70%, 7) and 4/13 Muslim respondents (71%, 12). The proportions of users, carers and family or friend who identified themselves as Christian were much lower at 37% (27 ), 39% (15 ) and 41% (18 ) respectively. About three quarters of respondents to this question revealed their ethnic heritage, and of those who did 95% (842) were White British, 73% (615) of whom strongly agreed or agreed with the proposal, compared to only 83% (18) of those who identified themselves as White Irish. The proportions of White British users, carers and friends and family who strongly agreed and agreed were much lower at 38% (46), 33% (21) and 36% (26.) 42% (486) of respondents to this question did not disclose their sexual identity. Of those who did, 93% (647) identified themselves as heterosexual/straight, of whom 74% (486) strongly agreed or agreed, compared to 75% (15) of those who identified as gay men, and 67% (10) of those who identified as bisexual. C3 What information has been analysed to inform the content of this CIA? What were the findings? Please include details of, for example, service or employee monitoring information, consultation findings, any national or local research, customer feedback, inspection reports, and any other information which will inform your CIA. Please specify whether this was existing information or was obtained specifically in relation to this equality analysis and CIA process Comments from the consultation were grouped into common themes. 120 comments were associated with Ring & Ride and Taxis. The concerns raised were in the following areas of reliability / availability / costs and safety. The Community Impact Assessment recognises that information regarding these services was not always readily available; usage of R&R and Taxis gives more choice to the user but it has been acknowledge that day centres need to be more flexible with arrival and departure times to give more scope to individual arrangement. If the proposal is agreed these points will be taken up individually with people to see there are adequate solutions in place to meet the required need. Where people have access to bus passes they can travel on R&R at minimal or no costs. Travel Vouchers are available and we are able to sign post people to these various options. In addition to this we have been developing our relationships with Taxis firms to ensure there is understanding of individual need and the vehicles are adapted / adaptable to support individual requirements if necessary. Overall of the current 209 people using the passenger transport 169 could make adequate alternative arrangements. As part of the consultation there were 79 comments made in regard to specialist services needed. Recent meetings conducted by the commissioning teams and our Mobility Officer have used the ‘Criteria for Transport Assistance’ as guidance and identified that 40 people need some form of support to enable them to use an alternative form of transport to the Passenger Transport Unit. In particular 25 people have expressed concerns around safety and support offered to those who live on their own. Individual support plans would need to be in place for the 40 people concerned should the proposal be agreed . A further 76 comments were around costs / benefits. This would be assessed on individual circumstances; annual reviews would take place to ensure any changes to personal circumstances have been taken into account. In general there have been several concerns raised by carers / families which have been around safety and support offered to those who live on their own where there were no family members. This would require 5/13 collaboration between service providers to look at individual support plans and solve any difficulties. Recent meetings, with those using this service have identified 25. There is already a project team in place to take this forward following the decision. Of the people using day services at the time, 128 were already accessing alternative forms of transport on different days and their positive comments were around their experiences, greater independence, choice and control and accessing their local community. In addition to the above comments which were collated outside of the consultation format, these centred around individuals attending various forums/ groups, concerns raised as to whether there would follow closure of day centres. There are no plans in place for any further reduction in day services. Where people are attending more than one day centre this can be looked at to ensure people are not disadvantaged by the proposals. In planning with regards to any changes we work in a person centred way to ensure all aspects of people’s lives are taken into account e.g. maintaining friendships / contacts so that people can continue to live their lives as they choose. All information was gathered specifically for the proposal and CIA to help us in the decision making process 6/13 Section D – Potential impacts and how these will be addressed Could your proposals have a Yes (Y) No (N) Explain impact(s) and what evidence or data exists to support your analysis? differential impact relating to age equality Just over 70% of current service users are aged 25-64, with 38% aged 25-44, 32% aged Will people within certain age N over 65 and 24% aged 45-64. The remaining 6% are aged 18-24. ranges not be getting the outcome they need? Encouraging more people to use alternative forms of transport might stretch the Will people within certain age capacity and the criteria of some alternatives. For instance, Ring & Ride sets ranges be disadvantaged as a distance limits, but people attending their nearest day centres should minimise the result of your proposals? effect of this. If the impact is negative, how will it be reduced or eliminated? Most older people are attending their nearest day centre If you are unable to eliminate, reduce or mitigate negative impacts, are your proposals potentially discriminatory on the grounds of age? Will the proposals mean that Y Experience so far suggests that younger people benefited most from the flexibility people within certain age ranges and greater independence that alternative transport methods offer them. will experience positive outcomes? Older people are more inclined to use Ring and Ride for their daily tasks which has Highlight any positive impacts made the transition more positive. Are the proposals likely to Y Where people are encouraged to use local services provided within their impact on community cohesion? community. Using local transport services has led to greater involvement within Is there potential to enhance people’s communities. relationships between people who share a protected characteristic and those who do not? Identify areas where there is potential to foster good relations Could your proposals have a differential impact relating to Yes (Y) No (N) Explain impact(s) and what evidence or data exists to support your analysis? 7/13 disability equality Will people with a disability not be getting the outcome they need? Will people with a disability be disadvantaged as a result of your proposals? If the impact is negative, how will it be reduced or eliminated? If you are unable to eliminate, reduce or mitigate negative impacts, are your proposals potentially discriminatory on the grounds of disability? Y Will the proposals mean that people with a disability will experience positive outcomes? Highlight any positive impacts Y 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 proposal will disproportionately impact people with learning difficulties, who form just over 70% of current service users. Of the other users, 16% have a physical disability and 12% have mental health problems. There is a risk that people with disabilities might be isolated and unable to get about for want of knowledge about other forms of transport. Knowledge about various local links and about local buses and other transport, including the range of taxis that offer supportive transport, might mitigate this risk. Recent travel assessments by our Mobility Officer have encouraged people with a disability to consider alternatives and to plan how to develop skills to enable them to travel differently. As a result, over 90 no longer needing specialist transport. People will have more choice, control and independence. Alternative means of travelling has often not been an option open to those with a disability due to lack of knowledge as to what is available, issues of safety and support. Positive outcomes have been the flexibility to the times people want to travel to and from the day centres, ensuring people have access to bus passes and where appropriate use of supportive taxis and Ring and Ride. Over time we have been developing our relationships with Taxis firms to ensure greater understanding of learning / physical disabilities. We can offer training to companies who seek to offer this service to those who have additional needs. Through the training offered and the relationships we are developing this will help bring about greater awareness as to the community’s understanding of the needs of vulnerable people Y Could your proposals have a differential impact relating to gender equality Yes (Y) No (N) Explain impact(s) and what evidence or data exists to support your analysis? 8/13 Will men, women or boys and girls not be getting the outcome they need? Will men, women or boys and girls be disadvantaged as a result of your proposals? If the impact is negative, how will it be reduced or eliminated? If you are unable to eliminate, reduce or mitigate negative impacts, are your proposals potentially discriminatory on the grounds of gender? Will the proposals mean that men or women, boys or girls 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 N Women form 52% of service users. Neither women nor men will be disproportionately disadvantaged by the proposal because gender is not a factor in sourcing alternative transport. y As gender is not a factor the outcomes would be the same as outlined in both age and disability. y There is a need to protect and preserve known friendships that have grown up over several years. For some people these have been forged since childhood. For people to share new experiences together will cement these friendships and encourage people to try other new activities. Our experience so far has shown that there is more opportunity for people to arrange activities between themselves when not confined to service structures / times, community involvement plays a great part in people’s lives and we have seen a difference to the way people are perceived by the public when engaging with someone who has different needs. Could your proposals have a differential impact relating to race equality Will certain racial groups not be getting the outcome they need? Will certain racial groups be disadvantaged as a result of your proposals? If the impact is negative, how will it be reduced or eliminated? If you are unable to eliminate, reduce or mitigate negative impacts, are your proposals potentially discriminatory on the grounds of race? Will the proposals mean that people within certain racial groups will experience positive outcomes? Yes (Y) Y No Explain impact(s) and what evidence or data exists to support your (N) analysis? N 99% of service users describe themselves as White British or White English so these proposals will disproportionately affect those groups. Person- centred approaches mean constructing individual support for peoples specific needs, taking into account their conditions, circumstance and characteristics, including their race. Our experience informs us that where people have moved away from specialist services and are less dependent on building based activities it 9/13 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 Y Could your proposals have a differential impact relating to religion or belief equality 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? If you are unable to eliminate, reduce or mitigate negative impacts, are your proposals potentially discriminatory on the grounds of religion or belief? Will the proposals mean that people of certain religions or who have particular beliefs will experience positive outcomes? Highlight any positive impacts Yes (Y) No (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? Y n y has given people more choice and control over their lives There is a need to protect and preserve known friendships that have grown up over years, and for some since childhood. Sharing new experiences together can cement these friendships and encourage people to try other new activities. Experience that users start to arrange activities between themselves outside transport services’ structures and times. Community involvement plays a great part in people’s lives and we have seen positive differences in how people who do not use our services perceive those who do as a result of engaging with them. Explain impact(s) and what evidence or data exists to support your analysis? When we are supporting people through change we use Person centred approaches which means that individual support can be constructed for people who have specific needs, therefore this will take into account religion or belief. Our experience informs us that where people have moved away from specialist services and are less dependent on building based activities it has given people more choice and control over their lives Should people wish to follow their religion or belief community support can be accessed to encourage people to integrate more into their community. Accessing support from a religious community can be a very positive outcome for people who require this form of integration There is a need to protect and preserve known friendships that have grown up over years, and for some since childhood. Sharing new experiences together can cement these friendships and encourage people to try other new activities. 10/13 Identify areas where there is potential to foster good relations Could your proposals have a differential impact on socio economic equality (people on a low income)? Will people on a low income not be getting the outcome they need? Will people on a low income be disadvantaged as a result of your proposals? If the impact is negative, how will it be reduced or eliminated? If you are unable to eliminate, reduce or mitigate negative impacts, are your proposals potentially discriminatory on the grounds of socio economic inequality? Experience that users start to arrange activities between themselves outside transport services’ structures and times. Community involvement plays a great part in people’s lives and we have seen positive differences in how people who do not use our services perceive those who do as a result of engaging with them. Yes (Y) Y Could your proposals have a differential impact relating to any other equality Explain impact(s) and what evidence or data exists to support your analysis? N The council’s fairer charging policy takes into account income and ability to pay. People pay for all of their services. Some people may be assessed as not needing a service provided by the council so they might get a direct payment or be able to access community services at a lower cost than at present. In relation to transport, all people with learning difficulties are eligible for bus passes and there is a component within DLA that takes mobility into account. Some might be getting mobility allowance or have mobility cars,. Other mobility support is offered through the use of taxis vouchers. We will be looking at people using their own resources to assist in their support network. Alternative forms of transport are available in the wider community and therefore not needed from social services. People having access to bus passes for perhaps the first time can feel liberated and benefit enormously from having the freedom to travel around without the restrictions placed on them by the times dictated by the transport service. Where people are encouraged to use local services provided within their community. Using local transport services has led to greater involvement within people’s communities. Will the proposals mean that people on a low income will experience positive outcomes? Highlight any positive impacts Are the proposals likely to impact on community cohesion? Is there potential to enhance relationships between people who share a protected characteristic and those who do not? Identify areas where there is potential to foster good relations No (N) Y Yes (Y) No Explain impact(s) and what evidence or data exists to support your analysis? (N) 11/13 groups, for example, carers, ex offenders, refugees and asylum seekers, gypsies and travellers)? Carers Will people within any other groups not be Y getting the outcome they need? Carers Will people within any other groups be disadvantaged as a result of your proposals? If the impact is negative, how will it be reduced or eliminated? If you are unable to eliminate, reduce or mitigate negative impacts, are your proposals potentially discriminatory for people within any other groups? Will the proposals mean that people within Y any other groups will experience positive outcomes? Highlight any positive impacts Are the proposals likely to impact on community cohesion Is there potential to enhance relationships between people who share a protected characteristic and those who do not? identify areas where there is potential to foster good relations Carers might need to help the person they are caring for to travel to and from day centres. Some people have Mobility vehicles and this is down to choice and all consideration should be given to how best to support the individual. Information can be provided to assist with this. Further collaboration between services with family, friends and neighbours to get the best outcome could help. Where carers are supporting people who attend more than one day centre we can arrange for the person to attend the centre of choice or where there are individuals who would like to attend together the same day centre we can look at how transport can be shared to reduce costs and also provide a more person centred service. Where people are encouraged to use local services provided within their community. Using local transport services has led to greater involvement within people’s communities. The relationships that will form as a result of local services to local people will foster good relations and reinforce the safety and stability of the people it supports. Section E – Action Plan and review If you are unable to eliminate or reduce negative impact on any of the equality areas, you should explain why Possible positive or negative impacts identified Possible action Person(s) responsible Where will action be monitored? (e.g., Directorate Business Plan, Service Plan, Equality Action Plan) Target date Required outcome Greater choice of transport and independence (positive) K. DrummondSmith, Service Manager. As above 2014 A reduction in the number of people needing specialist transport services, where alternatives can be used. Assess people’s ability to travel independently Help people to move from specialist transport to ordinary services where possible. 12/13 Shorter journey times (positive) Carers might need to help cared for people to and from services more. Review the current transport provision in line with people attending local centres Pete Hardman, Transport Manager. As above Individual meetings to discuss alternatives to meet assessed transport needs which leads to greater choice being given Further collaboration between services with family, friends and neighbours to get the best outcome could help. Commissioning teams for LD Integrated teams for OP and PD Project planning Directorate Business Plan Savings Proposal June 2014 Revise journeys to support people attending local centres and reduce travelling time. Implement changes if the savings proposal agreed. Could the changes in any of the above areas have a negative effect on other groups? Explain why and what might be done about it. No. Name Senior Manager Signature Date Lead CIA Officer 13/13