Community Impact Assessment Form For a summary of this Community Impact Assessment, click here Title of Community Impact Assessment (CIA): Deafness Support Network – Deaf Link Worker and Communicator Guide service Service group: Community Health and Social Care Date of assessment: 22nd May 2014 Names and roles of people carrying out the community impact assessment. (Please identify Lead Officer): Emily Grace & Supporting People team Summary How did you approach the CIA and what did you find? There was a consultation exercise involving a questionnaire which was sent out and available on the website, the results of this were collated and we also offered additional support to the service users through group and individual meetings. We looked at what alternative services are available and the likely impacts on the service users and found that this proposal will have a serious impact on people with sensory impairment with very little mitigation measures that can be put in place as there are no alternative services in Salford and very little accessibility of mainstream services. The relevant equality strands were found to be disability, age, socioeconomic status and non English speakers/writers. What are the main areas requiring further attention? Assessments of all the service users are needed to give a better idea of the future cost for the council of those with statutory needs and to see if there is an alternative savings proposal that could be considered that may be more cost effective and cause less of a negative impact on service users, their family/friends/carers and the deaf community. Summary of recommendations for improvement Alternative arrangements made for service users with substantial/critical needs. Information given to anyone left without a service. Communication to continue between the service users and Assistant Mayor for Adult Services. 1/18 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 Are you impact assessing something that is?:New Existing Being reviewed Being reviewed as a result of budget constraints x Describe the area you are impact assessing and, where appropriate, the changes you are proposing? The deaf link and communicator guide services provided by the Deafness Support Network (DSN) came to the end of a 3 year contract on 31 December 2013 and have been given a 1 year extension until 31 December 2014. The savings proposal is to abandon plans to go to tender or bring this service in house and simply end the contract at the end of the extension period. During this time the plan is for the provider organisation to engage with the current and potential users of the service through avenues such as the Deaf Gathering and Deaf Blind Network to ensure they are fully informed of the phased withdrawal of the service. DSN will signpost to alternative services that can be accessed with interpreters such as the Citizen’s Advice Bureau and give out information regarding their right to access services. The 35 current service users, are currently being assessed so that arrangements can be made for their continued support if they have substantial or critical needs under the Fair Access to Care criteria and to also give an idea of the potential cost to the council that this will incur. 2/18 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 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 and maternity) People on a low income (socio-economic inequality) X Gender reassignment Other (please state below) (For example carers, ex offenders) Non English speaker/writers x Race 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 3/18 Section C – Monitoring information C1 Do you currently monitor by the following protected characteristics or equality areas? Age Disability Gender 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) or No (N) 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. Y Y Y Y Y Y Y Y Section C– Consultation C2 Are you intending to carry out consultation on your proposals? Yes If “yes”, please give details of your consultation exercise and results below A 12-week consultation took place from April to June 2014 via a questionnaire posted to service users and also made available on line. Staff and stakeholders were also consulted as part of this process. Extra support in the form of individual meetings and group meetings with interpreters was given, people who attend the deaf gathering in Salford were also informed of the consultation. Consultation results The council received 1,832 responses to the overall consultation, of which 960 (52%) referred to the Deafness Support Network proposals. 267 (28%) of the responses were in agreement with the proposal. Do you agree that it is fair that the council stops funding this service and instead provides information and advice about how people can find support for themselves? Of all those who responded about the Deafness Support Network, 28% (267) either strongly agreed or agreed that it is fair that the council stops funding this service and instead provides information and advice about how people can find support for themselves. Of the few that agreed, more users 10% (7) agreed than family and friends of users 5% (1), with no carers of users indicating support, confirming that few people who use the service or know a service user agreed that it is fair. Those who identified themselves as disabled people agreed less than those who identified themselves as non-disabled, with only 25% (105) of all disabled respondents supporting it, compared to 34% (98) of nondisabled respondents. Disabled users had slightly more agreeing 18% (6) than non-disabled users 13% (1). No disabled friends and family of service users agreed that it was fair to expect people to pay compared to 25% (1) of non-disabled family and friends of service users. Agreement was generally lower amongst those aged 25-44 (20%, 26) compared to those aged over 65 (34%, 114). None of the service users aged 25-44 agreed it was fair in common with carers of users and family of friends of users. More women strongly agreed or agreed that it is fair 31% (137) compared to men at 27% (67). Amongst 4/18 users 16% (4) of women agreed compared to 14% (2) of men. Approximately 48% (430) of respondents indicated that they had a religious belief. Of these 30% (130) strongly agreed and agreed that it is fair, which is more than those who indicated that they had no religious belief (28%, 60) but that it is fair. The majority of those who disclosed their religion (91%, 435) were Christian. 31% (136) of these agreed that it was fair. For other religions, there were significantly smaller proportions, with other religions (25%, 5) and Muslims (15%, 2) thinking it fair. Less than three quarters of respondents revealed their ethnic heritage (71%, 710), and of those who did 94% (665) were White British and 30% (202) strongly agreed or agreed with the proposal. This compares to 20% (4) of the much smaller number of people who identified themselves as White Irish and 33% (3) people who identified themselves as mixed heritage, who supported the proposal. Many respondents did not disclose their sexual identity (45%, 297). Of the 28% (259) who strongly agreed or agreed that it is fair that the council stops funding this service and instead provides information and advice about how people can find support for themselves, 61% (158) were heterosexual/ straight, 3% (7) gay men, 3% (8) bisexual and 25% (1) lesbian/ gay women. Q25. If you have received this service (Deafness Support Network), could you get similar support from elsewhere in the future? Respondents to this question Number From family From friends and neighbours From a community service, group or charity Other (combined variations on the above options) Other (please specify) Total 32 15 42 19 0 108 Percentage 30% 14% 39% 18% 0% 100% N.B. - these figures include responses only if Q24 (Deafness Support Network), was answered. Of the 108 responses, the remainder being ‘not answered’, the single most common source of similar support from elsewhere in the future was ‘from community service, group or charity’ at 39% closely followed by ‘from family’ at 30%. Feedback from consultation meetings Service users felt that they needed the service in order to function on a weekly basis, the majority are unable to read or write as well as use the phone so without it they won’t be able to pay bills, access services and appointments, deal with debts etc. They felt that deaf people are a very excluded group who have to fight to survive and fight against discrimination all the time in life, this service has been a lifeline to them. Service users also felt it was important to note that it is not the job of an interpreter to explain things and to understand the intricacies of their issues or advocate on their behalf but only to interpret. The service users also felt that due to them not having a voice there is little deaf awareness or emphasis on making services accessible amongst commissioners of services which makes it difficult for them to access everything from the Accident and Emergency department of their hospital to things like the housing options service or Citizens advice. 5/18 Summary of the comments made on the proposal ( Question 26 – Do you have any other comments on this proposal ) Categories - This service is essential and it is discriminatory to remove it - Current service is inaedequate and how would people pay if service removed? - Ok to cut if other providers or family can help, should means test - Cutting the service will put more pressure on other services or on family - No comment or don't use this service or response is a statement Total responses to each category 74 10 14 4 19 121 Examples of some of the comments received o ‘Would only agree if there are sufficient outside agencies to cover this cut to an existing council service.’ o ‘My family live 300 miles away I will have no help’ o ‘How are people supposed to find the support without sign language support?’ ‘Council provision for this community is inadequate and currently lacks any accessibility for the hearing impaired. As we currently haven't provided information and advice in any accessible formats relevant to the hearing impaired how will we be able to do this when stopping funding means we will no longer even be able to identify the relevant communities.’ ‘Please note - Minicom and Textphone are generally irrelevant to the hearing impaired. They are not accessible.’ ‘Cutting this service or not providing a better service is making sure the minority of service users cannot access language services within the council or proper social, health and well-being services.’ ‘With regards to blind people there are obvious difficulties with accessing reading material (accommodation adverts) and websites, or viewing the property. With regards to deaf people the main difficulties are using the telephone to make viewing appointments/ get further information on quotes. Both groups are disadvantages in this way. Also it should be remembered that not all deaf people can sign or use lip reading - the council should make sure it provides an email address and webmail (fewer deaf people use minicoms these days) for deaf people to use, and also investigate whether there is any demand from local deaf people to use video-phones or skype (to aid signing)’ Section C(– Analysis C3 What information has been analysed to Information from client record forms over the last 4 years inform the content of this CIA? What Economic Status of Client Frequency Frequency % were the findings? Full-time work (24 hrs or more/week) 1 2% Please include details of, for example, service or employee monitoring information, Part-time work (less than 24 hrs/week) 1 Govt training/Work Programme 1 Job seeker 5 Retired 24 Not seeking work 5 6/18 2% 2% 11% 52% 11% 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 specifically in relation to this equality analysis and CIA process Long-term sick/disabled 9 20% The majority of service users are not working and so may well be on a low income, ending the support they currently get around budgeting and debt management from the service could result in a negative effect on their financial wellbeing Alternative services For issues with debt and money problems, the Citizens Advice Bureau provides a fortnightly session at Manchester Deaf Centre where a BSL (British Sign Language) interpreter is also available. Manchester Deaf centre Crawford House Booth Street East Manchester M13 9GH I contacted one of the Citizens Advice Bureaus in Salford to ask if they would provide interpreters for a deaf person and was told that they wouldn’t. Equalities legislation means that they would be breaking the law if they refused to provide an interpreter however deaf people are unlikely to have the financial and communication support needed to pursue a legal case. Salford welfare rights service will provide interpreters for appointments regarding benefits/debt issues. The extra cost of providing interpreters for the council would depend on how many appointments with welfare rights took place each week. If we use the number of support hours currently provided by the deaf link worker as a guide (15) and took that as an absolute maximum the cost would work out at £52,400.70 per year. Dealing with debt and benefit issues is a large part of the deaf link worker’s role. Cost of interpreters Enhanced DBS £33.50 per hour (minimum two hour booking) – total £67 Additional 30 minutes £15 NVQ Level 6 or NRCPD registered £38.50 per hour(minimum two hour booking) Additional 30 minutes £20 Depending on the interpreter and the length of the booking (generally if longer than 2/3 hours) then you may need to book 2 so double the cost. Appointments with the welfare rights service are arranged on a prioritised waiting list basis so without the service the service users may have to wait for longer before their benefit/debt issues are resolved. 7/18 Section D – Potential impacts and how these will 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? Equalities data from DSN April 2013 snapshot Y Y 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85-94 95+ Y 0 1 9 6 6 3 6 5 2 If the service is ended it will affect all the current/potential users of the service regardless of age however the service users with dual sensory loss are all over 65 due to the nature of the disability so the proposal is potentially discriminatory against those older service users who do not have critical or substantial needs. N N Those service users would be further excluded and discriminated against and will find it harder to access any services that are not provided by public bodies such as the Citizens Advice Bureau, utility companies, charities etc. Although the equalities legislation means it is illegal for any services not to provide communication support when requested, the service users are unlikely to have the financial and communication support needed to pursue legal cases against all these services. Even services provided by public bodies are not easy to access for a deaf person/ someone with dual sensory loss as there won’t usually be an interpreter/communication support at the point of access and equalities statements regarding accessing interpreters are not usually provided in BSL either. Without the service these service users are more likely to fall into debt and have their utilities cut off, fall into rent arrears and be evicted, have problems with hate crime and anti social behaviour, be more at risk of health and safety hazards, mental health issues and isolation. The cost of interpreters will be unaffordable for the majority and as stated earlier interpreters cannot explain things or advocate for people so even if a service user 8/18 was able to afford an interpreter they couldn’t deal with many of the day to day issues that this service supports people with. Service users can be linked in to the Manchester deaf centre and to the welfare rights service/ given information on interpreting services but there are no other alternative services so the impact cannot be mitigated to any real extent. Could your proposals have a differential impact relating to disability equality 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? Yes (Y) No (N) The service is targeted specifically at people with sensory impairment Y Y 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 Explain impact(s) and what evidence or data exists to support your analysis? N N Those service users would be further excluded and discriminated against and will find it harder to access any services that are not provided by public bodies such as the Citizens Advice Bureau, utility companies, charities etc. Although the equalities legislation means it is illegal for any services not to provide communication support when requested, the service users are unlikely to have the financial and communication support needed to pursue legal cases against all these services. Even services provided by public bodies are not easy to access for a deaf person or person with dual sensory loss as there won’t usually be an interpreter/communication support at the point of access and equalities statements regarding accessing interpreters are not usually provided in BSL either. Without the service these service users are more likely to fall into debt and have their utilities cut off, fall into rent arrears and be evicted, have problems with hate crime and anti social behaviour, be more at risk of health and safety hazards, mental health issues and isolation. The cost of interpreters will be unaffordable for the majority and as stated earlier interpreters cannot explain things or advocate for people so even if a service user was able to afford an interpreter they couldn’t deal with many of the day to day issues that this service supports people with. Service users can be linked in to the Manchester deaf centre and to the welfare rights service/ given information on interpreting services but there are no other alternative services so the impact cannot be mitigated to any real extent. 9/18 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 N 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 10/18 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) N Will the proposals mean that people planning, undergoing or who have undergone gender reassignment 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 11/18 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) Explain impact(s) and what evidence or data exists to support your analysis? 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 N 12/18 Could your proposals have a Yes (Y) differential impact relating to 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? No (N) Explain impact(s) and what evidence or data exists to support your analysis? N 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 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 13/18 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 bisexual people not be getting the outcome they need? Will gay, lesbian and/or bisexual 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) Explain impact(s) and what evidence or data exists to support your analysis? N Will the proposals mean that gay, lesbian and/or bi-sexual people 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 14/18 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) Y Explain impact(s) and what evidence or data exists to support your analysis? Only 2% of the service users affected are in full time work, the cost of interpreters will be unaffordable for the majority and as stated earlier interpreters cannot explain things or advocate for people so even if a service user was able to afford an interpreter they couldn’t deal with many of the day to day issues that this service supports people with. Service users can be linked in to the Manchester deaf centre and to the welfare rights service/ given information on interpreting services but there are no other alternative services so the impact cannot be mitigated to any real extent. 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 N 15/18 Could your proposals have a Yes (Y) differential impact relating to any other equality groups, for example, carers, ex offenders? Are your proposals Y 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 groups be disadvantaged as a result of your proposals? If the impact is negative, how will it be reduced or eliminated? No (N) Impact on those who cannot read and write English as BSL is their first language, this is the majority of the service users (26 out of the 35 receiving a service) and these are the people who access the drop in service provided by the deaf linkworker. This service is invaluable to this group as they are able to drop in without an appointment on 2 regular days each week and get issues resolved straight away. These service users would not be able to access help and support without having a friend/family member/other worker who knows BSL and in many cases they do not have anyone who does and there are no alternative services in Salford to refer them to. DSN have only identified 7 of these 26 as having social care needs as well as support needs and so if the majority are assessed as only having moderate needs the council will not have a duty to continue to provide them with a service and this is where the impact will be most serious. Will the proposals mean that people within 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 Explain impact(s) and what evidence or data exists to support your analysis? N This service allows people to get help with written communications from a dedicated worker, Service users can be linked in to the Manchester deaf centre and to the welfare rights service/ given information on interpreting services but there are no other alternative services so the impact cannot be mitigated to any real extent. 16/18 Section E – Action Plan and review 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 Where will action be Impact (positive or Proposed action Person(s) Target date Required outcome monitored? (e.g., negative) identified responsible Directorate Business Plan, Service Plan, Equality Action Plan) People with sensory impairments in Salford will be unable to access the services provided by anyone other than public bodies unless they can afford to pay for an interpreter or they have substantial or critical social care needs. Even services provided by public bodies are not easy to access for a deaf person or someone with dual sensory loss as there won’t usually be an interpreter/communication support at the point of access and equalities statements regarding accessing interpreters are not usually provided in BSL either All service users to be Supporting assessed by social People team, workers so that the Sensory Team alternative costs of providing the statutory services can be evaluated. Information about accessing services with interpreters to be given to any service users who will be left without a service. Service users are in communication with Councillor Connor at the moment and will receive updates on the proposal as well as having opportunities to pass on their views as part of the council’s discussions with partners about the ways they will seek to 17/18 Business plan Dec 2014 Alternative arrangements made for service users with substantial/critical needs. Information given to anyone left without a service. Communication to continue between the service users and Councillor Connor. minimise any potential impact and make services more accessible. 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. No. Name Signature Date Senior Manager Lead CIA Officer 18/18