NHS North Derbyshire CCG Equality Objectives 2013 - 2015 Background: Equality Act 2010 and Public Sector Duty 2011 The Equality Act requires all CCGs, as public bodies to comply with the Public Sector Equality Duty. The Act covers nine protected characteristics. Age Disability Gender Reassignment Marriage and Civil Partnership Pregnancy and Maternity Race Religion and Belief Sex Sexual Orientation The Statutory Public Sector Equality Duty (PSED) The PSED came into force in April 2011 and covers three aims: Eliminate unlawful discrimination, harassment and victimisation and any other conduct prohibited by the Act. Advance equality of opportunity between people who share a protected characteristic and those that do not. Foster good relations between people that have protected characteristics and those that do not share them. The Equality Duty is further supported by two specific duties which require CCG’s to: Prepare and publish one or more CCG objectives. Publish annually relevant information demonstrating compliance with the Equality Duty on or before 31st January 2015. The PSED requires all CCG’s to demonstrate how they have proactively considered equality implications in their: Commissioning cycle from strategic planning to procurement and monitoring and evaluation. Organisational Development plans and in particular their Employment functions. The Equality Delivery System (EDS) The EDS is a nationally recognised performance management toolkit that has been developed to support NHS organisations to drive up equality performance and embed into mainstream business. EDS is all about making positive differences to healthy living and working lives. NHS organisations in consultation with staff, patients and stakeholders, can grade their performance against four specific equality and diversity goals: EDS Goal 1: EDS Goal 2: EDS Goal 3: EDS Goal 4: Better health outcomes for all Improved patient access and experience Empowered, engaged and well supported staff Inclusive leadership at all levels EDS Goal ND CCG Objective (1) EDS Goal 1: Better Health outcomes for all Improving access and involvement to all primary care services for all public, patients, carers and seldom heard groups. Action Plan EDS Goal ND CCG Objective (2) Action Plan Identify and engage with the seldom heard groups. Hold public events on improving the access to GP Services, particularly for those who are not normally reached. Provision of Hearing Loops in GP Practices. Health Screening programmes in the High Peak. Making follow up appointments accessible to the rural area, monitoring the uptake and targeting outcomes. A & E Attendance Report and Audit. Influencing the shape of the Urgent Care Village. 111 Service and access to translation services. Stakeholder engagement and consultation. Contract model for Fairer Funding and enhanced basket of services to provide equitable services. Working with PPG’s to evidence patient experience used to improve access. EDS Goal 1: Better Health outcomes for all To develop and implement 21st Century integrated, patient-focused health and care. Planning in relation to 21st Century is informed by JSNA, Health and Wellbeing Strategy and patient input and engagement. Develop prioritisation tool that takes account of EDS and CCG values. Create service specification to implement locality models for community based integrated services. Improve the consistency and quality of care in Care Homes (1 Care Home/1 GP practice). EDS Goal ND CCG Objective (3) Action Plan EDS Goal 1: Better Health outcomes for all Reduce health inequalities through targeted approach. EDS Goal ND CCG Objective (4) Action Plan EDS Goal 2: Improved patient access and experience To understand what constitutes a good patient experience. Develop targeted programmes to address health inequalities in North Derbyshire. Identify ways to improve services to homeless people and travellers. Improve access to mental health services. IAPT in High Peak, Primary Care based dementia services and RAID. Work with local authorities to assess and mitigate impact of welfare reforms on most vulnerable people in North Derbyshire. ND CCG undertaking programme of work on patient experience including BME, LGB&T and parents of children with long term conditions. Continue programme of work with a variety of specific target groups across Derbyshire to identify what constitutes a good patient experience. Project with DCC and both tiers of the Local Authorities on reformatting the link with the 9 protected characteristics. Public Health work on profiling communities and health inequalities, e.g., Maternity Services User Groups. Consider accessibility of health information so that it is targeted, Useful and used in order to improve patient experience and health outcomes. Work with the Local Authority, partner agencies and service providers to improve the dignity of care experiences by patients, their families and carers. Produce CQC follow up action plan to ensure that services are improved. PPG survey actions plans and produce report on survey findings. PPG’s to target the Voluntary Sector to access people in specific groups and responses available on the CCG website. EDS Goal EDS Goal 3: Empowered, engaged and well supported staff ND CCG Objective (5) Action Plan Continue to develop an inclusive working culture and ensure the CCG values are incorporated in all the work we do. Increase quality, inclusion and human rights’ awareness, knowledge and cultural competence within the CCG and member practices. Provide EDS Training to staff and Governing Body. Provide support to all staff paying particular attention to any inequalities from protected characteristics Improve relationships with both CCG staff, member practice and patients and increase staff capability to meet individual patient needs (including from gender, gender identity, disability, age, sex, race and culture, religion or belief, pregnancy or maternity). Ensuring all organisational policies have been developed using Equality Analysis and taking due regard. CCG Leadership Programme. Develop and implement a new appraisal programme and recognition reward programme. Develop and implement clinical leaders’ programme and appraisal system. Conduct staff survey to test use of CCG Values. Improve bullying and harassment prevention strategies. EDS Goal EDS Goal 4: Inclusive Leadership for all levels ND CCG Objective (6) Action Plan Identify opportunities for the NHS Equality and Diversity Framework to improve the level of inclusive leadership Provision of CCG Leadership Programme for Senior Managers and Practice Managers. Provision of Development Programme for all employees. Executive coaching sessions provided for Senior Management Team, Practice Managers and offered to all employees. CCG uses ‘Insights’ system throughout the CCG to understand others’ skills and perspectives. CCG endeavours to be an equal opportunities employer and ensures the recruitment and selection process is open to all. Develop and implement a new appraisal programme and recognition reward programme.