PSED Report for Wandsworth 2012

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31st December 2012
Public Sector Equality Duty
Equality Act 2010
How Wandsworth Clinical Commissioning Group* is
meeting the requirements of the Act.
*
Wandsworth Clinical Commissioning Group (CCG) was formally authorised on 10th
December 2012
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Introduction and background
The Equality Act 2010 brings together all previous equality legislation in England, Scotland
and Wales. The Act includes a new public sector equality duty (the equality duty), replacing
the separate duties relating to race, disability and gender equality. The equality duty came
into force on 5 April 2011.
The public sector equality duty requires public authorities, when carrying out their functions, to
have due regard to the need to:
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Eliminate discrimination, harassment and victimisation and any other conduct that is
prohibited by or under the Act.
Advance equality of opportunity between people who share a relevant protected
characteristic and people who do not share it.
Foster good relations between people who share a relevant protected characteristic
and those who do not share it.
Public bodies must be transparent about how they are responding to the Equality Duty, and
are required to publish relevant, proportionate information showing compliance with the
Equality Duty. This report outlines how Wandsworth CCG is complying with these
requirements.
About Wandsworth CCG
Prior to December 2012, NHS Wandsworth was the primary care trust and Borough team
responsible for the health of the people who live in Wandsworth. As part of the recent
Government reforms in health it became part of NHS south west London, the transition
organisation tasked with delivering the healthcare across five south west London Boroughs.
On December 10th Wandsworth Clinical Commissioning Group was formally authorised to be
the body responsible for delivering the new healthcare reforms and commissioning functions
for health services across Wandsworth. It is co- terminus with the London borough of
Wandsworth but also looks after an additional 71,000 patients who are registered with a
Wandsworth GP but who live outside the Borough.
Other CCGs in South West London include Croydon, Kingston, Merton, Richmond and Sutton
CCGs. Wandsworth’s CCG comprises 3 locality commissioning groups (LCGs) Battersea,
Wandle and West Wandsworth. These locality commissioning groups are broadly co-terminus
with previous local health groups. These commissioning groups will work together to help
manage local budgets and commission services for patients.
Running alongside CCGs groups are the Health and Wellbeing Boards. The boards will also
be fully operational by April 2013. This will remove divisions between the NHS and local
authorities and give communities greater say in the services needed to provide care for local
people. The boards will bring together those who buy services across the NHS, public health,
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social care and children’s services, elected representatives and representatives from
HealthWatch to plan the right services for their area. They will look at all health and care
needs together, rather than creating artificial divisions between services.
The core business areas within the organisation are:
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Commissioning healthcare services on behalf of the population of Wandsworth.
Improving the health and wellbeing of the population of Wandsworth and reducing
inequalities in health.
Coordinating and developing health services provided by primary care contractors GPs, dentists, pharmacists and optometrists.
Wandsworth’s project board is working to integrate services, including:
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combining health and social care support for dementia suffers to reduce hospital
readmissions
improved communication between health and social care professionals to enhanced
the support package offered to vulnerable members of the community
fast-tracking learning by integrated public health teams in local authorities
Joint Strategy Needs Assessment as the driver of clinical priorities
Health and Wellbeing Strategy with key themes
– Integration
– Resilience
– Prevention
Transformation of out-of-hospital care through our Wandsworth Council integration
work-stream “Planning All Care Together”
Improvement and development of primary care
Using the voice of patients to influence our commissioning intentions
Our Vision
The vision of the CCG is: “Better care and a healthier future for Wandsworth.” We will
achieve this by being Patient focused, Outcomes driven, Principled; Collaborative and
Progressive & Professional. For further definition of our vision please go to www.
Health of Wandsworth
As a large inner London borough, Wandsworth has some unique challenges in relation to
healthcare provision. Some of these key challenges are:
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There are higher proportions of younger adults (20 – 44) living in the borough than
anywhere else in England.
the borough is more ethnically diverse than the national population
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the population is highly transient, more so than the national population with the patient
population changing 30% each year
Wandsworth varies widely in its level of deprivation - ranging from the very affluent to
the very deprived
Further information about our borough and the health of Wandsworth is available here.
Our Staff
Wandsworth CCG is committed to recruiting, developing and retaining the best workforce to
make sure we provide high standards of healthcare. We believe in valuing, developing,
communicating and consulting with our staff.
Equality and Diversity at Wandsworth CCG
Since its inception in 2002 the Wandsworth PCT developed and sustained effective strategies
on equality and diversity. More recently we have developed a Thinking Partners Group (TPG)
to support us in delivering against goals and challenges in these areas. The group oversees
our approach to Equality and Diversity and is made up of representatives from local
community groups, LINKs, Expert Patients, third sector, public health, carer groups, and
senior, staff from the organisation.
We have developed a Community and Seldom Heard Groups Grant Scheme to ensure the
needs, views and priorities of hard to reach organisations are considered and fully embraced
within NHS services.
The TPG, Seldom Heard Group partners, Patient and Public
Involvement Groups are now working closely with the CCG to ensure that equality and
diversity objectives and priorities inform their plans, processes, systems and decisions. The
now developed GP locality leads and locality groups are now taking an active role in equality
and diversity issues in Wandsworth.
Meeting our Public Sector Equality Duties
To ensure Wandsworth CCG meets its statutory equality duties under the Equality Act 2010
we have utilised the Equality Delivery System (EDS)1 to develop a strategic approach which:
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Identified the Thinking Partners Group as our partner organisation to help us deliver
evidence of good practice across the organization
Involves Seldom Heard Groups helping us to assess our performance in equality and
diversity and define priorities for the localities.
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Designed for the NHS, the EDS is there to drive up equality performance and embed equality into mainstream NHS
business in line with the requirements of the Equality Act.
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Will help establish gaps or barriers within our services and the impact these may have
on the nine protected characteristics and ensure we take remedial steps to address
them
Will show how we advance equality and diversity across all our core functional
activities
Will set equalities priorities for the next 3 years and
Will ensure Wandsworth CCG makes equality a reality for all, by continuing to
mainstream equality and diversity considerations into all core functional activities, and
as part of its work under the NHS Equality Delivery System (EDS).
As part of our EDS activities, we have:
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Trained the Thinking Partners Group to enable them to participate fully in the EDS
approach
Ran an information gathering day with staff and community representatives to identify
work that contributes to EDS outcomes and activities
Surveyed staff about their views of NHS Wandsworth/Wandsworth CCG as an
employer
Begun, with staff, patients, carers and users, to identify priorities to promote inclusive
leadership
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Evidence to show how we comply with our Public Sector Equality Duties
In 2011, we identified some key development areas for Wandsworth CCG to help us embed equality and diversity into core functional
activities, particularly within CCG plans, decisions and activities. Since then, we have continued to train and empower our staff, we
involve them in equality development initiatives and activities, such as EDAY (a day where staff, patients, users and communities come
together to share what we are doing around equality and diversity, assess our performance, learn from our stakeholders and find out
what is important, urgent and needs to be included in decision making, build relationships and agree some equality priorities)
In this section, we have outlined how Wandsworth CCG complies with the Public Sector Equality Duties. It also summarises priority
issues and development areas for the organisation and these are followed by the actions we will take to advance equality and diversity
and ensure an inclusive and accessible service for all.
How Wandsworth CCG advances equality and diversity, fosters good relations and address discrimination
Activity/policy/project
Explanation
Customer Relationship
Management System
We continue to develop and use the CRM to gather up to date and accurate targeting of individuals
and organisations around PPI activity. The CRM accommodates and reaches a rich diversity of
people in the Wandsworth area, allowing us to engage, involve and consult with a wide group of
people on various healths, policy and planning issues.
Equality Analysis
Working in partnership with colleagues in the South West London area, we have developed our
Equality Impact Assessment process into Equality analysis, a process which focuses more closely on
meeting the needs of protected characteristics. Succinct, user friendly and responsive, it includes
guidance and one to one support (where needed/requested) to ensure everyone actively assesses
the impact of all plans, decisions, policies and activities on the different protected groups.
We continue to produce regular reports to the Board outlining outcomes from the assessments and
changes needed to address identified gaps. The Board has made it a priority for all items presented
for decision or agreement to include an equality analysis.
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‘E’ Day
We held another EDAY event on 29th of November 2012. The event built on the successful one which
took place in December 2011. This time round we brought representatives from our Thinking Partner
Group and Seldom Heard communities, together with our staff to gather information for publishing as
part of our public sector duties, assess our performance for each protected group, to learn from each
other and to identify priorities for next year. We also discussed priorities for improving equality in
employment activities and achieving an inclusive leadership culture within the Trust. Our patient
representatives found the day to be incredibly beneficial, a comment from one of our representatives
– ‘I just want to reiterate the words already expressed. I found the afternoon very rewarding. The
session brought home to me not only details of the work already being undertaken by the NHS but
where the users and representatives of the different communities in Wandsworth can make a real
difference for the better’.
The following pulls together a range of services and initiatives currently in place to advance equality
and diversity
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Cancer Awareness – piloting increased access to education and information about treatments
to different protected groups
Commissioned pulmonary rehabilitation classes for communities – getting closer to patient
homes
New diabetes integrated model
GP direct diagnostic treatment
Development of self-management delivery plans for long term conditions
Helping self-help groups to develop and thrive
Maternity birth plans developed and agreed, process supported by WCCG
GP Peer support groups, breastfeeding and Chlamydia
New diabetes model to ensure patents all receive NICE 9 Keycare processes
Maternity WCCG reviews all policies that cover patient involvement
Using patient satisfaction in maternity services to improve services
Obesity procurement focusing on children and young people
Finance support to advance equality
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BME cancer outreach programme
COPD pathway evidence with NICE 13 quality standards
Children’s IAPT – better for disadvantaged children to access
Maternity services developed base on population census including ethnicity and socio
economics
Bloodspot failsafe screening at birth, makes sure action taken early
Cancer awareness, signs and symptoms – community pharmacists development
Localities ensuring that all CRBs done
Incident reporting
Chlamydia screening
Healthy Living Programme (footsteps and health trainers
DNA audits
Patient satisfaction surveys run by the screening service. Patient electronic survey equipment
in process of being purchased which will provide quicker and easier methodology to assure
patient satisfaction.
In the treatment arm of the programme (Diabetic eye screening – DES) in the ophthalmology
service at Moorfields hospital, transport was highlighted as an area of need to improve uptake.
Appointment letters have been re-designed to improve the layout and highlight ways to request
transport if required. Patients who are not eligible for hospital transport due to selection criteria
are now advised to discuss with their GP, as they have designated funds for transport needs.
We also focused specifically on issues relating to patients with long term conditions and on the needs
of carers. These were some of the services and initiatives identified
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Self-management support for long term conditions
Falls and bone health, EPP reunions, patient report group
Integrated falls and bone health pathway, leaflets, satellite falls and bone health clinics
We identified specific projects underway focusing on the different protected groups.
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Last year’s
EDAY and EDS activities have helped our staff to have a better understanding of equality issues and
have made them more aware of the different protected groups. This is now helping them to target
services and plans to their different needs. There is a lot more to be done to address inequalities and
discrimination, but the following outlines some of the work going on.
Religion or Belief
 Acknowledgment of individual beliefs in maternity care
 Understanding perceptions of cancer among different religious groups
 OC cancer pilot – raising awareness that if you go to your GIP you will not be wasting your
time
Sexual Orientation
 Chlamydia screening
Age
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Flu
Chlamydia screening
Audiology services
Cancer awareness, targeting 55 and under to raise awareness of oesophageal and stomach
cancer. Cancer is more common in older people
Falls – bone health – wider 65 age group and those on 4 or more medications
Mental health programme 0 – 15 years and drugs and alcohol programme for the same age
group
Incident and serious incident reporting
Improved online access, health needs of children
Work with sheltered housing and charities to improve access for older adults via referral to
healthy living services. Access for children via referrals from parents or schools
Following a “Did not attend” audit (diabetes) for the screening pathway- young adults (25-40)
where seen to DNA more often. Previously, evening and weekend clinics have been trailed
with little improvement in uptake. Health promotion work with schools, nurseries and other
venues parents may attend have recently been trialled to see if this improves this age group’s
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uptake.
Pregnancy and Maternity
 Liaison committee for new mums
 Patient satisfaction survey
 Working with St Georges maternity to encourage midwives to refer pregnant women and new
mothers to healthy living services
 Development of a more robust and formal relationship with the maternity providers in SWL
regarding DES (Diabetic eye screening) in pregnancy as this is required within the first
trimester, at 28 weeks and potentially between 16-20 weeks if the first trimester scan is
abnormal.
Sex
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Cancer awareness – oesophageal cancer more common in men than women, sometimes 4
times more
Planned work – Healthy Living - health trainers will be targeting work with men’s groups. A
potential source is pubs but also certain male dominated work environments could be a point of
access.
Disability
 Incident and serious incident reporting
 Purchase of specialist equipment in maternity unit
 Cancer awareness – pilot raising awareness of signs/symptoms and to go straight to
GP/Pharmacy
 Audiology services
 Healthy Living, Footsteps and Health trainers
 All sites/ screening venues are able to see patients in wheelchairs, although anyone who is
unable to sit up is not suitable for DES screening.
 Work has recently started with the learning disability nursing team to highlight the programme
(Diabetic eye screening - DES) to this client group and establish better ways to improve uptake
in this group.
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There is ready access to translators and British sign language interpreters as required and
once the programme (DES) is aware of this need, they record it on the patient’s notes and
arrange as required.
Race
 Cancer awareness – stomach cancer more common in black women, than women from white
backgrounds or other ethnic groups
 Children’s IAPT
 Diabetes education – booklet and DVS in different languages (booklet 3 languages and DVD 5
languages)
 Specific health promotion work has occurred within the Asian community and started with the
Somali community to increase awareness, need for diabetic eye screening and improve
uptake.
The delivery of the Expert
Patients Programme in
Wandsworth
The work going on now is in addition to all the other activities identified last year to embed equalities.
The Expert Patients Programme is a self management programme for people living with a long term
health condition. The programme is delivered by people from different community settings and
backgrounds, all living with a long term condition. In doing so we have been able to embed traditional,
religious, cultural and diverse considerations into the programme. This programme is developing as
part of the Wandsworth Self management Programme ( WSMP) which is part of PACT ( Planning All
Care Together)
Wandsworth’s Joint Strategic
Needs Assessment (JSNA)
The JSNA is an assessment of Health and Social Care needs in Wandsworth undertaken jointly by
the Council and the Primary Care Trust (PCT).It offers a systematic method of reviewing the health
and well being of a population, leading to agreed commissioning priorities that will improve health and
wellbeing outcomes and reduce inequalities." Within the JSNA we outline how equality and diversity
will be mainstreamed, and how the specific needs of different communities will be addressed.
QIPP
Equality analyses being carried out on QIPP activities.
Wandsworth Health and
The establishment of a health and well-being board. The board is made up of councillors, allied health
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Wellbeing Board
professionals, voluntary sector representation and GPs who have designated strategic responsibilities
for public health.
Clinical Commissioning
Groups
The Thinking Partner Group (TPG), Seldom Heard Group partners, Patient and Public Involvement
Groups are now working closely with the CCG to ensure that equality and diversity objectives and
priorities inform their plans, processes, systems and decisions. The now developed GP locality leads
and locality groups are now taking an active role in equality and diversity issues in Wandsworth.
Wandsworth CCG’s Strategic
Plan (CSP)
This is our plan to address the health needs of the population as identified in the JSNA
Patient and Public
Involvement Strategy
Our plan to ensure that patient, carers the public and their representatives are involved and engaged
in the business of health commissioning by Wandsworth Clinical commissioning Group
Pals and complaints
The delivery of a system to ensure that patients and the public are able to redress issues of concern
to them directly with the PCT, including making formal complaints. Patients unable to communicate in
English have access to translation services and we run PALS events in the localities to ensure
seldom heard and under-represented groups have access to our services.
The development of Patient
Pathways
The redesign and re-commissioning of local health services to ensure that all patients have access to
high quality care services from the onset of illness, and including where appropriate health promotion
and disease prevention activities
Patient and Public
In November 2012, we also developed and successfully launched our revamped and revitalised
Involvement Online Resource online PPI Toolkit http://www.ppitoolkit.org.uk/index.php now aptly called the PPI Resource Centre.
Interactive, engaging, informative and responsive, it has been designed to support and help
Wandsworth CCG and NHS organisations to engage, involve and inform patients, users, carers,
communities and staff from different backgrounds. It is a development tool and can be used in
learning events and to educate staff on how best to work with stakeholders to meet the needs of
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different communities.
Involvement and
Engagement Log
This document outlines the extensive range of activities we undertake to support the development
and delivery of services by ensuring that they are informed by both the patients experience and also
the involvement of patients in local health matters. This is not only required by law, but there is an
increasing amount of evidence which suggests patients health outcomes are better achieved if
patients are involved in decisions about their health. The log shows the diverse groups we have
engaged and involved in local health matters.
PPI Consultations on GP
Commissioning
We continue to organise events for patients, users, carers, local communities and to encourage
participation from the different protected characteristics. We are now looking for ways to diversify the
populations we engage in GP forums/working groups.
Seldom Heard Groups
project
We continue to work with Seldom Heard Groups – they have taken a keen and active interest in the
work of the Clinical Commissioning Group (CCG).
LGB and T programme of
activities
Following a detailed health needs analysis in LGB&T communities (2009), we have continued our
strong working relationship with local LGB&T communities. We continue to be involved with
Stonewall and Wandsworth LGBT Forum.
Direct working with
vulnerable people
The Healthy Living Programme is an access function of the Public Health Department that facilitates
entry to healthy living services, this could be by coordinating referrals from various sources to Healthy
Living providers, or providing a Health trainer service for more vulnerable people to help them
overcome barriers to access and build resilience.
Health promotion and
developing the community to
increase resilience
The Public Health Promotion and Community Development functions communicate health messages
through a mixture of written, visual, physical and interactive information, and work with communities to
mobilize resources to improve their well being and care.
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Evidence to support Equality Performance at Wandsworth CCG
Activity/policy/project
Explanation
Link
Wandsworth’s Joint
Strategic Needs
Assessment (JSNA)
The JSNA is an assessment of Health and Social Care
needs in Wandsworth undertaken jointly by the Council
and the Primary Care Trust (PCT).It is a systematic
method of reviewing the health and well being of a
population, leading to agreed commissioning priorities
that will improve health and wellbeing outcomes and
reduce inequalities."
http://www.wandsworth.gov.uk/jsna
Wandsworth CCG’s
Strategic Plan (CSP)
This is our plan to address the health needs of the
population as identified in the JSNA
To be included
Wandsworth Health and
Wellbeing Board
The establishment of a health and well-being board. The http://www.wandsworth.gov.uk/
board is made up of councillors, allied health
info/100010/health_and_social_care/
professionals, voluntary sector representation and GPs
who will have designated strategic responsibilities for
1231/public_health/2
public health.
NHS Wandsworth Single
Equality Strategy (SES)
Our commitment to ensuring that our services and
employment practices are fair, accessible and
appropriate for the diverse communities we serve and
the workforce we employ.
January 2011 – December
2014
Patient and Public
Involvement Strategy (1)
Our plan to ensure that patient, carers the public and
their representatives are involved and engaged in the
business of health commissioning by Wandsworth
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SES 2011-2014 version 1-4 FINAL.doc
Clinical commissioning Group
Evidence from a workshop and conference
demonstrating how we engaged with a wide range of
service users including with those whose voices are
seldom heard
Annual PPI Evidence Logs
PPI Activity collated from across the PCT demonstrating
how the organisation is engaging with patients and the
public
PPI newsletters
Monthly newsletters informing the public of health
activities that they can become involved with. These
newsletters are circulated electronically and in paper
form to around 1200 contacts in Wandsworth including
Community and third sector organisations. This is also
evidence to support how we use the CRM to engage
with patients and the public and their representatives
Expert Patients
Programme
A series of programmes designed to support people
with long term conditions by development self
management techniques, along with quarterly reunions
to ensure that they are offered continued support from
the programme and are able to participate in other PPI
activity
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Notes from Tables
combined-2.docx
shared participants
comments.docx
Available through PPI Lead
Colin.smith@wpct.nhs.uk
EDAY flyer
Flyer to promote EDAY event on 29th November 2012.
The database of all the evidence we gathered and our
grading will be published on 6 April 2013.
Equality Analysis Template Newly re-designed template
Analysis of all Equality
Analysis carried out to
dates
Analysis of equality analysis
Ongoing and further information available
through PPI lead.
Seldom Held Groups
Project
Discussions and involvement activities, examples of
what we have done to date
NHS Wandsworth Public
Health Report 2011
The Annual report places a very strong focus on tackling
cancer in the locality and amongst under-represented
groups
PPI consultations on GP
commissioning
A summary of all the feedback we gathered from
discussions with patients, users, carers and community
groups around GP Commissioning
Stonewall
Membership of Stonewall and our submission to the
workplace equality Index
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See: Patient and Public Involvement Strategy
(1)
2012 stonewall
submission in WORD.docx
Working with Wandsworth
LGBT Forum
Information from their website demonstrating our
commitment to working with them
http://www.wandsworthlgbtforum.co.uk/pages/h
ealth.html
Wandsworth Youth
Health Jury
A Wandsworth young people’s projects that meets
monthly in Wandsworth CCG and participates in our
work
Annual Plan for
Youth Health Jury.docx
Wandsworth Lay User
Group
Quarterly meetings with experienced patient
representatives who meet to receive presentations on
Commissioning and health work and provide feedback
to project staff
Public Health Community
Development Team
Regular meetings in the community and ad-hoc events
and reporting for JSNA
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Lay user gp meeting
Nov 18th notes.docx
07.08.12 CDC 3
month plan.docx
Areas for further development and improvement
As an organisation, we continue to improve in equality and diversity and strive to meet the
needs of the different protected groups. We also know there is more work needed to
ensure equality is fully incorporated into everything we do, particularly as our new
commissioning structures and new organisations develop.
We need a stronger focus on employment equality issues. We have just completed our
staff survey for 2012 and this has highlighted some gaps and challenges which need to be
addressed. We also acknowledge the commitment from our senior leaders to equality, but
from consultations with our staff and stakeholders, recognise there is more to be done to
achieve an inclusive leadership culture.
Using the Goals from the Equality Delivery System, we have identified the following areas
for improvement. The identified needs will be grouped under a three year strategic
equalities plan, currently being developed in partnership with the Thinking Partners Group
and our Seldom Heard communities. The plan will be published in April 2013.
EDS Goals
Priorities to address immediately
Goal 1: - Better Health Outcomes for All
 To gain a better understanding of the health
needs of the transgender community – a
community we seem hard to reach and
whose health needs are often overlooked.
Work needed to engage with this group and
involve them more in seldom heard
activities
 Increase mental health awareness amongst
GPs, particularly and give GPs information
and better understanding of the protected
groups and their specific health needs –
e.g. mental health issues amongst LGBT
community
 Urgent need to mainstream equality and
diversity into all areas of GP commissioning
activities.
 Tackling perceptions, beliefs and attitudes
about cancer in different communities
 Men between 40 -60 need to be
encouraged
to
engage
with
healthcare/services
 Improve health needs of carers, this is often
overlooked
 COPD and carers, attendance at carers
groups meetings to raise awareness of
COPD and receive feedback for COPD
services
 Young women getting Chlamydia due to
lack of information/education
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Priorities for years 1 - 3
 Supporting GPs to deal with
patients who do not have close
families and want a friend to be
included in their health care
 Diversifying members of locality
patient groups
 COPD – more focus on elderly and
young people
 A lot of LGB&T people do not want
friends and family to know about
their sexuality, how is this being
addressed within health care
 Sexual health screen – need to get
better at improving health needs of
protected groups
 Prostate cancer in black men,
awareness racing is really urgent
 Total involvement of partners
regardless of sexual orientation –
GPs and health practitioners need
training and support to help them
understand needs of LGB&T
communities, also how to work
better and effectively with this
community
 Informing carers’ families of
services for the people they care
for
 Transitions pathway not very
 Not enough awareness in Community
health about E&D and protected
characteristics. What are the issues and
how to help those communities
 HIV+ amongst Gay men become more
invisible , also in BME communities
Goal 2: - Improved Patient Access
and Experience
 Poor attitudes and poor communication
amongst front line staff. There is the need
to work with GPs and with other
commissioned services to ensure their
services promote dignity, respect and
value for all. Training for staff and good
customer care values need to be
embedded into all activities.
 Changing locations of clinical reference
group meetings to increase access and
participation
 Training for healthcare professionals to
help patients manage their conditions
 Disseminate easy to read Diabetic eye
screening information leaflets which have
been nationally produced to learning
disability team and general practice.
 Discuss commissioning of a re-trialling
screening clinics at different times to
improve uptake amongst young adults
Goal 3:- Empowered, engaged and
well supported staff
 Equalities training for all staff, particularly
new ones and for CCGs and locality
managers
 Review and assess impact of recruitment
policies on different protected groups. To
analyse workforce data by different
protected groups and publish results.
Ensure that all staff from whatever
background are able to progress and
develop within the organisation at all
levels.
 Training for line managers, plus a major
push
across
the organisation
to
encourage line managers to do appraisals
and PDPs for their staff. This will lead to
more staff having equal access to
development opportunities
 Encourage more staff to be involved in
planning and decision making activities.
 Ensure any improvement in employment
and workforce activities are shared widely
and regularly with staff. This will build
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smooth to adult services and must
be improved
 Increasing cross cultural working
with individuals
 Creating hubs as a point of
informal contact for the young
 Better engagement of wider
community
in
GP
activities/commissioning
 Improving
access
to
PALS
services
 Improve ways in which people are
communicated with
 Advocacy
 Practical/physical access
 More education and training for
nursing staff around equality and
diversity
 Exercise, mental health and wellbeing
programmes,
stress
management
initiative,
management training and a real
clarity in roles and responsibilities
may be needed
 Focused
drive
to
address
inappropriate behaviours and a
policy
aimed
at
removing
discrimination,
bullying
and
harassment from patients and the
public
 Future surveys to be monitored by
protected groups so there is
clearer information about how the
organisation’s employment and
workforce practices impact on
different groups.
 Staff in the screening service is
confidence and staff will be able to see
how their feedback is being used to
improve policies and practices across the
organisation.
 Training on specific matters, especially
those that are increasingly becoming part
of our role such as ‘an introduction to the
council’s finance and procurement
systems.
Goal 4:- Inclusive leadership at all
levels
Goal
4: Equality training for senior managers, in
particular GPs/CCG
Inclusive
 Engagement and involvement activities
leadership
with local communities, seldom heard
at
all
groups and protected groups and more
levels
visibility in the community
 Senior managers, decision makers,
middle managers to have equality
priorities and targets
managed by a single manager with
cross site responsibility. A recent
EQA visit indicated that they are
satisfied with local management,
although accommodation/estates
are too small for comfort. This has
been shared with St George’s
Chief Executive.
 Succession planning strategies
needed to grow and develop
talents
 Regular
communication
from
senior leaders around how they
advance equality and diversity
Conclusion
Wandsworth CCG has made a strong commitment to improve the health and wellbeing of
its patients, users, carers and community groups. It has committed itself to using the
Equality Delivery System (EDS) to help involve patients, carers, service users and the
public in all aspects of our work as well as accessing a much wider range of communities.
Part of this entails valuing the rich diversity of our local community and ensuring their
voices and needs inform all the work we do.
We also need to ensure our staff and leaders fully embrace our equality values and
mainstream equality and diversity into their thinking, policies, decision making and
strategies.
The work we have done to date will enable us to develop carefully scoped three year
objectives to ensure that we continue to value our staff and embrace the values of our
community partners. Over the coming months we will ensure that the equality gaps we
have identified in our services and work, can have actions placed against them, which will
strengthen our ability to provide a fairer and more accessible service. This will also
facilitate our ability to listen more carefully to what our community stakeholders tell us and
act upon it.
We will continue to build on the work of our Thinking Partners Group so that they are able
to play a full and participating role in our work and, in part, represent the views, needs and
aspirations of the communities we serve.
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