Equality Delivery System Grading March 2012 www.cddft.nhs.uk Jillian Wilkins, Equality and Diversity Lead, People and OD, East Wing Corridor, University Hospital of North Durham, DH1 5TW Tel: 0191 333 2306, jillian.wilkins@cddft.nhs.uk Page 1 of 6 1. Equality Delivery System (EDS) The EDS was officially launched by the Department of Health in November 2011. It is a tool to help assess how well embedded equality, diversity and human rights are within an organisation’s systems and processes. The EDS has been designed to help NHS organisations comply with the requirements of the Public Sector Duties under the Equality Act 2010 and the Health and Social Care Bill (currently going through Parliament) by focusing less on process and more on outcomes. The EDS is the first time the NHS has tried to introduce a systematic framework relating to equality, diversity and human rights. It is a whole systems approach, which basically means that it tries to avoid being a tick box process. At the heart of the EDS is a set of nationally agreed goals. These are: Better health outcomes for all Improved patient access and experience Empowered, engaged and well-supported staff Inclusive leadership at all levels There are a total of 18 outcomes across the four goals. It is against these outcomes the Trust self assessed its performance through December 2011 to February 2012. Performance has been measured against the rating below: Excelling – Purple Achieving - Green Developing – Amber Undeveloped – Red Appendix A provides details of County Durham and Darlington NHS Foundation Trust (CDDFT) grading against the EDS and reasons for the grading against each outcome. The overall grading for CDDFT is ‘Developing’. For more information on the EDS and to view the grading manual please click here www.cddft.nhs.uk Jillian Wilkins, Equality and Diversity Lead, People and OD, East Wing Corridor, University Hospital of North Durham, DH1 5TW Tel: 0191 333 2306, jillian.wilkins@cddft.nhs.uk Page 2 of 6 Appendix A Equality Delivery System (EDS) - Goals and Outcomes – Grading Overview This information provides an overview of our draft grading against the EDS. We have had to consider a huge amount of information, some internal and some external, some qualitative and Some quantitative, some relating to a particular protected characteristic (i.e. age, disability, sex, gender reassignment, race/nationality, religion/belief, sexual orientation, pregnancy/ maternity, marriage/civil partnership) and some relating to a wider range of peoples experiences. We have listed as much of this information as possible to give a clear understanding of all the things that we have considered. However rather than providing all this detailed data we have tried to summarise this information in the summary and full analysis documents embedded in the table below. For each of the 18 outcomes we have measured our performance against a number of factors and the nine characteristics protected under the Equality Act 2010 (i.e. age, disability, sex, gender reassignment, race/nationality, religion/belief, sexual orientation, pregnancy/maternity, marriage/civil partnership). Where we have little evidence we have rated our performance as Red – Underdeveloped. Some evidence (across three to five protected groups) is rated as Amber – Developing. Evidence across most (six to eight protected groups) is rated as Green Achieving, and Purple - Excelling is where we have evidence across all nine protected groups. Click here for more detailed information on how the EDS is graded. If you would like this information in an alternative format please contact jillian.wilkins@cddft.nhs.uk, telephone/text: 0750025160 Goal 1. Better health outcomes for all Narrative The NHS should achieve improvements in patient health, public health and patient safety for all, based on comprehensive evidence of needs and results Outcome 1.1 Services are commissioned, designed and procured to meet the health needs of local communities, promote well-being, and reduce health inequalities Achieving 1.2 Individual patients’ health needs are assessed, and resulting services provided, in appropriate and effective ways Developing 1.3 Changes across services for individual patients are discussed with them, and transitions are made smoothly www.cddft.nhs.uk Draft Grading Developing Summary Analysis Full Analysis EDS Outcome 1.1 Summary.pdf EDS data analysis 1.1 (final).pdf EDS Outcome 1.2 Summary.pdf EDS data analysis 1.2 (final).pdf EDS Outcome 1.3 Summary.pdf EDS data analysis 1.3 (final).pdf 3 Goal Narrative Outcome 1.4 The safety of patients is prioritised and assured. In particular, patients are free from abuse, harassment, bullying, violence from other patients and staff, with redress being open and fair to all 1.5 Public health, vaccination and screening programmes reach and benefit all local communities and groups 2. Improved patient access and experience The NHS should improve accessibility and information, and deliver the right services that are targeted, useful, useable and used in order to improve patient experience 2.1 Patients, carers and communities can readily access services, and should not be denied access on unreasonable grounds The NHS should Increase the diversity and quality of the working lives of the paid and non-paid workforce, supporting all staff to better respond to patients’ and communities’ needs www.cddft.nhs.uk Developing Developing Achieving 2.2 Patients are informed and supported to be as involved as they wish to be in their diagnoses and decisions about their care, and to exercise choice about treatments and places of treatment Achieving 2.3 Patients and carers report positive experiences of their treatment and care outcomes and of being listened to and respected and of how their privacy and dignity is prioritised Achieving 2.4 Patients’ and carers’ complaints about services, and subsequent claims for redress, should be handled respectfully and efficiently 3. Empowered, engaged and wellsupported staff Draft Grading 3.1 Recruitment and selection processes are fair, inclusive and transparent so that the workforce becomes as diverse as it can be within all occupations and grades 3.2 Levels of pay and related terms and conditions are fairly determined for all posts, with staff doing equal work and work rated as of equal value being entitled to equal pay Achieving Developing Developing Summary Analysis Full Analysis EDS Outcome 1.4 Summary.pdf EDS data analysis 1.4 (final).pdf EDS Outcome 1.5 Summary.pdf EDS data analysis 1.5 (final).pdf EDS Outcome 2.1 Summary.pdf EDS data analysis 2.1 (final).pdf EDS Outcome 2.2 Summary.pdf EDS data analysis 2.2 (final).pdf EDS Outcome 2.3 Summary.pdf EDS data analysis 2.3 (final).pdf EDS Outcome 2.4 Summary.pdf EDS data analysis 2.4 (final).pdf EDS Outcome 3.1 Summary.pdf EDS data analysis 3.1 (final).pdf EDS Outcome 3.2 Summary.pdf EDS data analysis 3.2 (final).pdf 4 Goal Narrative Outcome 3.3 Through support, training, personal development and performance appraisal, staff are confident and competent to do their work, so that services are commissioned or provided appropriately Developing 3.4 Staff are free from abuse, harassment, bullying, violence from both patients and their relatives and colleagues, with redress being open and fair to all Developing 3.5 Flexible working options are made available to all staff, consistent with the needs of the service, and the way that people lead their lives. (Flexible working may be a reasonable adjustment for disabled members of staff or carers.) 3.6 The workforce is supported to remain healthy, with a focus on addressing major health and lifestyle issues that affect individual staff and the wider population 4. Inclusive leadership at all levels NHS organisations should ensure that equality is everyone’s business, and everyone is expected to take an active part, supported by the work of specialist equality leaders and champions 4.1 Boards and senior leaders conduct and plan their business so that equality is advanced, and good relations fostered, within their organisations and beyond 4.2 Middle managers and other line managers support and motivate their staff to work in culturally competent ways within a work environment free from discrimination 4.3 The organisation uses the “Competency Framework for Equality and Diversity Leadership” to recruit, develop and support strategic leaders to advance equality outcomes www.cddft.nhs.uk Draft Grading Developing Developing Summary Analysis Full Analysis EDS Outcome 3.3 Summary.pdf EDS data analysis 3.3 (final).pdf EDS Outcome 3.4 Summary.pdf EDS data analysis 3.4 (final).pdf Outcome 3.5 Summary.pdf EDS data analysis 3.5 (final).pdf EDS Outcome 3.6 Summary.pdf EDS data analysis 3.6 (final).pdf EDS Outcome 4.1 Summary.pdf EDS data analysis 4.1 (final).pdf EDS Outcome 4.2 Summary.pdf EDS data analysis 4.2 (final).pdf EDS Outcome 4.3 Summary.pdf EDS data analysis 4.3 (final).pdf Developing Developing Underdeveloped 5 www.cddft.nhs.uk Jillian Wilkins, Equality and Diversity Lead, People and OD, East Wing Corridor, University Hospital of North Durham, DH1 5TW Tel: 0191 333 2306, jillian.wilkins@cddft.nhs.uk Page 6 of 6