Equality Impact Assessment (EIA) Report Name of policy/ procedure/ function/ service being assessed: Valuing People Team Review Adults & Communities, Personal Care & Support Sayeed Patel – Project Manager (A&C Efficiencies and Service Reduction Programme) Heather Pick – A&C Assistant Director – Personal Care & Support Department and Section: Name of lead officer and others completing this assessment: Contact telephone numbers: 0116 3057487 Date EIA assessment completed: 14 February 2012 Step 1: Defining the policy/ procedure/ function/ service Using the information gathered within the Equality Questionnaire, you should begin this full EIA by defining and outlining its scope. The EIA should consider the impact or likely impact of the policy in relation to all areas of equality, diversity and human rights, as outlined in the Equality, Diversity and Human Rights Strategy of Leicestershire County Council. What are the main aims, purpose and objectives of the policy/ procedure/ function/ service? How will they be achieved? The Government’s Valuing People White Paper (2001) required local authorities to establish Partnership Boards to oversee the implementation of the Valuing People Now strategy. Valuing People Now is a three year strategy (published in 2009) and builds on the original vision; that all people with a learning disability are people first with the right to lead their lives like any others, with the same opportunities and responsibilities and to be treated with the same dignity and respect. Its delivery plan focuses on the three identified priority areas of: Health; Housing; Employment. The delivery of the Valuing People Now strategy was to be achieved by the development of capacity and capability at local levels to design and commission the support services that people need to enable them to live independently and close to their families and friends. Local partnership with people with learning disabilities and their families would be crucial this, and Learning Disability partnership boards would have a vital role to play. This delivery work would be supported by a National Valuing People team. The Valuing People (VP) team in Leicestershire was established following decisions made by the Leicestershire Learning Disabilities Partnership Board (LDPB) using the Learning Disabilities Development Fund (LDDF). When the original posts were agreed, it was decided that Leicestershire County Council would ‘host’ the team due to the Board not having the legal status to employ staff. See Appendix A for the current structure of the Valuing People Team. The Leicestershire Learning Disabilities Partnership Board (LDPB): 1 Works to make sure that 'Valuing People Now' happens for people with learning disabilities and their families in Leicestershire; Works with the Valuing People team to offer information, support, training and advice to anyone who is interested in learning disability; Meets together every two month at County Hall; Supports a range of groups and events where people can speak up and influence the way services are planned and run; Offers training and support to all services to make written information easy to understand; Has developed training for groups and organisations; The following are some of the key key stakeholders represented on the LDPB: Members of Leicestershire County Council (including lead member for Adults & Communities); Officers from various teams and departments of Leicestershire County Council, e.g. Valuing People Team, Adult Learning Service, Disabled Children’s Team (CYPS), Market Development Team etc Leicestershire Police; Health Partners; Connexions; Service Users, Parents/Family Members & Carers; LD Locality Groups; Independent & Voluntary Sector LD service providers. Main Functions of Current Valuing People Team The Leicestershire Valuing People team is not an operational team and although their activities take them out in the community, they are based in County Hall Room 600. The Valuing People team offers a range of advice, information, training, support and resources around learning disability to internal departments, local partner organisations (Health, Police, District and Borough Councils) and also to local businesses. In particular support requested focuses on effective consultation, communication and engagement activities, community development, person centred approaches, social inclusion and disability awareness. The team respond to requests to make written information accessible and are trained to teach people how to produce ‘easy read’ information. These requests come from both internal teams/departments (e.g. Chief Executive’s department where they are involved in consultation/engagement exercises) and external partner organisations. Several members of the team are trained in PCP approaches and provide support to CYPS. This support relates to independent facilitation of annual reviews for statemented and/or disabled children (post-14) aimed at identifying and planning of support through transition from CYPS to A&C services. These reviews are undertaken in schools and include measurement of outcomes. The team also provides support to the continued development of the Partnership Board and its 2 working groups and key local partners. Although there are distinctions in role title, there is a considerable amount of cross-over in terms of activities and the abilities of team members to provide cover for one another. The following are some of the current key activities of the Valuing People team: Development and Facilitation of Person Centred Approaches and associated training; Community development (e.g. consultation, engagement, provision of resources); Provision of ‘easy read’ documentation for internal departments and external partners; Support to Learning & Development via development and delivery of training sessions; Support to the Partnership Board and its working groups in responding to challenges and opportunities. The key reasons for the review of the Valuing People Team are: The Department of Health announced that the National Valuing People Team would no longer exist from March 2011, although Valuing People Now will continue as a policy; Leicestershire County Council has to save a large amount of money over the next four years and has had to look at everything it does to try to work out how things can be done differently or how to do the same things more efficiently. The Adults and Communities Department is making lots of changes to ensure it delivers the efficiencies and service reductions set out in the MTFS. Information about how these savings will be achieved is set out in the Council’s Medium Term Financial Strategy (MTFS) 2011/15. Therefore each service area in the council is undertaking service reviews and identifying efficiency savings; The Valuing People Team no longer has a ring fenced budget for its work, and therefore the team is subject to efficiency savings and a substantial reduction is expected for 2012/13 from its operating budget, most of which covers staff salaries; The Valuing People Service is a non statutory service and the local authority has no legal requirement to provide the service. However the department recognizes that Valuing People service has a contribution to make to the department's overall aims, and has therefore looked to restructure the team to enable savings to be achieved by delivering the service in a different way. The main objectives of the review are to; Align the team with the existing Adults & Communities Promoting Independence and Personal Care & Support locality model; Embed and mainstream approaches such as Person Centred Planning (PCP) and community involvement/engagement into other areas of A&C service delivery; Provide more flexibility to the Support Brokerage team via increased staffing levels; Ensure the project supports the Medium Term Financial Strategy (MTFS) 2011/15; Ensure that the project deliverables meet the requirements set out within other corporate programmes, for example, Personalisation and Customer First. It is proposed to merge the current VP team with one of the existing locality teams i.e. the Support Brokerage team, reporting into the Locality Manager at Hinckley. This will bring the team into line with the existing PI/PCS locality model. A temporary transition role will focus on 3 transitioning the Learning Disability support to other departments, external partners and Learning Disability user groups including the LD Partnership Board to review their remits and continued practice. Whilst the Valuing People service will merge with the Brokerage Team, there is no proposal to change the functions, work streams or the number of posts within the team. There will be minimal impact on the Brokerage Team. See Appendix B for the current structure of the Brokerage Team. See Appendix C for the proposed structure of the new service. What are the main activities relating to this policy/ procedure/ function/ service and distinguish who is likely to benefit from these activities. A report on the background to the Valuing People Now policy and the requirement for the council’s Valuing People team to deliver substantial savings in their operating budget was presented to the 16th November 2011 Adults & Communities Department Change Board. The report’s recommendations were agreed which was to continue the service through a re-designed delivery model which would aim to save at least the minimum efficiency saving for 12/13 whilst taking the opportunity to embed and mainstream approaches such as Person Centred Planning and community involvement into other areas of A&C service delivery. Over the last three years Adult Social Care has been changing the way it provides support to people, this has led to the development of personalised support. This means people are able to take control of their life, identifying what support they need and how it should be provided. These changes are happening across the country and are led by the government. The Government’s White Paper “Our Health, Our Care, Our Say,” says that local authorities need to give people more choice and control over the care they receive. The restructuring of the team will enable the council to respond to these national agendas around Personalisation, Think Local Act Personal, and the priorities from the Government’s Valuing People Now policy. It also contributes to the other priorities within the A&C Business Plan, particularly around the continued development of Supported Living. The proposed service will be merged and co located with the existing Support Brokerage Team which covers all the localities within the county. There is no expectation that this move will have any adverse impact either on the service users or staff within the team and department. The proposed integration will rather enable greater engagement and involvement with localities and locality groups. This will increase opportunities for self-advocacy by all service user groups, not just those with learning disabilities. Embedding and mainstreaming of PCP approaches will spread good practice in these areas to benefit other service user groups. The redesigned service will deliver the following key benefits to both the A&C Department and more importantly to the service users and their carers/families: Continue to build development and understanding of the workforce of the challenges and opportunities faced by the learning disability community; Opportunities to share and embed VP learning, Person Centred Planning and community development/involvement approaches into wider locality work among other A&C professionals/team members; Ensure that the council’s strategies around Person Centred Planning and support planning are standardised and mainstreamed across the department; Create greater flexibility and capacity for service provision in each of the localities and the support available to commissioning staff; 4 Provide development opportunities for both the Community Development Workers currently working in the VP team and also the Community Support Workers based in the Support Brokerage service; Provide capacity to support and grow the work of the locality groups enabling them to develop further around self-advocacy and peer support. The following are some of the key strategic expected beneficial outcomes from a redesigned Valuing People Service specifically for Learning Disability (LD) Service Users and their carers and families: Development of capacity and capability at locality levels to support both LD service users and other staff working with LD service users and their carers; Development of local knowledge and support network for people with learning disabilities and their families/carers; Access to local support service for LD service users in enabling them to make a positive contribution; Access to local support service for LD service users to ensure they can lead their lives free from discrimination; What outcomes are expected? The Change Board agreed that the new service would be designed around the following principles: To embed the principles of Person Centred Planning (PCP) into Social Care practice; To support operational teams to improve their communication with service users and carers; To encourage community involvement and engagement as part of service design, delivery and monitoring; To work with service providers to increase the access and availability of appropriate services; To ensure that information is accessible to community groups and service users. The new service will be seen as being able to embed PCP approaches and community development, develop closer links between the community and operational staff and also assist in taking forward the Personalisation agenda via ‘Think local, act Personal’. The following would be the priority focus areas to achieve better outcomes for all service users: Person Centred Approaches Support planning tools and techniques; On-site support; Embedding of PCP in self directed support (SDS); Case work support; Community Development Engagement and involvement; User and carers forum; Peer support and advocacy; Locality groups. 5 Service Development Brokerage; Locality market development and improvement; Partnership working. It is also proposed to add a temporary Transition role which will focus on transitioning the LD support to other departments, external partners and LD user group including the LD Partnership Board to review their remits and continued practice. In addition £50,000 has been included on an ongoing basis to support user engagement and involvement. Step 2: Potential Impact Use the table below to specify if any service users or staff who identify with any of the ‘protected characteristics’ below will be affected by the policy/ procedure/ service you are proposing (indicate all that apply) and describe why and what barriers these individuals or groups may face. Who is affected and what barriers may these individuals or groups face? Age This service should not discriminate on ground of age as set out in the Council’s policies and procedures and will not disproportionately affect people of any age. Many services are targeted towards specific age groups; however the proposed valuing people service will be a generic service which will break down the barriers of segregation. A person who is currently using the service can continue to do beyond the age of 65. Some older people may prefer to move to a group which is predominately for older people and will be managed as part of individual reviews. Disability The proposed change to the service has a potentially adverse impact on people with learning disability, as they are core users of the current Valuing People services. The impact of this proposal has been considered carefully and a number of mitigating actions will be put in place to reduce this impact: A series of discussions/informal consultation has been held and efforts have been made to collect responses from key stakeholders represented on the LDPB representative; Each service user who receives a care needs assessment will consider their own particular circumstances, including any dual impacts (e.g. for disabled people from ethnic minorities). The assessing worker will give support and advice tailored to an individual’s needs and considering choice and preferences; Service users and carers can access advocacy support and have the right to make a complaint using the Complaints Procedure; Advice and information about a range of community services will be provided to everyone, regardless of their level of need. 6 Gender Reassignment This service is required to deliver a service in line with the gender equality strand as set out in the Council’s policies and procedures. The service considers issues such as privacy during personal care tasks and the choice of same sex support worker. Marriage and Civil This service is required to deliver a service in line with the Partnership equalities strand as set out in the Council’s policies and procedures. There will be no barriers to accessing service based on person’s marital status or sexual orientation. Pregnancy and Maternity This service is required to deliver a service in line with the equalities strand as set out in the Council’s policies and procedures. There will be no barriers to accessing service based on whether or not a person is on maternity. Race This service is required to deliver a service in line with the Race equality strand as set out in the Council’s policies and procedures. There will be no barrier to accessing the service based on race where an individual meets the eligibility threshold. Service provision is led by needs and aspirations of people using the service regardless of their ethnicity Religion or Belief This service is required to provide a service that does not discriminate on grounds of religion or belief as per the Council’s policies and procedures, and will not disproportionately affect people according to their religion or belief. The proposed service will aim to ensure: Freedom from discrimination; Promotion of personal dignity. Sex This service is required to deliver a service in line with the gender equality strand as set out in the Council’s policies and procedures. The service considers issues such as privacy during personal care tasks and the choice of same sex support worker. Sexual Orientation This service is required to provide a service that does not discriminate on grounds of sexual orientation as per the Council’s policies and procedures and there will be no barriers to accessing the service based on sexual orientation provided people meet the eligibility threshold. Personal budgets may provide a more personalised service to meet individual needs and preferences and will provide people with more choice and control. Other groups e.g. rural isolation, deprivation, health inequality, carers, asylum seeker and refugee communities, looked after children, deprived or disadvantaged communities This proposed valuing people service will be inclusive and relate to all people regardless of where they come from or their economic circumstance. All access to Social Care Services in Leicestershire is dependent on the requirements of the Department of Health guidance to Fair Access to Care Services as set out in the Adult Social Care Eligibility for Community Care Services. 7 As part of an individual care needs assessment or review the commissioning worker will indentify if any person has specific needs. For example this might be related to communication where their first language is not English and then interpreters and written information about the service will be provided in the appropriate language. Community Cohesion The proposals has been developed as positive action to meet the needs of service users and their carers/families in order to maximise choice, independence and social inclusion across Leicestershire. It is not envisaged that the proposed service will lead to a reduction in social cohesion. It will ensure that people will be empowered and enabled to fully access their rights and freedoms as a member of society. The personalisation of service provision will ensure that people with learning difficulties have access to advice, information and services that will give them greater choice and control and afford better access to services. Step 3: Data Collection & Evidence In relation to your related findings in ‘Step Two’ are your presumptions on these barriers based on any existing research, data evidence or other information? What evidence, research, data and other information do you have which will be relevant to this EIA? What does this information / data tell you about each of the diverse groups? Along with the comprehensive data recorded by Adults & Communities Department in respect of its service users the Joint Strategic Needs Assessment (JSNA) for Leicestershire also provides detailed breakdown of the various service user groups within Leicestershire including Learning Disability. The data captured includes some of the equalities strands breakdown but still has gap on areas such as Gender Reassignment, Sexual Orientation and Marriage and Civil Partnership. However as mentioned above there is no expectation for this restructure to have any adverse impact on people accessing our services in respect of these equalities strands. Leicestershire County Council and the Adults & Communities Department adheres to a robust Equalities and Diversity policies in its delivery of service, both statutory and non statutory. The JSNA is a process that identifies the current and projected health and wellbeing needs of the local population. The JSNA is a key building block in enabling the understanding of the needs of local people. It contains our collective intelligence about local health and well being need, and forms a key element of Leicestershire Together’s overall understanding of community need outlined in the Sustainable Community Strategy (SCS). The JSNA is designed to underpin the commissioning priorities and strategic plans of the Local Authority and Local NHS. Specifically it should be used to inform the Sustainable Community Strategy, the Local Area Agreement and the NHS Operating Plan. The Local Government and Public Involvement in Health Act (2007) places a joint statutory duty on upper tier local authorities and Primary Care Trusts (PCTs) to undertake a JSNA for their area. The following is examples of the comprehensive data captured by the JSNA process in respect 8 of Learning Disabilities which assists the Department in the design and commissioning of its services: From data received from the Learning Disability Register there are 2,101 people on the register who are living in Leicestershire (an increase of 158 since 2008) and 1,824 of them have been interviewed. Of these, 44 are classed as having a borderline learning disability. Learning disability registers are information systems that seek to collect and maintain information on the characteristics and needs of people with learning disabilities within a specified area. People usually included on the registers are either current or potential users of specialised services (health and/or social care). The total number of people aged 18 and over predicted to have any type of learning disability and living in Leicestershire (mild to severe) is 12,283 with an increase of 361 expected by 2015 (an increase of around 3.5 - 4% increase is expected every 5 years). These predicted cases are significantly greater than the amount of people recorded on the Learning Disability Register; The number of people in Leicestershire County with moderate to severe Learning Disabilities is predicted to be on the increase, with a rise of 271 since 2009. Projections estimate that the figure will rise from 2,546 in 2011 to 2875 in 2030, an increase of 13%. The majority of this growth will occur in people aged 65 or over; There were more males than females with learning disabilities recorded on the learning disabilities register with a 43% and 57% split, respectively. With the largest proportion for both males and females in the 18-30 age groups. These ratios are also reflected in the local Adult Social Care database; The table below shows the number of people on the learning disability register broken down into ethnicity and level of learning disability. The highest proportion of people on the register are of white ethnicity, with a severe learning disability (518). The ethnic profile of people included on the register is representative of the population of Leicestershire (93.7% compared to 93.5%). There is a slight under representation of Asian people included in the register (4.2% compared to 5.5% of Leicestershire’s population) and people within the black/ mixed category of the register are slightly over represented on the register (2% compared to 1%). Once again, these figures match data collected by local Adult Social Care. However, due to the relatively small numbers it would be inappropriate to draw conclusions from this information: Ethnicity White Asian Black/Mixed Other/ Not Known Borderline Mild Moderate Profound Severe Total 44 390 359 361 518 1672 (93.5%) 6 10 29 31 76 (4.2%) 7 12 13 36 (2%) - Although in previous studies the prevalence of learning disabilities in South Asian communities has been found to be higher (as reported in the previous JSNA), evidence regarding learning disability prevalence and ethnicity is not consistent. Furthermore, the variations in the definitions of learning disability make establishing the position on this problematic. For example, local research conducted in 2005 concluded that there was limited but consistent evidence of no statistically significant difference between the prevalence of Learning Disabilities between South Asian and White Adult populations. It was also found that South Asians show similar levels of psychological morbidity, but make significantly lower 9 use than whites of psychiatric services, residential care and respite care. South Asians use community services as extensively as whites, but feel that they have a substantially greater unmet need, especially with regard to social services. People aged 18-64 predicted to have a learning disability, by age Age 2011 2015 2020 2025 2030 aged 18-64 9,845 9,842 9,937 10,083 10,184 aged 65-74 1,363 1,595 1,703 1,677 1,861 aged 75-84 785 867 1,019 1,259 1,337 85 and over 289 339 418 529 674 65 and over 2,438 2,802 3,141 3,465 3,873 What further research, data or evidence may be required to fill any gaps in your understanding of the potential or known affects of the policy? Have you considered carrying out new data or research? Leicesters hire Area There is already in place within Adults & Communities Department a system for review and evaluation of service users care needs and services provided. This will allow the department to continue to measure progress in terms of the extent to which services are leading to better outcomes for people with learning disabilities and their carers/families in line with the key aims of the Valuing People Policy. The JSNA for Leicestershire is also refreshed on a regular basis (every two to three years) Step 4: Consultation and Involvement When considering how you to consult and involve people as part of the proposed policy/ procedure/ function/ service, it is important to think about the service users and staff who may be affected as part of the proposal. Have you consulted on this policy/ procedure/ function or service? Outline any consultation and the outcomes of the consultation in relation to this EIA. The key stakeholder group other than the current staff group working in the Valuing People team is the Leicestershire Learning Disability Partnership Board (LDPB). There has to date been very favourable and positive responses to the informal consultation/discussions of the VP review proposals. There is also a clear understanding amongst the LDPB that VP is not a statutory duty but unlike many authorities around the country, the proposals in Leicestershire is not to end the service but on the main to continue with the Valuing People work through a redesigned service. The proposals in the review is also to continue funding the LD Partnership Board for a further year in its current format with a view to undertaking a comprehensive review of its work and structure, The outcome of the review will inform structure and role of any future partnership board. Further discussions are ongoing with the LDPB in the redesign of the service. An engagement workshop was organised which include not only members from the LDPB but also the current staff group from both the Valuing People Team and Support Brokerage Team. The prime aim of the workshop was to engage and contribute towards the redesign of the service and scope out the proposed team role specification, i.e. prioritise the work streams of the new team. 10 Do any of the barriers you identified actually exist based on this consultation? The purpose of the informal consultation undertaken through the staff workshop was to identify the key functions which the proposed team will retain and develop further in order to ensure there is no adverse impact on any of our current and future service users. Step 5: Mitigating and assessing the impact In relation to any research, data, consultation and information you have reviewed and/or carried out as part of this EIA, it is now essential to assess the impact of the policy/ procedure/ function/ service and distinguish whether a particular group could be affected differently in either a negative or positive way? If you consider there to be actual or potential adverse impact or discrimination, please outline this below. State whether it is justifiable or legitimate and give reasons. As mentioned above the proposed change to the service has a potentially adverse impact on people with learning disability, as they are core users of the current Valuing People services. The impact of this proposal has been considered carefully and a number of mitigating actions will be put in place to reduce this impact. Please see improvement plan below. N.B. a) If you have identified adverse impact or discrimination that is illegal, you are required to take action to remedy this immediately. b) If you have identified adverse impact or discrimination that is justifiable or legitimate, you will need to consider what actions can be taken to mitigate its effect on those groups of people. What can be done to change the policy/ procedure/ function/ service to mitigate any adverse impact? Consider what barriers you can remove, whether reasonable adjustments may be necessary and how any unmet needs that you have identified can be addressed. The restructure of the Valuing People Team and the redesign of the service have at all stages tried to ensure there is no adverse impact on the core service user group of the current Valuing People Team. Whilst the full impact will not be clear until the new redesigned service is implemented and outcomes can be monitored, there is no evidence that the proposed service will definitely have an adverse impact on any particular group of people within the Learning Disability Service user group. Step 6: Making a decision Summarise your findings and give an overview of whether the policy will meet Leicestershire County Council’s responsibilities in relation to equality, diversity and human rights. The Valuing People Policy and proposals within this review has been developed as positive action to meet the needs of people with Learning Disabilities and their carers/families in order to maximise choice, independence and social inclusion across Leicestershire. 11 In recognition of the fact that People with Learning Disabilities have limited choice and control over their lives and are classed as amongst the most socially excluded people, the proposals on the Valuing People Team review has been to in the main carry on delivering Valuing People Policy through a redesigned service structure. The redesigned service will deliver the following key benefits to both the A&C Department and more importantly to the service users and their carers/families: Continue to build development and understanding of the workforce of the challenges and opportunities faced by the learning disability community; Opportunity to share and embed VP learning, PCP and community development/involvement approaches into wider locality work among other A&C professionals/team members; Ensures that the council’s strategies around Person Centred Planning and support planning are standardised and mainstreamed across the department; Creates greater flexibility and capacity for service provision in each of the localities and the support available to commissioning staff; Provides development opportunities for both the Community Development Workers currently working in the VP team and also the Community Support Workers based in the Support Brokerage service; Provides capacity to support and grow the work of the locality groups enabling them to develop further around self-advocacy and peer support. As already mentioned above there is no expectation for this restructure to have any adverse impact on as a result of these equalities strands. Leicestershire County Council and the Adults & Communities Department adheres to a robust Equalities and Diversity policies in its delivery of service, both statutory and non statutory. Step 7: Monitoring, evaluation & review of your policy/ procedure/service change How will you monitor the impact and effectiveness of the new policy/ procedure/ service change and what monitoring systems will you put in place to monitor this and to promote equality of opportunity and make positive improvements? There is already in place within Adults & Communities Department a system for review and evaluation of service users care needs and services provided. This will allow the department to continue to measure progress in terms of the extent to which services are leading to better outcomes for people with learning disabilities and their carers/families in line with the key aims of the Valuing People Policy. There will also continue to be liaison and partnership working with LD stakeholder and advocacy groups through the LDPB to ensure consistency of service provision and accessibility. As already mentioned above Leicestershire County Council Adults & Communities Department is an active participator in the JSNA process. Furthermore the Management Teams and LD partnership groups in Leicestershire will continue to monitor and evaluate progress and the impact of the redesigned service. Any identified unintended or adverse impacts will be highlighted and actions put in place to address them. 12 How will the recommendations of this assessment be built into wider planning and review processes? e.g. policy reviews, annual plans and use of performance management systems. The information gathered through the monitoring of the service provision and measured outcomes and the JSNA process sets out the emerging key priorities and cross cutting themes that are essential for health and social care partners to address through their strategic plans. The Joint Strategic Needs Assessment (JSNA) is a key process for understanding and agreeing the needs of the Leicestershire population across the partnership. It underpins the Health and Wellbeing Strategy and is the basis for determining priorities for action. The JSNA must consider the current and future health and social care needs of the population in relation to the responsible authority. The identified needs must be addressed by the local authority, clinical commissioning group and NHS Commissioning Board functions. The JSNA provides a shared narrative of the over arching health and well-being needs of the population. It provides commissioners with a framework for undertaking needs assessments and integrating the recommendations from the needs assessments through the health and wellbeing strategy into commissioning plans. JSNA’s will sit at the heart of local commissioning decisions, underpinning improved health, social care and public health outcomes for the whole community. As such, they are a key to the success of health and wellbeing boards and individual commissioner’s in the future local health and care system. 13 Equality Improvement Plan Please list all the equality objectives, actions and targets that result from the Equality Impact Assessment (continue on separate sheets as necessary). These now need to be included in the relevant service plan for mainstreaming and performance management purposes. Equality Objective The proposed service meet the specific needs of people in Leicestershire with learning difficulties and their carers, enabling choice and control to meet personal outcomes Action Target Officer responsible By when Data capture will be reviewed to Review data to ensure identify under-representation of consistency of service provision any hard-to-reach groups. and accessibility. Team Senior (Valuing People Co-ordinator) (Personal Care & Support) working with Locality Managers under the guidance of Assistant Director (Personal Care & Support) June 2011 to April 2013 The specific support service requirements for Black and Minority Ethnic Groups will be determined Team Senior (Valuing People Co-ordinator) (Personal Care & Support) working with Locality Managers under the guidance of Assistant Director (Personal Care & Support) June 2011 to April 2013 Review data. Follow up with specific feedback from locality groups and LD Partnership Board. Use of Information/Data gathered in the JSNA to ensure the service targets identified gaps through both the strategic commissioning and locally through raising of awareness of the specific issues with the operational staff. 14 Equality Objective Action Determine requirements for specific services to meet the needs of people with Learning Disabilities including Autism Target Review data. Follow up with specific feedback from locality groups and Partnership Board. Use of Information/Data gathered in the JSNA to focus on the key areas identified in relation to both Learning Disabilities and Autism. E.G. The current JSNA highlights the strategy for improving the lives of adults with Autism which focuses on the following key outcomes: Increasing awareness and understanding of autism amongst frontline professionals; Developing a clear, consistent pathway for diagnosis in every area, which is followed by the offer of a personalised needs assessment; Improving access to the services and support which adults with autism need to live independently within the community; 15 Officer responsible Team Senior (Valuing People Co-ordinator) (Personal Care & Support) working with Locality Managers under the guidance of Assistant Director (Personal Care & Support) By when June 2012 to ongoing Equality Objective Action Target Helping adults with autism into work; Enabling local partners to plan and develop appropriate services for people with autism to meet identified needs and priorities. Determine requirements for gender-specific services. Review data. Follow up with specific feedback from locality groups and Partnership Board. Use of Information/Data gathered in the JSNA LD awareness training for all external service providers including housing and accommodation providers. Develop training by working closely with Corporate Learning & Development 16 Officer responsible Team Senior (Valuing People Co-ordinator) (Personal Care & Support) working with Locality Managers under the guidance of Assistant Director (Personal Care & Support) Team Senior (Valuing People Co-ordinator) (Personal Care & Support) working with Locality Managers under the guidance of Assistant Director (Personal Care & Support) By when June 2012 to ongoing June 2012 to April 2013 Equality Objective The transitional service provision is monitored in relation to equalities issues Action Target By when Person Centred Planning and Outcomes training for support services providers Determine requirements. Training available ongoing. Develop further training by working closely with Corporate Learning & Development Team Senior (Valuing People Co-ordinator) (Personal Care & Support) working with Locality Managers and Corporate L&D Team June 2012 to April 2013 Continue to monitor take up of service. Improved take up of service. Feedback from LD Partnership Board and other stakeholders. Team Senior (Valuing People Co-ordinator) (Personal Care & Support) working with Locality Managers under the guidance of Assistant Director (Personal Care & Support) June 2012 to April 2013 Team Senior (Valuing People Co-ordinator) (Personal Care & Support) working with Locality Managers under the guidance of Assistant Director (Personal Care & Support) Strategic June 2012 to April 2013 Establish views of users, carers and other organisations regarding effectiveness of service provision/development. All activities currently undertaken by both teams in relation to ensuring operational staff have a good working knowledge and understanding of issues faced by people with learning disabilities and their carers/families. e.g. awareness of Autism and Carers issues continues to be available to front line workers. Officer responsible Liaison and communication with all operational teams within LCC and partner organisations to identify any gaps in working knowledge and learning disability awareness. To work closely with Corporate Learning Development Team to design and deliver specific training to meet the knowledge/awareness gaps. Formal training and awareness raising of all operational staff. Provide Support to the LD Partnership Board as a forum to receive regular feedback from the experience of service users and/or carers on any identified issues/gaps in knowledge of operational staff. 17 Equality Objective Action Target To work closely with Corporate Learning and Development to design and deliver the required training. Locally we are putting extra resources into training, developing wellbeing services for carers and developing a champion’s network for autism. The local carer’s strategy is currently being consulted on and is due to be launched in June 2012. The strategy acts as the delivery mechanism for recommendations highlighted in the draft Carers JSNA report. The strategy has six priorities including identification and recognition for carers, addressing needs of marginalised groups and improving the wellbeing of carers. The local Aspergers Strategy is aligned to the National Autism strategy and priorities include increasing awareness of autism, identifying a lead 18 Officer responsible Planning and Commissioning Manager By when Equality Objective Action Target Officer responsible By when commissioner, improving access to services and reviewing autism pathways from children’s to adults. Locally we are putting extra resources into training, developing autism services and developing a champion’s network for autism, addressing many of the issues highlighted in the draft JSNA. 1st Authorised Signature (EIA Lead): …Sayeed Patel (Project Manager) Date: 14/02/2012 2nd Authorised Signature (Member of DMT): Date 20/02/2012 Once completed, please send a copy of this form to the Departmental Equalities Group for quality assurance. Once authorised, this Equality Impact Assessment (EIA) Report will need to be published on our website. 19 20 Current Valuing People Team Structure Appendix A Valuing People Co-ordinator Grade 14 Carers Community Development Officer Grade 11 Community Development Worker (Melton Mowbray and Market Harborough) Grade 10 Community Development Worker (Charnwood and North West Leicestershire) Grade 10 Person Centred Planning Coordinator Grade 11 Community Development Worker (Part Time 21 hrs) (Hinckley & Bosworth) Grade 10 Community Development Worker (Part time 16 hrs) (Oadby,Wigston & Blaby Grade 10 21 Person Centred Facilitator Grade 08 Person Centred Planning Assistant Grade 09 Appendix B Current Brokerage Service Structure Locality Manager Team Senior Grade 12 Charnwood North west Leicestershire Hinckley Blaby Melton 1x FTE Community Support Grade 9 1x FTE Community Support Grade 9 1x FTE Community Support Grade 9 1x FTE Community Support Grade 9 1x FTE Community Support Grade 9 In Scope Out of Scope 22 Harborough 1x FTE Community Support Grade 9 Proposed Structure (Draft) Appendix C Head of Service Locality Manager Transition Role (Temp to March 2013) Grade 12 Team Senior Grade 12 Charnwood North west Leicestershire Hinckley Blaby 2x FTE Community Support Workers Grade 09 2x FTE Community Support Workers Grade 09 2x FTE Community Support Workers Grade 09 2x FTE Community Support Workers Grade 09 In Scope Out of Scope 1x FTE Community Support Workers (Transitions/Specialist Role ) Grade 09 23 Melton 1x FTE Community Support Workers Grade 09 Harborough 1x FTE Community Support Workers Grade 09 24