Document name: Building stronger partnerships with third sector strategy Document type: Corporate Development Strategy Staff group to whom it applies: All staff within the Trust Distribution: The whole of the Trust How to access: Intranet and internet / ward folder Issue date: January 2011 Next review: January 2013 Approved by: Executive Management Team Trust Board Developed by: Head of Involvement and Social Inclusion Director leads: Director of Corporate Development Contact for advice: Phil Walters- Head of Involvement and Inclusion 1 Building stronger partnerships with the Third Sector Strategy 1. Background and Objectives of the Strategy The Trust has made clear its ambition to develop as a partnership organisation through the decision to change the name of the organisation on authorisation to South West Yorkshire Partnerships NHS Foundation Trust. Partnership working is a key strand in the 4 & 2 business model adopted by the Trust to support organisational success through the delivery of a strategy based on consolidation of core pathways, geographical expansion, sub-specialisation, development of forensic services and thought leadership. Although our current/potential partners do include other statutory agencies and private sector organisations’, the aim of this Strategy is to develop a framework supported by an improvement plan that would ultimately lead to stronger partnerships between South West Yorkshire Partnerships NHS Foundation Trust and third sector organisations’ including social enterprises in this definition, in the areas we cover. We will need to empower and guide the third sector to participate in and contribute to shaping services and this will create an environment where all voices are heard at all levels. We will need to develop meaningful and productive partnerships and strengthen effective working and communication with third sector organisations and this will enable contribution towards common goals. In the course of developing this paper, the political landscape has changed significantly, with the election of a Coalition Government has already introduced the NHS White Paper, the concept of the “Big Society” and support for the development of social enterprises being particularly relevant to this piece of work. This strategy has been developed through consultation with third sector and Trust staff, a Key Objective being to improve our engagement with service users, carers and the wider communities in which we work: we can do this by empowering and guiding third sector organisations to participate in and contribute to shaping services and by creating an environment where all voices are heard at all levels- This work is critical for achieving excellent services that meet everyone’s needs and will be particularly important in terms of our marketing strategy. Third sector organisations can help us to be more in touch with the needs and priorities of service users and carers and importantly, to build bridges with sections of the community who currently do not access our services, such as groups that are marginalised in decision making, due to disadvantage or discrimination. There are organisations, communities and individuals who do not feel their voices are heard adequately, and there are those who feel overwhelmed by the volume of communication and consultations they are asked to be involved in. We should Activity focus on balancing these differences, reaching and understanding the multiplicity and diversity of voices within the third sector. 2 Another key objective is to develop meaningful and productive partnerships and strengthen effective working and communication with third sector organisations. This will enable contribution towards improving the care pathway and thereby improving outcomes for service users and carers. Third sector organisations can provide support to service users and carers who currently take up a lot of clinician time but don't require clinical expertise -.This could potentially make clinical workloads more manageable, efficient and cost effective, potentially reducing the overall cost to the health and social care system. We need to express our commitment to work in partnership with third sector organisations to support the development of healthy and vibrant communities. This will help with problem solving, and creating new ways of working, and challenging personal behaviour and organisational conduct. It sets a backdrop for partnership working which is essential for delivering our Vision. 2. Definition of Third sector: The Government defines the third sector as “non-governmental organizations” that are value driven and which principally reinvest their surpluses to further social, environmental or cultural objectives. There is a wide variety of organisations that make up the third sector, these include: charities, community groups, social enterprises, co-operatives, mutual’s and voluntary organisations. 3. National/broader context Over the last 10 years there has been a drive by the previous Government towards creating a framework for working in partnership in which the third sector can contribute and flourish, be strong and independent. Following national research, various programmes, such as Futurebuilders and Capacitybuilders have been introduced as a driving force in developing the capacity of the third sector and have helped develop the infrastructure to support the third sector which requires helping them deliver better services. The Coalition Government has renamed Office of Third Sector the office of Civil Society and is putting emphasis on local or neighbourhood based community organisations. The emergence of social enterprises from PCT provider arms is blurring traditional boundaries between the voluntary and public sectors and we may see more of this locally. The cuts in local government budgets are having an impact on voluntary sector infrastructure. Wakefield voluntary Action and Kirklees Voluntary Action have lost local authority funding already this year. This may make it more difficult for local organisations to thrive and may mean we see bigger national organisations like Turning Point expanding because they already have robust infrastructure and governance arrangements. White Paper Equality and Excellence- Liberating the NHS The Government’s ambition in this paper is to achieve healthcare outcomes that are among the best in the world. They say quite strongly that this can only be realised by involving patients fully in their own care, with decisions made in partnership with clinicians, rather than by clinicians alone. The system will focus on personalised 3 care that reflects individuals’ health and care needs, supports carers and encourages strong joint arrangements and local partnerships. The government aims to create the largest social enterprise sector in the world by increasing the freedoms of foundation trusts and giving NHS staff the opportunity to have a greater say in the future of their organisations, including as employee-led social enterprises. A number of key policies of the previous Government set out the importance of working with third sector organisations over recent years. ‘Strong and Prosperous Communities’ (The Department for Communities and Local Government 2006) This paper suggests that the expertise of the third sector should be harnessed and developed to enable local partnerships to shape local services. This will be achieved by recognising the diversity of the sector, by empowering and building capacity and by listening to local representative organisations, service users and community groups to identify priorities and meet needs. The broader community benefits are: Local people shaping their community Building social capital within communities Connecting people to shape their communities The reform of public services ‘Our Health, Our Care, Our Say’ (Our health, our care, our say: a new direction for community services DoH 2006) Sets out “a vision to provide people with good quality social care and NHS services in the communities where they live” and acknowledges the role of the third sector in shifting the balance of provision closer to where people live. New Horizons- Promoting multi-agency collaboration (New Horizons: A shared vision for mental health. DoH February 2010) New Horizons, as a national cross-government strategy, sets out the shared values and approaches necessary for change to happen locally. It recognises that only a robust partnership across the public, private and third sector working with local people will deliver the necessary change to improve mental health and wellbeing for individuals, families, carers and communities of all ages and backgrounds. New Horizons promotes personalisation as fundamental to the recovery process and the main way of addressing the needs of individuals, especially amongst more vulnerable groups. It is seen as a way to ensure all members of our communities will have access to care and services irrelevant of background and will promote equality throughout system. Empowering people to have more say and control of their health. Compacts The Compact was launched at a national level in 1998 and local authorities have since been encouraged to develop Compacts at a local level. Compacts are an agreement between the public and third sector organisations to improve their relationship for mutual advantage and community gain. Organisations enter into the 4 Compact voluntarily; it is not legally binding, but by doing so agree to work by key principles and undertakings. The idea behind the Compact is to form a genuine partnership that allows each partner to achieve more. The local statutory partners and the third sector use the Compact as a framework for partnership working because it recognises and supports the contribution they can each make to improve the lives of individuals and communities. Working together in this way also brings wider benefits, such as the creation of stronger working relationships across all sectors, underpinned by mutual understanding, trust and respect. This provides an authentic and distinctive voice for residents and service users. This will build mutually supporting relationships within neighbourhoods and communities. Developing and delivering services, based on direct knowledge of community needs. 4. The benefits to the Trust of working with third sector organisations. The advent of New Horizons and the development of the personalisation agenda create new opportunities for third sector organisations, which could present both opportunities and a potential threat to the Trust’s income stream. Third sector organisations within the broader region play a significant role in providing housing, support to employment, leisure opportunities and social care. Links with third sector organisations could offer access to different expertise and to alternative sources of income, including grants. Working with the third sector organisations that provide employment or protect the interests of people with mental health problems and learning disabilities is also consistent with the Trust’s values and has the potential to create sustainable communities. Key features we would expect to see in potential partners: We would expect third sector organisations to have a positive approach to partnerships and a strong understanding of local communities. We would want organisations to work with an enabling\empowering ethos and be very value driven. We would expect organisations to be prepared to share the risks. In successful partnerships the structure should not drive partnership, it should be relationships that do and it's the depth of relationship and mutual respect that counts. As an organisation we should always be looking for opportunities that will promote partnership working. Partnership has to become instinctive it cannot be just outcome generated and it has to be a two-way dialogue. Partnership will not work if we always want to achieve 100% of our agenda. 5. The threats to the Trust of not working with third sector organizations A recent example where a third sector organisation challenged the Trust’s market position is Turning Point in Wakefield wining the contract to deliver the IAPT services in direct competition with the Trust. The personalisation agenda, combined with expectations of commissioners to competitively tender services, pose an ongoing threat to the Trust’s intention to retain services which it would consider to be 5 part of the core pathway. Working in partnership with potential competitors enables the Trust to mitigate this risk. 6. The benefits for third sector organisations in working with us We could offer support to their risk and governance arrangements, as a large well governed and financially stable organization, this could offer a greater stability than that, which is often found and difficult to manage in smaller organisations. We could also offer support to develop partnership working skills to enable small organisations to negotiate better. Through our large membership base we could provide service user insight across the local health economy. There would also be more support for business development and planning, growth and cultivating a stronger market position through partnering with us in the development of our service offer and consolidation of the care pathway as set out below. 7. Key areas for joint working:7.1 Consolidation of the core pathway- Working in partnership with other organisations could enable the Trust to diversify its offer in terms of either the shape or range of services it provides and to extend the pathway. This might include working in partnership with organisations that specialise in employment or housing to provide pathways to work or supported accommodation, enabling people to move on from mainstream services to increase efficiency within the system and extend the current pathway. The Transforming Community Services agenda offers huge potential for working with partners to develop alternative models of service provision as an extension or enhancement of the current pathway through partnerships with the third sector or social enterprise. The Trust is already exploring the potential to develop creative partnerships with arts based organisations to support the Trust in developing alternative ways of delivering services and to support staff development. Third sector organisations are often in a good position to understand what people want and how their needs can be met. By working together and co-designing services, The Trust and the third sector can deliver policies, strategies and ultimately services that are built around communities and individuals, meeting their needs and reflecting their choices. 7.2 Developing New Business-This would include growth through subspecialisation, geographical expansion or development of forensic services. Service growth relates to expansion through the development of our service partnerships in order to realise an improved service offer, and ultimately an improved individual offer. By providing individual ways to evaluate each component and determining who could provide what aspect, could make us more competitive. This could include the development of existing services to enhance or complete our pathways, for example the expansion of our district learning disability low secure service into a sub regional service. It will also be possible to grow through sub specialisation, for example the development of autism spectrum disorders teams. 6 Growth through the development of new services could include areas such as child and adolescent mental health services, attention deficit hyperactivity disorder, etc. This will also include the growth opportunity from the Transforming Communities agenda. There is potential to work with partners who may bring benefits in terms of specialist expertise to support service growth. Third sector organisations are often in a good position to understand people’s needs and to provide innovative solutions to those needs. Involving third sector organisations in designing new programmes and services, and focusing on results, can help the trust provide the right resources, identify risks and solutions, and achieve better outcomes. The Trust is already exploring potential partnerships in the third sector to support growth, although the extent to which these ideas have been developed is variable. Some examples of potential partnerships include: Partnerships with third sector organisations to develop new services that enhance or complement the existing pathway, such as supported accommodation or employment. Work with third sector organisations through a ‘Creative Partnerships’ approach in support of an arts strategy to enhance the service offer and support staff development and public engagement Work with social enterprise organisations to provide clinical or support functions, such as the existing arrangement with Catering Plus to provide restaurant and hospitality services. Voluntary groups can help us to improve Community engagement by improving our reach into BME communities and with younger people – This increases the diversity of our members, members Council, Associate Hospital managers, Non executive Directors and staff as well as engagement with service users and carers. 7.3 Thought leadership- A major benefit of third sector partnership to support the Trust’s position as a thought leader is through securing a position of influence with organisations whose role affects the lives of people with mental health problems and learning disabilities. Strengthened relationships with these organisations, enhances the Trust’s ability to ensure the needs of people with mental health problems and learning disabilities are being met. 7.4 Working together for equality and involvement-In order to work towards our delivery equality and involvement objectives, the Trust needs the insight and knowledge of third sector organisations working at the front line with people who are often the most excluded. These groups have unique experiences and different issues around access to services and involvement, which have to be taken into account in policy making and service development. A good working relationship between the third sector and the Trust will help to meet the needs of the people we serve and reduce inequality. This will: 7 Help fulfil our statutory obligations for consultation and involvement on key strategies and initiatives, particularly in relation to seldom heard groups: Help provide expert guidance for both scoping and full equality impact assessments (EIAs) Help determine effective approaches to identify and address inequalities in mental health provision and improve outcomes for specific sections of the community. Help develop good community relations which are about how we act together as partners to ensure that our collective impact on communities fosters inclusion and creates the conditions for good relations to thrive. Local community organisations could play a brokerage role to improve trust in our services within the community. This could be a particular focus where we have no service users from a particular section of the community or we are not well engaged with that community. This should be identified by equality impact assessments and action plans developed. Voluntary groups can also help us to get information out into the community so that those needing help are more likely to come to us earlier - e.g. for support with dementia. 7.5 Developing Social Enterprise-One component of the Trust’s sustainability project and part of the wider change management programme is being a good corporate citizen. This includes building social capital and acting in a social responsible way. We need to ensure smaller community groups have access to funds and expertise to build capacity, and to prepare and deliver projects. We need to Identify groups that are in danger of being marginalised, excluded, or are currently under represented and put in place measures to promote their inclusion. The Trust can support service user led community groups to become social enterprises. The support structures and mentoring for social enterprise could be provided by our quality academy offering services such as human resources, payroll etc. Clearly we have to balance the benefits with the cost, but this could be considered part of service provision. An example of being a good corporate citizen is the facilitation of social enterprise services Catering Plus to run catering service on Trust sites. 8. Where are we now? The starting point for building stronger partnerships with third sector organisations was to establish a baseline position by mapping out our current links and relationships. A mapping exercise was carried out that identified current third sector provision inline with a broader wellbeing framework (see appendix 1) that supports mental health services in Calderdale, Kirklees and Wakefield. It is intended that the results of the mapping exercise included over a 150 organisations, will be published on the Trust website and intranet. This will ensure there is broader awareness of the community resources that can support\sustain resilience and promote increased well being of people who use our services. This approach will help the organisation build broader mental health and well being outcomes, which are linked into community solutions. 8 We are already involved in some 3rd sector institutes such as: Sub contract with Mental Health Matters for IAPT Employment coaches in Kirklees We are a key partner in WISMS providing substance misuse services in Wakefield We provide specialist support and advice to Kirklees commissioners for their range of 3rd sector contracts that are currently being tendered. Currently exploring partnership opportunities with Cygnet and Priory, who compete with some of the bigger 3rd sector organisations like Turning Point Undertaking a joint bid for European funding to establish new Social Enterprises across our 3 districts. 9. SWOT Analysis Strengths Organisation already has good working relationships with some third sector organisations. - Weaknesses - Would require some financial and staff time investment both - Could impact on core business, distraction. This could be a unique selling point in developing services - Getting staff on board and supporting this work Greater served. - knowledge of community - Increased contact with hard to reach groups. - Builds social capital, delivering more for less. - Increases our public reputation by being a good corporate citizen Gaps in capabilities - Helps develop market intelligence. Opportunities - Enhance service pathways. Weaknesses Third sector organisations set themselves up as direct competition. - New business partnerships. - Work together to develop new and more innovative services. - organisation is out of step with broader political agenda - Help development of more specialist niche markets. - competitors develop new products and innovate - Helps with development of information and research. - Sustaining internal capabilities. - Supports geographical expansion. Risk to reputation if partner does not maintain standards. - Increases marketing communication. - Good Tactical position reach and 9 10. GAPS The SWOT analysis above shows that the organisation is in a reasonably good position to take advantage of the opportunities that can arise from developing stronger third sector partnerships. We already have a good reputation for working with the third sector and we need to use this strategy to build on our good name. In conducting research for this paper, there are few Foundation Trusts carrying out such work and we seem to be at the forefront in this work. The gaps we have identified have been developed into objectives and incorporated into attached action plan (Appendix 2). These objectives will be addressed through the implementation of the action plans and monitored through the governance arrangements set out below. 11. Governance The Director of Corporate Development has lead responsibility for the overall management of the Third Sector Partnerships Strategy. The delivery and effectiveness of the Strategy will be co-ordinated and promoted by the Equality and Inclusion Trust-wide Action Group (TAG), and supported by the Equality and Inclusion team. The local Equality and Inclusion action groups will drive this agenda at an operational level in individual communities. (Appendix 3) 10 Appendix 1 Full details of all third sector organisations identified will be published on Trust’s website Third Sector Wellbeing Partnerships Mapping Framework for Mental Health and Learning Disability Creative Partnerships ARTS SPORTS LEISURE CULTURE DESIGN THERAPY Vocational Partnerships EMPLOYMENT ENTERPRISE VOLUNTEERS EDUCTION LETS SELF-HELP Spiritual Partnerships RELIGION BELIEF FAITH CULTURE Communication & Co-Production -Enhanced service pathway in line with New Horizons -Enhances organizational reputation for creative approaches -Enhanced service pathway -Strong potential for business development and co production -Greater understanding of individuals needs/ -support -Enhanced service pathway in line with new Horizons Community Partnerships SUPPORT HEALTH THERAPY HOUSING INVOLVEMENT ADVICE ADVOCACY THERAPY -Greater integration of service provision into community life -Helps challenge stigma and promote positive images Equality Partnership s GENDER RACE DISABILITYSEXUAL ORIENTATION AGE TRANSGENDER CARERS -Ensures we meet statutory duties - Ensures we deliver services that meets peoples diverse needs Inclusion Partnerships YOUNG PEOPLE OLDER PEOPLE HOMELESS BME DUEL DIAGNOSIS OFFENDERS ARMED FORCES -Greater understanding of people who are often excluded -Enhances organizational reputation with regard accessibility of services 11 Appendix 2 – Action Plan Objective Steps to Achieve Outcomes Required Timescale Lead 1. We need to understand and use existing structures already supporting and developing partnerships such as Local Compacts and forums The Equality and Inclusion Action groups in each locality need to have a stronger link with compacts and forums. Establish local champions in local groups who will ensure information flows between organisations. The Trust is a key player in existing structures such as compacts/forums and these are helping to build stronger partnerships Review 6 monthly Head of Inclusion 2. We need to develop a system for better communications between the Trust and third sector organisations This will involve developing ways to effectively communicate to the relevant third sector organisations and individuals using a variety of methods including new technology and more traditional methods. Trusts website and intranet promotes third sector organisations and a system for registering new services. The inclusion team will be responsible for keeping the register up to date. Review 6 monthly Head of Comms 3. We need to offer information and training to third sector, community Groups and trust staff, so there is mutual understanding of our organisations. Set up mutual training sessions, recognising that groups which involve people who are most excluded at community level may be small or informal, and engage with these groups in a way that suits their working methods. Third sector organisations understand the workings of the Trust better. They will be able to answer our questions and think strategically about the issues affecting communities. Review 6 monthly Inclusion Team 4. We need to produce a guide for services on building stronger partnerships with third sector inline with compact principles There are lots of information and toolkits available, but we need to develop something that is designed for our organisations needs and using corporate branding. A guide produced and distributed. Dec 2010 Head of Inclusion 12 Objective Steps to Achieve Outcomes Required Timescale Dec 2010 Lead Planning Team 5. We need to produce a guide to building formal partnerships with third sector when developing new business. There are lots of information and toolkits available, but we need to develop something that is designed for our organisations needs and using corporate branding. A guide produced and distributed. 6. We need more staff involved directly in helping and supporting third sector and community groups. More staff sitting on committees and steering groups of third sector organisations. This could involve support from our quality academy regarding business development. The Trust a good reputation for supporting, developing and working with third sector organisations Review 6 monthly Local E& I Action Groups 7. We need to identify ways to ensure third sector representatives fed back information from service users and carers Third sector organisations will be The Trust is able to hear the voices of encouraged to feed into the seldom heard groups Trust current dialogue process and focus groups may need to be set up for seldom heard groups. Review 6 monthly Inclusion Team 8. Following the mapping of existing third sector provision we need to prioritise engagement and address gaps including the possible development of new Partnership approaches This work will be developed through the Local Equality and Inclusion Action Groups The Trust has a comprehensive understanding of third sector provision and is in a good position to understand gaps in provision Review 6 monthly Local E&I Action Groups 9. As part of being a good corporate citizen the Trust is committed where possible to only The inclusion team will develop a list of third sector and partners venues. These will be posted on the Trusts website and The Trust only uses where possible third sector and partner venues when staging events where Trust venues cannot be used Review 6 monthly Inclusion Team Comms 13 Objective Steps to Achieve Outcomes Required Timescale Lead Team Procurement team using third sector and partners venues when staging events where Trust venues cannot be used intranet. The procurement team will draw up a list of preferred providers to ensure compliance. 10. Establish a think tank for the development of social enterprise and third sector partner approaches. Group made up o trust, PCT, LA, third sector reps is being pulled together to explore this. Could include the setting up of a business hub, that would help smaller community groups to develop The Trust will have a framework within which to work for the development of social enterprise and third sector partnerships, and ensuring we do not breach our constitution. Establish by Sept 10 Director of Corporate Development 11. Explore the possibility of developing a business hub for supporting the development of social enterprise A bid to Yorkshire Forward to support his development is being put together and a group to co-ordinate the work is being set up. The Trust will have a business hub for supporting the development of social enterprise. Funding bid End of August 2010 OT Lead Enterprise Group 12. How do we fully understand the community make-up of the separate districts the Trust covers with regard to partnerships? The E&I action groups are in the process of developing key priorities for the next 12 months and this work needs to be included in this planning The Trust has an individual approach to developing stronger partnerships in each of the districts the Trust covers. A local plan to be developed By April 2011 Business Delivery Units Local E&I Action groups 14 Governance Framework for Equality and Inclusion Members Council Trust Board DRIVERS Service Improvement Community Empowerment Equality & Diversity Strategy Single Equality Scheme Revised Involvement Strategy Quality Care Commission Standards Key Performance Indicators New Horizons World Class Commissioning Trusts Five Year Plan Calderdale Equality & Inclusion Action Group Clinical Governance & Risk Sub committee Equality & Inclusion Trust-wide Action Group Service Improvement Kirklees Equality & Inclusion Action Group Equality & Inclusion Team Equality is about creating a fairer organisation in which everyone has the opportunity to fulfil their potential. Involvement is about ensuring everyone has a voice Inclusion is a major factor in enabling our service users to live life to the full SDG/Business Delivery Units Wakefield District Equality & Inclusion Action Group Service improvement Sub-groups PLD & Older People Forensic Equality & Inclusion Action Group Service User and Carer Dialogue and Focus Groups Community Empowerment/ Ownership 15 Equality Impact Assessment Template for policies, procedures and strategies Equality Impact Assessment Questions: 1 Name of the policy that you are Equality Impact Assessing 2 Describe the overall aim of your policy and context? Who will benefit from this policy? Evidence based Answers & Actions: Building stronger partnerships with third sector strategy The above paper sets out a business case in which the Trust should develop stronger partnerships with the Third sector organisations. Third sector organisations have a unique and diverse expertise in a range of fields such as employment, housing, leisure and faith which can be utilised by the Trust by building stronger partnerships with this sector. In essence by building stronger partnerships with third sector organisations will mean enhanced social and health care pathways which will result in better outcomes for our service users and their carers. Kashif Ahmed & Phil Walters 3 Who is the overall lead for this assessment? 4 5 6 Who else was involved in conducting this assessment? Equality & Inclusion Team Have you involved and consulted service users, carers, and staff in developing this policy? We have involved and consulted staff and a range of organisations in developing this paper. We intend to involve service users in the development of the action plan when approved. What did you find out and how have you used this information? There seems to be a clear and strong consensus among staff, commissioners and third sector organisations, that building stronger partnerships is what people and government want because it will fundamentally improve services and better outcomes for our service users. We have not used equality data but the paper identifies that equality groups are marginalised and excluded and therefore to address this gap will mean we will have to build stronger partnerships with the Third sector organisations What equality data have you used to inform this equality impact assessment? 16 7 8 What does this data say? Taking into account information gathered. the Where Negative impact Does this policy affect one group less or more favourably than another on the basis of: has been identified please explain what action you will take to mitigate this. If no action is to be taken please explain your reasoning. 9a Race NO 9b Disability NO 9c Gender NO 9d Age NO 9e Sexual Orientation NO 9f Religion or Belief NO 9g Transgender NO 10 What measures are you implementing or already have in place to ensure that this policy: promotes equality of opportunity, promotes good relations between different equality groups, eliminates harassment and discrimination Evidence based Answers & Actions Building stronger partnerships with third sector organisations will mean that the Trust can closely work and better on the equality and human rights agenda. This paper and action plan has an explicit strand relating to equalities which will ensure that we deliver better outcomes on per equality group and achieve compliance. Overall this paper will have an positive impact on per equality group Refer to answer from question 8 Refer to answer from question 8 Refer to answer from question 8 Refer to answer from question 8 Refer to answer from question 8 Refer to answer from question 8 Refer to answer from question 8 Monitoring of any actions regarding this paper will be through local action groups and by the TAG. The Trust undertakes annual audits such as count me in census, staff and service user opinion survey, CPA audit and workforce audit reports which identify equality issues and how we are performing in relation to per equality strand. 17 11 Have you developed an Action Plan arising from this assessment? Equality action points are incorporated within the partnerships action plan within the report. If yes, then please attach any plans at the back of this template 12 Who will approve this assessment and when will you publish this assessment. The Trust Board on the 28th September. Paper published early November. Dates of Assessment: 06/09/2010 18