From: "Saved by Windows Internet Explorer 8" Subject: Frontline Service EQIA Date: Wed, 3 Jun 2015 14:37:04 +0100 MIME-Version: 1.0 Content-Type: text/html; charset="utf-8" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.staffnet.ggc.scot.nhs.uk/EQIA/Pages/FrontlineService.aspx?eqiaID=74 X-MimeOLE: Produced By Microsoft MimeOLE V6.1.7600.16543 =EF=BB=BF
Equality Impact Assessment = Tool for=20 Frontline Patient Services
Equality Impact Assessment is a legal requirement and = may be=20 used as evidence for cases referred for further investigation for = legislative=20 compliance issues. Please refer to the EQIA Guidance Document while = completing=20 this form. Please note that prior to starting an EQIA all Lead Reviewers = are=20 required to attend a Lead Reviewer training session. Please contact CITAdminTeam@ggc.scot.nhs.uk= for=20 further details or call 0141 2014560.
1. Name of Current Service/Service = Development/Service=20 Redesign:
ward 4a =
leverndale=20
|
2. Description of the service & rationale for = selection for=20 EQIA: (Please state if this is part of a Board-wide service or is = locally=20 determined).
A. What does the service do? = |
ward 4a is an =
adult acute=20
admissions ward which provides assessment and treatment for =
clients with=20
mental health problems. referalls come from variety of sorces =
including=20
local Community mental health teams , crisis teams , accident and=20
emergency departments and police. Treatment and assessment is =
delivered by=20
multi discipinary team |
B. Why was this service selected for EQIA? = Where=20 does it link to Development Plan priorities? (if no link, please = provide=20 evidence of proportionality, relevance, potential legal risk etc.) = |
service moved =
into new=20
premises 2013 no previous EQIA. =
|
3. Who is the lead reviewer and when did they attend = Lead=20 reviewer Training? (Please note the lead reviewer must be someone in a = position=20 to authorise any actions identified as a result of the EQIA)
Name: |
Date of Lead Reviewer Training: = |
Alex =
Mackay |
06/06/2012=20
|
4. Please list the staff involved in carrying out = this EQIA=20 (Where non-NHS staff are involved e.g. third sector reps or patients, = please=20 record their organisation or reason for inclusion):
Alex =
Mackay=20
|
Lead Reviewer Questions = |
Example of Evidence = Required=20 |
Service Evidence Provided = |
Additional Requirements = | |
1. |
What equalities information is routinely = collected=20 from people using the service? Are there any barriers to = collecting this=20 data? |
Age, Sex, Race, Sexual Orientation, = Disability,=20 Gender Reassignment, Faith, Socio-economic status data collected = on=20 service users to. Can be used to analyse DNAs, access issues etc.=20 |
Information on =
age,=20
gender,ethnic background socio economic status is collected on =
admission=20
using standard 4 part admission forms and nursing care =
plans=20
|
|
2. |
Can you provide evidence of how the = equalities=20 information you collect is used and give details of any changes = that have=20 taken place as a result? |
A Smoke Free service reviewed service = user data=20 and realised that there was limited participation of men. Further=20 engagement was undertaken and a gender-focused promotion designed. = |
On admission to =
ward 4a=20
routine information is collected re gender , age, ethnic=20
background. |
|
3. |
Have you applied any learning from = research about=20 the experience of equality groups with regard to removing = potential=20 barriers? This may be work previously carried out in the service. = |
Cancer services used information from = patient=20 experience research and a cancer literature review to improve = access and=20 remove potential barriers from the patient pathway. |
written =
invitations to carers=20
to attend carers events are followed up with phonecall. this =
ensures that=20
carers who lack literacy skills , have visual problems have =
additional=20
information and are not excluded. |
|
4. |
Can you give details of how you have = engaged with=20 equality groups to get a better understanding of needs? |
Patient satisfaction surveys with = equality and=20 diversity monitoring forms have been used to make changes to = service=20 provision. |
Service users =
group meet=20
regularly with mental health network . information gathered is =
used to=20
communicate patient feedback about services . feedback is =
collected and=20
displayed in ward on notice boards . |
|
5. |
If your service has a specific Health = Improvement=20 role, how have you made changes to ensure services take account of = experience of inequality? |
A parenting service includes referral = options to=20 smoking cessation clinics. The service provides cr=C3=A8che = facilities and=20 advice on employability and income maximisation. |
patient activity =
co-ordinators=20
facilitate health promotion activitys in ward. focus on "head to =
toe"=20
information services. drop in sessions from dieticians,=20
physiotherapy,dentists, pharmacy department. |
|
6. |
Is your service physically accessible to = everyone?=20 Are there potential barriers that need to be addressed? |
An outpatient clinic has installed loop = systems=20 and trained staff on their use. In addition, a review of signage = has been=20 undertaken with clearer directional information now provided. = |
service is on =
ground floor=20
level , accessible to all .no barriers to clients with physical=20
disabilties. |
no =
loop system=20
available at present |
7. |
How does the service ensure the way it = communicates=20 with service users removes any potential barriers? |
A podiatry service has reviewed all = written=20 information and included prompts for receiving information in = other=20 languages or formats. The service has reviewed its process for = booking=20 interpreters and has briefed all staff on NHSGGC=E2=80=99s = Interpreting Protocol.=20 |
use of =
intrepreting service=20
when english is not patients first language or patient /family =
have=20
expressed a need for interpretor. use of sign language =
interpretors when=20
required. |
ward does not=20
have any staff who are skilled in use of british sign language=20
|
8. |
Equality groups may experience barriers = when trying=20 to access services. The Equality Act 2010 places a legal duty on = Public=20 bodies to evidence how these barriers are removed. What = specifically has=20 happened to ensure the needs of equality groups have been taken = into=20 consideration in relation to: |
|||
(a) |
Sex |
A sexual health hub reviewed sex = disaggregated=20 data and realised very few young men were attending clinics. They = have=20 launched a local promotion targeting young men and will be = analysing data=20 to test if successful. |
gender based =
violence=20
training, sexual health training, link nurse for domestic violence =
training. asylum seeking |
|
(b) |
Gender Reassignment |
An inpatient receiving ward has held = briefing=20 sessions with staff using the NHSGGC Transgender Policy. Staff are = now=20 aware of legal protection and appropriate approaches to delivering = inpatient care including use of language and technical aspects of=20 recording patient information. |
all clients have =
access to=20
single room with ensuite toilet and shower facilities. staff have =
attended=20
training links available. |
link nurse to=20
be identified for ward based local awareness. monitor uptake of =
learn pro=20
module. |
(c) |
Age |
A urology clinic analysed their sex = specific data=20 and realised that young men represented a significant number of = DNAs. Text=20 message reminders were used to prompt attendance and appointment = letters=20 highlighted potential clinical complications of non-attendance.=20 |
no barriers to =
service , ward=20
admits clients according to needs not age. |
|
(d) |
Race |
An outpatient clinic reviewed its = ethnicity data=20 capture and realised that it was not providing information in = other=20 languages. It provided a prompt on all information for patients to = request=20 copies in other languages. The clinic also realised that it was = dependant=20 on friends and family interpreting and reviewed use of = interpreting=20 services to ensure this was provided for all appropriate = appointments.=20 |
all patients have =
access to=20
information available in a variety of languages. interpreting =
services are=20
available. |
|
(e) |
Sexual Orientation |
A community service reviewed its = information=20 forms and realised that it asked whether someone was single or = =E2=80=98married=E2=80=99.=20 This was amended to take civil partnerships into account. Staff = were=20 briefed on appropriate language and the risk of making assumptions = about=20 sexual orientation in service provision. Training was also = provided on=20 dealing with homophobic incidents. |
refer to civil =
partnerships=20
staff attended hate crime training |
|
(f) |
Disability |
A receptionist reported he = wasn=E2=80=99t confident when=20 dealing with deaf people coming into the service. A review was = undertaken=20 and a loop system put in place. At the same time a review of = interpreting=20 arrangements was made using NHSGGC=E2=80=99s Interpreting Protocol = to ensure staff=20 understood how to book BSL interpreters. |
death awareness =
sessions=20
available staff have access top same learning difficulties team =
strong=20
links. ward has 24 single rooms with ensuite facilities. two rooms =
have=20
enhanced facilities for clients with mobility problems . =
|
|
(g) |
Religion and Belief |
An inpatient ward was briefed on = NHSGGC's=20 Spiritual Care Manual and was able to provide more sensitive care = for=20 patients with regard to storage of faith-based items (Qurans etc.) = and=20 provision for bathing. A quiet room was made available for = prayer.=20 |
single room =
facilities ensure=20
that clients have privacy to pray if required . ensuite shower =
facilities=20
in all rooms make provision for bathing rituals. hospital =
chaplaincy=20
service available at all times. Recreational therapy department =
has a=20
multi faith room with access to bibles quaran etc. =
|
|
(h) |
Pregnancy and Maternity |
A reception area had made a room = available to=20 breast feeding mothers and had directed any mothers to this = facility.=20 Breast feeding is now actively promoted in the waiting area, = though=20 mothers can opt to use the separate room if preferred. = |
baby changing =
facilities=20
available for visitors strong links peri natal unit based at=20
leverndale.Any clients who experience mental health problems =
during=20
pregnacy or following birth would be refered initially to peri =
natal=20
unit. |
|
(i) |
Socio - Economic Status |
A staff development day identified = negative=20 stereotyping of working class patients by some practitioners=20 characterising them as taking up too much time. Training was = organised for=20 all staff on social class discrimination and understanding how the = impact=20 this can have on health. |
comprehensive =
assessment will=20
include information re patients economic status and any potential=20
financial difficulties barriers. money matters service volunteers =
are for=20
weekly clinic which is available to all patients who require =
advice=20
/guidance . GAMH visit ward monthly recovery based support =
including=20
employment options. Awarenes re ATOS well being and vocational =
approach ,=20
information and updates re benefits changes |
|
(j) |
Other marginalised groups - Homelessness, = prisoners=20 and ex-offenders, ex-service personnel, people with addictions, = asylum=20 seekers & refugees, travellers |
A health visiting service adopted a = hand-held=20 patient record for travellers to allow continuation of services = across=20 various Health Board Areas. |
strong links with =
CAT team ,=20
dart team training |
|
9. |
Has the service had to make any cost = savings or are=20 any planned? What steps have you taken to ensure this = doesn=E2=80=99t impact=20 disproportionately on equalities groups? |
Proposed budget savings were analysed = using the=20 Equality and Human Rights Budget Fairness Tool. The analysis was = recorded=20 and kept on file and potential risk areas raised with senior = managers for=20 action. |
|
|
10. |
What investment has been made for staff to = help=20 prevent discrimination and unfair treatment? |
A review of staff KSFs and PDPs showed = a small=20 take up of E-learning modules. Staff were given dedicated time to = complete=20 on line learning. |
staff have access =
to learn=20
pro materials . |
|
weekly =
community meetings=20
use of conversations model and links with mental health network =
means that=20
service users have a voice in ward. feedback is shared with =
service users=20
and changes have been made to way services are delivered. what =
matters to=20
me approach gives clients oppurtunity to make suggestions some of =
which=20
have been adapted and put into practise. clients reported seeing=20
consultant pychiatrist in time slots eg monday morning , =
appointment=20
system being put in place to allocate more specific time slots e.g =
0930-1000 |