From: "Saved by Windows Internet Explorer 8" Subject: Frontline Service EQIA Date: Thu, 15 Sep 2016 15:14:45 +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=78 X-MimeOLE: Produced By Microsoft MimeOLE V6.1.7601.17609 =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:
Medical Day =
uNIT=20
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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? = |
The Medical =
Day unit will=20
be based in the South Glasgow University Hospital and will be =
located on=20
the 1st floor and will provide day care services for patients =
across a=20
range of sub-specialites. This is to accommodate patients that =
require=20
medical treatment/investigations on a day stay basis and who will =
then be=20
discharged home or admitted to a ward. The following sub specialty =
medical=20
day unit services will be available:- =E2=80=A2 Gastroenterology =
=E2=80=A2 Respiratory =E2=80=A2=20
Diabetes / Endocrinology =E2=80=A2 Rheumatology =E2=80=A2 OPAT =
There are 23 bays and 3=20
single ensuite rooms. The core working hours of the Medical Day =
Unit will=20
be 8.30 until 18.00. Patients are referred from primary and =
secondary care=20
including, outpatients; GP's etc. |
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.) = |
As this is a new =
service,=20
there is a Board requirement for an EQIA to be carried out, to =
ensure an=20
accessible service to all users. =
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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: = |
Heather =
Mcvey=20
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16/04/2015=20
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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):
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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 |
Patient =
information is=20
collected at point of admission, this is preset fields within the =
Trakcare=20
patient management system. This includes - age, sex, ethnicity, =
post code=20
and interpreting support, faith and belief and any disabilities. =
Some of=20
this information will have been collected prior to attending the =
Medical=20
Day Unit. |
|
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. = |
The Medical Day =
Unit will not=20
open until May 2015. A data analysis will take place within the =
first 6=20
months of opening. |
The =
Medical Day=20
Unit will not open until May 2015. A data analysis will take place =
within=20
the first 6 months of opening. |
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. |
The design of the =
Day Medical=20
Unit has involved service users from a variety of backgrounds in =
both the=20
and pathway to ensure a service fit for all. There have been =
patient flow=20
trials to identify any potential issues before the Unit =
opens.=20
|
|
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. |
Extensive work has =
been done=20
via the Community Engagement Team to ensure engagement with all =
community=20
groups - this service has evolved and developed to ensure it meets =
the=20
needs of all service users examples of work undertaken include =
roadshows=20
in local shopping centres. |
|
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. |
Not =
applicable=20
|
|
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. = |
The service is =
located on the=20
first floor of the new hospital which is accessible through lift, =
stairs=20
or escalator. There is a drop off area outside the main entrance =
which has=20
automatic doors. There is signage with good colour contrast to =
assist way=20
finding within the hospital. Disabled car parking is available in =
the=20
ground floor level of the multi store car park. Reception desks =
are all at=20
a low level to ensure easy communication with all patents. =
Accessible=20
toilets are available within the department. Varying chair designs =
will be=20
available in the waiting area to assist with varying patient =
abilities.=20
Induction loop at reception desk. The new area is quite expansive =
and will=20
easily accommodate wheelchair users |
|
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 |
Patient =
information leaflets=20
are compliant with NHS GG&C Accessible Information Policy. All =
staff=20
are aware of and utilise NHS GG&C Interpreter Policy and =
Procedures.=20
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|
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: |
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(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. |
The configuration =
of the=20
Medical Day Unit will mean patients will have a consultation in =
the=20
privacy of a single room/cubicle. This obvioulsy heightens privacy =
for the=20
patient on many fronts. Staff are aware of all gender related =
policies=20
that they need to take cognisance of to provide a patient centred =
service.=20
Staff aware of the NHSGGC Gender Based Violence. Staff would =
request same=20
sex interpreters as required. |
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(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. |
The Endocrinology =
Service has=20
a transgender clinic. The pathways that have been developed take=20
cognisance of the needs of this particular patient group in both=20
outpatients and Medical Day Unit. There are clinical nurse =
specialists who=20
are experienced in dealing with transgender patients. Staff are =
aware of=20
NHSGGC's Transgender Policy. |
|
(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 |
This service is =
for adults=20
only, as under 16's would be treated in the Royal Hospital for =
Sick=20
Children. All staff have undertaken adult and child protection =
training.=20
There are additional online training modules. |
|
(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 |
Staff will be =
aware of the=20
protocol for organising interpreters. All patient information will =
comply=20
with NHSGGC's Accessible Information Policy. |
|
(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. |
Staff are aware =
of the=20
Marriage and Civil Partnerships Act (2013). Staff would use =
appropriate=20
terminology e.g. partner rather than husband and wife. =
|
|
(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. |
Staff would =
organise british=20
sign language interpreter and other forms of communication support =
if=20
required. Staff are aware of the text relay service for patients =
who are=20
hard of hearing or deaf. Information in other formats will be =
provided=20
upon request. Loop systems will be already installed. The Medical =
Day Unit=20
will be based at the SGUH has been designed with user input to =
ensure it=20
meets the requirements of service users. The area will have =
accessible=20
toilets. For patients with learning disabilities, staff would =
liaise with=20
carers if appropriate. |
Clarify if=20
portable loops will be available. Ensure staff undertake dementia=20
training. |
(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 |
At point of =
registration,=20
patients will be asked to disclose their religion and belief if =
they wish.=20
Staff can access NHSGGC's Faith and Belief Communities Manual. =
Staff can=20
signpost patients to the sanctuary. Halal, Kosher and vegetarian =
options=20
will be available upon request. |
|
(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. = |
SGUH will treat =
females=20
presenting with associated medical conditions. Baby changing =
services will=20
be present on ground floor of adult hospital. |
|
(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. |
NHSGGC's policies =
and=20
protocols in place. Patient who are entitled to redeem travel =
costs for=20
hospital attendances will be directed to the cashier office on the =
ground=20
floor at main entrance. |
|
(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. |
For these =
vulnerable groups=20
there are policies and protcols in place e.g. signpost to =
Addiction=20
Services, Homelessness Team, and the Asylum Seeker Services. Staff =
are=20
aware of NHS polices governing access of care. |
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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. |
Not =
applicable.=20
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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. |
Mandatory and =
statutory=20
training courses, including equality and diversity modules are =
established=20
and staff fully participate in e-ksf and PDP process. Staff are =
aware of=20
how to access Learn Pro modules and are encouraged to do =
so.=20
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