From: "Saved by Windows Internet Explorer 8" Subject: Frontline Service EQIA Date: Thu, 3 Sep 2015 10:36:25 +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=75 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:
Paediatric =
Orthopaedic Follow=20
up Imaging Pathway Royal Hospital for Sick Children=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 =
Paediatric=20
orthopaedic follow up imaging pathway has been developed to reduce =
patient=20
waiting times in both the orthopaedic and radiology departments. =
X-ray=20
referrals are submitted to the imaging department in advance of =
the=20
outpatient clinic appointment stating that the patient requires an =
X-ray=20
on arrival (XROA). Patients are invited to attend the imaging =
department=20
30 minutes before their clinic appointment. This ensures that the =
images=20
are available for the doctor seeing the patient at their scheduled =
clinic=20
appointment later that day. This service is currently for patients =
ranging=20
from birth to 13 years of age and this will extend to 16 years of =
age=20
following the move to the New Children=E2=80=99s Hospital in June =
2015. It is=20
anticipated that patients will be able to self scan their =
appointment=20
letter to ensure that they are directed to the imaging department =
on=20
arrival at the hospital. |
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.) = |
To check that the =
new pathway=20
is non discrimitory and especially since the service is moving to =
the new=20
hospital. |
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: = |
Mary =
Pirie |
27/03/2015=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):
Flora Muir, =
Mary Pirie,=20
Lynn Mulgrew, James Embleton =
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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 |
The service =
operates Computer=20
Radiology Information System (CRIS) which is a patient information =
specially designed for radiology service which is populated from =
data=20
given by the clinicans via Trakcare. Trakcare contains the =
demographics of=20
patients and this can include Ethicity, interpreting needs, =
physical=20
disability and mobility information. |
|
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 physical =
mobility=20
information provided has been useful to encourage consultants to=20
prioritise those patients with specific mobility =
difficulties.Patients=20
with learning difficulties are always accompanied with their =
parents or=20
carers. Parent or Cares of patient with Learning difficulties =
inform us of=20
their specific their requirements. For example a patient who has =
autism=20
may prefer to attend the department early in the morning when out =
patient=20
activity is at a minimum. |
|
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 learning has =
been from the=20
positive informal patient feedback in response to the streamlined=20
process. |
|
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. |
Feedback in the =
passed has=20
been from all attendees, however future patient feedback =
mechanisms will=20
include an equalities monitoring form |
|
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. |
N/A =
|
|
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. = |
There is a drop =
off area=20
outside the hospital. There are automatic doors to enter the =
building. The=20
service is currently located on the ground floor and this location =
is=20
mirrored in the new hospital. There are disabled car parking =
spaces=20
located on the ground floor of the multistory carparks. There is =
clear=20
signage with good colour contrast to assist good way finding.=20
|
|
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 |
The patients is =
advised of=20
their follow up appointment time before they leave the orthopaedic =
clinic=20
and issued with an appointment letter. Radiology also send a text =
message=20
to the patient to remind them of their appointment. Patient letter =
conform=20
to the NHS GG&C clear to all policy. The orthopaedic clinic =
will=20
ensure that interpreters are booked to attend the radiology =
service and=20
the follow clinic appointment. |
|
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. |
Staff will try to =
accomodate=20
same sex health professionals if required and will provide a =
chaperone if=20
neccesary. Privacy is paramount and provided on an individual =
basis for=20
imaging to be undertaken. |
|
(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. |
Staff are all =
aware of NHSGGC=20
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 =
available for=20
patients aged 0-13 years, this age data is collected and available =
for=20
analysis if required. All staff have completed Child Protection =
training.=20
There have been no instances to date of patients under the age of =
16=20
attending for an imaging procedure, as part of an out patient =
orthopaedic=20
clinic consultation, with out having a parent or guardian in =
attendance.=20
|
|
(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 |
The service will =
ensure that=20
an interpreter is utilised as it is essential to correctly =
identify the=20
patient as part of the radiation exposure guidelines. To date =
there have=20
been no racist incidents however should there be one in the future =
staff=20
are familiar with the datix incident reporting procedure. =
|
|
(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 =
that patients=20
may be accompanied by parents or guardians with a variety of =
sexual=20
orientations. To date there have been no homophobic incidents =
however=20
should there be one in the future staff are familiar with the =
datix=20
incident reporting procedure. Privacy is always afforded to all =
patients=20
and staff are aware that some patients may be undergoing early =
discussions=20
regarding their sexual orientation |
|
(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. |
The service has =
accessible=20
toilets and changing facilities. The service can comfortably =
accommodate=20
wheelchair users. There are a variety of chairs in the waiting =
areas with=20
arms and no arms and also different heights. Interpreters will be =
provided=20
for BSL as and when required. The text facility of appointment =
reminder is=20
of great benefit to hearing impared patients. |
The service to=20
explore the availabilty of an induction loop for hearing impared=20
patients. |
(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 |
Staff are all =
aware of=20
NHSGGC's Spiritual Care Manual. Staff are aware of the importance =
of faith=20
based items being sensitively being discussed in relation to the =
imaging=20
procedure. Staff are aware that there is a designated sanctuary =
area=20
available in the new hospital. |
|
(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. = |
Staff comply with =
Ionising=20
Radiation (Medical Exposure) Regulations 2000 (IRMER) in relation =
to=20
checking the pregnancy status of female patients and accompaning =
parents=20
during imaging procedures. Staff are aware that there are areas =
available=20
for breastfeeding privacy if required. |
|
(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. |
Staff are aware =
and would=20
direct patients to the relevant areas for reclaim of travel =
expenses.=20
|
|
(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. |
Staff are aware =
that some=20
families may be asylum seekers and that interpreters will be =
available if=20
required. If a teenage patient is part of the criminal justice =
system then=20
staff will ensure privacy and dignity are maintained throughout =
there time=20
in hospital if appropriate this will include liaising with the =
appropriate=20
services. |
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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. |
N/A =
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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. |
All staff =
currently have=20
E-KSF and PDP's which include equality and diversity components. =
Staff=20
training record to demonstrate up to date training as well as a =
corporate=20
event which staff attend to update their statutory and mandatory =
training.=20
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