Equality Impact Assessment Tool: Policy, Strategy and Plans
(Please follow the EQIA guidance in completing this form)

1. Name of Strategy, Policy or Plan

Missing Patient Protocol

This is a : Current;#Current Policy

2. Brief Description - Purpose of the policy, Changes and outcomes, services or activities affected

Hospital patients, whether in-patients or out-patients, can often be classed as vulnerable and, in some cases, this can lead to irrational and challenging behaviour which can cause difficulties for staff caring for them. Whilst the majority of patients are happy to remain within clinical areas for treatment, a number of patients may be absent from the clinical area without informing staff, they may wander off, abscond, become lost or leave without the appropriate support in place. When a patient has left an area, cannot be located and is assessed as missing that a standardised approach is adopted across the organisation that is consistent with our values and responsibilities. There is a need and ensure that the information gathered and the subsequent decisions about the reporting of the missing patient to Police Scotland (PS) is clear, concise, relevant and appropriate.

3. Lead Reviewer

Ann-Francis Fisher

4. Please list all participants in carrying out this EQIA:

Ann-Francis Fisher (Associate Chief Nurse)

5. Impact Assessment

A. Does the policy explicitly promote equality of opportunity and anti-discrimination and refer to legislative and policy drivers in relation to Equality

The Missing Persons Protocol sits beneath an overarching organisation commitment to meet pubic sector duties in relation to the Equality Act 2010. In line with this, the policy will not create a detrimental impact on any protected characteristics as defined by the Act or cause detriment resulting from a patient’s experience of socio-economic disadvantage.

B. What is known about the issues for people with protected characteristics in relation to the services or activities affected by the policy?

Source

All

General: The protocol sets out the actions that need to be taken in the event of a missing patient being reported. The protocol highlights the requirement to be mindful of additional vulnerabilities of patients and the escalation of risk this can have. Where a protected characteristic has direct relevance to this it will be factored in to all resulting actions.

Sex

Sex: There may be associated additional vulnerabilities on the grounds of sex that could impact on the likelihood of a patient being reported as missing. For instance women in coercive relationships may be under pressure to remove themselves from care - either as a means of protecting themselves from further risk from a third party, or in response to threats to do so.

Gender Reassignment

Gender Reassignment: There is no relationship between gender reassignment and risk of being recorded as missing from hospital care.

Race

Race: There is no direct relationship between race and risk of being recorded as missing from hospital care. There may be associated considerations (communication support barriers etc) that will need to be considered when liaising with regard to safe return of a patient.

Disability

Disability: People with mental health conditions may more likely to be reported as missing from hospital care.

Sexual Orientation

Sexual Orientation: There is no direct relationship between sexual orientation and risk of being recorded as missing from hospital care.

Religion and Belief

Religion and Belief: There is no relationship between religion and belief and risk of being recorded as missing from hospital care.

Age

Age: There may be an increased risk of an older person being reported as missing from hospital care - typically due to an associative mental health condition.

Pregnancy and Maternity

Pregnancy and maternity: There is no direct relationship between pregnancy and maternity and risk of being recorded as missing from hospital care, though pregnancy is a time when women may be at increased risk of gender based violence and so removal from hospital - either as a means of protection from a third party or on response to coercive behaviour by a partner may be a consideration.

Marriage and Civil Partnership

Marriage and Civil Partnership:There is no direct relationship between marriage and civil partnership and risk of being recorded as missing from hospital care

Social and Economic Status

Socio-economic status: There is no direct relationship between socio-economic status and risk of being recorded as missing from hospital care

Other marginalised groups (homeless, addictions, asylum seekers/refugees, travellers, ex-offenders

Other marginalised groups:

C. Do you expect the policy to have any positive impact on people with protected characteristics?

Highly Likely

Probable

Possible

General

Protocol will provide a positive impact only. The protocol guides staff to use a risk assessment process to identify at risk patients and initiate preventative measures By following the protocol staff are able to respond effectively when a high risk patient becomes a missing patient and instigate a timely response with the aim of returning patient quickly to a place of safety and care.

Sex

Protocol will provide a positive impact only. The protocol guides staff to use a risk assessment process to identify at risk patients and initiate preventative measures By following the protocol staff are able to respond effectively when a high risk patient becomes a missing patient and instigate a timely response with the aim of returning patient quickly to a place of safety and care.

Gender Reassignment

Protocol will provide a positive impact only. The protocol guides staff to use a risk assessment process to identify at risk patients and initiate preventative measures By following the protocol staff are able to respond effectively when a high risk patient becomes a missing patient and instigate a timely response with the aim of returning patient quickly to a place of safety and care.

Race

Protocol will provide a positive impact only. The protocol guides staff to use a risk assessment process to identify at risk patients and initiate preventative measures By following the protocol staff are able to respond effectively when a high risk patient becomes a missing patient and instigate a timely response with the aim of returning patient quickly to a place of safety and care.

Disability

Protocol will provide a positive impact only. The protocol guides staff to use a risk assessment process to identify at risk patients and initiate preventative measures By following the protocol staff are able to respond effectively when a high risk patient becomes a missing patient and instigate a timely response with the aim of returning patient quickly to a place of safety and care.

Sexual Orientation

Protocol will provide a positive impact only. The protocol guides staff to use a risk assessment process to identify at risk patients and initiate preventative measures By following the protocol staff are able to respond effectively when a high risk patient becomes a missing patient and instigate a timely response with the aim of returning patient quickly to a place of safety and care.

Religion and Belief

Protocol will provide a positive impact only. The protocol guides staff to use a risk assessment process to identify at risk patients and initiate preventative measures By following the protocol staff are able to respond effectively when a high risk patient becomes a missing patient and instigate a timely response with the aim of returning patient quickly to a place of safety and care.

Age

Protocol will provide a positive impact only. The protocol guides staff to use a risk assessment process to identify at risk patients and initiate preventative measures By following the protocol staff are able to respond effectively when a high risk patient becomes a missing patient and instigate a timely response with the aim of returning patient quickly to a place of safety and care.

Marriage and Civil Partnership

Protocol will provide a positive impact only. The protocol guides staff to use a risk assessment process to identify at risk patients and initiate preventative measures By following the protocol staff are able to respond effectively when a high risk patient becomes a missing patient and instigate a timely response with the aim of returning patient quickly to a place of safety and care.

Pregnancy and Maternity

Protocol will provide a positive impact only. The protocol guides staff to use a risk assessment process to identify at risk patients and initiate preventative measures By following the protocol staff are able to respond effectively when a high risk patient becomes a missing patient and instigate a timely response with the aim of returning patient quickly to a place of safety and care.

Social and Economic Status

Other marginalised groups (homeless, addictions, asylum seekers/refugees, travellers, ex-offenders

Protocol will provide a positive impact only. The protocol guides staff to use a risk assessment process to identify at risk patients and initiate preventative measures By following the protocol staff are able to respond effectively when a high risk patient becomes a missing patient and instigate a timely response with the aim of returning patient quickly to a place of safety and care.

D. Do you expect the policy to have any negative impact on people with protected characteristics?

Highly Likely

Probable

Possible

General

There is no anticipated negative impact to people with protected characteristics through the introduction of this protocol

Sex

There is no anticipated negative impact to people with protected characteristics through the introduction of this protocol

Gender Reassignment

Race

There is no anticipated negative impact to people with protected characteristics through the introduction of this protocol

Disability

There is no anticipated negative impact to people with protected characteristics through the introduction of this protocol

Sexual Orientation

There is no anticipated negative impact to people with protected characteristics through the introduction of this protocol

Religion and Belief

There is no anticipated negative impact to people with protected characteristics through the introduction of this protocol

Age

There is no anticipated negative impact to people with protected characteristics through the introduction of this protocol

Marriage and Civil Partnership

There is no anticipated negative impact to people with protected characteristics through the introduction of this protocol

Pregnancy and Maternity

There is no anticipated negative impact to people with protected characteristics through the introduction of this protocol

Social and Economic Status

There is no anticipated negative impact to people with protected characteristics through the introduction of this protocol

Other marginalised groups (homeless, addictions, asylum seekers/refugees, travellers, ex-offenders

There is no anticipated negative impact to people with protected characteristics through the introduction of this protocol