Equality workshop: improving local health services using ... · an equality workshop to look at...
Transcript of Equality workshop: improving local health services using ... · an equality workshop to look at...
Equality workshop: improving
local health services using the
Equality Delivery System
28 November 2017
Equality workshopNHS Southwark Clinical Commissioning Group held an equality workshop to look at improving local services using the Equality Delivery System (EDS). We looked at 3 services the CCG commissions:• Extended Primary Care Service (8am – 8pm GP
Access Hubs)• Talking Therapies Southwark Service• Continuing Healthcare Service
The workshop was attended by approx 30 people including CCG staff and lay member, service provider staff, people working for voluntary sector organisations and users of the services and local people.
11 people filled in equal opportunities forms:
Ethnicity:
• 40% identified as White British
• 20% as White European
• 30% as Black or Black British -Caribbean
• 10% as Black or Black British – African
Gender
• 87.5% identified as female
• 12.5% identified as male
Sexual orientation
• 90% identified as heterosexual
• 10% as gay
Religion
• 70% identified as Christian
• 30% as having no religion
Age
• 40% were aged 30 - 44
• 40% were aged 45 - 59
• 10% were aged 60 – 64
• 105 were aged 65 - 74
Disability / long term condition (LTC)
• 34% identified as deaf / hard of hearing
• 11% identified as having a learning disability
• 34% identified as having mental ill health
• 11% identified as having a long term illness
• 11% identified as having a physical disability
• 34% identified as having no disability
Equality workshopThe purpose of the workshop was to help the CCG understand the extent to which the services we commission are delivering the following goals:• better outcomes, • improved access and • better experience for everyone in Southwark.
Equality workshopWasia Shahain, the Senior Equality , Diversity and Inclusion Manager explained the Equality Delivery System and how participants will be looking at one service area as a group in a detailed way and grading the service against a number of set outcomes.
Excelling: The CCG is
doing very well
Achieving: The CCG is
doing well, but could
still do more
Developing: The CCG
is doing OK, but
needs to do more
Undeveloped: The
CCG needs to do
much more
Outcomes we were measuring Goal Description Outcome
1 Better health
outcomes
The NHS should
ensure that the
people who use
services are free
from harm and
experience
different services
in an integrated
way
1.1 Services are commissioned, procured, designed
and delivered to meet the heath needs of local
communities
1.2 Individual people’s health needs are assessed and
met in appropriate and effective ways
1.3 Transitions from one service to another, for people
on care pathways, are made smoothly with everyone
well-informed
1.4 When people use NHS services their safety is
prioritised and they are free from mistakes,
mistreatment and abuse
*1.5 Screening, vaccination and other health
promotion services reach and benefit all communities
Outcomes we were measuring Goal Description Outcome
2 Improved
patient access
and experience
People can readily
access services that
they need, and
experience services
positively
2.1 People, carers and communities can readily access
hospital, community health or primary care services and
should not be denied access on unreasonable grounds
2.2 People are informed and supported to be as
involved as they wish to be in decisions about their care
2.3 People report positive experiences of the NHS
2.4 People’s complaints about services are handled
respectfully and efficiently
Equality workshop
Mark Kewley, Director of Transformation, gave an overview of Southwark’s population using data from the Council’s Public Health Intelligence Unit.
• Approximately 313,300 people live in Southwark, and the local population is much younger than the national average
• Southwark is an ethnically diverse borough with almost half of the population identifying as a minority group
• Ethnic minority communities are concentrated across the middle of the borough with pockets in the north
• Approximately 13% of people living in inner London have a disability, equating to 40,700 people in Southwark
• Estimates indicate that Southwark has the second largest gay or lesbian population in the UK, after Lambeth
Equality workshopDr Katharine Rimes gave a presentation on how the Talking Therapy Service (TTS) is meeting the needs of Lesbian, Gay, Bi and Queer (LGBQ) service users in Southwark.
Issues:• LGBQ people are more at risk for mental
health problems• More LGBQ people in Southwark than in
most parts of UK• Risk of mental health problems in LGBQ
people in Southwark is greater than for LGBQ people nationally
• LGBQ people, especially women and bisexual
• service-users have poorer treatment outcomes
What the service did:• Set up an on-going course for LGBQ people using
“cognitive behavioural” therapy (CBT) techniques• Male and female therapist who identify as LGBQ• Includes LGBQ-related examples• Discusses LGBQ issues such as coming out,
coping with stigma and discrimination
More
confidence
being LGBQ.Came out to
people at
work for the
first time
ever
Better coping
with negative
thoughts and
feelings
More
hopeful
about the
future
Feel less
alone or
weird
Equality workshop We then broke up to into three groups to look in detail at the outcomes in the service areas, using evidence that had been provided. For each service, participants were asked to tell us:• If the picture portrayed matched their or their communities’ experiences• Their ideas for how the service could be improved• A grade that everyone was comfortable with
Next steps We thanked everyone for attending and explained the next steps:• Validation of the grades• Identify action for service improvement or action plans • Monitor any actions or improvements identified • Publish the grades, actions and write up of the workshop
Evaluation 11 people filled in evaluation forms:• 55% found the information received before the event useful and 27% found it
adequate• 73% found the presentations easy to understand • 64% agreed the purpose of the event was clear from the outset• 90% felt able to contribute to the process
The hard work in
preparation was in
vein because
people hadn't read
[the evidence] and
didn't understand it
I found it
comprehensive
and informative
You need to
make sure
people have
used the
service
As a service user,
it was helpful to
hear about what
was happening in
the background
by the
professionals.
Thank you
for a great
event
People
were
unable to
contribute
Condense
and less
paper work
Grading
The table below is a table of grades as agreed at the workshop. We have also developed an equality objectives and action plan which you can see by clicking here.
Commissio
ning areaGoal 1 Goal 2
Continuing
Healthcare 1.1 1.2 1.3 1.4 2.1 2.2 2.3 2.4
Talking
Therapies
Southwark
1.1 1.2 1.3 1.4 2.1 2.2 2.3 2.4
Extended
Primary
Care
Service
1.1 1.2 1.3 1.4 2.1 2.2 2.3 2.4
Equality objectives and
outcomes Better health outcomes:• Commissioners to carry out equality analysis as part of development,
engagement and procurement process. EIA to be presented with business case / strategy at relevant committee.
• CCG to request and review activity data from key providers by protected characteristics as part of service monitoring / quality meetings (on at least 6 monthly cycle)
• CCG to ask key providers what E&D training is provided within their service• CCG to assure itself that access to interpreting services is available for the
hours of operation of services• CCG to work with key providers to update Serious Incident (SI) reporting to
include demographic categories: age, gender, ethnicity and sexual orientation
Equality objectives and
outcomes Improve patient access and experience:• CCG to work with key providers to review waiting list data by relevant
protected characteristics, to understand whether this has an impact of access to services for the local communities
• CCG to work with key providers to identify how information on reasonable adjustments, for patients, carers and local communities, are made, recorded and reported
• CCG to work with key providers to enable patient experience data to be analysed and reported by protected characteristics
• CCG to work with key providers to enable complaints data to be analysed and reported by protected characteristics and included within the patient experience reporting