NHS Highland Disability Equality Scheme Update December 2007 · • Review impact on disabled...

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NHS Highland Disability Equality Scheme Update December 2007 If you require this document in an alternative format please contact Marie Gilbert on �� !�� "�#�� $%&�%��'�(��)��#"#�"#� *��)��'�%��+��(��,��$%&�%��'-�.��)��%��-/��0��'�,��-+�(��+1�� /2� This Document has not yet been ratified by the NHS Highland Board but will be incorporated into the Equality and Diversity Progress Report to the Board in February 2008 This document provides an update of the NHS Highland Disability Equality Scheme (DES) published in December 2006 A traffic light scheme using red, amber and green to describe progress on the actions from the original scheme has been used. Red is denotes no or limited progress, Amber denotes reasonable ongoing progress but not completion and green denotes an action that has been completed. The updated document then describes what NHS Highland needs to do to progress existing actions and take on new actions resulting from our work so far. Fair for All Disability recently circulated a report on a national picture of disability equality in NHS Scotland. NHS Highland was recognised for good practice in terms of engagement and the presentation of its demographic profile. This updated action plan aims to build on these areas of good practice and also recognises other areas of work that can be improved, developed and promoted in order to work towards disability equality. The priority areas for the next year highlighted in the update are; Engagement Staff Involvement Training Impact Assessment Procurement and contracting This update includes information about the different departments, services and groups responsible for delivering actions and measuring success. The NHS Highland Equality and Diversity Steering group take an overview of the scheme and will regularly review progress and report to the NHS Highland Board and Corporate Team.

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Glossary of Abbreviations

Abbreviation Full Term

CBT Cognitive Behavioural Therapy

CHP Community Health Partnership

DDA Disability Discrimination Act

DES Disability Equality Scheme

EQIA Equality and Diversity Impact Assessment

FFA Fair for All

FHC For Highland’s Children

HR Human Resources

ICP Integrated Care Pathway

KSF Knowledge and Skills Framework

NHSH National Health Service Highland

PDM Policy Development Manager in Community and Health Improvement Planning Team

PDP Personal Development Plan

SAIF Scottish Accessible Information Forum

SHOW Scotland’s Health on the Web

SMR Standardised Mortality Ratio

SWISS Scottish Workforce Information Standard System

W3 World Wide Web Consortium

WBA Wellbeing Alliance

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Objective 1 Evidence Leadership for Disability Equality

Action in DES

Current Status What We Will Do Now Who is Responsible

Output/Outcome

Provide Equality and Diversity development session for Board and extended Corporate Team

GREEN • Session provided

• Ensure future training

made available to all NHSH staff and Board members

Community & Health Improvement Planning Team & Board Secretary

• Equality and Diversity

training available to all NHSH Staff

Develop equality champions’ network to increase number of champions, widen geographical and role spread, provide further training and development opportunities

GREEN • Equality and Diversity

Training Programme underway across NHSH training includes involvement of members of disability groups

• Continue to develop

training programme and associated resources for NHSH staff

Community & Health Improvement Planning Team

• Increase in staff

confidence to promote good practice and challenge practice in relation to equality and diversity

Review role, remit and membership of Equality & Diversity Steering Group to ensure appropriate expertise on disability issues and representation from all key parts of NHS Highland

GREEN • Role and remit of group

revised. • PDMs working in CHPs to

ensure Equality and Diversity Agenda embedded at a local level

• Workforce Group now in place to embed HR issues.

• Continue to ensure

disability issues are represented within NHSH Equality and Diversity Agenda

Chair Equality & Diversity Steering Group

• Working towards disability

equality undertaken as part of all NHSH activity

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Objective 1 Evidence Leadership for Disability Equality continued

Action in DES


Output/Outcome

Continue to provide lead for WBA on Equality & Diversity

GREEN • WBA Group continuing to

develop effective partnership approach to meeting duties

• Continue to develop

WBA Strategy action plan ongoing


• Relevant Equality and

Diversity issues addressed with partners where partnership increases value of activity

Work towards harmonising approaches to disability equality across the whole of NHSH Highland, to promote equity in service provision and disability equality work

AMBER/GREEN • Pilot Equality and Diversity

Training programme focuses on developing skills and improving practice in the workplace

• New guidance on accessibility in consultation

• Agree approach for

evaluating impact of training on practice in NHSH November 2008

• Complete consultation and publish accessibility guidance February 2008

Equality & Diversity Steering Group & Corporate Team

• Training available to all

NHSH staff • Increase in staff

confidence to promote good practice and challenge practice in relation to equality and diversity

Continue to promote the message that disability equality needs to be mainstreamed across the whole organisation

AMBER/GREEN • Key part of revised remit for

NHSH Equality and Diversity Group

• Key message in all equality and diversity training

• Key element of PDM role in CHPs

• Agree approach for

evaluating impact of NHSH E&D Group and PDP role in embedding disability equality

Equality & Diversity Steering Group & Corporate Team

• Publicised impacts on

practice of promoting disability equality

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Objective 2 Improve Physical Accessibility of Services

Action in DES


Output/Outcome

Continue improvements to estate as per identified priorities and available funds ensuring any emergency or unplanned building work takes cognisance of opportunities to make more DDA compliant Where budgets permit consider additional low cost changes to buildings or internal environment in response to good practice guidance or reported experience

AMBER New builds, repairs and adjustments are DDA Compliant based on building regulations discussion with members of access panels has highlighted that best practice requires more consideration

Ensure involvement of disabled people in agreeing specs for new builds

GREEN Involvement takes place at a locality level

• Work with the

Representatives from Disability Groups, Access Panels to develop standardised protocols and guidance on best practice re engagement and meeting need May 2008

• Measure impact of a more standardised NHSH response across all CHPs January 2009

Estates Team Community & Health Improvement Planning Team Equality & Diversity Steering Group

• Standardised guidance

for NHSH staff about physical accessibility best practice

Audit DDA compliance of new builds incorporating views of disabled people

RED Audit has not taken place

• Work with the

Representatives from Disability Groups, Access Panels and Estates Team to carry out audit of DDA compliance and impact on disabled people of such compliance. February 2008

Equality & Diversity Steering Group & Estates Team

• NHSH has access to

practice examples of DDA compliance in buildings and impacts on Disabled people

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Objective 3 More Effective Communication with Disabled People Action in DES

Current Status What We Will Do Now Who is

Responsible Output/Outcome

Improve communications on disability actions and issues – including communication with staff, NHS Board, the public and disability groups

GREEN • Disability groups given feedback

on DES and action planning. • Pilot Staff training programme

underway • Report to Board on activities in

February 2008 • Articles in Staff publications

limited due to reduced publications – resolved December 2007

• Engagement with Disability groups ongoing through WBA

• extend training programme

based on findings from pilot • Increase awareness raising

through staff publications ongoing

• Use findings from WBA engagement exercise to build on engagement July 2008

• Review impact on disabled people of increased communications with disability and staff groups December 2008

Community & Health Improvement Planning Team Communications Team

• 4 articles every 12

months in staff publications focusing on disability issues

• Appropriate Mechanisms in place to encourage peer support for disabled staff

Ensure disability focus in all organisational communication plans

GREEN • Support available via PDM role

in CHPs • Equality and Diversity impact

assessment used to check positive impact on disabled people.

• Include impact assessment

as part of review of actions in local CHP plans November 2008

• Promote use of accessibility guidance within CHPs March 2008

CHPs Community & Health Improvement Planning Team Communications Team

• Increased confidence of

disability groups in the NHSH communication

• NHSH Communication Strategy highlights best practice re accessible communication

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Objective 3 More Effective Communication with Disabled People continued

Action in DES


Output/Outcome

Together with disabled people review Communications Strategy Action Plan and Communications Toolkit against issues raised by focus groups and report back on changes made

RED/AMBER Feedback form focus groups incorporated into action plan No other formal engagement undertaken Communications Strategy Action Plan is a high level corporate action plan, it has been agreed that in order to influence day to day practice the review of other communication plans would have more significant impact

• Review newly revised

Communications and Engagement Plan with Disability Group Representatives, against accessibility guidance after consultation period July 2008

• Publish review and any recommendations September 2008

Communications Team Community & Health Improvement Planning Team

• Increased confidence of

disability groups in NHSH communications

• NHSH Communication Strategy highlights best practice re accessible communication

Together with disabled people develop and implement a policy on accessible information

AMBER • Draft guidance developed

based on SAIF and FFA best practice due for consultation December 2007

• Complete consultation on

guidance with disabled groups and staff January 2007

• Launch Guidance February 2008

• Develop NHSH Accessibility Policy April 2008

• Assess impact of guidance with disabled people and staff July 2008


• Good Practice

Accessibility Guidance in place for all NHSH Staff

• Improved Accessibility for Disabled People

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Objective 3 More Effective Communication with Disabled People continued

Action in DES


Output/Outcome

Develop further the NHS Highland SHOW web page providing links to accessible information to include good practice guidance and to further extend the range of accessible information available on the site

AMBER • Website meets current

accessibility basic standards

• Develop information

available on line using findings of consultation on accessibility guidance and engagement with Disability groups and staff April 2008

• Work with Website implementation group to agree approach to including accessibility as standard for all NHSH staff inputting to the site June 2008


Ensure all NHS Highland web sites are accessible, including having ‘Browse Aloud’ capacity

GREEN Browse Aloud available throughout site

Incorporate relevant changes on website as result of launch of new national accessible website standards August 2008 Assess impact of website with disabled people and September 2008


• Accessibility good

practice available on line for NHSH staff and partners.

• NHSH SHOW website uses accessibility best practice beyond the requirements of W3 guidelines

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Objective 4 Improve Disabled People’s Experiences of Services

Action in DES


Output/Outcome

Address specific service issues raised in focus groups and questionnaires and report back on changes made

GREEN/AMBER • Voluntary Sector contracting and service

level agreements being developed • NHSH and partners undertaking

awareness raising and service review to extend current client group using palliative care services

• Review of NHSH targets show no clear issues re access to physiotherapy services

• Discussion with Speech and Language Therapy not undertaken, support for the role of the Carer addressed within the new Carer’s Strategy

• Mental Health Plan acknowledges delays in CBT services and proposes range of responses.

• Feedback provided to groups

• Impact assess Physiotherapy

services and Speech and Language Services across NHSH. March 2008

• Impact assess Carers Strategy Feb 2008

• Impact assessment of stroke services June 2008

• Impact assess proposals resulting from other equality schemes supporting alternative mechanisms for the delivery of CBT and other psychological interventions June 2008

• PDPs will work with CHPs to develop access at selected GP practices including implementation of good practice using accessibility guidance

• Promote equality and diversity training in primary care ongoing

• Continue to feedback developments

Community & Health Improvement Planning Team Physiotherapy Service Speech and Language Service Cardiology Service CHPs

• Increase

proportion of service changes and developments made based on engagement with equalities groups

• Increase confidence of people with disabilities in impact of engagement exercises

• Improved service provision for people with disabilities

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Action in DES


Responsible Output/Outcome

Address specific service issues raised in focus groups and questionnaires and report back on changes made (continued)

• Consultant contracted to carry out feasibility study on use of technology to promote BSL/English interpreting in remote and rural areas

• Awareness raising courses on using BSL/English Interpreters available to NHSH staff

• Health Awareness resources for people with Learning Disabilities developed and delivered

• Training trainers undertaken by people with Learning Disabilities to raise awareness with staff in relation to sexual health and relationships

• Meet with HUG to develop responses to concerns about GP services Jan 2008

• Evaluate impact of awareness raising courses July 2008

• Sexual health and relationships toolkit for NHSH staff in development

• With partners seek funding to continue Health awareness work to support people with Learning Disabilities

Community & Health Improvement Planning Team Physiotherapy Service Speech and Language Service Cardiology Service CHPs

• Increase


• Increase confidence of people with disabilities in impact of engagement exercises

• Improved service provision for people with disabilities

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Objective 4 Improve Disabled People’s Experiences of Services continued Action in DES

Current Status What We Will Do Now Who is Responsible Output/Outcome

Develop systematic means of recording ‘ad hoc’ issues raised and recording and monitoring of how these are responded to and fed back to individual/group that raised them

AMBER • Key principle of pilot training

programme to ensure that staff are able to transfer principles and guidance given into good practice in the workplace

• Evaluate impact of training on

practice December 2008 • Feedback to disability groups

positive impacts highlighted by staff


• Disability groups

impact on service provision of developing good practice

Further develop mechanisms to support and encourage the involvement of disabled people in service planning and redesign

AMBER • Awareness raising undertaken with

Highland Health Voices members about gathering equality data for membership development

• Revised communication and engagement template provides guidance for all NHSH staff on engaging with equality groups

• Review newly revised

Communications and Engagement Plan with Disability Group Representatives, against accessibility guidance after consultation period July 2008

• Promote Highland Health Voices Membership during consultations with disability groups


• Disabled People

involved in service planning and design

Consider how best to further develop and use the idea of the patient or carer ‘expert’

GREEN/AMBER • Carers’ Strategy Consultation

undertaken • Long term conditions equity audit

underway

• Carers’ Strategy to be launched • Undertake any actions resulting

from audit • Impact assess service changes

and development resulting from audit

Public Health Directorate Community & Health Improvement Planning Team

• Positive Impact

of Carers formally recognised by SHSH and partners within the Carers’ Strategy

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Objective 4 Improve Disabled People’s Experiences of Services continued

Action in DES


Ensure evidence of completed EQIA in all new service developments

AMBER • EQIA embedded within Clinical Policy

Ratification Group • Guidance provided for all NHSH

Board members on impact assessment as a requirement of information presented to the Board

• Review impact of including EQIA

evidence in service developments October 2008

• Deliver EQIA training across NHSH December 2008

Clinical Policy Ratification Group Corporate Team/Board Members Community & Health Improvement Planning Team

• Working towards

embedding EQIA into NHSH activity

Work to further extend use of equalities monitoring across services, including joint services

AMBER • Development of equalities monitoring

as part of SMR recording • Work underway to standardise use of

common assessment document for inpatient care across NHSH

• Work not progressed around joint services

• Review use of equalities

monitoring on outpatient questionnaire

• Develop equalities monitoring within joint services

• Develop and provide training for NHSH staff in relation to equalities monitoring and recording patient need

Community & Health Improvement Planning Team eHealth CHPs

• Working towards

ensuring NHSH has effective and standardised equalities monitoring protocols.

Evaluate pilot on equalities monitoring of complaints and further develop according to results of this evaluation

AMBER • Pilot undertaken in NHSH • Equalities monitoring analysed by

central government • High level of completion by

complainants

• Develop actions based on

analysis when it is made available February 2008

NHSH Equality and Diversity Steering Group

• NHSH is aware

and can take action on any patterns and trends in complaints relating to disability

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Objective 4 Improve Disabled People’s Experiences of Services continued Action in DES


Ensure that promotion of disability equality and elimination of harassment included in all contracts with suppliers of goods and services, and with voluntary organisations in receipt of NHS Highland grants monies

RED • Commitment to include information

in all contracts, currently only included in voluntary organisations with new service level agreements

• Current conditions of contract do not include specific reference to equalities legislation although development of appropriate information for inclusion is now underway

• Agree guidance for staff involved

in contracting April 2008 • Agree statements for inclusion in

contract conditions May 2008 • Develop protocol for post

contractual monitoring June 2008

Highland Healthcare Supplies Community & Health Improvement Planning Team

• All NHSH

contracted suppliers are aware of the disability equality duties in relation to provision of goods and services

Continue to promote awareness of Independent Advocacy services, and train staff in the value base and benefits of Independent Advocacy

AMBER Promotion being undertaken as part of PDM role Value base and benefits of independent advocacy built into broader equality and diversity training pilot

Advocacy specific training developed in South East CHP January 2008 Training rolled out across CHPs December 2008


• NHSH staff

aware of Advocacy services and able to signpost patients and clients appropriately

Address issues re children’s services within framework of For Highland’s Children 2

RED/AMBER • Impact assessment of CAMHS

undertaken • FHC2 overall strategy not impact

assessed • Impact assessment of specific

services within strategy undertaken by partners

• Impact assessment of children’s

services to be undertaken as a result of QIS review January 2008

• Agree with partners process for impact assessing FHC3 that is currently in development September 2008

Children’s Services in NHSH and partner organisations Wellbeing Alliance

• Disability

Equality embedded in FHC3

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Objective 5 Promote Equality and Disability Awareness

Action in DES


Output/Outcome

Roll out Same Difference e-learning equality and diversity resource to 7500 staff and develop local ‘study’ meetings

AMBER Technical difficulties delaying the project now resolved.

• Online learning programme made

available to 7,500 staff April 2008 • Evaluate impact of resource on staff

practice December 2008

eHealth Community & Health Improvement Planning Team

• 75% of all

registered users complete one module of online equality and diversity training programme

December 2008

Continue and further improve range and uptake of awareness raising opportunities e.g. Deaf Action sessions

GREEN/AMBER • Pilot Equality and Diversity

training programme made available to NHSH staff

• DEAF ACTION sessions made available to NHS Staff

• Positive responses from those attending but relatively low uptake as percentage of whole organisation.

• Continue to develop training

programme based on ongoing evaluation ongoing

• Continue to ensure clear links with PDPs as part of equality and diversity training ongoing

• Link future training opportunities with external agencies to KSF and PDP ongoing

• Include accessibility guidance in awareness raising with generic trainers ongoing

Learning and Development Team Community & Health Improvement Planning Team

• NHSH staff

aware of a range of disability equality training available and how this relates to PDPs

Work with Wellbeing Alliance and Argyll & Bute Community Planning Partnership to promote public awareness of disability equality issues

RED/AMBER • Resource identified and agreed

to produce an analysis of any gaps in equality and diversity in order to develop a prioritised work plan in Argyll and Bute

• Take forward actions prioritised in

work plan May 2008 • Specifically include raising public

awareness as part of broader plans aimed at reducing inequalities December 2007

Argyll and Bute CHP NHSH Equality and Diversity Steering Group

• Timetable of

activities to promote Disability Equality in Argyll and Bute

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Objective 5 Promote Equality and Disability Awareness continued

Action in DES


Output/Outcome

Ensure regular features on disability equality in staff newsletter

AMBER • Limited number of articles

published

• Increase awareness raising through

increased input to staff publications


• 4 articles every

12 months in staff publications focusing on disability issues

Consult on and develop action plan for Wellbeing Alliance strategy

AMBER/GREEN Action Plan to be presented to WBA December 2007 WBA Violence against Women Training includes issues about disability equality

WBA to adopt NHSH accessibility guidance April 2008

Wellbeing Alliance

• Relevant

Equality and Diversity issues addressed with partners where partnership increases value of activity

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Objective 6 Promote and Improve Engagement with Disabled People

Action in DES


Output/Outcome

Audit and monitor Health Voices and other PFPI work to support and develop best practice in engaging disabled people.

AMBER • Basic feedback mechanisms in

place

• Undertake analysis of feedback and

link this with feedback from NHSH staff and uptake of the communications and engagement plan toolkit

Communications Team NHSH Equality and Diversity Steering Group

• Increase in

engagement with Disabled People in Highland

Review engagement with disability groups and disabled individuals in Argyll & Bute, and develop and implement action plan

AMBER • 2 days a week identified within

Argyll and Bute PFPI Team to focus on Equality and Diversity within the CHP

• Resource identified and agreed to produce an analysis of any gaps in equality and diversity in order to develop a prioritised work plan in Argyll and Bute

• Embed existing good practice

highlighted within NHS Highland into Argyll and Bute CHP ongoing

• Take forward actions prioritised in work plan May 2008

Argyll and Bute CHP NHSH Equality and Diversity Steering Group

• Increase in


• Timetable of activities to promote Disability Equality and encourage best practice in Argyll and Bute

Develop and promote to all staff a checklist of good practice re accessibility / involvement of disabled people

AMBER • Draft guidance developed

based on SAIF and FFA best practice due for consultation December 2007

• Complete consultation on guidance

with disabled groups and staff January 2007

• Launch Guidance February 2008 • Continue to include good practice

information within Equality and Diversity training


All NHSH staff have access to accessibility guidance

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Objective 6 Promote and Improve Engagement with Disabled People continued Action in DES


Responsible Output/

Outcome Engage disability groups and individuals in implementation and monitoring of this DES

AMBER Engagement mechanisms in place as result of work undertaken by the Wellbeing Alliance. Resulting Action Plan to be presented to WBA December 2007

Ensure disability groups have named point of contact with NHS on issues of disability equality

AMBER NHS Highland resource within

Community & Health Improvement Planning Team identified

• Consult on ratified action plan in order to

prioritise actions most relevant to people with disabilities January 2008

• Continue to build links with disability groups in relation to health issues and other NHS related issues.

• Continue to work with WBA partners to develop appropriate engagement mechanisms across equality groups

Community & Health Improvement Planning Team Wellbeing Alliance

With partners, disseminate and discuss analyses of questionnaires and focus groups with participants and other disability groups and individuals

GREEN Analysis, discussion and

dissemination completed Although final report not available

until after DES submission, Key issues included in DES. Final Report available online

Include disability groups that have an

expressed an interest as a result of this exercise in broader engagement exercises

Wellbeing Alliance NHSH Equality and Diversity Steering Group

Engage disabled individuals and disability groups in preparation of WBA Equality & Diversity Action Plan

GREEN Consultation undertaken and completed Proposed Action Plan to be ratified December 2007

• With partners continue work with access

panels to prioritise identified actions • Support capacity building within disability

groups to develop engagement • Continue to build on multi agency

approaches to supporting disability groups

Wellbeing Alliance NHSH Equality and Diversity Steering Group

• Increase in


• Increase


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Objective 7 Further Develop the Demographic Profile

Action in DES

Current Status What We Will Do Now Who is Responsible Output/ Outcome

Work with Wellbeing Alliance to improve range and quality of demographic information

GREEN Continue to work with WBA in order

to develop range and quality of demographic information across all equality strands

Multi agency response to census consultation

Focus on developing current NHSH Staff

demographic, promoting purpose of data gathering and developing mechanisms for data gathering and analysis

Community & Health Improvement Planning Team Wellbeing Alliance

Increased

understanding of staff population in relation to disability and reasonable adjustment

Look at further analysis of demographic data to highlight multiple disadvantage

AMBER Analysis underway Long Term Conditions Equity Audit

in draft due for publication early 2008

Community Pharmacy needs assessment underway

NHSH has committed to a sample boost

(increase in sample size) for the new format Scottish Health Surveys which will in future years help build up a helpful and relevant set of data in relation to disability at CHP level

Revisit Scottish Household data in the DES in order to develop our understanding of multiple disadvantage in relation to equality and diversity October 2009

Health Intelligence and Knowledge Team Pharmacy Services Community & Health Improvement Planning Team Public Health Directorate

• Improvements

in data analysis to allow more in depth understanding of need in relation to disability

Ensure availability of appropriate demographic information is promoted across NHS Highland

AMBER The most recent CHP demographic

profiles pre-dated the DES although subsequent information has been made available through consultation and promotion of the DES and the Long term conditions equity audit

Include the most up to date equality and

diversity related information in subsequent CHP demographic profiles December 2009

Health Intelligence and Knowledge Team CHPs Community & Health Improvement Planning Team

• Demographic

information in relation to disability available and relevant to the whole of NHSH

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Objective 8 Further Develop Impact Assessment Action in DES


Responsible Output/

Outcome

Complete prioritised EQIAs on CHD, stroke, cancer, mental health and PIN guidelines

AMBER Impact assessment on CHD and Stroke Services

underway, due for completion February 2008 Impact assessment on PIN guidelines underway

with significant recommendations made for changes to encourage positive action and promotion of equality and diversity

Impact assessment on ICPs agreed in principle as pathways develop.

ICP Project Manager now in post

Follow up and publicise

changes and impact of changes resulting from EQIA recommendations

Impact assess ICPs as developed

Working with service providers and community groups, agree plan for impact assessing mental health services as part of ICP development

Relevant Service Managers Community & Health Improvement Planning Team

Services working specifically within disability related health issues are impact assessed

Agree with Corporate Team further prioritised programme of impact assessment

AMBER • EQIA Training emphasising engagement and

involvement underway • Revision of tool used to carry out EQIA

underway, consultation on proposed tool December 2007

• Information about current

and anticipated impact assessment will be part of a report to the NHSH Board on Equality and Diversity activity in February 2008


Publicised timetable of impact assessment for 2008/09

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Objective 8 Further Develop Impact Assessment continued

Action in DES


Output/ Outcome

More vigorously implement and audit policy of ensuring impact assessment on all new service developments and redesign

AMBER Project Initiation documents now include information about equality and diversity and impact assessment Clinical Policy Ratification Group only accept policies that have been impact assessed NHSH Chairman and Chief Executive verify status of impact assessment on agenda items before inclusion at Board meetings

• Make impact assessment

tool available on line • Ensure all completed EQIA

Summaries are available on line on new NHSH website

• Increase availability of EQIA Training

Community & Health Improvement Planning Team Corporate Team

• Impact

assessment tool available to all staff

• Impact assessment summaries available to the public

Extend current Board protocol on reporting Impact Assessment to other appropriate committees and the DHS Management Team

AMBER/GREEN • Clinical Policy Ratification Group only accept

policies that have been impact assessed • Guidance for production of Board Papers

includes EQIA information • Increase in impact assessment being included

in CHP Committee Meetings

• Deliver EQIA Training across

CHPs may 2008 • Launch of impact assessment

guidance across NHSH February 2008


Institute annual audit of completed Impact Assessments

RED/AMBER • As a result of initial review of impact

assessment process, tool has been reviewed to include quality assurance processes and is currently in consultation.

• Audit has not been conducted this year

• Update on current activity

within Board Progress Report February 2008

• Review of impact assessments completed August 2008


• Increase in

number of gateways for ensuring impact assessment is undertaken within NHSH

• level of impact is recorded and reviewed across NHSH

• EQIA Training is available to all staff

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Objective 8 Further Develop Impact Assessment continued

Action in DES


Output/ Outcome

Develop and roll out programme of training on Impact Assessment across organisation

AMBER EQIA training pilot December 2007

• Evaluate pilot and roll

out across NHSH as part of launch of new EQIA tool August 2008

Ensure positive publicity on experience of impact assessment in staff newsletter

RED/AMBER Incorporated into EQIA Pilot training Included in other Equality and Diversity Training

• Include examples in

equality and diversity articles in NHSH publications throughout year


Ensure clinical policy ratification group guidelines reflect good practice in impact assessment

GREEN All policies to be ratified by group are scrutinised

• Include feedback from

this group for the audit of impact assessment August 2008


• Increase in number of gateways for ensuring impact assessment is undertaken within NHSH

• level of impact is recorded and reviewed across NHSH

• EQIA Training is available to all staff

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Objective 9 Ensure NHS Highland is a Good ad Equal Opportunities Employer

Action in DES


Output/ Outcome

Ensure benefits of completing SWISS proforma promoted to all staff

AMBER National information circulated. Workforce Equality and Diversity Subgroup now in place.

• Support completion by

ensuring that information provided is meaningful for Highland employees April 2008

Use SWISS data to analyse staff complement and compare with demographic profile Agree programmes of positive action to address any issues arising from analyses of SWISS data

RED/AMBER Returns not yet available Workforce Group work plan developed using currently available (incomplete) returns information and other sources of data including staff surveys

• Analyse completed SWISS

data and respond to highlighted issues including development of positive action May 2008

Workforce Equality and Diversity Sub Group

Increased understanding of staff population in relation to disability and reasonable adjustment

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Objective 9 Ensure NHS Highland is a Good ad Equal Opportunities Employer continued

Action in DES


Output/ Outcome

Agree mechanism to capture data on equalities on hand-completed application forms

AMBER Resource identified to undertake analysis

Analysis completed and opportunities for positive action highlighted and built into workforce action plan August 2008


Increased evidence base of impact of recruitment processes in NHSH

Explore means of consulting and involving disabled staff in identifying and addressing relevant issues

AMBER • Investigation with Disabled

staff, Trade Union and other Staff Representatives the potential for developing Staff Disability Group underway

Agree appropriate approach for building capacity for a disabled staff group and resources to facilitate group May 2008


NHSH staff group focusing on disability in place

Implement and audit Equal Opportunities Policy Review and implement Dignity at Work Policy

AMBER/GREEN Impact assessment on PIN

guidelines underway with significant recommendations made for changes to encourage positive action and promotion of equality and diversity

Staff workshops promoting an understanding of bullying and harassment undertaken

Launch reviewed policies

March 2008


NHS Highland Partnership Forum

All NHSH staff

provided with awareness raising opportunities in relation equal opportunities and dignity at work

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Objective 9 Ensure NHS Highland is a Good ad Equal Opportunities Employer continued

Action in DES


Output/ Outcome

Further develop work with providers of Unlock your Potential and Pathways initiatives

AMBER Report of evaluation of unlock

your potential project undertaken

• Use evaluation findings to

review current practice including Pathways initiative towards developing seamless provision and supporting continued intervention with groups of disabled people that otherwise do not have contact with services March 2008


NHS Highland Partnership Forum

• Review of

evaluation findings complete and action plan in place

Ensure roll out of management training on equal opportunities in employment practice

AMBER Training delivered to HR staff National delay in recruitment and retention PIN guidance has had impact on delivery

• Provide training to NHS

Highland Partnership Forum May 2008

• Develop and deliver training on specific issues as highlighted in initial training July 2008

APF HR Subgroup Workforce Equality and Diversity Sub Group

• All HR Staff have

undertaken equality and diversity training

NHS Highland Disability Equality Scheme Update December 2007 · • Review impact on disabled...

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