Equality Analysis. Halton and St Helens HSTH Equality Analysis Number (provided by the E&D Team)

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1 Equality Analysis Division Service Name Equality Analysis Number (provided by the E&D Team) Directorate Service Lead Responsible for completion of Equality Analysis What is the aim of the service? What are the intended benefits and improved health outcomes to patients? Which, if any, third sector, (charity and voluntary sector), groups does the service work with? Does the service carry out any patient engagement or work with any patient groups? How do users access the service? e.g. GP referral, self-referral How long do users tend to stay with the service? Are patient records paper based or computerised, if computerised which system is used? Which of the 9 equality strands does your service monitor? At what stage are any of the 9 equality strands above ted? At what point are patients discharged? What is the discharge process? Halton and St Helens Tissue Viability Service HSTH Specialist Services Name Job Title Telephone Address Keith Moore Tissue Viability Clinical Nurse Specialist Keith.moore@bridgewater.nhs.uk To provide specialist assessment and advice for staff and patients on all aspects of Tissue Viability, complex wound management and prevention of pressure ulcers To ensure optimum healing for patients with complex wound management needs We have formalised links with any charities, but on request will provide education We have formalised links with any patient groups, but on request will provide education Referrals to this specialist service are via health care professionals This will vary from single visits to multiple visits over many months Both paper based and Paris IT systems are used Age Disability Gender Reassignment Marriage/Civil Partnership Pregnancy/Maternity Race Religion/Belief Sex (Gender) Sexual Orientation Referral Forms First Appointment Forms Discharge Forms Other Yes Yes No No When the complex wound management needs are met and the care can be moved forward by other health care professionals The patients are discharged from our service but Page 1 of 7

2 What is the process following a Did Not Attend? How does the service ensure a DNA was t because adjustments had t been made to facilitate access? Failure to make adjustments may be a breach of the Equality Act 2010 and can lead to vulnerable patients t receiving timely and appropriate care. remain with the referring service Trust access policy is followed, the patient is contacted to arrange ather appointment Trust access policy is followed and information regarding access needs are provided by the referrer Page 2 of 7

3 Equality Analysis The next section asks more specific questions based on CQC outcome alignment to the Equality Act 2010 and the Human Rights Act The questions asked relate to barriers potentially facing patients from the nine protected characteristic groups and also those who are carers, from lower socio ecomic communities and those with chaotic lifestyles (such as the homeless, sex workers or drug users) all associated with health inequalities and poor health outcomes. The CQC identified barriers are Access, Assistance and Attitude; the questions have broken this down into access to the initial appointment, assistance within and following the appointment and attitude relating to staff training in the different health issues, needs and aspirations of the different groups within our community. Would there be any reason, other than clinical need, for the service to refuse to see a patient? How would a patient be made aware of: alternative clinic venues domiciliary care options or flexible appointment times or days? These alternatives can be very important for carers, those observing particular holy days/festivals or those with work commitments. How would the service identify if a patient should be offered a pre-appointment familiarisation visit to the clinic? This could be important for patients with a learning disability or autistic spectrum disorder. Is there an appointment reminder procedure within the service, for example text messaging? Via Phone or Letter. The patient will already be seeing a health care team, who are familiar with that individual. So we would be guided by what the health care professional say. The patient will already be seeing a health care team, who are familiar with that individual. So we would be guided by what the health care professional say. Page 3 of 7

4 How does the service kw if a patient requires assistance for any of the following? Translation or interpretation for other languages Communication support for deaf, deafened or hard of hearing Communication support for blind or visual impaired Communication support for difficulties with speech Easy read for learning disabilities, lower literacy, the elderly Contrast of text on paper for learning difficulties Pre-Appointment/Referral At the appointment Post appointment follow up - information provided (including complaints procedure, privacy tices) The patient will already be seeing a health care team, who are familiar with that individual. So we would be guided by what the health care professional say. The patient will already be seeing a health care team, who are familiar with that individual. So we would be guided by what the health care professional say. The patient will already be seeing a health care team, who are familiar with that individual. So we would be guided by what the health care professional say. Large print Learning Disability Health Passport or Care Passport Telephone contact or text messaging Religious observances Requests for same sex clinician Quiet areas Longer appointment times Appointments at particular times, for example early or late when quiet Mental health illness Are staff confident in how to access this help and why there may need to be an adjustment made? Page 4 of 7

5 If a patient is unable to use the telephone are there other ways for them to contact the service? How does the service ensure that all patients can access the reception and waiting area? How does the service ensure patients who may experience difficulties can access the treatment room? Are bathroom facilities available for patients who may need help from a carer? Has the service experienced patients missing an appointment following arrival at a venue, for example because of the patient calling system excluding deaf or hard of hearing? What does the service do to ensure patients understand the information given to them in the appointment? What does the service do to ensure carers understand the information given to them? For example information about pain relief or medicine administration. Does the service offer appointments to, and see homeless patients or those in temporary accommodation? Would one of the service s patients transition to ather service? Does information regarding necessary adjustments for access and care get passed to the relevant agency when a patient transitions between services? Mail or Unless they are already a treatment room patient all of our appointment are home based Unless they are already a treatment room patient all of our appointment are home based Unless they are already a treatment room patient all of our appointment are home based All patient information is sent for approval by a lay panel before giving to patients for their information All patient information is sent for approval by a lay panel before giving to patients for their information Page 5 of 7

6 Would staff in the service be interested in receiving training or accessing advice in the following areas: Autistic Spectrum Disorders Mental health awareness Sensory impairments Learning disabilities Learning difficulties e.g. dyslexia, dyspraxia Lesbian, gay, bisexual health Gender reassignment awareness Religious and cultural awareness Asylum seeker/refugee awareness E&D signed off: Ruth Besford Date: Page 6 of 7

7 Age Disability Gender Reassignment Marriage/Civil Partnership Pregnancy/Ma ternity Race Religion/Belief Sex Sexual Orientation EqA Completion Date Potential barriers identified Protected Characteristic Group Affected Equality Report Other Groups Affected Actions Lead Due May t always be aware of needs of service users prior to appointment Reasonable adjustments that may be requested Religion and culture has an impact on home visits Less confident readers Homeless/vulnerably housed Asylum seekers/refugees Less confident readers Asylum seekers/refugees Review referral process and identify gaps in information E&D to produce reasonable adjustments guidance E&D to produce religion and culture awareness card for staff Staff to access training requested E&D and Service Lead E&D E&D E&D Jan.2014 Dec.2013 Dec.2013 Sept.2014 Training Requested Autistic Spectrum Disorders Mental Health Awareness Sensory Impairments Learning Disabilities Learning Difficulties (e.g. dyslexia, dyspraxia) Lesbian, gay and bisexual health Gender reassignment awareness Religious and cultural awareness Asylum seeker/refugee awareness Report Sign Off Service Lead Name: Diane Evans Date: E&D Lead Name: Ruth Besford Date: Action Plan Review Date September 2014 Page 7 of 7