Non-Urgent Patient Transport Policy and Procedures

Transcription

1 Non-Urgent Patient Transport Policy and Procedures POLICY NUMBER 116/Clinical POLICY VERSION 1 RATIFYING COMMITTEE Executive Management Board DATE RATIFIED 17 th May 2011 DATE OF EQUALITY & HUMAN RIGHTS April 2011 IMPACT ASSESSMENT (EHRIA) NEXT REVIEW DATE 1 year after ratification (Review Process 6 months after implementation) POLICY SPONSOR Executive Director of Strategic Development POLICY AUTHOR Patient Transport Programme Manager * This policy undergoes an annual review in order that the Trust works within national compliance standards for provision of secure inpatient services. If you require this document in another format such as large print, audio or other community language please contact the Governance Support Team on or HSCG@sussexpartnership.nhs.uk Did you print this document yourself? Please be advised that the Trust discourages the printing and retention of hard copies of policies and can guarantee that the policy on the Trust website is the most up-todate version. As a contingency a full set of up-to-date Trust policies are held by the Governance Support Team based at Trust HQ, Swandean

2 EXECUTIVE SUMMARY: Title Purpose Applicable to Aim of Policy Main Features Policy Lead Development Group Non-Urgent Patient Transport Policy and Procedures To ensure all staff and members of the public are aware of the Trusts policy on the provision of Non- Urgent Patient Transport Services and the application of the Healthcare Transport Costs Scheme. All Sussex Partnership Foundation NHS Trust employees, patients and other health care professionals/providers of mental health services. To provide clarity and to detail the Trusts responsibility with regard to Non- Urgent Patient Transport Services Define the eligibility criteria for Non-Urgent Patient Transport provision. To ensure all requests for Non-Urgent Patient Transport Services are legitimate and reflect true medical need. To define the booking procedures. To ensure all staff are aware and understand this policy. Valerie Jopson Patient Transport Programme Manager Patient Transport Steering Group Page 2 of 24

3 CONTENTS 1.0 Introduction 1.1 Purpose of policy 1.2 Definitions 1.3 Scope of policy 1.4 Principles PAGE Policy Statement Duties Procedure 4.1 Eligibility Criteria Healthcare Transport Cost Scheme (HTCS) Booking Procedures Outpatients, Admissions, Day Cases Clinical Obese Patients Discharge How to book Discharge Transport Development, consultation and ratification Equality and Human Rights Impact Assessment (EHRIA) Monitoring Compliance Dissemination and Implementation of policy Document Control including Archive Arrangements Reference documents Glossary Appendices Index Appendix 1 Assessing eligibility for patient transports Appendix 2 Eligibility criteria for patient transport Appendix 3 Patient Transport Booking Form Appendix 4 EHRIA impact assessment on policy Page 3 of 24

4 1.0 Introduction 1.1 Purpose of policy Non-Urgent Patient Transport Service activity is typified by the non-urgent, planned transportation of patients, with a medical need for transport, to and from a NHS health service provider and between health care providers. This will encompass a wide range of vehicle types and levels of care consistent with the patients needs. The purpose of this document is to:- Define the eligibility criteria for free transport and to ensure Trust staff have clear guidelines as to who is entitled to it. To ensure all staff aware of the correct procedure when booking transport. The policy also covers the Healthcare Travel Cost Scheme (HTCS) and the procedures applicable to operate the scheme within Sussex Partnership NHS Foundation Trust. 1.2 Definitions Sussex Partnership NHS Foundation Trust recognises its obligations to provide a non Urgent patient transport service to certain patients who, due to their medical condition, are unable to make their own travel arrangements when attending a Sussex Partnership Foundation NHS Trust facility. It is the Acute Trust who is obliged to provide and arrange non-urgent transport for eligible patients receiving treatment provided by an Acute Trust 1.3 Scope of policy The policy provides information for all members of staff, members of the public and healthcare professionals who make travel arrangements on behalf of patients. The policy is designed to ensure that Sussex Partnership NHS Foundation Trust provides a punctual and professional patient transport service to eligible patients and to provide guidance and support to patients who are not eligible for free transport. 1.4 Principles To be eligible for non-urgent patient transport a patient must have a clearly defined medical condition that prevents them from using public or private/personal transport. The Trust requires that the assessment to establish a patient s medical need for non-urgent patient transport is only carried out by the care coordinator and approved by a Band 7 or above Manager. This assessment should also consider the type of transport required for the patient i.e. stretcher, wheelchair, unaided etc. The distance to be travelled and frequency of travel are also factors to be taken into account. The Trust recognises that Patients should be able to travel to and from hospital in a reasonable time and in reasonable comfort without detriment to his or her clinical condition. Patients granted non-urgent patient transport may only have an escort travelling with them if there is a medical requirement for attention on the journey or the patient is under 16 years of age. Page 4 of 24

5 Patients with their own specially adapted wheelchair may travel in them. Other wheelchair users may be asked to transfer from a wheelchair to a seat for their own comfort and safety. Patients who have other forms of specialist equipment can be catered for. 2.0 Policy Statement Patients should make their own way to and from hospital unless there is a clearly defined medical reason why they need non-urgent patient transport. Eligibility for the use of non-urgent patient transport is based upon a clinical assessment and is only available for patients attending a Sussex Partnership NHS Foundation Trust facility for an appointment as an outpatient, inpatient or for the discharge home following a stay in hospital. Non-Urgent patient transport should be the exception not the rule, therefore there must be strict adherence to the procedure. 3.0 Duties 3.1 The Chief Executive of Sussex Partnership NHS Foundation Trust is ultimately responsible for the implementation of this policy. The Chief Executive delegates to the Chief Operating Officer the responsibility of ensuring that the service provided does not impact on the patient experience or service delivery. All members of the management team throughout the Trust have a responsibility to ensure the policy is implemented, monitored and disseminated within their areas of responsibility. 3.2 Individual Sussex Partnership NHS Foundation Trust staff shall be accountable for ensuring they abide by the Patient Transport Procedures. This is applicable to all forms of transport used for moving patients into or from the Trust. Staff should ensure that all requests are assessed against the eligibility criteria and abortive journeys minimised. 3.3 The Operations Directorate will operationally manage the non-urgent patient transport service in liaison with unit managers, and the providers of the service. The Head of Procurement will provide all relevant information pertaining to activity and finance as well and support operational services in monitoring the performance of providers as required. 3.4 Sussex Partnership NHS Foundation Trust is responsible for distributing via the Primary Care Trusts the policy to the various GP surgeries and other medical practices in order that the policy is implemented at primary care level. Particular reference is made here to the eligibility rules and their application. 4.0 Procedure 4.1 Eligibility Criteria. To be eligible for non-urgent patient transport a patient must have a clear medical need. Financial or social care grounds are not reasons for granting non-urgent patient transport. When assessing patients for non-urgent patient transport they should be routinely asked about their normal means of travel. If a patient can normally get around without support and assistance they should not be offered transport. Page 5 of 24

6 Transport will be provided, but only if a clear medical need has been identified either by the patient s GP or care co-ordinator Eligible patients are those: High dependency patients who require a qualified medical crew. Patient requires the support of trained transport staff to assist with the lifting in and out of the vehicle by mechanical means. Patients who are wheelchair users and travel in their own chair requiring lifting in and out and mechanical clamping of their chair within the vehicle. Patients who can only be conveyed on a stretcher. Where the patient s medical condition impacts on their mobility to such an extent that they would be unable to access healthcare and/or it would be detrimental to the patient s condition or recovery to travel by other means. Where the patient s cognitive state or lack of motivation could result in nonattendance if their travel were unsupported. In certain cases a patient s frequency of travel will be taken into account as well as medical condition. The principles/eligibility criteria for accessing health service provided non-urgent patient transport for mental health and learning disability patients are: Adopting a recovery model approach to people with mental health and learning disability problems encourages independence, avoids discrimination, reduces stigma associated with mental illness and disability and encourages people to act positively and take responsibility for all elements of their life wherever possible. Accordingly, all community patients and some in-patients should exercise all means available to them to reduce reliance upon health provided transport. This will include, walking, cycling, driving, utilising public transport, lifts from care home staff/partner/carer/family/friends or using a public taxi where affordable to access healthcare services and appointments. If none of the above means of transport are available/accessible/appropriate on health grounds, people will be eligible to access health provided transport for the duration of their treatment if it is assessed as being required by an individual s care co-coordinator/care manager, and it forms part of a care plan subject to regular review. This may be a car/taxi or ambulance type vehicle dependant upon assessed need. For people receiving treatment for mental ill health/learning disability as an inpatient, health funded transport (this may be in the form of a vehicle retained at the hospital for patient transport) will be available for people detained under the mental health act 1983 (revised 2008) who will be escorted by at least one staff member for the duration of the journey. People receiving in-patient treatment on a voluntary basis and needing to access alternative healthcare services or appointments will also be able to access health funded transport. See DH hyperlink for further details and guidance: Guidance/DH_ Page 6 of 24

7 4.2 Only clinically qualified staff may recommend the provision of non-urgent patient transport, these include: Consultants Psychologists Hospital Doctors Registered Nursing Staff Registered Physiotherapists and Occupational Therapists Social Worker This journey and any subsequent journey need to be included in the service user s care plan and reviewed on a four-weekly basis, recorded and audited on a regular basis. The booking needs to be authorised by a Band 7 or above Team Leader or Manager for budgetary purposes. A General Practitioner (GP) may arrange transport for the initial referral journey if the patient meets the patient transport eligibility criteria. Any further journeys would need to be booked by the Care Coordinator based on the care plan identifying the need for patient transport based on the eligibility criteria. 4.3 Non urgent patient transport may also be provided to an eligible patient s escort or carer where this is deemed necessary. This decision should be made on a medical needs basis and again authorised as below. medical need as outlined in point 4.1 professional from a nursing home or school accompanying a minor (under 16 years of age). The escort/attendant for a minor must be a responsible adult. Accompanying a patient with special needs e.g. the patient is aphasic, blind, confused, has learning disabilities or needs skilled assistance for the journey 4.4 Where a patient has been granted eligibility and is a frequent user, the ongoing eligibility should be re-assessed on a very regular basis, in most cases every 4 weeks. 4.5 There are no exceptions to the eligibility rules. If a patient fails to meet the criteria the request for non-urgent patient transport must be refused. 4.6 For those who do not meet the eligibility criteria, other transport options must be explained, for example public transport or community transport options. These can be found on the following websites: Community Transport in East Sussex (including Volunteer Schemes) Community Transport in West Sussex spx Community Transport in Brighton & Hove Links to these websites will be available on the Trust intranet web pages Page 7 of 24

8 5 Healthcare Transport Cost Scheme (HTCS) 5.1 The Healthcare Travel Cost Scheme provides financial assistance to those patients who do not have a medical need for non-urgent patient transport but who require assistance in meeting the cost of travel to and from the hospital. 5.2 Reimbursement of travel costs is available for patients who are currently under the care of a consultant (not a GP), receiving hospital diagnostic tests or treatment and that it is being funded for by the NHS. It does not apply to journeys for primary medical or dental care. 5.3 As with non-urgent patient transport, strict eligibility rules apply. Currently patients eligible for full or partial reimbursement include patients (and their dependants) who receive: Income Support Income-based Jobseekers Allowance Pension Credit Guarantee Working Family Tax Credit NHS Low Income Scheme (certificate HC2 or HC3) Other qualifying criteria The following hyperlinks contain further details: Whilst Primary Care Trusts are ultimately responsible for payment of the scheme in practice patients who are eligible will claim from the cash office located within the hospital/unit. Evidence of both travel costs and the appointment will need to be provided. 5.5 Regulations state that the amount of any NHS travel expenses to be reimbursed must be calculated by reference to the cost of the cheapest means of transport which is reasonable, having regard to the person s relevant circumstances. This would normally equate to the value of a bus fare. The test of reasonableness should be based on the assumption that the patient should be able to reach their healthcare establishment in a reasonable time and without detriment to their condition. 5.6 Patients in receipt of a Mobility Allowance should not be reimbursed monies under the HTCS scheme except in exceptional circumstances. The mobility allowance is paid specifically to assist in travel costs, including hospital visits. 5.7 Patients in receipt of Mobility Allowance should make their own way to hospital and are not automatically entitled to non Urgent patient transport unless a clear medical need has been identified. (Please refer to point 4.0 regarding eligibility criteria) 5.8 Phone number and web site details of DLA Disability Living Allowance Unit Warbreck House Warbreck Hill Blackpool Lancashire Page 8 of 24

9 FY2 0YE Phone number (Helpline) Text phone Opening Hours: Monday to Friday 7.30 am to 6.30 pm 6 Booking Procedures Sussex Partnership NHS Foundation Trust staff can book travel arrangements via the Patient Transport Bureau. NO PHONE CALL BOOKINGS WILL BE ACCEPTED. The only accepted method of booking is by fax to the Patient Transport Bureau (fax no ) using the booking form (Appendix 3) 6.1 Outpatients, Admissions, Day Cases A minimum of 24 hours (no later than 12 noon on the day before transport is required) and a maximum of four weeks notice is required to register a request for non-urgent patient transport. It is vital that if the patient will require an escort/attendant to be with them and on which part of the journey the detail must be submitted on the booking form. If specialist equipment is required for use by the patient during the journey this must be stated on the booking form. Patients may travel in specially adapted wheelchairs if they have them. If the patient s mobility will differ on the homeward journey please make this clear when making the booking. 6.2 Clinically Obese Patients. Clinically obese patients are those greater than 21 stone in weight, although weight must not be the only consideration the patients build must also be assessed. Therefore a risk assessment would need to be undertaken prior to transportation. 6.3 Discharge (includes inter-hospital/unit transfers and home visits) A patient s journey home or to another unit/hospital should be discussed with the patient before discharge is arranged. It is expected that all patients will make their own arrangements to travel home unless there is a medical need for non-urgent patient transport. For home visits, transfers or where medical need has been identified transport should be booked in advance of the discharge date where possible. If the discharge address is out of Sussex Partnership NHS Foundation Trust s area where possible 48 hours notice should be given. It is the responsibility of ward staff to notify the patient transport bureau that the patient is ready to leave the ward. The patient must be made ready with the transport provider. The ward should ensure that the patient is ready to leave at the time they are booked. Any delays caused or arrivals outside of the agreed times must be reviewed either internally or with the provider to ensure re occurrence is minimised. Page 9 of 24

10 If the patient is not ready to leave the ward when the ambulance crew arrive, the crew is not required to wait. The transport provider must be notified of any communicable illness such as MRSA and Clostridium Difficile. 6.4 How to book Discharge Transport Only the care co-ordinator with approval by a Band 7 or above manager may make transport bookings. Refer to Appendix 1 to establish patients mobility needs (never use the wheelchair option UNLESS the patient has his/her personal wheelchair with them on the ward). Each time the patient requests transport they must be asked if anything has changed since their last visit regarding their mobility or condition. These changes must be recorded on the booking system. Highlight any special instructions. E.g. Any infectious disease, DNAR, MRSA (identify site, is it covered?), Clostridium Difficile, oxygen (how much). It is important that the any access difficulties (like steps) at the home address are identified. Does the patient need to be carried upstairs? Book any equipment to travel with the patient e.g. walking frame. Note that only one small bag will be carried in the transport. Relatives must remove all other luggage. In special circumstances and after negotiation with the provider extra luggage may travel with the patient. 7.0 Development, consultation and ratification The Patient Transport Steering Group has been involved in developing the policy and procedure. It has been shared with the Public and Patient Involvement Manager and Service User representative. This policy has been submitted for agreement to all the Integrated Governance Teams. The policy will be submitted to the Executive Management Board for approval. 8.0 Equality and Human Rights Impact Assessment (EHRIA) An equality and human rights impact assessment has been completed The completed form is presented as an appendix. The policy is in line with Department of Health guidelines 9.0 Monitoring Compliance The care plans of service users requiring non-urgent patient transport will be audited. This policy will be submitted to the Policy Review Committee Dissemination and Implementation of policy The policy will be circulated through the Operations Directorate and distributed to all Business Managers. It will be placed on the intranet via Communications. Page 10 of 24

11 11.0 Document Control including Archive Arrangements The policy will be reviewed on an annual basis through the Patient Transport Steering Group Reference documents Eligibility Criteria nts/digitalasset/dh_ pdf Healthcare Travel Costs Scheme Community Transport in East Sussex (including Volunteer Schemes) Community Transport in West Sussex aspx Community Transport in Brighton & Hove Glossary Definitions of technical or specialised terminology used within the policy 14.0 Appendices Appendix 1 Assessing eligibility for patient transport Appendix 2 Eligibility criteria for patient transport Appendix 3 Patient Transport Booking Form Appendix 4 - EHRIA impact assessment on policy Page 11 of 24

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13 Appendix 2 Principles/eligibility criteria for accessing health service provided non-urgent patient transport (Extract from SEC SHA eligibility criteria) For mental health and learning disability patients - 1. Adopting a recovery model approach to people with mental health and learning disability problems encourages independence, avoids discrimination, reduces stigma associated with mental illness and disability and encourages people to act positively and take responsibility for all elements of their life wherever possible. 2. Accordingly, all community patients and some in-patients (identified in section 4 below) should exercise all means available to them to reduce reliance upon health provided transport. This will include, walking, cycling, driving, utilising public transport, lifts from care home staff/partner/carer/family/friends or using a public taxi where affordable to access healthcare services and appointments. 3. If none of the above means of transport are available/accessible/appropriate on health grounds, people will be eligible to access health provided transport for the duration of their treatment if it is assessed as being required by an individual s care co-coordinator/care manager, and it forms part of a care plan subject to regular review. This may be a car/taxi or ambulance type vehicle dependant upon assessed need. 4. For people receiving treatment for mental ill health/learning disability as an in-patient, health funded transport (this may be in the form of a vehicle retained at the hospital for patient transport) will be available for people detained under the mental health act 1983 (revised 2008) who will be escorted by at least one staff member for the duration of the journey. People receiving in-patient treatment on a voluntary basis and needing to access alternative healthcare services or appointments will also be able to access health funded transport if for whatever reason 2 above is not appropriate then 3 above shall apply. Russell Hackett Director of Business Development Page 13 of 24

14 APPENDIX 3 Non-Urgent Patient Transport Request Form TO: PATIENT TRANSPORT BUREAU WOODSIDE ANNEXE, THE DRIVE, HELLINGLY BN27 4ER TEL: /EXT 3119 FAX: INT. FAX:3237 STEP 1 Apply Eligibility Criteria STEP 2 Full Name: PATIENT DETAILS Mr/Mrs/Miss/Ms Child/Adult/Elderly Pick Up Address: Postcode: (must be given) Destination Address: Any Special Instructions: STEP 3 MODE OF TRANSPORT CAN MANAGE IN CAR: AMBULANCE REQUIRED: Walker Wheelchair Carry Chair Wheelchair Taxi - Tele No:. Name of Company:.... Stretcher (Please tick the relevant box) (Please tick the relevant box) STEP 4 APPOINTMENT DETAILS SINGLE JOURNEY Date of Journey: Appointment Time: Return Time: REPEAT JOURNEY Sun Start Date: Appointment.../.../ Time: Finish Date: Return.../.../ Time: REASON FOR JOURNEY (Please tick relevant box) Mon Tue Wed Thur Fri Sat Admission Discharge Transfer ESCORT ATTENDING: YES/NO DETAILS: Outpatient Other STEP 5 REQUISTIONER DETAILS Requisitioned by: Managers Name Signature: Team Base: Contact No: Page 14 of 24 Care Group:. PTS Ref No:.

15 This document is available in other formats such as electronic format or large print upon request. Please contact the Equality, Diversity and Human Rights Team on or 15

16 Completion Guidance: Please ensure that all the questions on the pro-forma are completed and that written evidence is provided. Should you have any problems when filling out the pro-forma then please contact the Equality, Diversity and Human Rights Team on or Names of EIA Team members (min of 3 Author, manager and staff member or SU) Valerie Jopson, Patient Transport Programme Manager, Russell Hackett, Director of Business Development, Patient Transport Steering Group, Rodney Ash, Service User Governor. Date of completion & submission April 2011 Name of policy/strategy Non-Urgent Patient Transport Policy and Procedures Aim of policy/strategy To ensure all staff and service users are aware of the provision of non-urgent patient transport services and the application of the Healthcare Transport Costs scheme. Name of lead Manager/Director 1 Impact assessment Does the policy/strategy target or Race No Transport is provided to all service users based on medical need exclude a particular equality groups Disability/Carer No eligibility criteria and no other criteria. listed? (please write Yes or No in Reimbursement is means tested as per Government legislation. Gender or Gender Identity No white column) Age No Sexual orientation No (Direct Discrimination) Religion & belief No Does the policy/strategy affect any of Race No Transport is provided to all service users based on medical need the equality groups listed Disability/Carer No eligibility criteria and no other criteria. disproportionately? (please write Yes Reimbursement is means tested as per Government legislation. Gender or Gender Identity No or No in white column) Age No Service Users can have their own escort or a member of staff escorts the (Indirect Discrimination) Sexual orientation No patient wherever there is a need. Religion & belief No Are there barriers which could inhibit access to the benefits of the policy/strategy? e.g. Communication/information, physical Yes The Trust is able to address any potential barriers through providing information in alternative formats, use of community interpretation services. Through diversity monitoring and evaluation the Trust is able to identify and address future potential barriers to access or differential 16

17 access, location, sensitivity etc. benefit and outcomes. Each service user receives transport based on their care plan and their medical need based on the eligibility criteria. Does the policy/strategy give different groups the same choices as everybody else? Yes Service Users can have their own escort or a member of staff escorts the patient wherever there is a need. Application of Eligibility criteria approved and applied across South East Coast SHA region. What evidence has been used to make these judgements? Please tick one or more How is the effect of the policy/strategy on different equality groups going to be monitored? Please specify for each equality group Demographic data and other statistics, including census findings Recent research findings including studies of deprivation Results of recent consultations and surveys Results of ethnic monitoring data and any equalities data from the local authority / joint services or Health inequality data Information from groups and agencies within Sussex Comparisons between similar functions / policies Analysis of PALS, complaints and public enquires information Analysis of audit reports and reviews Race Disability/Carer Gender or Gender Identity [including pregnancy&maternity] Age Sexual orientation Religion & belief Please provide any evidence that you feel may be appropriate 6 Public consultation events were held across Sussex. See attached Please provide evidence for your answer Transport is provided to all service users based on medical need eligibility criteria and no other criteria. The Trust will meet the requirement set out in the public sector equality duty, which comes into force on the 4 th April 2011, to conduct diversity monitoring. These form part of corporate arrangements. The Policy and outcomes will be reviewed at Patient Transport Steering Group and agreed at Integrated Governance Team meetings. 17

18 Ref Choose ONE + Impact description Describe both positive and negative impacts. Describe each impact below and the specific group(s) it affects, e.g. Bangladeshi Women or year old people, and the number of people affected (if known) As the Trust is a public body, the potential barrier relating to communication has been addressed The Trust is a provider of services to people living with mental health issues and/or learning disabilities. The Trust is committed to a recovery model and where decisions on transport are made, these will be clinically driven and form part of a care plan Impact Score Low = 1 Minor = 2 Moderate = 3 major = 4 Catastrophic = 5 Race Each relevant characteristic Disability/ Carer Gender or Gender Identity Sexual Orientation Religion / Belief Age Evidence X Access to translation and interpretation services in place. X PTS as a means of improving patient care, safety and experience

19 2. Human Rights Impacts First follow the instructions in the left column, and then in the last column. Take the impacts identified above and where applicable insert their reference numbers (e.g. 1.1) against whether they either promote ( ) the right or freedom or whether they restrict on it ( ). Do NOT make a decision if there s been an unlawful breach of a particular right at this stage. You are just categorising those impacts where applicable. + A2 Right to life 2.1 A3 Prohibition of torture, inhuman or degrading treatment 2.2 A4 Prohibition of slavery and forced labour 2.3 A5 Right to liberty and security A6 Right to a fair trial 2.5 A7 No punishment without law 2.6 A8 Right to respect for private and family life A9 Freedom of thought, conscience and religion A10 Freedom of expression Ref Other If there is or could be an impact on someone s rights because of a different personal characteristic, e.g. political or other opinion, social origin, property, birth or other status (e.g. literacy), please provide details (including your evidence, as in Section 1 above, and any justification) matched against the relevant areas: Transport providers, as well as drivers are aware and trained in matters relating to deprivation of liberty, the Mental Capacity Act and relevance to PTS journeys. We are able to respond where a service user has concerns around stigma and privacy and requires the use of nonliveried transport. We provide support and training for staff to ensure personalised care includes taking account of religious sensitivities that impact on transport. We also provide joint learning opportunities for staff, patients, and service users to explore religion and belief. The Trust has in place a strong multi-faith chaplaincy which provides advice and support to patients and staff. 19

20 A11 Freedom of assembly and association A12 Right to marry and found a family 2.11 P1A1 Protection of property 2.12 P1A2 Right to education 2.13 P1A3 Right to free elections 2.14 The Trust is aware that those either providing or receiving transport may hold views or membership of bodies which, may conflict with the mission and vision of the Trust. The Trust has clear standards on the behaviours it expects of those working on behalf of the Trust, as well as ongoing learning and development to make sure of dignity and respect for both staff and service users. 20

21 Actions Please give details of the actions you will take to address the issues highlighted in this assessment and when you will complete them by (all these actions will be published on the website and included in the SES action plan). Please include measures to improve data capture or research. Before commissioning research please contact a member of the Equality and Diversity Team. Ref Equality Target Group & Human Rights All: Sign off of diversity monitoring & evaluation schedule to support Trust s duties to collect and evaluate diversity data across its services and functions. Action & Resource Lead Person Timescale Discussion with Equality and Human Rights Team to consider diversity monitoring data parameters, data sets and final frequency of analysis & outputs. Scott Durairaj/Valerie Jopson April 2011 All: The team will contribute to the Trust s statutory Equality Report setting out progress in meeting public sector equality duty. [Equality Act 2010] Race and Disability Identify any work undertaken as part of the EHRIA or during the implementation stage of the policy, which should be captured in the Trust s statutory diversity report, which must be published by July A link is provided and/or flagged by the Team, to: the Sussex Consortium Framework Contract for the Supply of Translation and Interpreting Services. [Trust web pages] NB: Any queries on above from staff should be directed to: Andy Porter Associate Director Social Inclusion Tel: andy.porter@sussexpartnership.nhs.uk R.Hackett/V Jopson June 2011 V. Jopson April

22 Additional Information Please put in an additional information that you think may be relevant to the Equality and Human Rights Impact Assessment During August and September 2010 six public engagement sessions on the review of non-urgent patient transport were held in Crawley, Worthing, Hastings, Brighton, Haywards Heath and Eastbourne for service users, carers, staff, and third party organisations to enable Sussex Partnership receive a clear view of what service users require to be included in the service specification for the new non-urgent patient transport contract. We received contributions of what they would like to see included and what they would not like to see included. Themes emerged in the categories of vehicles, driving staff, journey, quality control, and booking process. Service users would prefer to have plain vehicles, either cars or disabled access vehicles rather than ambulances with logos to remove stigma; drivers to be trained in mental health issues, first aid, disability awareness; a service that prioritises mental health clients; transport is seen as part of continuity of patient care; quality monitoring via a central point; realistic journey times, reliable service on time; central booking point; and a commissioning and tender process that is accessible and user-friendly for all interested transport providers including voluntary organisations and social enterprise groups. Valerie Jopson, Patient Transport Programme Manager is working with the other Sussex NHS Trusts to ensure that the outcomes of the public engagements sessions are included in the service specification as part of the pan-sussex tendering process for non-urgent patient transport. 22

23 1.1.1 Des crip tor APPENDIX 1: RISK SCORING: CONSEQUENCE (Impact Actual or Potential) Insignificant (1) Minor (2) Moderate (3) Major (4) Catastrophic (5) Objectives / Projects Insignificant cost increase Insignificant schedule slippage <5% over project budget Minor schedule slippage 5-10% over project budget Significant schedule slippage 10-25% over project budget Serious schedule slippage > 25% over project budget Critical schedule slippage Scope or Quality Barely noticeable reduction in scope or quality Minor reduction in quality/scope Significant reduction in scope or quality Failure to meet secondary objectives Does not meet primary objectives Financial Small loss Loss > 0.1% of budget Loss > 0.25% of budget Loss > 0.5% of budget Loss > 1% of budget Service / Business Interruption Inspection / Audit / Statutory Duty Adverse Publicity / Reputation / Morale Patient Experience / Outcome Loss / interruption > 1 hour Insignificant breach of Statute Insignificant recommendations Insignificant noncompliance with standards Rumours / suspicions Potential for public concern Unsatisfactory patient experience not directly related to patient care Loss / interruption > 4 hours Minor breach of Statute Minor recommendations given Minor non-compliance with standards Local Media short term Minor effect on staff morale Unsatisfactory patient experience readily resolvable Loss / interruption > 8 to 24 hours Improvement Notice Challenging recommendations Non compliance with Core Standards Reduced rating Local Media long term Significant effect on staff morale Mismanagement of patient care, short term effect ( 1 week) Loss / interruption >1 week Enforcement Action (Magistrates). Critical report Major non-compliance with Core Standards Low rating National Media < 3 Days Serious effect on staff morale Serious mismanagement of patient care, long term effects ( 1 week) Permanent loss of service or facility Enforcement Action (Crown Prosecution) Severely critical report Zero Rating National Media > 3 Days. MP Concern (Questions in House) Totally unsatisfactory patient outcome or experience 23

24 1.1.3 Des crip tor Insignificant (1) Minor (2) Moderate (3) Major (4) Catastrophic (5) Scope of Impact in Terms of Volume of people Only one person affected Less than 3 people but greater then 1 person affected Greater then 3 people but less then 50 people affected Greater then 50 people but less then 200 people affected Greater then 200 people affected Injury (Physical / Psychological) No identifiable injury or ill health No permanent injury or ill health (Probably be resolved / healed in one month) Semi-Permanent Injury or ill health (Likely to be resolved / healed within one year) Permanent Injury or ill health (Permanent Loss of Function) AWOL / Missing Patient Unexpected death Suspected homicide Suicide Property Loss or Damage Missing Data or Files Insignificant Loss or Damage Insignificant Data lost / missing Minor Loss or Damage Minor Data lost / missing Significant Loss or Damage Significant Data lost / missing Serious Loss or Damage Serious Data lost / missing Critical Loss or Damage Critical Data lost / missing Complaints / Claims Insignificant complaint Risk of claim remote Minor complaint Claim less than 10,000 Significant complaint Claim(s) between 10,000 & 50,000 Serious / several complaints Claim(s) between 50,000 & 250,000 Critical / Multiple Complaints Claim(s) in excess of 250,000 HR / Organisational Development Short term low staffing level - temporarily reduces service quality (< 1 day) Ongoing low staffing level - reduces service quality Ongoing unsafe staffing level Late delivery of key objective / service due to lack of staff. Uncertain delivery of key objective / service due to lack of staff. Loss of key staff Non-delivery of key objective / service due to lack of staff Loss of several key staff Staffing Competence Insignificant error due to ineffective training / competence Insignificant amount of staff not completing their mandatory training Minor error due to ineffective training / competence Minor amount of staff not completing their mandatory training Significant error due to ineffective training / competence Significant amount of staff not completing their mandatory training Serious error due to ineffective training / competence Serious amount of staff not completing their mandatory training Critical error due to insufficient training / competence Critical amount of staff not completing their mandatory training 24