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Equality and Diversity Council MINUTES 28 JULY 10:00-12:30 SKIPTON HOUSE, LONDON MEETING CALLED BY ATTENDEES APOLOGIES NOTE TAKER WELCOME & INTRODUCTIONS Equality and Diversity Council (Simon Stevens, Chair) See annex See annex Habib Naqvi Simon Stevens Agenda topics WELCOME AND INTRODUCTION SIMON STEVENS Simon Stevens welcomed the new members of the Council that included lived experience and staff-side representatives. He highlighted the success of the first NHS Windrush celebration event to commemorate the Windrush legacy and the diversity of the NHS. The event was held at St Thomas Hospital, London on 17 June. UNHEALTHY ATTITUDES STONEWALL REPORT HABIB NAQVI Habib Naqvi summarised the key themes and recommendations from the Stonewall Unhealthy Attitudes report on the experience of Lesbian Gay Bisexual and Transgender (LGBT) NHS staff. The Council noted that despite good inroads on LGBT equality in the NHS, inequalities still existed. Council members shared examples of ongoing activity promoting LGBT equality across the NHS. It was noted that a number of NHS organisations were in the Stonewall Top 100 Workforce Index for, including a Nottingham NHS Foundation Trust as number one in the list. It was suggested by some EDC members that the Stonewall Health Equality Index could be looked upon when scoping a potential LGBT Workforce Equality Standard for the NHS. It was suggested that work to promote LGBT equality could be harnessed within the proposed two-year workplan for the EDC and profiled as a potential topic of consideration requiring national concerted effort via EDS2. It was agreed that a more substantive item on LGBT equality in the NHS will be scheduled for the next EDC meeting.

EDC WORK PROGRAMME AND MEMBERSHIP REFRESH JOAN SADDLER & JOHN HOLDEN Joan Sadder and John Holden presented a paper on the refresh of the EDC work programme and membership. Joan outlined the two-year (/16 2016/17) work plan for EDC, that included three strategic priority areas: Leadership, system and culture change Workforce equality and patient equity Lived experience and inclusion health Council members acknowledged the good work that went into finalising the work programme. The work programme was adopted by the Council. It was noted that further work, led by respective EDC subgroups, will be necessary to consolidate the detail of the work programme. The Council re-iterated the importance of a strong communications element to help profile robust leadership in this area, to share examples of good practice and to make links with other national equality-related activities. John Holden noted that EDC membership had been reduced and the Council s sub-group structure had been refreshed. It was also noted that people with lived experience had been selected from the EDC NHS Values Summit legacy groups to join the EDC and inform the work of its sub-groups, and that staff-side membership on the EDC had been strengthened. It was agreed that the selection of a co-chair for the Council should be deferred until October as the lived experience EDC members had taken up their positions and attended their first meeting. It noted that a co- Chair would be selected from one of the following categories: EDC representatives from the Strategic Partners Programme Lived experience EDC representatives EMPLOYMENT OF PEOPLE WITH LEARNING DISABILITIES IN THE NHS WORKFORCE KATIE ROBINSON Katie Robinson provided an update on the programme supporting the employment of people with Learning Disabilities (LD) in the NHS workforce. It was noted that since the last EDC meeting (April ), the programme had been launched. The programme team is looking at ways of improving the quality of LD data as a filed within the Electronic Staff Record system. Katie welcomed the views of the Council on how we can maintain programme momentum going forward. 2

There was general acknowledgement that the programme team had undertaken a substantive piece of work in a short period of time. It was noted that sustainability is the key for this programme of work, and that NHS organisations will need to demonstrate real commitment to provide meaningful work for people with LD. DISABILITY RESEARCH PAPER AND THE WORKFORCE DISABILITY EQUALITY STANDARD RUTH PASSMAN & PAUL DEEMER Ruth Passman and Paul Deemer presented key findings of the NHS England commissioned research project exploring issues and measures that a Workforce Disability Equality Standard (WDES) may comprise. The focus of the proposed Standard would be to improve the experiences of staff with disabilities working within the NHS. The paper proposed the development of a WDES and its potential inclusion in the NHS standard contract. The Council discussed the paper and its recommendations. Key issues raised by Council members included the need to consider potential burden of additional standards, and the needs to reflect upon the merits and learning from the implementation of the Workforce Race Equality Standard (WRES), before embarking upon the development and roll-out of another workforce equality standard. It was also noted that all equality groups should be looked at as part of the wider programme of work on improving workforce equality across the NHS and that the WRES should be seen as the first step towards developing similar standards across the other equality groups. It was agreed that the Leadership and Workforce sub-group of the EDC and NHS England s Equality and Health Inequalities Unit establish a task and finish group, drawing in external experts including Disability Rights UK, to develop and consult on a standard prior to its roll out across the NHS in England. It was decided that an options paper on the development of a WDES should be presented at the next meeting of the Council. EDC SUBGROUP UPDATES SUBGROUP CHAIRS Papers providing an update on EDC sub-group activity were tabled at the meeting. The following points were noted: Jan Sobieraj noted that membership to the Leadership & Workforce subgroup was further strengthened and that all the organisations involved were carrying out a range of important work to help deliver on the leadership and workforce agenda; Tom Cahill presented the EDS2 update and highlighted the importance of maintaining momentum and leadership support with 3

regard to EDS2 use. It was noted that guidance to support local NHS organisations with community and voluntary sector engagement was being produced by the Race Equality Foundation and partner organisations in collaboration with NHS England. John Holden presented the Data Measurement sub-group update, highlighting the commissioning of the next phase for the development of the sexual orientation data monitoring Information Standard. The update also recommended the development of a combined Information Standard for the data monitoring of the other 8 equality groups. The Inclusion Health sub-group paper was noted and welcomed. WORKFORCE RACE EQUALITY STANDARD UPDATE YVONNE COGHILL & ROGER KLINE Yvonne Coghill and Roger Kline provided an update on the implementation of the Workforce Race Equality Standard (WRES). Roger Kline reported on the July WRES baseline data publication date for NHS trusts, and noted that organisations across the country were in the process of responding to this deadline. It was noted that Yvonne and Roger had been appointed to head the WRES Implementation Team. They thanked the NHS England Equality and Health Inequalities Unit for bringing the WRES work to where it is. The WRES Strategic Advisory Group (SAG) had met twice to date, and that SAG has an away day scheduled in October to focusing on WRES strategy. The alignment of the WRES within the EDC was discussed; it was noted that Jabeer Butt is a member of both the EDC at the WRES SAG and provides a good connection between the two. ACTION ITEMS 1. Paper/discussion on NHS LGBT equality to invite colleagues from Stonewall 2. Outline the communications approach for the EDC 3. Update on the selection of the EDC co-chair 4. Disseminate LD project tools for EDC members to provide feedback 5. Produce an options paper for taking forward a Workforce Disability Equality Standard (WDES) PERSON RESPONSIBLE Ruth Passman/Habib Naqvi Ruth Passman & Habib Naqvi John Holden Katie Robinson & Lela Kogbara Ruth Passman DEADLINE 31 st January 2016 4

DATES OF FUTURE MEETINGS 20th October 11:00-13:30 January 2016 date/time tbc 26th April 2016 11:00-13:30 26th July 2016 11:00-13:30 Meetings to be held in London. 5

Annex Meeting of the Equality and Diversity Council Attendance 28 July First name Surname Organisation Attendance Gail Adams NHS Staff Council, Unison Yes Elham Atashkar Lived experience representative Yes Dame Sue Bailey Academy of Royal Medical Colleges Yes Suzie Bailey Monitor Represented by Jo Vigor Lisa Bayliss- Health Education England Apologies Pratt Henry Bonsu Broadcaster Yes Jabeer Butt NHS England/DH/PHE Strategic Yes Partners Tom Cahill Hertfordshire NHS Foundation Trust Yes Saffron Cordery NHS Providers Yes Jane Cummings NHS England Apologies Andrew Dillon National Institute for Clinical Apologies Excellence Ian Dodge NHS England Apologies Steve Fairman NHS Improving Quality Yes Flora Goldhill Department of Health Yes Dr Amir Hannan Haughton Thornley Medical Centre, Yes Hyde John Holden NHS England Yes Isabel Hunt Health & Social Care Information Yes Centre Nicola Jeffery- Lived experience representative Yes Sykes Alistair Lipp NHS England Apologies Paul Martin Strategic Partners Apologies Prof Lynn McDonald Middlesex University Apologies Stephen Moir NHS England Yes Stewart Moors Lived experience representative Yes Danny Mortimer NHS Employers Represented by Paul Deemer Katherine Murphy Patients Association Apologies David O Brien Lived experience representative Yes Mark Porter British Medical Association Represented by Krishna Kasaraneni Jon Restell Managers in Partnership Apologies Janice Scanlan NHS Trust Development Authority Apologies Jan Sobieraj NHS Leadership Academy Yes Simon Stevens NHS England Yes 6

First name Surname Organisation Attendance Patrick Vernon Healthwatch England Apologies Tony Vicker- Public Health England Yes Byrne Ray Warburton NHS Lewisham CCG Yes Rob Webster NHS Confederation Represented by Joan Saddler David Wherett Cambridge University Hospitals Apologies Lucy Wilkinson Care Quality Commission Yes Invited guests First name Surname Organisation Yvonne Coghill NHS England Roger Kline NHS England Katie Robinson NHS England 7