Transcript Document

RACE EQUALITY
AWARENESS
SESSION
Steve Baldwin
Barnet and Chase Farm
Hospitals
Aims and Objectives
• To eliminate unlawful race discrimination in the
workplace.
• To value diversity in staff and patients.
• To raise awareness of why Trust has to achieve 95%
coding on patient ethnic data.
• To raise awareness of using routine patient data to
inform service improvements.
• To raise staff awareness of Trust’s Race Equality
Scheme.
Barnet and Chase Farm
Hospitals
At the end of the session
you will:
• have an awareness of race equality legislative
requirements.
• be more aware about the impact of health
inequalities and the diverse needs of patients.
• be able to demonstrate an appreciation of the
need to collect ethnic group information.
• be able to deal with patients questions and
concerns.
•challenge race discrimination when it occurs.
Barnet and Chase Farm
Hospitals
Race Relations Act 1976
Race Relations (Amendment) Act 2000
The Race Relations Act 1976 (Amendment) Regulations 2003
• Trust must eliminate racial discrimination.
• Promote equality of opportunity .
• promote good relations between people of
different ethnic backgrounds.
• Publish Race Equality Scheme.
• Record and monitor policies and services.
Barnet and Chase Farm
Hospitals
Section 20 Race Relations Act 1976
Makes it:
• unlawful for anyone concerned with the
provision of healthcare services to discriminate
on racial grounds by refusing or deliberately
omitting to provide the service; or as regards
quality; or the manner in which, or the terms
on which they are provided.
Barnet and Chase Farm
Hospitals
Direct Race Discrimination
When you treat a person less favourably on
The basis of their race either in employment
provision or service provision.
Barnet and Chase Farm
Hospitals
Indirect Discrimination
Indirect Discrimination is when applying
requirements, conditions or practice which
although applies to all, can only be met and
benefited by a considerably smaller proportion of a
minority group and cannot be justified other than on
racial grounds.
Barnet and Chase Farm
Hospitals
Race Relations Act 1976
Race Relations (Amendment) Act 2000
• Section 71 – 1976 Act places a duty on all public sector
employer to eliminate unlawful race discrimination.
• Stephen Lawrence’s case and Macpherson’s Report on
Metropolitan Police conduct led to further legislative
requirements - Race Relations (Amendment) Act 2000.
•
Race Relations (Amendment) Act 2000 came into force on
31 May 2002 requiring all public sector organisations to:
•
promote good relations between people of different ethnic
backgrounds, publish Race Equality Scheme and monitor
policies and services.
Barnet and Chase Farm
Hospitals
Race Relations (Amendment) Act
2000
• To eliminate institutional race
discrimination.
• To factor fairness into the
modernisation of public services.
• To instill government commitment to
change.
• To rebuild trust in the public sector.
Barnet and Chase Farm
Hospitals
Who is liable ?
• The legal person liable in any public law
action against the Trust will be the:
• Chief Executive and the Trust Board.
• Individual Employees can be named in
a case.
Barnet and Chase Farm
Hospitals
Enforcement
• Equality and Human Rights Commission.
• Able to enforce duties within the Race
Relations (Amendment) Act 2000.
• If they are not satisfied with remedial
action they can issue a compliance notice.
• Further non-compliance may lead to a
court order on the employer.
Barnet and Chase Farm
Hospitals
General Duties
• The general duty means the NHS must
have due regard to the need to:
• eliminate unlawful racial discrimination
• promote equality of opportunity
• promote good relations between people
of different racial groups
Barnet and Chase Farm
Hospitals
Specific Duties
• To assist in delivering the general duty, specific duties
have been placed on public bodies. There are two
types of specific duties:
– on the policy/service delivery side, the requirement is to set
out information on a number of actions that will help deliver
non-discriminatory services to local people.
– on the employment side there is a requirement to collect and
publish a specific set of information.
• In particular, NHS organisations must review and
consult on their Race Equality Schemes.
• This is a statutory requirement.
Barnet and Chase Farm
Hospitals
Specific Duties Contd.
• Make arrangements to ensure access to
information and services are available.
• Make arrangements to train all staff on relevant
duties within the Act.
• Monitor staff ethnically for jobs and promotion.
• Monitor the ethnicity of all staff for
grievances,disciplinary, appraisals,dismissals,
and reasons for leaving the Trust.
• Monitor 3rd party contractors to ensure they have
policies, procedures and systems in place to
eliminate race discrimination.
Barnet and Chase Farm
Hospitals
Benefits of the duties
• Improve Trust’s ability to deliver suitable
and accessible services that meet varied
needs.
• Develop good practice and encourage
greater openness.
• Increase confidence in public services,
especially among ethnic minority
communities.
Barnet and Chase Farm
Hospitals
Equality in Service
Delivery
Promoting and providing an equal
service is not about giving all people
the same service but meeting the needs
of the individual patient.
Barnet and Chase Farm
Hospitals
Equality Impact
Assessments
• Assess whether the ways our service are
carried out meet the general duty.
• Consider whether any changes need to be
made to address identified imbalance.
• Assess impact and implement changes.
Barnet and Chase Farm
Hospitals
Questions for Everyone
• Does the way we provide our service have an
adverse impact on some racial groups in the local
communities we serve ?
• Is the adverse impact avoidable ?
• Could it be considered to be unlawful discrimination ?
• Could the adverse impact be reduced by taking
particular measures ?
• Is further research needed and is it likely to lead to a
different outcome ?
Barnet and Chase Farm
Hospitals
Relevance
• The weight given to race equality should
be proportionate to its relevance.
• Give greater consideration and
resources to functions and policies that
have the most effect on the public or
employees.
Barnet and Chase Farm
Hospitals
What is Ethnic Monitoring ?
• Obtaining and managing ethnic origin
data of patients and staff systematically.
• Analysing the data regularly and
reporting outcomes to the Trust Board.
• Acting on the results and addressing
any adverse impacts identified.
Barnet and Chase Farm
Hospitals
Obtaining the Data
• Is not the beginning and the end of ethnic
monitoring, but
• It is crucial for successful implementation
• Incomplete and/or inaccurate data may lead
to inadequate or misleading analysis.
• Misleading analysis may lead to inappropriate
action.
Barnet and Chase Farm
Hospitals
How to collect ethnic group data
 Use prompt card
 Patient must self classify
 If patient appears unwilling, explain reason why
data is needed.
 If patient refuses, this must be coded Z.
 It is acceptable to ask as many times as
necessary until data is collected.
Barnet and Chase Farm
Hospitals
Where are we up to?
1. Current Local Figures available in
the Trust’s Race Equality Scheme.
2. Current Local Demographics
3. Health Improvement Programme
4. Focus on providing main healthcare
needed by the local people.
5. Focus on how we develop services
to meet these needs.
Barnet and Chase Farm
Hospitals
Engagement
Multi- ethnic
Multi-faith
Multi-cultural
Provide high quality care
Barnet and Chase Farm
Hospitals
Inequality in Health
46% increased CHD mortality in South Asian
women.
110% increased CVA mortality in African
Caribbean women.
300% greater suicide amongst South Asian
women.
300% increased prevalence of and mortality
from diabetes in the Asian population.
Barnet and Chase Farm
Hospitals
Questions Inequality in Health Raises
• Are we acting fairly ?
• For example does the Diabetes service we
provide meet the needs of all the communities
it’s meant for and does it meet their needs ?
• Are experiences and outcomes of patients
accessing our services differ according to their
ethnicity ?
Barnet and Chase Farm
Hospitals
Cultural Competency
• Asking questions
• Replace anecdotes and assumptions
with clarity.
• Recognising and respecting differences.
• Understanding and meeting the needs of
the individual.
Barnet and Chase Farm
Hospitals
Definition of Ethnic Group
• A group of people with a long shared history.
• A common cultural tradition.
•A common geographical origin from a small
number of ancestors.
•A common language.
•A common literature.
•A common religion.
•Have a distinct identity seen by both
themselves and others.
Barnet and Chase Farm
Hospitals
Ethnicity
Refers to aspects of shared history,
language and culture, a group defined
from within.
Group identity defined by social
pressures from the group linked with
a psychological need to belong
Barnet and Chase Farm
Hospitals
Any Questions ?
Barnet and Chase Farm
Hospitals
Barnet and Chase Farm
Hospitals