Transcript Slide 0

Maqsood Ahmad
Director for Equalities and Inclusion
NHS Midlands and East
Improving Equality and Reducing
Health Inequalities in Practice via
Equality Delivery System
Equality Delivery System (EDS)
Introduction
Commissioned by Equality and Diversity Council (EDC)
EDC Formed in 2009.
Membership: NHS Chief Executives, DH and Vol. Sector.
Reports to NHS Management Board
Chaired by Sir David Nicholson
Vision:
 deliver fair and personalised services
 promote workplaces free from discrimination and
 foster continuous improvement
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Introduction: Equalities and Inequalities
Only 17% of women with a Learning disability take up breast
screening compared with 76% of the general population
Gypsies and travellers have worst health status of any
disadvantaged group – often due to poor engagement from
health services
44% of Bangladeshi men smoke compared with 27% of the
general population.
South Asian people are 50% more likely to die from
coronary heart disease than the general population
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Introduction: Equalities and Inequalities
Men are 16% more likely to develop cancer and almost
40% more likely to die from cancer
4X higher – Missed NHS appointments by deaf or hearing
impaired patients (19% more than 5 appointments)
because of poor communication
28X lower - Cervical screening uptake for women with
learning disabilities living at home
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The NHS EDS will help to:
Public Sector Equality Duty (PSED):
Provide
a better
service to diverse patients,
•Eliminate
unlawful
discrimination
•Advance
of opportunity
carersequality
and local
interest groups.
•Foster good relations
Support and develop our staff and leadership
Specific Duties of the PSED:
Tackle health
inequalities
•Information
on compliance
•Set and Publish Equality Objectives
Meet the NHS Equality & legal commitments
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NHSCB, CCGs, DH and NHS organsiations duties to:
Promote the NHS Constitution
Improve quality of service
Promote involvement of each patient and patient
choice
Promote innovation and integration
Reduce inequalities
Involve and consult members of the public
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EDS - Analysis
With local interests, organisations analyse and grade their equality
performance against 18 EDS outcomes grouped into 4 EDS goals:
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Better health outcomes for all
2
Improved patient access and experience
3
Empowered, engaged & well- supported staff
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Inclusive leadership at all levels
Account is taken of the FREDA principles that support the Human Rights Act 1998
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EDS grades - overview
For each outcome, one of four grades can be chosen, and Protected
related to a RAG rating:
Groups:
Excelling
Achieving
- Purple
Very good outcomes, evidence fully
used, local interests fully engaged &
equality part of mainstream business
Most
(6 to 8)
- Green
Some
(3 to 5)
Developing - Amber
Undeveloped - Red
All (9)
Poor outcomes, evidence not used,
local interests not engaged & equality
not part of mainstream processes
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Few
(1 or 2)
None (0)
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EDS – Positive Outcomes and Impact
Recent Independent evaluation (S.I) has shown many
initial positive impact of the EDS including:
Improving engagement mechanisms, prioritisation of equality
issues, identifying gaps in equality data and better partnership working
around equality and engagement.
Changes in perceptions and behaviour within NHS
organisations, the most notable being raising the priority of equality work
with senior leaders.
increased awareness and commitment of equality across
organisations, including equality in the workforce and evidence of the
EDS helping to change attitudes and behaviours of staff around
equality.
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EDS – Positive Outcomes
Outcomes and Impact of EDS: Cases Studies
EDS helped to employ people from learning disabilities
(South Devon NHS Healthcare Foundation Trust).
Effective engagement - set equality objectives through
better engagement of users and staff (West Midlands
Ambulance Service)
Improved evidence to tackle health inequalities faced by
those with protected characteristics, helped to focus on
services to excluded groups (trans people) and provided
meaningful partnership with Trusts and local groups (NHS
Airedale, Bradford and Leeds)
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Next Steps
A Tailored EDS? – Evaluation has shown that EDS has been wellreceived by NHS organisations and local interest groups but need to
explore the possibility of the EDS being tailored to different types of
trusts (including mental health trusts and CCGs).
Support for CCGs and commissioners – work with CCG
members to see how we could support them in implementing the EDS.
Continue EDS support and sharing practice – a significant
demand for sharing EDS practice across organisations has been very
well received to date (peer to peer support, training/earning days and
sharing good practice conferences). Trusts have stated that they would
continue to benefit from more of this type of learning and support.
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EDS - Publications
www.eastmidlands.nhs.uk/eds
www.dh.gov.uk
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