Equality and Inclusion Action Plan 2017/18...Completed Green Awareness raising through 2015 and 2016 via the Bridgewater Bulletin, Team Brief, network. Initial service scoping exercise

Equality and Inclusion Action Plan 2017/18

Equality, Diversity, Human Rights and Inclusion

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Introduction

This Action Plan for the Equality and Diversity Team works to ensure that the Trust remains compliant with its legal and contractual duties, and

continues to strive to improve access and outcomes for groups who may experience exclusion from health services.

The actions in this plan support the Trust’s Strategic Objectives:

To deliver high quality, safe and effective care which meets both individual needs and community needs

To deliver innovative and integrated care closer to home which supports and improves health, wellbeing and independent living

To be a highly effective organisation with empowered, highly skilled and competent staff

And the Mission of improving local health and promoting wellbeing in the communities we serve through the Values of:

Patient centred care

Encouraging innovation

Communicating openly and honestly

Providing a professional, quality service

Understanding our communities

All of the actions in this plan underpin our Equality Delivery System 2 (EDS2), Equality Objectives and Public Sector Equality Duty documents

Compliance RAG Rating Key:

Red Significantly delayed and/or of high risk

Amber Slightly delayed and/or of low risk

Green Progressing on timescale

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Equality Act 2010

Equality Act 2010 - Overview

Nine protected characteristic groups – age, disability, gender reassignment, marriage/civil partnership, pregnancy/maternity, race, religion/belief, sex, sexual orientation

Trust also recognises other health inclusion groups e.g. carers, lower socio-economic, sex workers and ‘chaotic’ lifestyles

Equal treatment in access to employment, private and public services regardless of protected characteristic

Compliance with the Equality and Human Rights Commission (EHRC) Statutory Codes of Practice on Employment; Equal Pay; Services, Public Functions and Associations

Public Sector Equality Duty (PSED) – General Duty

Public bodies to have due regard to:

Eliminate unlawful discrimination, victimisation and harassment and other prohibited conduct

Advance equality of opportunity

Foster good relations

Public Sector Equality Duty (PSED) – Specific Duties

Publish information annually to demonstrate compliance with the General Duty

Publish equality objectives at least every four years Work Area Key dates Compliance

RAG rating Evidence to support RAG rating Actions

PSED General Duty:

Bridgewater Equal Opportunities Policy 31 March 2017 - Completed

Green Policy published on Hub April 2017

Equality Impact Assessment Policy and Toolkit:

EIA Policy – production and approval 31 March 2017 – Green Policy published on Hub April 2017

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Work Area Key dates Compliance RAG rating

Evidence to support RAG rating Actions

Completed

EIA Template and Toolkit production and approval 31 March 2017 – completed

Green Published on Hub April 2017. Revised and approved August 2017

EIA communications via Bridgewater Bulletin 30 April 2017 – completed

Green

EIA webpage 31 May 2017 Green Webpage updated in September 2017, with link to revised template and toolkit

CIP/Service Redesign – TIF paper 31 July 2017 Amber Chase up KS re TIF paper submitted as draft in July 2017

Meeting with JH and BH 12 September 2017, emailed TIF paper to JH, including action plan – will update actions below following further discussions

CIP/Service Redesign – CPF paper 31 August 2017 – completed

Green Paper submitted and approved 17 August 2017

Training – template users To commence September, based on need and request

Amber Following publishing of revised template carry out further communications

Training – quality assurers To commence September, based on need and request


EIA Audit

January 2018 Amber Speak to audit team re auditing of service redesign EIA

Trust policies January 2018 Green All policies have an EIA that is held with the Speak to MC and SA re updating Policy

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Policy Officer. The Equality & Inclusion Officer sits on Policy Approval Group, for assurance of equality in final sign off of policies. The EIA is on an old template and the policy process will be amended to use the new template and toolkit in 2017

EIA template

Trust strategies January 2018


EIA Policy Review 31 March 2020 Green Planned review date

Service Equality Analysis All services should have an equality analysis published on the internet. A new approach is being considered, a move away from the current analysis to a tick list of tasks completed and evidenced. This would be met by other work being developed, for example dementia checklists, access information on the internet, and the Accessible Information Standard KLOE

Ongoing Green Service equality analysis on the Bridgewater internet

Create draft plan for change to service equality analysis to reflect wider equality work being carried out in services

Equality data within patient records March 2018 Amber Equality & Inclusion Officer sits (as required) on the EPR Project Board. The Board support the development of an action plan that will ensure all equality data, including LD flags and military veteran status is embedded within all EPR and EMIS patient records The work in relation to the above is supported by, and will support, the reasonable adjustments requirements within the Halton and St Helens contracts

Meeting arranged for October to discuss EMIS and equality requirements, this includes military veterans

Meeting to be arranged with IT and performance team reps to discuss EPR

E&D attendance at CPF, PAG and Workforce Committee

Ongoing Green

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PSED Specific Duties:

PSED Annual Report 2017 31 January 2017 – Completed

Green Annual report published on Hub and internet Submitted to commissioners for information

PSED Annual Report 2018 Date for completion of report amended in the Equality Act 2010 to reflect new Gender Pay Gap Reporting requirements

31 March 2018 Green

Gender Pay Gap Reporting

31 March 2017 for snapshot date. 30 March 2018 for reporting deadline

Amber ESR reports run on 31.03.2017 (backup to BI reports)

Awaiting BI update to carry out data analysis (dates tbc)

Submit to Board for sign off

Submit via online portal/email

Add report and narrative to webpage

Add data to PSED 2018

EDS2 2017 September 2017 – completed

Green EDS2 approved by CPF 17 August 2017 and submitted to NHS England 22 August 2017

EDS2 2018 A new approach to EDS2 has been proposed by Merseyside commissioners, providers and Healthwatch’s. This will involve ongoing engagement with national, regional and local groups representing protected characteristic groups; identifying barriers and inequalities; and creating an action plan that will address these. These actions will be assessed by the groups, who will feedback and support Trust grading. Though the work is Merseyside and Cheshire based it is recognised that this work needs to include other Trust boroughs.

31 March 2018 Amber Meetings have been held with Merseyside commissioners and providers on a new format for EDS2. A project plan has been developed and is awaiting senior level sign off in the Trusts

Meeting with JH to discuss project, 12 September 2017

Submit paper to Service Experience Group – November 2017

Commence project work

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Equality Objectives 2017:

EDS2 partnership work across Merseyside and Cheshire - see above

31 March 2018 Amber Equality Objectives 2017 published on Hub and internet December 2016

EDS2:

Establish governance arrangements

Contact organisations

Data input and sharing

Stakeholder engagement and action planning

Monitoring, reporting and feeding back

Service changes and CIP – Equality Impact Assessments – see above

31 December 2017

Amber Equality Objectives 2017 published on Hub and internet December 2016

Equal Opportunities Policy – see above 31 March 2017 - completed

Green Equality Objectives 2017 published on Hub and internet December 2016

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Other Legal Requirements



Accessible Information Standard:

Awareness Raising

Publicity via Team Brief, Open Space, Bridgewater Bulletin

Service scoping exercise

Trust meetings – DMT, QSC, CPF updates

Patient awareness

Board updates – good news/practice

Completed Green Awareness raising through 2015 and 2016 via the Bridgewater Bulletin, Team Brief, Open Space and the equality champions network. Initial service scoping exercise carried out in 2015/2016. Staff flyer produced detailing the 5 stages of the Standard. Accessible Information Policy produced and published on The Hub. Posters produced for display in services to raise awareness with patients of their rights to these types of support. Equality and Diversity webpage populated with information for patients. Updates on implementation provided to QSC meetings. Meetings have been held with different teams to discuss the Standard and their service. A flow chart of the 5 stages has been created for staff use.

Referrals 1

Patient information document

Completed Green A patient document (About Me) on communication needs added to the webpage for patients to complete and return, if wished. http://www.bridgewater.nhs.uk/aboutus/equalitydiversity/language-interpretation-translation/

http://www.bridgewater.nhs.uk/aboutus/equalitydiversity/language-interpretation-translation/



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Referrals 2

Standard referral documents

May 2017 for report to Health Records Group.

Ongoing work

through 2017 to take paper to

other committees and

determine project plan for IT

rollout.

Amber A meeting was held between E&D and the AD to discuss standardising the Bridgewater referral forms. It was agreed to write a paper recommending a standardisation for forms to go to the quality and safety committee. This paper was presented to the Health Records Group in May 2017 who recommended a paper be sent to the Clinical Governance Group for further discussion including project planning for IT changes and rollout. Paper submitted to Clinical Governance Group 1 September 2017

Action plan to be submitted to CGG October 2017

Referrals 3

GDPR and consent

31 March 2018 Green The new General Data Protection Regulations place addition duties on organisations collecting, holding and managing personal data. A task and finish group has been set up to ensure the Trust is ready for full compliance, this includes looking at consent and accessible communications.

IT 1

Website

Completed Green Browsealoud has been added to the Trust webpage, this provides a set of tools that allow, for instance, spoken interpretation of webpage information, production of MP3 files, and screen masks and enlargements. A Patient Browesaloud leaflet and poster is being discussed with the Patient Leaflet Group, following suggested changes updated versions are to go before the August meeting for finalisation. Browsealoud poster, patient leaflet and staff leaflet approved and distributed to services along with communications

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explaining need and how this function can support.

IT 2

SystmOne

EPR

30 November 2017

Ongoing

Amber A meeting was held 7 February 2017 between IT and E&D to discuss SystmOne patient recording and flagging. This work will tie into more than one requirement, for example AIS, Mazars, military veterans, and sexual orientation monitoring. The Business Change Manager was to carry out some testing on reporting, alerts, and recording. A follow up meeting is to be arranged for August 2017 to discuss progress and plans for roll out. Meeting held 10 August to discuss plan. Agreed to produce list of standard terms for alerts/comments using Technical Guidance, and to look at creating a SystmOne template for AIS. Further meeting to be held 26 September to discuss alert/comments options etc as above, and to get initial approval for plans from Clinical Safety Officer. (Awaiting updated technical guidance from NHS England, due October, before finalising). Meeting held with JH and BH 12 September, advised EIO to contact re retrospective EPR updates, and consistency of E&D approach to patient records The Assistant Director of IT attends the Wigan borough AIS group meetings, where borough wide IT solutions for AIS are discussed and planned.

Project plan for roll out of EPR

Contact Paul Blade re AIS and EPR retrospective

Contact Sandra Alderson re Halton EMIS rollout

Service Readiness

Service scoping

E&D support

Completed

Green Service scoping was carried out in 2015 and 2016 to assess readiness and raise awareness.

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Easy fixes

Following this meetings have been held with several services to discuss the Standard further. The provider of interpretation and translation services have confirmed that they are able to support other formats and communication support needs. The Hub (staff intranet) has been updated to provide information on AIS and where to access support. Information on accessible events, and reasonable adjustments for sensory impairments are available on The Hub.

Service Implementation

CQC KLOE evidence

Medicines Management

31 August 2017 for start of KLOE

work.

Amber Following updates to the CQC KLOEs in 2017. a meeting was held in July 2017 to discuss adding AIS to the CQC evidence collection in services – relating to section R1.4 of the KLOEs. Work is now being undertaken to incorporate this new KLOE prompt within the CQC evidence collection cycle, further awareness raising and support from E&D is planned to support services in looking at how they can evidence how they meet the requirements of AIS and where they need to take action to address gaps. This method of implementation has been agreed in recognition of the difficulty in ensuring a consistent approach across diverse patient record systems and methods of working. Individual service compliance will be evidenced, impacting positively on patients to a particular service, and when moving to another service. A list of KLOE prompt questions has been produced, to use along with the existing

Send further communication to services regarding new prompt r1.4

Work with services as required to discuss, further raise awareness and understanding, and gather service evidence for the KLOE prompt

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checklist for services. Communication sent to all services 17 August providing information on new KLOE prompt. First meetings arranged with services to discuss how they can evidence implementation, and where the gaps that need to be addressed are. Meeting held with Head of Medicines Management in early 2017. KLOE evidence will include meds management in the services that prescribe.

Training

NHS England eLearning

9 February 2017 for meeting with

E&D and EPD 31 December 2017 for staff completion

Amber Meetings have been held between E&D and EPD to discuss mandating the training for all staff, this roll out was delayed whilst the Trust mandatory eLearning package was rolled out from May 2016. A meeting is organised for 9 February 2017 to discuss moving forward with the AIS eLearning. Following the 9 February meeting it has been determined that the level 1 eLearning should be tied into the core competencies framework, thereby requiring all staff to complete. Level 2 will be targeted at key staff. Making the eLearning accessible for staff was also discussed. Planned roll out is from June 2017.

The training is part of the CQC KLOE prompt questions

Support Resources

Providers available

Equipment available

Other communication methods

Next Generation Text Relay

Interpreter Now

Advocates

House writing guide

Partly completed.

31 December 2017 for NGT Lite pilot completion.

30 September

2017 for chase up

Amber thebigword can provide most forms of communication support and information formats. Information is given on The Hub. Resources, also detailed in ‘awareness’ have been produced, for example posters, flow chart and staff flyer. Browsealoud information sent to all services to offer an additional form of support in

Further awareness raising on support that can be provided by thebigword

The use of NGT Lite is being discussed with pilot services

Further work is to be undertaken on the role of, and how to access, advocacy

Meetings have been held to discuss the House Writing Guide and patient

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Leaflets templates

Standard templates for staff

of house writing guide and templates.

31 August for

information on advocacy

relation to the website. Support from the equalities team has been offered to all services and team meetings have been attended with some services to discuss the Standard.

leaflets, including easy read templates. Actions were agreed and as at July 2017 needs to be chased for progress

Patient Care Plans – Communication

Wigan and Warrington

Ongoing Green The Trust is working on patient care plans in both Wigan and Warrington that flag communication needs. Learning and best practice will be rolled out to other services and boroughs.

Information Governance

Health records policy

Completed Green The Health Records Policy review resulted in December 2016 in an updated policy being published for the Trust that included accessible information and communication. The awareness raising action above references ensuring services are aware of this when looking at implementing AIS. Also see GDPR in Referrals 3.

Policy

Accessible Information Policy

Complaints etc.

31 December 2017 for easy read leaflets

updates.

Amber An Accessible Information Policy was produced and approved in 2016. The Compliments, Comments, Concerns and Complaints Policy was updated in late 2016 to reflect the requirements of the Accessible Information Standard. The BrowseAloud function of the website allows the public to access patient complaints information in an accessible format.

Following production of the easy read template referenced above there will be a refreshed accessible complaints leaflet produced for patients.

Accessible Information Audit

Clinic venues

TBC Green The first accessible information audit was carried out on 18 January 2017. This initial visit is being used to evaluate and revise the

Agreement provided by Service Experience Group in September 2017 to new project to provide access

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audit methods and paperwork before further services are approached to carry our clinic audits.

information, including communication support, on service webpages. Separate action plan to be created for this project

Engagement and Feedback

Patient feedback on communication and information

Friends and family test

Patient partners

Targeted engagement and feedback

31 March 2019 Green

Sexual Orientation Monitoring Standard (SOM) New information standard (SCCI2094) that requires NHS providers to collect sexual orientation data from all patients over 16 years of age. Implementation is expected to be via planned patient record work rather than as a stand-alone piece of work

Full implementation by April 2019

Green Meetings have taken place with IT to discuss patient records, including SOM Meeting held with LGBT Foundation to discuss SOM and best practice

Create action plan for implementation

Continue work with IT on SystmOne (30 November 2017)

Look at paper and other electronic records (31 March 2018)

Staff awareness raising and understanding of health inequalities in LGB communities (31 December 2017)

NHS Workforce Race Equality Standard (NHS WRES) To be published annually. The nine indictors for 2016 submission are:

July 2015 for production of baseline data 1

August 2016 for

production of year 1 data 1 August 2017 for production of year 2 data

Green Submissions for baseline and year 1 on webpage http://www.bridgewater.nhs.uk/aboutus/equalitydiversity/ 2017 data submitted to NHS England 26 July 2017 Paper submitted for Board September 2017, with analysis of data and draft action plan for 2017/18

Once paper approved by Board publish WRES on Trust Hub and internet and submit to commissioners for information

Once paper approved by Board update this action plan to reflect new agreed actions for 2017/18

1. Percentage of staff in each of the AfC Bands 1 – 9 and VSM (including executive Board members) compared with the percentage of staff in the overall workforce. Separated by clinical and non-clinical.

Green

2. Relative likelihood of BME staff being appointed from shortlisting compared to that of White staff being appointed from shortlisting across all posts

Green

3. Relative likelihood of BME staff entering the formal disciplinary process, compared to that of White staff entering the formal disciplinary process, as measured by entry into a formal disciplinary investigation (two year rolling average)

Green

http://www.bridgewater.nhs.uk/aboutus/equalitydiversity/

http://www.bridgewater.nhs.uk/aboutus/equalitydiversity/

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4. Relative likelihood of BME staff accessing non-mandatory training and CPD as compared to White staff

Green

5. KF 18. Percentage of staff experiencing harassment, bullying or abuse from patients, relatives or the public in last 12 months White BME White BME

Green

6. KF 19. Percentage of staff experiencing harassment, bullying or abuse from staff in last 12 months White BME White BME

Green

7. KF 27. Percentage believing that trust provides equal opportunities for career progression or promotion White BME White BME

Green

8. Q23. In the last 12 months have you personally experienced discrimination at work from any of the following? b) Manager/team leader or other colleagues

Green

9. Percentage difference between the organisation’s Board voting membership and its overall workforce.

Green

Fluency Duty (Immigration Act 2016)

Part of the Immigration Act 2016, the Fluency Duty came into effect from 1 October 2016

Code of practice for all public sector organisations

Ensuring all public facing staff can speak fluent English

1 October 2016 Ongoing dates through 2017 to ensure effective implementation and understanding

Amber Fluency Duty action plan and task and finish group established

Get Exec level buy in (31 May 2017)

Staff awareness raising (30 June 2017)

Recruitment (31 August 2017)

Agency staff (31 August 2017)

TUPE staff (31 August 2017)

PDR (31 August 2017)

Professional registration (31 August 2017)

Revalidation (31 August 2017)

Concerns (30 October 2017)

Other policies (30 October 2017)

Training (30 September 2017)

Complaints (30 June 2017)

General Data Protection Regulation 25 May 2018 Green Support the internal working group on

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The E&D team are supporting and not leading on this action

aspects relating to equality

Right to Work, inc. TUPE Being looked at as part of the recruitment process review The E&D team are supporting and not leading on this action

31 December 2017

Green Paper written regarding Right to Work, and Tier 2 and 4 sponsorship

Tier 2 Sponsorship Being looked at as part of the recruitment process review The E&D team are supporting and not leading on this action

31 December 2017

Green Paper written regarding Right to Work, and Tier 2 and 4 sponsorship

Workforce Disability Equality Standard (WDES) New equality standard expected to be mandated for all Trusts from the April 2018 contract. Metrics not as yet finalised, but likely to be similar to WRES

April 2018 Green

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Contractual Requirements



Quality Contract 2017/18 – Qtr2 E&D elements for qtr2 2017/18 are:

AIS

Compliance with specific duties

Service redesign and PSED (EIA)

Equality barriers

Reasonable adjustments project year 2, see below

October 2017

Green Produce qtr2 reports and submit to QSC prior to submission to commissioners and CSU lead (October 2017)

Quality Contract 2017/18 – Qtr4 E&D elements for qtr4 2017/18 are:

SMART Equality Objectives

AIS

EDS2

Compliance with specific duties

Service redesign and PSED (EqIA)

Equality barriers

Reasonable adjustments project year 2, see below

June 2018

Green Produce qtr4 reports and submit to QSC prior to submission to commissioners and CSU lead (October 2017)

Reasonable Adjustments Project This is a requirement from the 2016/17 Quality Contract to 2018/19

Year 1 – establishing the baseline and project plan

Year 2 – setting up monitoring systems

Year 3 – monitoring and reporting on the provision of reasonable adjustments for patients

Year 1 - Establishing the baseline and project plan

Accessible Information Standard work

Training – mandatory, AIS, other

Communications

Events

Support for staff

31 March 2017 - completed

Green Awareness raising carried out in relation to AIS. Events and team meetings attended. Resources provided on reasonable adjustments. Provider information on intranet. New EIA policy and toolkit being embedded within the Trust. Browsealoud software added to webpage to support communication. Service scoping and EqA.

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Mandatory eLearning inc E&D and reasonable adj. Trust services providing in-house training in areas such as learning disabilities, and Signalong. Work with IT on patient records, AIS, disability and reasonable adj. Partnership work in Wigan on AIS and disability generally. First clinic review visit completed, assessing AIS compliance. AqUA work taking place in the Trust on supporting transitions in learning disabilities services. Funded work finishing on Outcomes of Care, assessing experience in specialist children’s services. Work may be rolled out following evaluation. Work taking place in Wigan on care planning in district nursing, including reasonable adjustments. Following an evaluation period, plans will be made to roll out to other teams.

Year 2 - Setting up systems to record, monitor and report

SystmOne patient records

30 November 2017

Amber Meetings held with IT to discuss AIS and reasonable adjustments for people with disabilities Further meeting to be held 26 September to gain approval for draft project plan. Awaiting updated technical guidance for AIS before finalising project (awaiting updated information on read codes) Equality & Inclusion Officer invited to sit on

Meeting to discuss further 26 September 2017

Following meeting finalise plans and develop roll out project plan

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EPR Project Board to ensure equality is included within EPR work

Paper patient records

31 December 2017

Amber Look at paper records in other services – will tie in with AIS KLOE

Board level support

31 May 2017 Amber Get Board level champion/support

Referrals documents being standardised, inc. reasonable

adj.

31 March 2018 Green Paper drafted with DD of Information and

Clinical Performance.

Paper submitted to health records group

May 2016.

Paper to be presented at Clinical

Governance October 2017

Action plan to rollout out documents to

be created if agreed at above meeting

Awareness raising

31 December 2017

Amber Briefing sent out on Invisible Disabilities 8 September 2017

Continue to raise awareness through national awareness weeks and updates on stories/news articles (ongoing)

Other projects

31 March 2018 Green Look at disability, mental health, and hearing loss via Disability Confident, the Mindful Employer Charter and the Louder Than Words campaign – staff focused but useful for patient consideration too (30 September 2017)

Work with the Service Experience Group on how to gather feedback (31 March 2018)

AAC low tech communication support project (31 December 2017)

Year 3 - Monitor, report and gain feedback

SystmOne

31 March 2019

Green

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Other electronic patient records

Paper records

Patient feedback

CCG reports qtr2 and qtr 4

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Internal Reporting Schedule



LD FT Pipeline Monitoring Monthly reports providing updates on key information relating to LD patients Send to Kathryn Steer on 1

st monthly.

1st

every month Green Produce monthly reports

Quality & Safety Committee Report Quarterly E&D reports produced for the Committee

Quarterly Green Produce quarterly reports

Corporate Partnership Forum Reports produced either on request or when there is an E&D action that needs assurance/support

Bi-monthly Green Produce reports as required

Workforce Committee Report Quarterly Green Q&S report submitted for June 2017

Warrington Quality Contract Qtrly reporting

April July October January

Green Produce report for October (15 September 2017)

Produce report for March (15 February 2018)

Wigan Quality Contract Six monthly and annual reporting on different aspects

April October Green

Annual Report Shows good practice and contributes to the elements of EA10

January 2018 Green Annual Report 2014/15 Annual Report 2015/16 Annual Report 2016/17

Produce E&D narrative before January 2018

Annual Quality Account Shows good practice and contributes to the elements of EA10

January 2018 Green Quality Account 2014/15 Quality Account 2015/16 Quality Account 2016/17

Produce E&D narrative before January 2018

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Benchmarking



Mindful Employer Voluntary charter to support employees and job applicants with current or previous mental health problems. Last Review February 2017 – reviews take place every three years. Progress as at April 2017:

Last annual review took place in February 2017

Mindful Employer logo displayed on all vacancies advertised via NHS Jobs

Provision of counselling and occupational health services for all staff

Policies analysed for impact on protected characteristic groups, including mental health

Mental Health Awareness

Mental Health Awareness Week 8 – 14 May 2017 – completed

Green Promotion of Mindful Employer Charter to staff Promotion of support available for staff and managers E&D Champions information and Bridgewater Bulletin information during Mental Health Awareness Week 2017

Staff Induction

30 June 2017 Amber Update E&D induction pack to include Mindful Employer and other staff support available

Staff Health and Wellbeing Hub

30 April 2017 - completed

Green Add Mindful Employer documents to Health and Wellbeing Hub

Mental Health Awareness Training

31 December 2017

Amber Look into options of mental health awareness training for managers

Review of HR Skills Module on recruitment for information on Mindful Employer, discrimination and mental health

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HR Support

31 March 2018 Green Review of the Absence Management Policy to consider implementing recommendations from Weightman’s training in 2016, this included managing short term absence connected to potential disability and mental health to support staff to discuss concerns and remain in work rather than going off on further periods of sick

Mindful Employer References/Visibility

31 March 2018 Green Ensure the Trust’s commitment to Mindful Employer is highlighted in Trust documents such as the Annual Report, Quality Account, and PSED Annual Report.

Disability Confident

New Government campaign that replaces Two Ticks

Two Ticks has been renewed to June 2017 – this was to allow the Government time to set out the requires for the different levels of achievement with the campaign

Action plan created for year 1 for the Trust – this is a work in progress that will evolve, particularly as the recruitment review proceeds

Self-assessment required before 21 December 2017, this will ensure a renewal of certificate for 2 years

Self-assessment over two themes (Getting the right people for your business, and Keeping and developing your people)

Each theme has a set of core actions that must be addressed, with suggestions of how this can be achieved, and at least one activity from each theme must be chosen, see below

Theme 1 Core: Actively looking to attract and recruit disabled people

Job adverts

Connect with local and national groups to access networks

Participate in job fairs and recruitment campaigns

Develop links with Jobcentre Plus and access Government resources

31 August 2017 Amber Recruitment process in the process of being reviewed in 2017. Work includes looking at disability, Disability Confident, and other potentially excluded groups

Theme 1 Core: Providing a fully inclusive and accessible recruitment process

Identity and address barriers

Ensure processes are accessible

31 August 2017 Amber Recruitment process in the process of being reviewed in 2017. Work includes looking at disability, Disability Confident, and other potentially

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Get recruitment procedures tested by disabled people

Check job descriptions

Provide different formats

Accept applications in other formats

Ensure recruiting managers are Disability Confident

excluded groups

Theme 1 Core: Offering an interview to disabled people who meet the minimum criteria

Recruiting mangers

Job adverts, descriptions, person specifications

31 August 2017 Green Following on from Two Ticks, all applicants who declare a disability on their application are offered an interview where they meet the essential criteria of the post

Update webpage with Disability Confident logo and commitments

Theme 1 Core: Flexibility when assessing people so disabled applicants have the best opportunity to demonstrate they can do the job

Plan for and make reasonable adjustments

Recruiting managers

31 August 2017 Green Recruitment process in the process of being reviewed in early 2017. Work includes looking at disability, Disability Confident, and other potentially excluded groups

Theme 1 Core: Proactively offering and making reasonable adjustments

31 August 2017 Green Recruitment process in the process of being reviewed in early 2017. Work includes looking at disability, Disability Confident, and other potentially excluded groups

Theme 1 Core: Encouraging suppliers and partners to be disability confident You can encourage suppliers etc. to become Disability Confident

31 December 2017

Green

Theme 1 Core: Ensuring employees have appropriate disability equality awareness

Various dates to 31 October 2017

Amber Recruiting managers undertake a HR Skills Module for recruitment that includes the Equality Act 2010

Continue raising awareness through the Trust through communications, awareness weeks, and the AIS work

Recruitment process in the process of being reviewed in early 2017. Work includes looking at disability, Disability Confident, and other potentially excluded groups (31 August 2017)

Recruiting within the law document to be updated in 2017 to support Disability Confident requirements (31 May 2017)

Theme 1 Activity: Providing work experience 31 March 2018 Amber Work with EPD on offering work

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placements with schools and special schools in boroughs

Look at NHS learning disabilities employment campaign

Theme 1 Activity: Providing apprenticeships 31 March 2018 Amber Work with EPD team

Theme 1 Activity: Providing an environment that is inclusive and accessible for staff, patients and the public This activity should be supported by the other disability work detailed throughout this Action Plan

31 December 2017

Amber

Theme 2 Core: Promoting a culture of being disability confident

Ongoing Amber Board level champion/support

Ongoing communications and awareness raising

Theme 2 Core: Supporting employees to manage their disabilities or health conditions This should be supported by work detailed elsewhere within this Action Plan, e.g. absence management, Hub

31 December 2017

Amber Information on Access to Work provided on The Hub

Staff have access to occupational health and counselling services

Theme 2 Core: Ensuring there are no barriers to the development and progression of disabled staff

Career progression

Staff involvement in meetings etc

Monitoring of progression and training

Training and development

EqIA (or similar) if making changes to work, for example relocation, hours

31 December 2017

Amber Carry out analysis of data (that would be used for WDES to look at development and training)

Look at 2016 Staff Survey results for any patterns or issues

Awareness raising on reasonable adjustments, disability equality and Access to Work

Theme 2 Core: Ensuring managers are aware of how they can support staff who are sick or absent from work

31 March 2018 Amber Also included within the Mindful Employer Action Plan, a review of the Absence Management Policy to consider implementing recommendations from Weightman’s training in 2016, this included managing short term absence connected to potential disability to support staff to discuss concerns and remain in work rather than going off on further periods of sick

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Theme 2 Core: Valuing and listening to feedback from disabled staff

31 March 2018 Amber Look at 2016 Staff Survey results for any patterns or issues

Also see staff networks, below

Theme 2 Core: Reviewing this Disability Confident employer self-assessment regularly

1 November 2017 Amber Carry out self-assessment and submit as appropriate

Theme 2 Activity: Providing mentoring, coaching, buddying or other support networks for staff

31 March 2018 Amber Look at reverse mentoring opportunities for disabled staff

Look at feasibility study for staff network

Look at coaching an buddying opportunities in the Trust

Theme 2 Activity: Including disability awareness equality training in induction process (inc for new line managers)

31 December 2017

Amber Produce training module

Theme 2 Activity: Guiding staff to information and advice on mental health conditions See Mindful Employer Action Plan above

Various dates to 31 March 2018

Green

Theme 2 Activity: Providing occupational health services Ongoing Green Occupational health and counselling services available for all staff

Processes in place to support staff on sickness absence via occupational health where appropriate

Age Positive Voluntary charter to support older employees and job applicants – see also Extending Working Lives

Not reviewed externally

Green Age positive advertised on NHS Jobs

Staff Survey Annual national NHS staff survey – see WRES above

March 2018 Green 2016 Staff Survey Action Plan

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Other Actions/Projects – current and planned



Patient Centred The following projects are all focussed on improving equality and inclusion for patients and their families and carers. These actions are in addition to those on this Action Plan that are mandatory legal or contractual requirements. These projects will change as information becomes available based on the outcomes of EDS2 engagement work.

Learning Disability Self-Assessment Framework (LD SAF) Attendance and support for the Warrington LD SAF Being Healthy group

Ongoing Green Information on two relevant services submitted to Warrington CCG September 2017

Service Disability Access Web Information 31 March 2018 Green Develop project group

Develop action plan

Develop template

Roll out to and support services on completion

(all to be confirmed)

British Deaf Association - British Sign Language Charter: 5 pledges:

Ensure access for Deaf people to information and services

Promote learning and high quality teaching of BSL

Support Deaf children and families

Ensure staff working with Deaf people can communicate effectively in BSL

Consult with the local Deaf community on a regular basis

Work began on this project in late 2015 but was postponed while work was carried out in areas such as AIS

31 March 2018

Green Contact BDA

Restart action planning

Action on Hearing Loss – Louder than Words National campaign to support service users with hearing loss

31 March 2018 Green Meeting arranged with Action on Hearing Loss for April 2017

Commit Trust?

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Create action plan following meeting?

Reasonable Adjustments Guidance Production of documents for staff use on reasonable adjustments for people with disabilities and sensory impairments

31 March 2018 Green Information on adjustments for events, for people who are d/Deaf or blind/partially sighted are already completed and available on the intranet for staff to use

Complete documents for other disabilities and impairments

Dementia Friendly Environments 31 March 2018 Green Assessment checklist complete

First draft assessment completed at Padgate House July 2017.

Roll out assessment to all adult services

Asylum Seekers and Refugees Continue to support Health Inclusion Team in Wigan, working in partnership with Public Health Lead for Wigan Council

To be determined based on changing UK policy

Green Team in Wigan commissioned by Wigan Council work directly with asylum seekers and refugees in the borough.

The Local Counter Fraud Specialist is available to advise on charging queries, see earlier

Produce awareness raising information for staff when appropriate as asylum seekers situation in our areas changes

Learning Disabilities Awareness raising and engagement

31 December 2017

Green Look into project using current national information that raises awareness of the health inequalities of people with learning disabilities

Look into current national plans to increase employment opportunities for people with LDs

Do another hate/mate crime briefing

Engage with local groups on issues they may experience when accessing Trust services

Continue to work with local partners on the LD SAF submission and action plans that result from this assessment - see above

DNAR Awareness raising

31 December 2017

Green DNAR policy in place in the Trust

Other policies such as Mental Capacity Act and DoLs in place in the Trust

Produce some awareness raising information for staff – link to Learning Disabilities project above?

LGBT

31 December 2017

Green Look into project using current national information such as Stonewall’s

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Unhealthy Attitudes document that raises awareness of the health inequalities of LGB & T people and the discrimination, harassment and bullying they may experience in the workplace

Engage with local groups on issues they may experience when accessing Trust services

Review policies for LGB & T friendliness

Work towards submission to Navajo Charter 2017 – see below

Gender Reassignment New guidance produced by GEO in late 2016 and discussions at Government level of changing the process of gender reassignment

30 September 2017

Amber Produce a guidance document and/or policy for Gender Reassignment

Health records and Trans

Staff Centred The following projects are all focussed on improving equality and inclusion for staff and potential employees. These actions are in addition to those on this Action Plan that are mandatory legal or contractual requirements.

Apprenticeships E&D are not leading on this

31 March 2018 Green Support internal groups

Navajo LGBT Charter Mark for Merseyside, Cheshire and Lancashire

30 September 2017

Green Tony at Navajo contacted March 2017

E&D attending 2017 Navajo awards to look at good practice and make connections with other organisations

Complete application form

Transgender See Gender Reassignment, above

30 September 2017

Amber Gender reassignment and employee records

Straight Allies/Staff Networks

31 December 2017

Green Look into creation of a straight allies network or separate networks for disability, BME and LGBT

ED&I Induction 31 March 2018 Green Look at developing new approach to induction information (Z card, app) that includes EDI, EPD etc. and sets down what we offer staff as well as what staff must do

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Working Forward

31 August 2017 Amber Look at actions to support Trust commitment to EHRC Working Forward Campaign for women on maternity leave or returning from maternity leave/bringing up children

Look into staff and breastfeeding

Working Longer Look into workforce planning and support for older staff

31 December 2017

Green The Trust took part in the MRC funded Extending Working Lives research project.

Findings are to be reported to the DWP and NHS Working Longer Group in 2017

Look at research results once released

Look into workforce planning and support for older staff

Dementia Friendly Workplaces 31 December 2017

Green Complete dementia document

Look for HR involvement/support in developing and rolling out actions to ensure equality for staff with a diagnosis of Dementia

Cancer 30 November 2017

Green Use MacMillan Cancer Toolkit to develop action plan for the Trust

Look for HR involvement/support

Dying to Work Campaign to support staff with terminal illness to stay in work where preferred

31 December 2017 for review

Green Look for HR involvement and support

Ban The Box Part of the recruitment process review detailed elsewhere in this Action Plan E&D are not leading on this


Green

See Potential Part of the recruitment process review detailed elsewhere in this Action Plan E&D are not leading on this


Green

Disability Unconscious Bias 31 December 2017 for review

Green Look into awareness raising briefing or training module

Obesity/Disability Recent EU case law – obesity, or the effects of, may be a disability where someone is unable to undertake day to day


Green Obesity is included within the Managers Guide to supporting Staff with Disabilities – updated in March 2017

Produce awareness briefing on obesity and disability

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activities as a result of their obesity

Gender Stereotypes 31 December 2017 for review

Green Look into awareness raising briefing

Generational Diversity 31 December 2017 for review

Green Look into awareness raising briefing

Contact Details

Ruth Besford (Equality & Inclusion Officer) [email protected]

Telephone: 01942 482992

TypeTalk: 18001 01942 482992

mailto:[email protected]

Documents

Equality and Inclusion Action Plan 2017/18...Completed Green Awareness raising through 2015 and 2016 via the Bridgewater Bulletin, Team Brief, network. Initial service scoping exercise