Disability NO Medium None Yes- We will monitor how this strategy affects this group. Yes – We following the consultation, a more in-depth investigation will be required to assess the full needs of the group. Yes – there is a specific section on vulnerable groups and inequalities where we have highlighted what we expect; this covers this characteristic within our population Supporting the implementation of the protocol to better meet the needs of dual diagnosis clients and upskill the substance misuse and mental health workforce in Kent. Gender NO Medium None Yes- we will monitor how the strategy affects different genders. We will ensure the needs of the different genders are taken into account when commissioning services. Yes – following the consultation, a more in-depth investigation will be required to investigate the full needs of this group. Yes- while recognising that drug and alcohol misuse can affect all people, this strategy explicitly recognises that there may be some differences between genders in terms of how they are affected. For example use of steroids by young men and the increase in young female excessive drinkers. Men and women may have different service needs and require different treatment approaches. There is a specific section on gender and inequalities where we have highlighted what we expect; this covers this characteristic within our population.
alcoholic mental or behavioural problems and alcoholic liver disease but also the significant contribution of alcohol misuse to increased cardiovascular, gastroenterological and cancer admissions: also admissions due to accidents on the road, in the workplace and in the home including falls. (This excludes some neurological conditions). There has been a long-term decline in the use of drugs and drug use is at its lowest figure for ten years. Those aged 16-24 are the most likely to take illicit drugs and there has been an increase in reported drug use by older adults as shown in Figure 1 (CSEW, 2015). It is likely that this is due to individuals continuing their drug misuse into older age. This age group also has the highest level of drug-related mortality. It would be reasonable to say this may be because of age-related co-existing and developing medical conditions. Kent has lower than the national estimated prevalence rates for drug use. To what extent is reflective of national data which estimates the number of people misusing drugs in Kent is low or to what extent there is a number of people in Kent who do not seek help or are being referred to services is unknown. Drug related hospital admissions (including poisoning and mental health disorder) have increase by 50% across Kent between 2006- 2013. The number of drug deaths reported in England and Wales in 2014 were the highest since records began; a 17% rise in 2014. Deaths from heroin and/or morphine increased by almost two-thirds and cocaine deaths rose sharply. The number of deaths reported in Kent for 2012-14 was 139; an increase on 117 deaths in 2009-11 Source document: JSNA adult drugs and alcohol, Kent County Council Public Health, 2016). • General Population/Communities. • Partygoers. • Families. • Carers. • Health and Criminal Justice Agencies. • Homeless, Rough Sleepers and Single Homeless. The above are direct beneficiaries. The indirect beneficiaries of this strategy will be the wider community along with health and criminal justice agencies. Service access and equity The strategy will impact across the whole of the Kent population According to the 2014 Mid-Year Population Estimates (MYPE) the population of Kent is 1,510,400 (KCC, 2015). Source: Based on 2014 Mid-Year Population Estimates, Office for National Statistics (Crown Copyright). This table prepared by Business Intelligence: Research & Evaluation, Kent County Council (June 20150
Sexuality With regards to sexual orientation, the available data for the county is limited. For most of the districts in Kent, 2011 census data shows that 0.2% of the population in most of the districts in Kent are registered in same sex civil partnerships. The exceptions are 0.1% in Gravesham and Tunbridge Wells and 0.3% in Shepway and Dover. HM Treasury estimates are that 6% of the UK population is either lesbian or gay (no figures on bisexual) – this is generally believed to be an under-estimate, but is the best data available. Table 6 Population by broad ethnic group: Kent, the South East and England (2011 census) Involvement and Engagement Service user groups There has been two partnership and service user events reviewing care pathways (service access) since the last update; one in East Kent and one in West Kent County Council Partnership and service user involvement in co-design of services in West Kent 2016 in progress; same planned for East Kent 2016 Kent Drug and Alcohol Partnership Board and the Kent and Medway Licensing Review Steering group are aware that this work is being done Further involvement planned; KCC website, emails to relevant parties, members of relevant meetings to cascade to other parties throughout the sector; public consultation, district and key partnership sub-groups and services involved e.g. 12 district partnership alcohol planning groups, Kent Community Safety Partnerships. As part of the continuing development of this strategy members of a joint team comprising of people representing Public Health, Commissioned Services (KCC), Kent Police, Borough Councils, Mental Health, NHS and others came together to produce the first strategy draft drawing upon service user content from the Joint Strategic Needs assessment. This will be enhanced with further input of ‘user voice’ for the second draft post public consultation. As engagement and involvement activities are completed the EqIA and strategy will be updated, re assessed and amended accordingly. Following the completion of the engagement and involvement activities a full consultation document will be written and will be published. Engagements with partners and stakeholders have included: Discussions with partners at the Joint Commissioning Groups which are held quarterly Discussions at the quarterly KDAP board meeting were approval was sought and agreed Engagement with partners and stakeholders will include: Service User groups
Equality Impact Assessment Action Plan Protected Characteristic Issues identified Action to be taken Expected outcomes Owner Timescale Cost implications Age Tackling underage alcohol sales Targeted activity by Kent police and trading standards; further development of community alcohol partnerships Review and implement the delivery of the Hidden Harm Strategy Increase the number of young people accessing specialist community treatment Increasing the capacity of the Risk behaviour programmes in schools Strategy action plan will be developed with Alcohol Strategy implementation group Disruption of criminal activity re illicit supply and sales of drugs and alcohol Fewer hospital admissions for those aged under 18 years Services should be welcoming to a broad population base District strategy implementation groups / Commissioner service providers / partnership Ongoing to 2022 existing service provision Disability Improved service access and quality of those with mental health and substance misuse issues Monitor compliance and implementation of the Kent joint working protocol for dual diagnosis 2016 Services should be welcoming to a broad population base Partnership performance monitoring commissioning meetings existing service provision existing
Increased awareness amongst social care community workforces and commissioned services Develop support training package and monitor compliance with new SMS framework for Social Care workforce including mental health, older people and learning difficulties Review location and access to services hours etc. Gender Plan needs to take into account how it can meet differing access and health needs Services should be welcoming to a broad population base Review location and access to services hours etc. Service access / performance data / SU feedback District strategy implementation groups / Commissioner service providers / partnership existing service provision Gender identity Gender identification needs to be accounted for in the strategic action plan. Regular review of expected prevalence figs matched to service access figures Services should be welcoming to a broad population base Service access / performance data / SU feedback service provision