governance meetings and actions agreed Ensure divisional reporting system enables recording of discriminatory behaviour relating to protected characteristics. Collate the information related to protected characteristics. Formulate an action plan as appropriate. Provide a regular agenda item at Surveillance to report incidents, review trends, agree actions Deputy Chief Operating Officer/Senior Data Analyst/Equality & HR Officer Systems in place to capture discriminatory behavior by service users to staff or others\users. This information now needs to be collated and analyzed via the respective Forums Action to be discussed by governance March 2017 EDS 1.4, EDS 3.4 WRES EO
7. Establish process to monitor and address any over representation of relevant protected characteristics in relation to MVA, seclusion and tranquilization. Data collection of protected characteristics undertaken in relation to restraint, seclusion and rapid tranquilization, Data analysis to ascertain if any relevant protected characteristics are over represented in areas. Data showed women over represented in incidents. Work to commence with both service users and staff on analysis and actions. Further meeting in place to discuss and agree actions Trust wide task & finish group established to examine a gendered approach to ‘No Force First’ which has been introduced in the division Data requested March 2017 July 2017 May 2017 EDS 1.4 EO/2 8 Review translation services and move to Capita on-line booking system Begin process of moving service to Capita; develop communication plan and training for staff on operation of new system Equality & HR Officer/Finance SpLD now on Capita on-line booking system. Communication re passwords and process rolled out Audit of usage in April 2018 April 2017 9 Full implementation of the Accessible Information Standard in line with NHS England Guidance Identified all patient information systems within the Division Identify leads re AIS for all systems/Divisions Equality and Human Rights advisors/IM Lead/Equality and Human Rights Lead/AIS Lead Lead identified June: New form to be installed on Care Notes by end of the month to facilitate identification and flagging March 2018 July 2017 AI/S EO/6 QC/1
Develop specific actions to enable the standard to be met Develop internal governance process for the standard. Develop guidance for staff to support the production of accessible information Upgrade to system due to be completed end of the month Staff guidance in development June first draft completed and to be circulated Divisional Equality Objective 3 : To have comprehensive equality staff data Objective Action Lead Progress Time EDS 10. To effectively implement the workforce race equality standard (WRES) and have identified outcomes from its implementation Analysis of staff equality data Data to be reported, analysed, discussed at governance meetings and actions agreed Trust Equality & HR Lead/ Equality & HR Officer/Senior Data Analyst The data for the WRES is still being put together. The ESR data has been produced; staff survey data now received will be included. Employee relations data is ready. The recruitment data is the final section to be completed. Need to pull off new data for the next submission from 1st April 2017 – to be downloaded to June 2017 Report published by 1st July 2017 WRES
Action to ensure homophobic abuse can be reported onto the system Develop anti-racism, discriminatory abuse programme in collaboration with service users Equality & HR Officer/Service User/Carer Lead NHS employers before 1st July 2017 System in place Service users engaged will be further addressed in FREDA principle actions Hate Crime Event planned in collaboration with community groups April 2017 June 2017 October 2017 To have lead/ actions to ensure staff survey recommendations are developed and met Awaiting report on latest survey June: received report, details and actions to be discussed at Equality Committee July 2017 11. Merging of SpLD equality agenda with wider Trust Merge appropriate data for equality monitoring Produce merged data for all legal /NHS requirements for SLDD to host engagement sessions for people within the service and Chief Operating Officer/Trust Equality & HR Lead The Trust has included the EDS arrangements for SLDD. Aligning the assessment process with the Quality Account process and priorities for the Trust. This is to be completed June 2017 April 2017 WRES EO/5 AIS EO/1/WRES EO/1 EDS 3 EO/4
Objective Action Lead Progress Time Frame EDS Level 14. Ensure that Gender is a consideration in the outline business case for the new build. 15. Need to develop a system/process of checks where all other service related business changes OBC are subject to equality and human rights analysis Business Development Mgr/Operational Support Mgr/ Head of OT for the new build subjected to equality analysis Accepted lead on Calderstones acquisition equality analysis May 2017 16. System to ensure all Divisional policies and procedures are subjected to equality analysis Policy & procedure group to review and put EA training & system in place Senior Operational Manager/Equality & HR Lead Propose task set up to conduct analysis on current policies & procedures May 2017