NHS GREATER GLASGOW PRIMARY CARE DIVISON

Transcription

1 NHS GREATER GLASGOW PRIMARY CARE DIVISON Introduction This report is an update of the performance of NHS Greater Glasgow Primary Care Division in meeting the obligations under the Race Relations (Amendment) Act (RRAA) 2000 and Fair for All. The aim of the report is to assess the extent to which race equality is being progressed across divisional services from the period Much of the work evident in the report has been through the partnership work involving the Multicultural Health Development Programme (MHDP). The MHDP is the lead department for the facilitation of Race Equality agenda across all departments and divisions. The report has been compiled using a joint monitoring framework developed by the Commission for Racial Equality (CRE) and National Resource Centre for Minority Ethnic Health (NRCEMH). Following approval and recommendation from the Trust Management Team, it will be forwarded to Greater Glasgow NHS Board and will be published together with similar reports from other NHS Trusts in Glasgow. Further information on the work of Primary Care Division and references outlined in this report can be found at 1

2 1. STRATEGIC MANAGEMENT AND LEADERSHIP Strategic Chief executive named as corporate lead for Race Equality. Divisional Head Personnel and Project Manager Race Equality responsible for facilitation of Race Relations (Amendment) Act 2000 and Fair for All. Race Equality reporting processes have been established through NHS Board/HQ Directors/CRE/ NRCEMH (per annum) and DRESG (per quarter) Establish and clarify leadership roles for Race Equality under new Partnership for Care arrangements. Establish operational arrangements to ensure race and diversity issues are carried forward into new CHP structures. In partnership with NHS Board, establish reporting processes for Race Equality (Diversity) through new CHP structures. Operational Multicultural Health Development Programme (MHDP) charged with facilitation of RRAA and FFA across functions and services. Clarify new operational role for department within new structure Divisional Race Equality Steering Group (DRESG) has formed since 2002 to serve as forum for Race Equality issues across Division. A diversity mapping has taken place across the organisation 2. DEVELOPMENT OF IMPACT ASSESSMENT TOOLS Revise DRESG membership to include new organisational structure and include representation from local authorities. Ensure greater liaison with wider equality groups within the Division to support joint working. The Division is using the Equality Impact assessment toolkit (SEHD) to assess its policies and functions and has contributed to the development of a shorter EQIA developed through Ayrshire and Arran Health Board Impact assessment processes are included within Equipped for Excellence Managing Diversity training programme. Continue to deliver training on impact assessment to senior managers. Collate and publicise impact assessments and use as part of training processes. 2

3 A system of recording the number of equality proofed policies is in place 3. MONITORING FUNCTIONS AND POLICIES FOR ADVERSE IMPACT Ethnic monitoring of patients underway across some services (e.g. CDSS) but needs to be strengthened across all patient services. Ensure new guidance on ethnic monitoring is disseminated across organisation. A new system for recording ethnicity of patients with chronic disease management has been introduced. 80% of practice nurses have been trained on ethnic monitoring within CDSS. Extraction of ethnicity data planned for early Continue to deliver ethnic monitoring training for practice nurses. Evaluate the impact of the training The Division has recruited volunteer cultural and religious advisors for the following faith groups, Islam, Buddhism, Hinduism, Sikhism, Christianity and Judaism. Ensure CHPs are aware of advisors. The Division has produced an online database of minority ethnic organisations for wider consultation processes. Ensure database is reviewed and consolidated to include wider equality groups across NHS Greater Glasgow. Ethnic Monitoring underway across HR functions See section on Human Resources 3

4 4. DEMOGRAPHIC PROFILING AND RESEARCH Achievements Lapse In progress Complete Next steps Analysis of Census 2001 Information is complete and has been published on website Ensure information on racial groups can be extracted and a summary of ethnic information is A stocktake of ethnic minority research across NHS Greater Glasgow catchment has been published on the website. 5. ACCESS AND SERVICE DELIVERY 5a PRIMARY CARE available for CHPs. Use ethnic monitoring information and other data to ensure ethnic minorities have equity in access to services. A Race Equality Functional assessment is underway to assess the level of mainstreaming of RRAA and FFA across all services Publish results of functional assessment in March A self audit toolkit for general practice and LHCCs on race equality Need to revise toolkit for use in CHP s. is in draft format. A multi-agency group has been established to coordinate services for Asylum Seekers and Refugees. Continue to monitor asylum seeker and refugee issues through group. A public folder has been created which includes translated appointment/ cancellation letters. Publicise availability of translation information to staff. A Medication Management Programme for minority ethnic communities has been developed by the Medicines Management Team. Evaluate clinic programme to inform service delivery. 4

5 5b. LEARNING DISABILITY DIVISION A Reflection day of users of the services from black and minority ethnic communities has been organised. Information is being fed back into planning processes. Development of training package to deliver religious rituals and activities associated with faith groups. Monitor and evaluate training programme and link to Divisions training programme. A Learning Disability and Ethnic Minorities review has been published and is available on the website. Review information on best practice within review. Establish procedures to record ethnicity of service users from a minority ethnic background. Link to wider Divisional group on recording of ethnicity. Anti-discriminatory training for Senior Management Team has been delivered. Review and evaluate anti- discriminatory training function through Pan Glasgow Diversity Group. 5c. MENTAL HEALTH DIVISION One day Anti- Discriminatory training delivered to Mental Health Divisional Management Team. A draft action plan has been developed and will be revised in light of new structures. Recording of ethnicity of patients underway across some services but needs to be strengthened across divisions Agree codes for implementation and develop phased training for new Mental Health Partnership A stocktake of race and mental health has been completed Report has identified gaps in services in areas of ethnic minority and user consultation. Ensure issues are addressed through new Mental Health Partnership. A One Stop Clinic programme has been designed to support primary care practitioners in meeting the health care needs of patients from minority ethnic communities who experience mental health problems. P/T bilingual counsellor and CPN have been appointed to team Service evaluation for 2004 is complete and available on website. Continue to raise awareness of One Stop Clinic within CHPs and Mental Health Partnership Examine patterns of uptake across different racial groups. Inform wider service development through training and development of joint assessment processes. 5

6 5d. SUPPORT SERVICES DIVISION Achievements Lapse In progress Complete Next Steps Translated menus and choice of meals available across Hotel Services. Division in process of reviewing policies and procedures and implementing antidiscriminatory practices. Translated questionnaire of ethnic minority patients within wards. Review and collate results. 6. PATIENT FOCUS PUBLIC INVOLVEMENT (PFPI) Achievements Lapse In progress Complete Next Steps INTERPRETING NHS Interpreting policy has been revised. Quality Standards working group developed to monitor standards of interpreting. Monitoring of interpreting requests underway. Includes type of health service, language, frequency and location of requests. Guidelines on use of interpreters published for NHS staff. Policy is available on website PATIENT INFORMATION Information Sub Group of Divisional PFPI Committee currently looking at patient information in languages other than English. Translated menus and choice of meals available across Hotel Services within Division. A list of translation agencies has been compiled by the organisation. PERSONAL, RELIGIOUS AND SPIRITUAL CARE A Spiritual Care Policy and Action plan has been developed Training underway for staff including personal care needs of patients from minority ethnic groups including bereavement training and awareness of pastoral care services. Qurans and other religious scriptures available across all wards within Mental Health Services. Ensure revised policy and procedures are disseminated across organisation. Continue to monitor uptake of interpreting services and assess for any adverse impact. Continue to monitor gaps in language provision for people from minority ethnic groups. Spiritual Care Committee taking forward action plan. Further targeting required for staff that work with patients and involved in personal care. 6

7 ADVOCACY An advocacy service for black and minority ethnic communities has been commissioned through NHSGG. Report on service provision provided to NHS Board. CARERS Carer s information has been developed in both print and audio format for people from minority ethnic groups. Evaluation of carer s information is complete. Continue to monitor uptake of advocacy services by black and minority ethnic groups. Continue to publicise advocacy services across Mental Health Services. Continue to support the development of the carer s strategy. 7. HUMAN RESOURCES (further detail on training can be found as part of cross cutting themes) Equal Opportunity Policy (EOP) in place for organisation is available on intranet. Equal Opportunities Form (EOF) captures data on ethnicity sexual orientation and religion of candidates. Ethnicity workforce information published quarterly. External vacancy list is disseminated to minority ethnic organisations. Regular attendance of recruitment team at events involving minority ethnic communities. Positive Action (Access to the NHS) work placement programme underway across Division in partnership with University of Strathclyde. External advertising in high profile ethnic minority events Ethnicity Monitoring underway on grievance, applications (received/short listed / appointments), performance appraisals, dismissals, and training. EOP to be revised following issue of new PIN guideline through pan Glasgow group.. Continue to monitor rates of uptake of employment by minority ethnic groups Continue to monitor rates of access to employment by black and minority ethnic groups. Evaluate Positive Action programme and assess potential for further resources. Continue to involve recruitment at high profile minority ethnic events/ festivals. Report on employment duty has been published, November

8 8. ORGANISATIONAL DEVELOPMENT AND TRAINING (further detail on training can be found as part of cross cutting themes) Achievements Lapse In progress Complete Next Steps RACE EQUALITY TRAINING Cultural Competency and Anti Discriminatory training have been delivered to staff. Competency Framework used to evaluate learning from training environment. Managing Diversity module developed as part of Equipped for Excellence Programme. Race Equality awareness now part of Corporate Induction Evaluation Report of training activity is available. Training data includes ethnicity, religion, sexual orientation, gender and age of participants. 9. PROCUREMENT Ensure availability of training programmes is added into G.P appraisal folders through NES.. Work to develop Diversity induction module (gender, age, disability, race, religion, sexual orientation) module for new staff. Ensure development of consistent training programmes through Pan Glasgow Diversity Training Group. Evaluate Race Equality Training Programme to assess for adverse impact. Achievements Lapse In progress Complete Next Steps Race Equality Scheme and letters sent to existing contractors requiring evidence of race equality within contracted functions e.g. private nursing, recruitment advertising. Review information, prepare brief on Race Equality and Public procurement. Awaiting Scottish Health Care Supplies report on FFA/ RRAA. 10. COMMUNICATIONS Achievements Lapse In progress Complete Comments List of ethnic minority press organisations and media held by Review media list in partnership with Board. organisation. Race Equality issues communicated via Trust Newsletter and Corporate Briefings. Ethnic minority website developed to support front line staff (254 hits daily) Continue to include race equality issues as part of corporate briefings. Continue to develop the website with a wider perspective on Diversity. 8