NHS Equality and Diversity Council

Equality Delivery System (EDS)Equality Delivery System (EDS)

Maqsood AhmadMaqsood Ahmad

Director of NHS EDS Director of NHS EDS Implementation Implementation

Personal, Fair and Diverse

NHS Equality and Diversity Council

Equality Delivery System - who it covers

The EDS is designed to make improvements for patients & staff - based on NHSNW, Police Service and L/A

• Age• Disability• Gender re-assignment• Marriage and civil partnership• Race including national identity

and ethnicity• Religion or belief• Sex (that is, is someone female

or male)• Sexual orientation• Pregnancy and maternity

Protected characteristics

The EDS applies to people afforded protection, bythe Equality Act 2010, from unfavourable treatment because of specified ‘protected’ characteristics

The EDS may apply to those not protected by the Equality Act but who face stigma when accessing or using services, such as homeless people

NHS Equality and Diversity Council

Equality Delivery System - what it delivers

The EDS helps the NHS comply with the Public Sector Equality Duty

• Preventing ill health• Helping people recover

from illnesses and accidents

• Coping with long-term conditions

• Ensuring patient safety• Improving patient

experience

NHS Outcomes Framework

The EDS helps the NHS to deliver on the :• The NHS Outcomes Framework• The right and pledges of the NHS Constitution for patients and staff

The EDS helps organisations address health inequalities in general, improving outcomes and reducing gaps

NHS Equality and Diversity CouncilEDS

The process and the role for RCN

Identify local interests - including patients, communities, staff and local third sector

Assemble evidence - including JSNAs, Public Health data, CQC surveys & local surveys

Agree roles with LINks / HealthWatch, Public Health, Health & Well-Being Boards and other parts of the Local Authority

Analyse performance on 18 Outcomes for each protected group, with local interests

Step 1

Step 2

Step 3

Step 4

8

NHS Equality and Diversity CouncilEDS - the process

Jointly agree overall Grade for each Outcome, with local interests

Jointly select a Priority Action for each Objective, with local interests

Integrate Priority Actions in mainstream business including QIPP response and Quality Accounts

Publish grades /actions locally; share with Health &Well-Being Boards; alert CQC to serious concerns

Step 5

Step 6

Step 7

Step 8

8

NHS Equality and Diversity Council

1

EDS - Analysis

Organisations analyse and grade their equality performance against

18 outcomes grouped into 4 objectives:

Better health outcomes for all

Improved patient access and experience

Inclusive leadership

Empowered, engaged and included staff

2

3

4

Account is taken of CQC Essential Standards and the Human Rights Act 1998 (“FREDA”)

NHS Equality and Diversity CouncilEDS - grades

For each outcome, one of four grades can be chosen, and related to a RAGG rating :

Excelling - Gold

Achieving - Green

Developing - Amber

Undeveloped - Red Poor outcomes, evidence not used, local interests not engaged & equality notpart of mainstream processes

Very good outcomes, evidence fully used, local interests fully engaged & equality part of mainstream business

NHS Equality and Diversity Council

NHS

EDS Support Team

- helping the NHS with implementation and monitoring

progress

Tim RideoutImplementation Director

National Commissioning Board

EDS Technical Working

Group

Sir David Nicholson Chief Executive of NCB & Chair of EDC

DH Policy Leads

NHS EDS Implementation Structure

SHA Inclusion / Equality Leads

charged with local implementation

Maqsood AhmadDirector of NHS EDS

Implementation

Equality & Diversity Council (EDC)

NHS Equality and Diversity Council

Regional progress on EDS implementation - Summary

• Governance and leadership - very good

• Buy-in from NHS Boards at a local and regional level – in progress

• Buy-in from emerging GP consortia and PCT Clusters - more progress needed

• Resources identified and allocated to local NHS organisations.

• Communications / engagement plans – good

• Engagement -

– voluntary and community sector, LAs, LINKs / HealthWatch; patients / carers and NHS staff – good

– GP Consortia and Pathfinders - more progress needed

NHS Equality and Diversity CouncilRegional progress on EDS implementation – May 2011

RegionGovernance

and Leadership

Buy-in from current NHS

Boards

Buy-in from emerging

GP consortia and PCT Clusters

Resources for EDS

implementation identified

Communica-tions plan

Engagement / involvement

Voluntary / community sector; LAs;

LINKs

Patients and carers

NHS staff and Staff

Side

GPs and GP Consortia

East Midlands

May 2011 June 2011 Aug 2011 April 2011 June 2011 July 2011 Aug 2011 July 2011 July 2011

East of England

Feb 2011 May 2011 May 2011 March 2011 March 2011 June 2011 June 2011 June 2011 June 2011

London June 2011 July 2011 June 2011 March 2011 June 2011 Sept 2011 Sept 2011 Sept 2011 July 2011

North East

Sept 2011 June 2011 Sept 2011 April 2011 July 2011 Feb 2011 Feb 2011 Feb 2011 Sept 2011

North West

Feb 2011 TBC TBC TBC TBC TBC TBC TBC TBC

South East Coast

April 2011 April 2011 April 2011 Feb 2011 March 2011 April 2011 April 2011 March 2011 June 2011

South Central

Feb 2011 April 2011 Dec 2011 Feb 2011 April 2011 July 2011 August 2011 June 2011 Dec 2011

South West

Feb 2011 April 2011 June 2011 March 2011 April 2011 June 2011 June 2011 June 2011 June 2011

West Midlands

April 2011 May 2011 July 2011 May 2011 June 2011 March 2011 March 2011 May 2011 July 2011

Yorkshire & Humber

May 2011 June 2011 Dec 2011 June 2011 June 2011 Oct 2011 Oct 2011 Oct 2011 Oct 2011

Regional EDS critical milestone completion dates - forecast for May 2011.

RAG: Completed In progress Not started / insufficient progress

NHS Equality and Diversity Council

July to November 2010 December 2010

February 2011May 2011

June / July 2011September 2011

October 2011April 2012

From 2012/13

Design and engagement phasePlanning for implementation startsRegional consultation begins Draft implementation plans are completed EDS is approved / rolled-out to the NHSAn evaluation is commencedEDS is formally launched by NHS CBEDS is implemented as equality objectivesare agreedEDS reviewed

EDS – timeline