Primary care framework -presentation ivan benett and claudette webster
Embedding Equality Diversity and Human Rights Dr Ivan Benett GP & Clinical Director Central Manchester CCG Claudette Webster Interim Deputy General Manager South Manchester CCG Dr Ivan Benett GPwSI CardiologyWe hold these truths to be self-evident, that all men are created equal. 19/06/12 Martin Luther King Jr., 1963 1
Embedding Equality Diversity and Human RightsWhy is this important for Manchester today? The Governments Equality Strategy Building a fairer Britain is underpinned by the two principles of equal treatment and equal opportunity. ‘By eliminating prejudice and discrimination, the NHS can deliver services that are personal, fair and diverse and a society that is healthier and happier. For the NHS, this means making it more accountable to the patients it serves and tackling discrimination in the work place.’
Embedding Equality Diversity and Human RightsWhy is this important for Manchester today? The Operating Framework for the NHS in England 2011/12 - NHS organisations to maintain progress on equality by fulfilling their statutory duties under the Equality Act and to deliver high quality care for patients. In addition to the Equality Act, patients’ rights to a comprehensive and fair NHS are set out within its founding principles, legislation such as the Health Bill 2009 which includes the NHS Constitution Refreshed and extended following the White Paper report, Equity and excellence: liberating the NHS and the Future Forum. There are also plans for the first time, to enshrine the reduction of inequalities in legislation within the Health and Social Care Bill.
Embedding Equality Diversity and Human RightsWhy is this important for Manchester today?The Equality ActIn October 2010 the Equality Act provisions came into force, and to be phased in up until 2013. It outlaws discrimination against the following protected characteristics:AgeDisabilityGender reassignmentMarriage and civil partnershipPregnancy and maternityRace (with the possibility of including caste)Religion or beliefSexSexual orientation
Embedding Equality Diversity and Human RightsWhy is this important for Manchester today? WHateVer Age Disability our Gender reassignment Marriage and civil partnership status Pregnancy and maternity status Race or Cast Religion or belief Sex or Sexual orientation
Embedding Equality Diversity and Human Rights NHS North West ‘embraces the diversity of people from all groups in society, regardless of age, race, religion, belief, disability, gender (including gender reassignment) or sexual orientation. We are committed to eliminating unlawful discrimination and promoting equality of outcomes for everyone. We aim to do this by ensuring that the values underpinning equality, diversity and human rights are central to our policy making, service planning, employment practices and community engagement and involvement. ‘
Embedding Equality Diversity and Human RightsWhy is this important for Manchester today? Because it’s tHe rigHt tHing to do and integral to providing quality serVices that are safe and match the needs of it’s users Clinical Commissioning Groups have to be committed to Equality Diversity Human Rights. We need to build on the progress made to date and enhance the relationships and partnerships between patients, communities and health and social professionals. In the last two years Equality Performance Improvement Toolkit [EPIT] has been the solid foundation for Grt Manchester, providing the basis for a good overview of the gaps and what we need to do as CCGs.
Why do we need a framework for primary care?Current ED&HR assessments do not apply to Primary Care and there is no way of benchmarking or identifying gapsTo be effective Clinical Commissioning Groups will need to develop such a framework for general practices.We need to establish our baseline before developing action plans for improvementWe are not starting from scratch as there is already some evidence of the gaps
What we would like to do? Design and agree a self assessment process suitable for primary care that:• Provides a baseline position for all practices covering both patients and how a practice runs itself and assures equality of outcomes for its own staff• Enables the measurement of genuine outcomes for patients across all protected Characteristic groupings .• Links to local initiatives and incentive schemes i.e QOF/QP• Enables the measurement of outcomes important to the bigger picture and priorities of the CCG• Will enable the measurement of outcomes relating to commissioning and referral processes• Ensuring that service experience and outcomes for patients can be measures as a result of service and pathway redesign
We do have some enablers and levers?• We know some of the gaps already identified from EPIT/ EDS• Authorisation and beyond for CCGs• Strengthening the relationships with our respective member practices• Progressing the agenda of Integration in partnership with patients, communities and local statutory organisations• CQC registration for general practices• Quality Agenda including Patient & Public involvement• Vital that GPs see this approach as constructive, supportive and complimentary to what they already do