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Equality & Diversity 1


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The Patient\'s Perspective

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Equality & Diversity 1

  1. 1. EQUALITY & DIVERSITY The Patient’s Perspective
  2. 2. Equality & Diversity Objective Providing a Healthcare Service that recognises, respects and responds to the diversity of the local communities we serve
  3. 3. Race Equality Local Population Statistics <ul><li> White Pakistan Indian Black </li></ul><ul><li> British Caribbean </li></ul><ul><li>Local Community 641,300 104,000 56,000 48,000 </li></ul><ul><li>(66%) </li></ul><ul><li>In Patient Profile </li></ul><ul><li>Selly Oak 65% 3% 2% 3% </li></ul><ul><li>Queen Elizabeth 65% 5% 5% 6% </li></ul><ul><li>Workforce 69% 1% 6% 4% </li></ul>
  4. 4. Race Equality Scheme Issues from Initial Impact Assessments <ul><li>Patient Information </li></ul><ul><li>Interpreting Service </li></ul><ul><li>Telephone Communications </li></ul><ul><li>Communications Barriers </li></ul><ul><li>Cultural needs/awareness </li></ul><ul><li>Gap with Primary Care </li></ul>
  5. 5. Disability Equality Scheme Trust Issues <ul><li>Requires for the first time that it takes a pro-active approach </li></ul><ul><li>Needed to involve a range of people with disabilities in the whole process, including employees and the wider community </li></ul>
  6. 6. Disability Equality Scheme Patient Issues <ul><li>9 million deaf and hard of hearing people in the UK or 1 in 7 of the UK population </li></ul><ul><li>Of these 698,000 are severely or profoundly deaf </li></ul><ul><li>Another 450,000 of them are severely or profoundly deaf and cannot hear well enough to use a voice telephone even with equipment to make it louder </li></ul><ul><li>An estimated 500,000 black and ethnic minority people are deaf or hard of hearing </li></ul><ul><li>Communication difficulties can place them all in danger of misdiagnosis or delay in treatment </li></ul>
  7. 7. Disability Equality Scheme Key Concerns <ul><li>Research conducted by Sign, found that the </li></ul><ul><li>key concerns for the needs of deaf people in </li></ul><ul><li>the NHS were:- </li></ul><ul><li>To improve access to all health services </li></ul><ul><li>To prioritise and promote disability equality </li></ul><ul><li>To improve facilities and services for deaf people </li></ul>
  8. 8. Disability Equality Scheme Experiences of people who are deaf and their carers <ul><li>Lack of knowledge, awareness and consideration by doctors, health professionals and receptionists shown in poor attitudes and lack of deaf awareness in communication </li></ul><ul><li>Information on deafness not being transferred between healthcare services, not being acted upon and lack of a system to do so </li></ul><ul><li>Medical staff with little training in deaf awareness/ communications tactics </li></ul><ul><li>Service providers being unclear on how to deal with deaf patients, particularly A&E. </li></ul>
  9. 9. Disability Equality Scheme Some solutions to help improve our patient’s experience <ul><li>Allow more time for appointments </li></ul><ul><li>Ask patients how they prefer to communicate </li></ul><ul><li>Make sure staff are aware of RNID Talktype </li></ul><ul><li>Use pictures, Video and DVD. </li></ul><ul><li>At least one front-line staff member should have basic deaf awareness training </li></ul><ul><li>Produce a short video of the ward and staff to orientate patient to the ward environment </li></ul><ul><li>Update the website and ensure it is up-to-date and is a comprehensive source of information </li></ul>
  10. 10. GENDER EQUALITY SCHEME Trust Issues <ul><li>Needs to be a central plank of service and strategy </li></ul><ul><li>Will require the Trust’s entire service remit to be tailored to men or women and in areas that are not as obviously gender sensitive </li></ul><ul><li>Collecting gender-specific disease data is a crucial first step </li></ul><ul><li>The Health Service is historically starting from a very low base </li></ul>
  11. 11. Gender Equality Scheme The impact of sex differences on health and illness <ul><li>Men typically develop heart disease ten years earlier than women </li></ul><ul><li>Women’s immune systems make them more resistant than men to some kinds of infection including tuberculosis </li></ul><ul><li>Women are around 2.7 times more likely than men to develop an auto-immune disease such as diabetes </li></ul><ul><li>Male-to-female infection with HIV is more than twice as efficient as female-to-male infection </li></ul>
  12. 12. Gender Equality Scheme Gender differences in health and illness <ul><li>Men are more likely than women to commit suicide </li></ul><ul><li>Women are 2-3 times more likely than men to be affected by depression or anxiety </li></ul><ul><li>Men are more likely than women to die of injuries, but women are more likely to die of injuries sustained at home </li></ul><ul><li>The gap between male and female smoking rates is beginning to narrow as young women are taking up the habit more frequently than young men. </li></ul>
  13. 13. Gender Equality Scheme Gender differences in health care <ul><li>Reporting practical problems in access to services </li></ul><ul><li>Caring responsibilities or transport problems </li></ul><ul><li>Admit weakness or accept that they may be ill </li></ul>
  14. 14. Gender Equality Scheme Gender differences in use of health care services – In-Patients <ul><li>Women - slightly more likely to be admitted as inpatients </li></ul><ul><li>Men from most ethnic minorities – slightly lower rates of inpatient treatment </li></ul><ul><li>Indian and Pakistani men - higher rates of in-patient treatment </li></ul><ul><li>Asian women - more likely to be referred to hospital by their GP but also were more likely not to attend appointments </li></ul><ul><li>Differences in hospital treatment for mental health problems reveal higher admission rates amongst men in early life and again in old age, while female rates are higher in middle age </li></ul>
  15. 15. Gender Equality Scheme Gender differences in use of health care services – Out-Patients <ul><li>Men are more likely than women to attend A&E </li></ul><ul><li>Women have higher rates overall of GP referrals for out-patient appointments </li></ul><ul><li>Higher rates of referral for in-patient treatment for women in general surgery, general medicine and psychiatry in particular </li></ul><ul><li>Differences vary by ethnic group </li></ul><ul><li>Chinese women and men were less likely to have attended as out-patients compared with general population </li></ul><ul><li>Chinese women and men are less likely to report being affected by a number of key health conditions </li></ul>
  16. 16. Gender Equality Scheme Gender Blindness <ul><li>The health of women and men is strongly influenced by their biological sex and their social gender </li></ul><ul><li>Targets for reduced waiting times are same for both sexes but results would be of greater value if disaggregated for women and men and for different clinical specialties </li></ul><ul><li>However, targets may be reached at different speeds for different specialties and may also reflect specific difficulties facing women and men in accessing care </li></ul><ul><li>Without a framework in which gender is identified as a relevant factor, the possibility of gender differences cannot be properly explored. </li></ul>
  17. 17. Equality & Diversity Conclusions <ul><li>A huge agenda to be completed </li></ul><ul><li>Collecting gender-specific disease data is a crucial first step </li></ul><ul><li>Working towards a Single Equality Scheme can help </li></ul><ul><li>Patients come from a wide range of ethnic groups, with different cultural perceptions of health, illness and healthcare. </li></ul><ul><li>Being sensitive to these different perceptions can impact positively on a patient’s progress and vice versa – but first you have to be aware of them! </li></ul>
  18. 18. Equality & Diversity <ul><li>Equality & Diversity in the NHS is all </li></ul><ul><li>about changing how we work and </li></ul><ul><li>meeting the real needs of the people </li></ul><ul><li>who use health services </li></ul><ul><li>Thank you for your time </li></ul>