Organising to influence public health decisions


Published on

Equality SW UK - Brenda Weston Presentation 2013 Note- equality SW is now closed: this file is made available as a legacy resource only, it will not be updated.

Published in: Health & Medicine, Education
  • Be the first to comment

  • Be the first to like this

No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide
  • Increasingly referred to as the PSED:
    Applies to public bodies listed in Schedule 19 of the Act
    Public sector bodies are also subject to the wider framework of Equality legislation within the Act. The Public Duty is only part of their legal obligations.
  • Specific Duties do not apply to smaller organisations such as schools and parish councils (although the Duty itself does.)
    Government say they are “developing tools and mechanisms to support organisations and individuals to challenge public bodies effectively to ensure they publish the right information and deliver the rights results, with a particular focus on addressing the barriers facing some disabled people.”
  • Public bodies need to do these things. Need to promote the idea that publishing makes their life much easier.
    We suggest that individuals and groups should consider using the Freedom of Information Act provisions to access this data if it isn’t published.
    If this shows poor practice, challenges could be made either
    because they have not carried out the duties to understand/engage with specified groups/ consider the impact, or
    because they have not fulfilled the requirements of the PSED having undertaken this exercise.
  • These are quotes from respondents to the Pride, Progress and Transformation survey carried out among LGB and Trans people in the SW in 2010.
  • The EHRC also has a range of guidance documents to help people understand their rights under the Act, and the roles and responsibilities of various organisations.
  • Organising to influence public health decisions

    1. 1. Organising to influence and challenge public health decisions Brenda Weston – Policy and Research
    2. 2. What contributes to ‘Public Health’ Prevention rather than cure! Addressing the causes of health inequalities • • • • • • • Education Housing Employment Family/community Lifestyles Transport Identifying specific risk factors for particular groups
    3. 3. What do we want to achieve? The specific public health needs of a ‘protected’ group or groups are understood and represented in the services commissioned • • • • • • • • • Age Disability Gender reassignment Marriage and civil partnership Pregnancy and maternity Race Religion or belief Sex Sexual orientation
    4. 4. Who/what do we need to influence or challenge? • • • • • • Health and Well Being Boards Local councils Clinical Commissioning Groups Service providers HealthWatch activities Content of JSNAs
    5. 5. What ‘levers’ do we have? • The law – – – – – Equality Act NHS legislation governing public health Human Rights Act Regulatory bodies – CQC/Audit Commission Freedom of Information Act • Equality standards – Equality Standard for Local Government – NHS Equality Delivery System
    6. 6. Public Sector Equality Duty (PSED) “… requires public bodies, and others who exercise public functions, to have due regard to the need to eliminate unlawful discrimination, harassment and victimisation; advance equality of opportunity; and foster good relations between people who share a protected characteristic and those who do not share it.”
    7. 7. The PSED Specific Duties Regulations, 2011 Public bodies will be required to: publish ‘specific and measurable’ equality objectives by 6 April 2012, then every four years; publish information at least annually to demonstrate their compliance with the general Equality Duty relating to their employees (for bodies with 150 or more staff) and others affected by their policies and practices - such as service users. Information must be accessible to the public (but) can be included within another published document.
    8. 8. Equality data Under the requirements of the general duty to have ‘due regard’ to the matters set out in the Act • “public bodies will need to understand the effect of their policies and practices on equality… • this will involve looking at evidence, engaging with … staff, service users and others and… • considering the effect of what they do on the whole community”. (Quoted from: Equality Act 2010: The public sector Equality Duty: reducing bureaucracy)
    9. 9. Statistics aren’t enough! • “Young people who are LGB face particular problems, including the risk of family disruption and rejection, isolation from friends and peers, and significant levels of bullying (verbal, emotional and physical) in schools.” • “There is an overarching need for health and social care professionals to receive appropriate training in relation to gender dysphoria and the kinds of interventions and care required...” • “... refused a smear test by GP as (I am a) lesbian, despite previously insisting (this is) necessary.” • “Lack of sexual health info for LGBT people.” • “HIV - disclosing personal issues within healthcare settings !! (privacy , confidentiality)
    10. 10. Some sources of equality evidence • Equality and Human Rights Commission • Equality South West • Government Equalities Office • The Runnymede Trust (BME communities) • Stonewall • Terrence Higgins Trust (LGB) • Mermaids (young Transgender) • (Transgender) Gender Identity Research and Education Society • • • • • • • Press for Change (Transgender) NHS Choices End Violence Against Women Women’s Aid Fawcett Society Disability Alliance Office for Disability Issues