1) Public Health England (PHE) is launching an inequalities strategy and toolkit to address unfair barriers to accessing screening programs and to help individuals make informed choices about screening. 2) The strategy builds on past work and stakeholder input, and seeks to provide leadership, evidence, and tools to identify and address screening inequalities at local levels. 3) A key part of this effort is a new report analyzing screening data based on deprivation, ethnicity, and other factors to help benchmark progress on reducing inequalities.

1. Update on equality and diversity
Jo Jacomelli, National Data Manager,AAAScreening
Programme, Public Health England
Lisa Summers, National Programme Manager,
AAAScreening Programme, Public Health England

2. Our responsibilities - PHE
Public Health England (PHE) exists to protect and improve the
public’s health and wellbeing and reduce health inequalities. We do
this through world-class science, advocacy, partnership, knowledge
and intelligence, and the delivery of specialist public health services.
There are commitments to tackle inequalities in:
• the PHE remit letter 2018 – 2019
• PHE’s Strategic Plan for the next four years – better outcomes
by 2020
• a framework for PHE action on health inequalities, 2015 – 2020
• we also have published equality objectives
Equality and diversity2 PHE Screening Division’s Inequalities Strategy

3. Screening division inequalities strategy
Equality and diversity3 PHE Screening Division’s Inequalities Strategy

4. Screening division inequalities strategy
The strategy builds on :
• past and current programme specific work
• stakeholder workshop on screening inequalities
• inequalities network
• stakeholder engagement and consultation
• PHE annual conference in September 2017
Implement through programme specific and generic actions
Equality and diversity4 PHE Screening Division’s Inequalities Strategy

5. Screening division inequalities strategy
The strategy seeks to address the unwarranted, and unfair barriers that may
mean people don’t participate in screening when, after due consideration,
they would wish to.
It also recognises that an informed decision to accept or opt out of screening
is one for the individual involved to make. It should ideally be congruent with
their values and unique circumstances and free from pressure.
Equality and diversity5 PHE Screening Division’s Inequalities Strategy

6. Vision, aims and objectives
Our vision is that all screening services can be accessed fairly by all
communities and that everyone, regardless of their social and personal
circumstance, has an opportunity to make an informed personalised choice
about screening
Our aim is to maximise the health outcomes of national screening
programmes and reduce the overall burden of health inequalities.
Our objectives are to:
• provide leadership and strategic direction, to tackle inequalities in
screening
• provide those responsible for the delivery and commissioning of screening
with the evidence and tools to identify and tackle screening inequalities
within local communities and eligible screening groups they support the
reduction of screening inequalities
Equality and diversity6 PHE Screening Division’s Inequalities Strategy

7. What PHE Screening can do
What PHE Screening can do:
• provide leadership and strategic direction, to tackle inequalities in
screening
• provide those responsible for the delivery and commissioning of screening
with the evidence and tools to identify and tackle screening inequalities
within local communities and eligible screening groups they support the
reduction of screening inequalities
Equality and diversity7 PHE Screening Division’s Inequalities Strategy

8. Inequalities toolkit
Four nations approach
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9. Inequalities toolkit
WHO IS IT FOR?
Local providers, commissioners, GPs, practice nurses and other
stakeholders in understanding the barriers to attendance.
WHY DO WE NEED IT?
Enable local providers to identify and compare with similar demographics,
problem-solve and share best practice.
WHAT IS INCLUDED?
Resources to identify and address needs. The content will continue to
evolve as providers use the toolkit and submit evidence.
WHERE CAN I FIND IT?
This will be available via GOV.UK.
LAUNCHED:
24 May 2018
2018 – delay due to Purdah (pre-election period)9 Equality and diversity

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13. What next?
• Four nations ownership
• Toolkit evolution
• Submission process
• How will new inequalities initiatives be announced?
• Audit and service evaluation
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14. Origins of deprivation and ethnic group
report
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15. Aims of the report
• Support the inequalities toolkit
• To make it easy to access and analyse relevant data
• Identify if there are inequalities in relation to deprivation and ethnic
group in the local provider area
• Provide information for benchmarking and monitoring
• Quantitative evidence for change
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16. Rationale for change
• Deprivation and ethnic group are not the only drivers of
inequalities
• Changing availability of data
• Duty to make best use of available data
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17. Coverage - cohort
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18. Coverage – self referrals
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19. Detection of aneurysms - cohort
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20. Detection of aneurysms – self referrals
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21. Updated report – secure units
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22. Updated report
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23. Updated report
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24. Why include data on prisons?
• Provide feedback to individual secure units
• Make sure men have access to screening
• Men on surveillance seen in appropriate timescales
• Use information about first appointment DNAs to help
improve appointment efficiency in the future
• Men are referred appropriately into vascular services
and have access to treatment
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25. Next steps and timeframes
• Pilot with providers
• Aim to introduce in Q2 (October 2018)
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