2. Equality Impact and Needs Analysis (EINA)
Directorate: Adult and Community Services
Service Area: Public Health
Name of the service/function/policy
being assessed:
Stop Smoking Cessation Services
Officer leading on assessment: Pradnya Gaikwad
Other staff involved Usman Khan, Anna Raleigh, Nora Cooke O’Dowd, Catherine Stelling
1. Summary of the key findings
A summary of the key findings from the EINA are:
Age: In Richmond, in 2014/15, a youth survey estimated that 14.3% of 15 year olds were current smokers and this was the highest prevalence
in England. Current smokers include both children who smoke regularly i.e. at least one cigarette a week (6.7%) and occasionally i.e. less than
one cigarette a week (7.6%). Regular smoking is considered to be more problematic, this was similar to the English level, but still much higher
than London. This high prevalence relative to the rest of the country is likely due to the predominantly white ethnic group in Richmond. The
commissioned service is aimed at adults and children 12 years of age and above and hence accessible to the 15 years old who smoke under
the Frazer guidelines and therefore we do not consider accessibility as issue. However , due to the higher number of 15 years old in Richmond
as compared to other boroughs , the existing and the new stop smoking service will need to target this age group more effectively
Sex: In Richmond, 48.6% of the population is male and 51.4% female. Up until 2014/15 there had been an even proportion of men and women
accessing the smoking cessation services. In 2014/15, there was a slight increase in the number of females (52%) accessing stop smoking
services. This mirrors the gender breakdown in the Richmond population. Nationally, more men population smoke than women, however, this
may be less of an issue in Richmond as the adult male population is slightly lower than the adult female population. However, men are less
likely to access stop smoking services and hence there is a need for more targeted approach for men to access the service.
Gender re-assignment: There is no official estimate of the transgender population in Richmond. Based on national research, it is estimated
that between 1,148 and 1,914 transgender people living in Richmond. As the Richmond’s stop smoking services are easily accessible for all the
3. population who smokes. Therefore, there does not seem to be any adverse impact on this group.
Pregnancy and Maternity: In Richmond, only 2.6% of woman smoked at the time of delivery, which is significantly lower than the London and
England average. However, this did represent an increase from 1.9% the previous year, contrary to a decreasing trend nationally. In Richmond,
57 women smoked at time of delivery and given the severity of the consequences, it is important that this is addressed. Therefore targeted
efforts are needed to help pregnant women quit smoking. The current service specification does state that the smoking services should target
high risk groups including pregnant women. Due to an increase in the percentage of women who smoked last year at the time of delivery as
compared to the previous year, there is a need for the existing and the new service to target this group more effectively.
Sexual orientation: Often estimates of the transgender population are combined with wider estimates of the lesbian, gay and bisexual
population to provide an overall LBGT estimate. For example, both the London Boroughs of Hounslow and Newham take the approach of
quoting national figures which estimate the LBGT population to be between 5% - 7% of the local population. However, this approach creates an
inherent link between sexual orientation that some of the transgender population may not recognise themselves i.e. an individual may be
gender variant without considering themselves lesbian, gay or bisexual. A conservative estimate of the number of lesbian, gay, bisexual and
transgender, people in Richmond is 9500 (5% of the total population). As the Richmond’s stop smoking services are easily accessible for all the
population who smokes, therefore, there does not seem to be any adverse impact on this group. However, the data for Richmond is
unavailable.
We are working closely with the current provider to incorporate the changes in the contract extension as identified above and also
incorporating these in the service specification for 2017/18.
BACKGROUND
2. Briefly describe the service/function/policy:
Smoking is the leading preventable cause of premature death. Quitting smoking significantly reduces the risk of dying from tobacco-related
diseases such as cardiovascular diseases, lung cancer and with the incidence of disability and poor health-related quality of life. According to
World Health Organisation, the current death toll from direct and second hand tobacco smoking in adults 30 years and over is estimated to be
globally well over 5.5 million each year. Smoking initiation is a key behaviour that determines the future health consequences of smoking in a
4. society. There is a marked difference in smoking patterns around the world, driven by initiation rates.
Smoking prevalence in adults in England has been steadily decreasing from almost 21% to 18% in the last 5 years since 2010. Nearly 1 in 5
adults’ smoke and there are around 90,000 regular smokers aged between 11 and 15. Smoking causes 17% of all deaths in people aged 35
and over. However, inequalities do exist and is particularly prevalent amongst certain groups:
Unemployed people were almost twice as likely to smoke as the employed and economically active.
The highest prevalence of smoking was amongst the socio-economic classification of “routine and manual” at 29%
The proportion of current smokers in the lowest two income quintiles was double the proportion in the highest income quintiles.
Smoking is twice as common in people with long-standing mental health problems.
Smoking is the single biggest preventable cause of health inequality. Most smokers initiate smoking as teenagers: two-thirds before the age
of 18. The reason for this is complex; ranging from parental and sibling smoking, the ease of obtaining cigarettes, smoking by friends and
peer group members, socio-economic status, exposure to tobacco marketing, and depictions of smoking in films, television and other media.
Children are more likely to take up smoking if they live with people who smoke. The best way to reduce smoking among young people is to
reduce it in the world around them.
Stop Smoking Services are the single, most effective public health intervention to prevent ill health. The number of people in Richmond
engaging in unhealthy behaviours is substantial and the costs of dependency on health and social care are unaffordable at current trends.
However, a significant proportion of long-term conditions are avoidable with the adoption of healthy behaviours. National evidence highlights
that unhealthy diet, closely followed by tobacco was the leading cause of poor quality and reduced length of life in 2015.
In Richmond, smoking prevalence is much lower than in London and England at only 11.2% (2014). However, there are still an estimated
17,000 adults in Richmond who smoke. Annually, 244 deaths are attributable to smoking, and over 1200 hospital admissions are due to
smoking related conditions. Most people make several attempts to quit smoking; however, they find it much harder when they are dealing
with stress in their lives. To improve their chances of quitting there is a need for effective services and therapies, supportive social networks
and smoker free environments. Local stop smoking services offer the best chance of success. They are up to 4 times more effective than
no help or over the counter nicotine replacement therapy.
The Stop Smoking Service Contract was awarded by NHS Richmond Primary Care Trust to Thrive Tribe (trading as Kick-it) with Richmond
5. and Twickenham PCT, for a period of 3 years from 01 October 2012 to 30 September 2015, including two further periods of extension of up to
one year each. This is a joint contract between the London Borough of Richmond upon Thames and Royal Borough of Kingston upon
Thames; with Richmond council acting as the contract lead.
The Kick-It smoking cessation programme supports and facilitates the delivery of stop smoking advice within pharmacies and general
practices which represents the greatest opportunity to provide the service to local communities.
3. Why is the equality impact and needs analysis being undertaken?
The smoking cessation programme is a key mechanism for advancing equality, reducing inequalities and improving health.
Nationally, the number of people setting a quit date is falling, leading to a fall in the numbers of successful quitters. As compared to London
and England, Richmond performs poorly with regard to the numbers of smokers setting a quit date. In 2014/15, 3,638 per 100,000 smokers
over 16 years of age set a quit date. Having set a quit date, the number of successful quitters at 4 weeks was 1,486 per 100,000 smokers
roughly half the rate of London and England. This number has dropped since last year.
The stop smoking service in Richmond for the first two years helped to reach the targets but recently the performance has significantly
declined i.e. by 50%. There are multiple reasons for this decline such as wide-spread availability of cheap tobacco and the emergence of
niche products such as shisha, disengagement of the primary care providers, introduction of a new IT system and rapid surge in the
availability and usage of E-cigarettes. The effects of e-cigarettes are as yet not fully understood, but it is associated with harm reduction.
The Comprehensive Spending Review (CSR) announced further challenging cuts to public health budgets which require a review of all
commissioned services. Therefore, there is a strong business requirement to secure significant savings from a modernised model of stop
smoking provision. Additionally the current stop smoking services contract has exhausted its extension clause, and the council is required to
re- procure a new stop smoking service for April 2017. A new stop smoking service model is proposed taking into account an evidence-based
approach, a service model consisting of a universal digital offer, targeted specialist provision in primary care and also via contractual
arrangements with secondary care, provision of training and education incorporating elements of Young people and Tobacco control.
The EINA is therefore seeking to understand the impact of the new service, the benefit to commission at scale with the added advantage to
achieve the economies of scale and the saving required and also it will be an integral part of the needs analysis at the start of the
commissioning process.
6. 4. Has this service/ function/ policy undertaken a screening for relevance
Yes, the screening for relevance was undertaken and identified potential medium impact for ‘Age’, ‘Sex’ , ‘Sexual Orientation’, ‘Gender Re-
assignment’, ‘Pregnancy and Maternity’. The further information is in the ‘Appendix’ attached at the end of the document.
The Equality Act 2010 identifies 9 protected characteristics:
Age
Disability
Gender
Gender Reassignment
Marriage/CP
Maternity
Race
Religion/Belief
Sexual Orientation
7. 5. What sources of information have been used in the preparation of this equality impact and needs analysis?
http://www.ash.org.uk/files/documents/ASH_596.pdf ASH. (2014). Second hand Smoke: the impact on
children.
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsP
olicyAndGuidance/DH_124917
Department of Health. (2011). Healthy Lives, Healthy
People : A Tobacco Control Plan for England. Public
Health.
http://www.tgmeds.org.uk/nhsgender2011.html#.Vw_W0NQrJdg A review of access to NHS gender reassignment
services (England only) Updated version – November
2011
https://www.richmond.gov.uk/jsna Joint strategic needs analysis (JSNA) for Richmond
http://www.datarich.info/ Data Rich - population forecast for Richmond
http://www.datarich.info/resource/view?resourceId=488 London Borough of Richmond upon Thames. (2015a).
Estimating the Transgender Population of Richmond
upon Thames. Retrieved November 23, 2015
http://www.richmond.gov.uk/pharmaceutical_needs_assessment.p London Borough of Richmond upon Thames. (2015b)
LBRuT Pharmaceutical Needs Assessment
8. http://www.datarich.info/resource/view?resourceId=556 London Borough of Richmond upon Thames. (2015c).
The Index of Multiple Deprivation 2015.
http://www.ncsct.co.uk/pub_ncsct-about-us.php NCSCT. (2013). Stop Smoking Services and Health
Inequalities.
http://ash.org.uk/files/documents/ASH_131.pdf Action on smoking and health (2011)- Tobacco and
Ethnic Minorities
http://www.richmond.gov.uk/pregnancy_and_maternity_bite_size_jsna_1403
04.pdf
Pregnancy and Maternity in Richmond (2014)- Bite- size
Joint Strategic Needs Assessment
http://www.richmond.gov.uk/census_borough_profile_2013.pdf London Borough of Richmond upon Thames Census
Borough Profile (2013)
https://www.nice.org.uk/guidance/ph48/chapter/2-public-health-need-and-
practice
Smoking: Acute, maternity and mental health services
(NICE guidelines, 2013)
http://www.hscic.gov.uk/catalogue/PUB17526/stat-smok-eng-2015-rep.pdf Health and Social Care Information Centre (2015)-
Statistics on Smoking
9. http://www.hscic.gov.uk/catalogue/PUB17526/stat-smok-eng-2015-rep.pdf Health and Social Care Information Centre (2015)-
Statistics on Smoking
6. ANALYSING IMPACT, NEEDS AND EFFECTS
Protected Group Estimated Impact Findings
Age Medium National information/data
Nationally, smoking prevalence decreases with age, as people quit, or long-term smokers
begin to face mortality from smoking-related diseases. In 2014, nationally, 23% of those aged
18 – 34 smoked, dropping to 20% in 35 -49 year olds, 18% in those ages 50 – 64 and halving
to 9% in those aged over 65. Those who quit smoking at a younger age, have a longer life
expectancy than those who continue smoking. It is thus desirable that a successful intervention
comes as early in life as possible, and interventions should primarily target on the working age
population. Roughly 20% of the population of Richmond is aged 18- 34.
Younger people
The commissioned service is aimed at adults, thus we do not consider the accessibility of the
service to those under 16. However, it is noted that the adult smoking habits will have an
impact on children, both through future behaviours and second hand smoke.
• Children whose parents both smoked were three times more likely to take up smoking.
• Exposure to second-hand smoke causes a range of diseases, to which children are
particularly vulnerable. There is now a high level of compliance with smoke- free laws,
in enclosed work and public places. However, 67% of pupils reported being exposed to
second hand- smoke in the last year, most commonly in someone else’s or their own
home or car.
It is thus desirable to direct interventions for younger people for stopping them to initiate
smoking.
10. Richmond information/data
A youth survey estimated that 14.3% of 15 year olds in Richmond were current smokers
2014/15- this was the highest prevalence in England. Current smokers include both children
who smoke regularly i.e. at least one cigarette a week (6.7%) and occasionally i.e. less than
one cigarette a week (7.6%). Regular smoking is considered to be more problematic, this was
similar to the English level, but still much higher than London. This high prevalence relative to
the rest of the country is likely due to the predominantly white ethnic group in Richmond.
The current commissioned service is aimed at adults and children 12 years and above
therefore easily accessible to children under the Frazer guidelines. Additionally, the young
people and tobacco control element helps to focus on the wider elements including children
and young people at schools and colleges. Similarly, the new service model will be accessible
to all adults and children 12 years and above who smoke (under the Frazer guidelines) and the
Young people and tobacco control will help to target all school age children. However, due to a
higher percentage of 15 years old who smoke in Richmond, there is a need for the existing and
new service to target and engage this age group more effectively.
Disability Low National information/data
People with disabilities often have individual complex and specific needs. It is important that
health and social care services are able to provide effective specialist services to meet such
needs.
Smoking prevalence is significantly higher among people with mental health problems than
among the general populations. Prevalence is highest among those with a diagnosis of a
psychotic disorder, more than two-thirds (70%) of people in psychiatric units smoke tobacco
and it is high as 80% among people with schizophrenia. Young people aged 11-16 years with
an emotional, hyperkinetic or conduct disorder were much more likely to be smokers than other
young people.
Most of the reduction in the life expectancy among people with serious mental illness is
attributable to smoking.
11. • In people aged 18-64 years, a total of 20,510 people have a common mental health
problem; 9,155 have two or more psychiatric disorder, 422 anti-social personality
disorders and 510 psychotic disorder.
• In people aged 15-64 years, a total of 3,621 have a learning disability, and that of these
770 have a moderate or severe learning disability (London Borough Richmond Upon
Thames)
People with mental health problems are able to quit smoking if they are offered evidence –
based support. However, research shows that effective stop smoking treatment is not always
offered to them.
Richmond information/data
In Richmond, 21,477 (12%) people report that they have some form of disability or health
problem that affects their day-to-day activities. 370 people are blind, 260 partially sighted, and
550 are deaf or hard of hearing.
The Richmond’s stop smoking services are aimed at all the adult population equally including
people with disabilities. There seem to be no barriers for people with disabilities to access the
service. Therefore, the procurement of a stop smoking service will not have a negative impact
on people with disabilities.
Gender (Sex) Medium National information/data
Nationally, prevalence of smoking was higher for men (22%) than women (17%). In 2013 on
average, men in the age bracket 50-59, smoked 11- 13 cigarettes per day more than women
and a higher proportion of men than women smoke hand-rolled cigarettes (40 per cent of men
and 23 per cent of women).
Men were also more likely than women to initiate smoking before they were 16 years of age
(43% of men who had ever smoked regularly compared with 37% of women in 2011).
Since the early 1990s there has been an increase in the proportion of women taking up
smoking before the age of 16.
In 1992, 28% of women who had ever smoked started before they were 16 years of
age; in 2011 the corresponding figure was 37%.
12. Since 1992, the proportion of men who had ever smoked and had started smoking
regularly before the age of 16 has stayed constant at approximately 40%.
Smoking is responsible for about half the difference in death rates in men by socio-economic
status.
Richmond information/data
In Richmond, 48.6% of the population is male and 51.4% female.
Up until 2014/15 there had been an even proportion of men and women accessing the smoking
cessation services. In 2014/15, there was a slight increase in the number of females (52%)
accessing stop smoking services. This mirrors the gender breakdown in the Richmond
population. However, as seen nationally, more men in smoke than women, however, this may
be less of an issue in Richmond as the adult male population is slightly lower than the adult
female population. Generally, we would expect to see more men accessing services. This
suggests that men are less likely to access services. Therefore targeted efforts are needed for
men to access the service
13. Gender
reassignment
Low National information/data
Estimates of the prevalence and incidence of gender dysphoria and Transsexualism are
difficult to quantify due to the lack of robust national data. Additionally, there is no central data
on how many people request or receive gender reassignment services in England. However, it
is estimated a roughly 0.6% to 1% of the population are transgender.
The percentage of the population that had undergone gender transitioning treatment in the UK
is estimated to be closer to 0.01% of the population. This is a very small proportion of the
population, but there are medical risks associated with hormone use and smoking, which
require attention because patients who smoke and take estrogens face a significantly higher
risk of thromboembolic complications than those who do not. The risk of polycythemia and
polycythemic stroke is also increased by androgen supplementation with concurrent smoking.
However, gender reassignment services are the priority health issue identified by mist trans-
advocacy groups.
Richmond Information/data
There is no official estimate of the transgender population in Richmond. Based on national
research, it is estimated that between 1,148 and 1,914 transgender people living in Richmond.
As the Richmond’s stop smoking services are easily accessible for all the population who
smokes. Therefore, there does not seem to be any adverse impact on this group.
14. Marriage and civil
partnership
Low National information/data:
The prevalence of cigarette smoking varies considerably according to marital status. In 2013,
people who were cohabiting were most likely to smoke (29%) while those who were married
were least likely (13%). Single people were most likely to have never smoked with 63% not
doing so.
Richmond Information/data
In Richmond, in 2013, 60% of people were living in a couple- either married/in a same sex civil
partnership or co-habiting, compared to 53% in Outer London. 26% people are single and
have never been married or in a same sex civil partnership. 6% of the population are not living
in a couple and have been divorced or in a legally dissolved same sex civil partnership.
As the Richmond’s stop smoking services are easily accessible for all the population who
smokes, therefore, there does not seem to be any adverse impact on this group.
Pregnancy and
maternity
Medium National information/data:
Smoking during pregnancy can cause serious pregnancy-related health problems, including
complications during labour and an increased risk of miscarriage, premature birth, still birth, low
birth-weight and sudden unexpected death in infancy.
Many teenage women smoke during pregnancy. In 2010, women aged 20 and younger were 6
times more likely to smoke throughout pregnancy as compared to those aged 35 and over. In
addition, pregnant woman from routine and manual occupations are much more likely to smoke
throughout their pregnancy than those from professional and managerial occupations.
Overall, 26% of mothers in England smoked before pregnancy, 55% gave up smoking at some
stage before the birth and 31% were smoking again less than a year later after pregnancy. As
there is stigma attached to smoking in pregnancy there is likely to be significant under-reporting
by pregnant women who smoke.
Exposure to passive smoking during pregnancy is an independent risk factor for low birth
weight. Babies exposed to their mother’s tobacco smoke before they are born, grow up with
15. reduced lung function. Parental smoking is also a risk factor for sudden infant death syndrome
(cot death). In 2000, 21% of non -smoking pregnant women were exposed to the second hand
smoke.
Richmond Information/ data:
In Richmond, only 2.6% of woman smoked at the time of delivery, which is significantly lower
than the London and England average. However, this did represent an increase from 1.9% the
previous year, contrary to a decreasing trend nationally. In Richmond, 57 women smoked at
the time of delivery and given the severity of the consequences, it is important that this is
addressed. Therefore targeted efforts are needed to help pregnant women quit smoking. The
current service specification does state that the smoking services should target high risk
groups including pregnant women. There is a need for the new stop smoking service in
2017/18 to target this age group
Race/ethnicity Medium National information/data:
Smoking rates vary considerably between ethnic groups. In men, compared to the general
population, rates are particularly high in the Black Caribbean (37%) and Bangladeshi (36%)
populations but these differences are explained by socioeconomic differences between the
groups. Among women, smoking rates are low (at 8% or below) with the exception of Black
Caribbean (22%) and Irish (24%) compared with the general population. Overall, smoking rates
among ethnic minority groups are lower than the UK population as a whole.
Smokeless tobacco is used by some ethnic minority groups, particularly those from South Asia.
Chewing tobacco is most commonly used by the Bangladeshi community with 9% of men and
19% of women reporting that they use chewing tobacco. However these figures may reflect a
degree of under-reporting by some respondents.
Richmond Information/data:
Over the last ten years, Richmond upon Thames has become more ethnically diverse.
Although the majority of residents in the borough are White British this proportion has fallen
from 78.72% in 2001 to 71.44% in 2011. In total in 2011, 86% of residents in Richmond were of
16. White ethnicity including White British, White Irish, White Gypsy or Irish Traveller and White
Other ethnic groups.
The borough is less ethnically diverse than London but generally more diverse than England
overall with some notable exceptions. In Richmond, 0.62% is Asian/Asian British and Pakistani
and 0.88% ethnic group is Black/African/Caribbean/Black British. Estimates from 2004 are the
latest available on smoking and ethnicity. After adjustment for age, Bangladeshi (40%) and
Irish men (30%) were more likely and Indian men less likely (20%) to report smoking cigarettes
than men in the general population (24%). Self- reported smoking prevalence was higher
among women in the general population (23%) than most minority ethnic groups, except Irish
(26%) and Black Caribbean women (24%).
As the Richmond’s stop smoking services are easily accessible for all the population who
smokes, therefore, there does not seem to be any adverse impact on this group. However
targeted efforts need to be made to raise awareness about the stop smoking service amongst
the BME communities.
Religion and
belief including
non- belief
Low National Information data:
There is little evidence of a link between religious belief and non-belief on smoking activity. As
with any service, the smoking cessation service is expected to consider religious and cultural
sensitivities.
Richmond Information/data
The population of Richmond is predominantly Christian (55%) or without a religion (28.45%).
The Muslim, Hindu and Sikh communities in Richmond are highly concentrated in Heathfield
and Whitton wards.
Residents stated their religion in the 2011 Census and the table below indicated the numbers
of those who follow each of the major religions in the UK.
Stated religion
(Census 2011)
Number of
Richmond
Residents
Christian 103319
Buddhist 1577
17. Hindu 3051
Jewish 1409
Muslim 6128
Sikh 1581
As the Richmond’s stop smoking services are easily accessible for all the population who
smokes, therefore, there does not seem to be any adverse impact on this group.
Sexual orientation Medium National Information data:
According to 2014 statistics, lesbian and gay people are much more likely to smoke than the
general population in UK. Young LGB (Lesbian, Gay and Bisexual) people are also more likely
to initiate smoking at the younger age and smoke more heavily especially homeless people.
LGBT (Lesbian, Gay, Bisexual and Transgender) people are also more likely to suffer from
mental ill health and are more likely to suffer from a number of social disadvantages which
make them more vulnerable to smoking.
Richmond Information/data
Often estimates of the transgender population are combined with wider estimates of the
lesbian, gay and bisexual population to provide an overall LBGT estimate. For example, both
the London Boroughs of Hounslow and Newham take the approach of quoting national figures
which estimate the LBGT population to be between 5% - 7% of the local population. However,
this approach creates an inherent link between sexual orientation that some of the trans
population may not recognise themselves i.e. an individual may be gender variant without
considering themselves lesbian, gay or bisexual.
A conservative estimate of the number of lesbian, gay, bisexual and transgender, people in
Richmond is 9500 (5% of the total population).
As the Richmond’s stop smoking services are easily accessible for all the population who
smokes, therefore, there does not seem to be any adverse impact on this group. However, the
local data for Richmond is unavailable.
7. Have you identified any data gaps in relation to the relevant protected characteristics and relevant parts of the
duty?
18. Gaps in data Actions to deal with this
There appears to be a local gap in the data regarding the protected
characteristics. Clarity is needed about what data Richmond
commissioned services collect on service users and whether it includes
information on protected characteristics.
Identify what information Richmond commissioned smoking
cessation services are collecting on the protected characteristics.
After the gap analysis, an action plan will be developed to include
this in the existing and new service specifications.
There are no reliable or definitive figures locally or nationally available on
the size of the LGB communities and lack of research on the impact of
smoking on this group.
This is a national issue.
There are no reliable or definitive figures available locally or nationally on
the size of the transgender population.
This is a national issue.
8. Consultation on the Key Findings
What consultation have you undertaken with stakeholders or critical friends to help inform the EINA process? What
consultation has been undertaken about the key findings? What feedback did you receive as part of the consultation?
Colleagues from the Health Intelligence team and Public Health team within the council have provided a range of information and advice about
smoking cessation and protected characteristics which have been used to shape the EINA.
The EINA has been consulted at Community Involvement Group on 21st
April 2016 for their comments and their feedback has been
incorporated into the EINA document. It has been shared with Public Health DMG (Department Management Group) for their feedback.
The draft EINA will be taken to the ACS Directorate Equalities Board on 15th
June 2016 for approval and sign-off on behalf of LBRuT
19. 9. ACTION PLANNING
1. What issues have you identified that require equality actions? What are these equality actions, who will be responsible for them and
when will they be completed?
Equality Action Planning:
Use summary of issues and actions in the completed EINA
Produce action plan with equality objectives and actions
Establish ambitious but achievable timescales
Set milestones and targets
Include actions and targets in performance monitoring
In the equality action plan, set out any of the equality actions you will undertake to address any issues you have identified as part of
the analysis. This could be an action to address a disadvantage experienced by a specific protected group, or to implement an
activity that will advance equality of opportunity or foster good relations. Lead officers also need to be named along with a proposed
completion date.
Issue identified Planned action Lead officer Completion Date
There appears to be a local gap in the data
regarding the protected characteristics of
people. Clarity is needed about what data
Richmond commissioned services collect
on service users and whether it includes
information on protected characteristics.
Identify what information Richmond
commissioned smoking cessation services
are collecting on the protected
characteristics.
PG July/August 2016
There is lack of awareness amongst BME
communities about smoking cessation
services available both locally and
nationally. Services may not be configured
The service specification should state that
the provider should have a robust
communications plan to raise awareness
about stop smoking cessation services in
UK/PG June/July 2016
20. for BME community users the community especially amongst BME
communities.
There is a high percentage of 15 years old
who smoke in Richmond
Although the current smoking services are
accessible to children of 12 years and
above, but due to a high proportion of
children of 15 years of age who smoke,
there is a need to focus on this age group.
This should be reflected in the service
specification.
UK/PG June/July 2016
Men are less likely to access stop smoking
cessation services.
This should be included as a KPI in the
service specification. The service spec.
should also highlight targeting men from
both routine and manual occupations,
unemployed populations and hard- to –
reach target groups.
UK/PG June/July 2016
Pregnant who smoke may not be
accessing the service appropriately as
there has been a rise percentage of women
who smoke.
Include this as a KPI in the new service
specification and work with the current
provider to help target this group effectively.
UK/PG June /July 2016
Please Note: We are working closely with the current provider to incorporate the changes in the contract extension as identified above and
also incorporating these in the service specification for 2017/18.
21. MONITORING AND REVIEW
10.How will the actions in the action plan be monitored and reviewed? For example, any equality actions identified
should be added to business, service or team plans and performance managed.
The completion of the actions in this EINA will be monitored through RP3 updates in alignment with ACS EINA protocol. This will be shared
with the existing provider and incorporated in their action plan and monitored via regular contract meetings.
11.PUBLISHING THE FULL COMPLETED ANALYSIS
Please provide details below:
Approved by Signed off outside of the ACS-Directorate Equalities Board
Date of approval June 2016
Date of publication 17th
August 2016
22. DECISION-MAKING PROCESS
12. Has a copy of this EINA or summary of key findings been provided to key decision-makers, where relevant, to help inform decision
making, for example as an appendix to a Cabinet or Committee report or report for DMT or Exec Board?
If so please provide the details including the name of the report, the audience i.e. Cabinet/ Committee, the date it went, and the report
author.
Please also outline the outcome from the report and details of any follow up action or monitoring of actions or decision taken:
The EINA will be included as an Appendix to the documents informing the Stop Smoking Cessation Commissioning process.
23. Public Sector Equality Duty 2011: Initial Screening for Equality Relevance and Impact
Name of Directorate Adult and Community Services
Contact Pradnya Gaikwad Telephone 020 8734 3020
E-mail Pradnya.gaikwad@richmond.gov.uk
Service/ Function Are the areas listed below relevant to your service/ function? Please answer H, M or L for ‘High’ Medium or Low’ or
state if there is NO information.
Age Sex Race Disab’ Re&B SO GeR P&M M&CP Eliminating
discrimination,
harassment or
victimisation
Advancing
equality of
opportunity
between
different
groups
Fostering good
relations
1. Stop Smoking Cessation
Services
M M M L L M L M L L M M
2.
3.
4.
5.
6.
24. Legend
Age Age Sex Sex
Race Race Disab’ Disability
Re&B Religion and Belief SO Sexual
orientation
GeR Gender re-assignment P&M Pregnancy and
maternity
