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Equality Analysis
Division
Halton and St Helens
Service Name
Neurorehabilitation/ Complex Rehabilitation
Equality Analysis Number (provided by
the E&D Team)
HSTH53.08.2013
Directorate
Urgent Care and Therapies
Service Lead Responsible for completion
of Equality Analysis
Name Job Title Telephone Number Email Address Sue LightfootAdditional Needs Manager 01928 582948
What is the aim of the service?
Complex rehabilitation of individuals with neurological diagnoses and on the Merseyside Major Trauma PathwayWhat are the intended benefits and improved
health outcomes to patients?
Physical, cognitive and psychological rehabilitation helping patients achieve a holistic intervention for better quality of life.
Which, if any, third sector, (charity and voluntary
sector), groups does the service work with?
Headway, Neurosupport
Does the service carry out any patient
engagement or work with any patient groups?
As above
How do users access the service? e.g. GP
referral, self-referral
GP, Social Services, Therapists, Consultants. Self re-referral accepted
How long do users tend to stay with the service?
Average 3-5 yearsAre patient records paper based or computerised,
if computerised which system is used?
Paper records
Which of the 9 equality strands does your service
monitor?
Age Disability Gender Reassignment Marriage/Civil Partnership Pregnancy/Maternity Race Religion/Belief Sex (Gender) Sexual Orientation Yes No At what stage are any of the 9 equality strands
above noted?
Referral FormsFirst Appointment Forms Discharge Forms Other Yes No
At what point are patients discharged?
End of active rehabilitation goalsWhat is the discharge process?
Discussed with patient; letter to referrer (copy to patient)What is the process following a Did Not Attend?
Discharged immediately if first appt DNA. For follow up, letter sent after first DNA saying they will be discharged if another DNA.How does the service ensure a DNA was not
because adjustments had not been made to
facilitate access? Failure to make adjustments
may be a breach of the Equality Act 2010 and
can lead to vulnerable patients not receiving
Block booking of sessions offered same time and day for consistency where possible.
Telephone reminders offered for people with memory problems.
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Equality Analysis
The next section asks more specific questions based on CQC outcome alignment to the Equality Act 2010 and the Human Rights Act 1998. The questions
asked relate to barriers potentially facing patients from the nine protected characteristic groups and also those who are carers, from lower socio economic
communities and those with chaotic lifestyles (such as the homeless, sex workers or drug users) – all associated with health inequalities and poor health
outcomes. The CQC identified barriers are Access, Assistance and Attitude; the questions have broken this down into access to the initial appointment,
assistance within and following the appointment and attitude relating to staff training in the different health issues, needs and aspirations of the different
groups within our community.
Would there be any reason, other than clinical
need, for the service to refuse to see a patient?
Where risks to professionals are identified (violence, aggression etc. in line with the zero tolerance policy), patients are offered clinic based appointments or seen jointly.
How would a patient be made aware of:
alternative clinic venues
domiciliary care options or
flexible appointment times or days?
These alternatives can be very important for
carers, those observing particular holy
days/festivals or those with work commitments.
Patients are contacted by phone to establish preferred days/ times / venues for appointments. These are offered within practicable limits for the remainder of their contact with the Service.
How would the service identify if a patient should
be offered a pre-appointment familiarisation visit
to the clinic?
This could be important for patients with a
learning disability or autistic spectrum disorder.
We would normally offer home visits if such concerns were highlighted.
Is there an appointment reminder procedure
within the service, for example text messaging?
How does the service know if
a patient requires assistance
for any of the following?
Pre-Appointment/Referral
At the appointment
Post appointment follow up -
information provided
(including complaints
procedure, privacy notices)
Are staff confident in how to
access this help and why
there may need to be an
adjustment made?
Translation or interpretation
for other languages
Dependent on referrer to highlight need.
Assessed. Patient offered translation if appropriate.
Not routinely offered. We have accessed translation/ interpreters in the past through Trust.
Communication support for
deaf, deafened or hard of
hearing
Dependent on referrer to highlight need.
Assessed. Patient offered BSL interpreter if appropriate
Not routinely offered Yes
Communication support for
blind or visual impaired
Dependent on referrer to highlight need.
We would establish if known to Vision Rehab or other support services
Refer to Vision Rehab Yes
Communication support for
difficulties with speech
Referral form asks about communication difficulties. Also asks if SALT are involved
We would establish if known to SALT
Refer for SALT support Yes
Easy read for learning
disabilities, lower literacy, the
elderly
No processes in place pre-appointment
No processes in place pre-appointment
No processes in place pre-appointment
No
Contrast of text on paper for
learning difficulties
No processes in place pre-appointment
Available if highlighted Available if highlighted No
Large print
No processes in place pre-appointment unless highlighted on referral formWe would provide large font/ photocopy versions of information if requested/ appropriate
We would provide large font/ photocopy versions of information if requested/ appropriate
Yes
Learning Disability Health
Passport or Care Passport
Neurological Passport may accompany certain patients.
NA NA NA
Telephone contact or text
messaging
Only telephone contact available as an option
NA Patients are reminded by phone
re upcoming appointments if they have memory difficulties
NA
Religious observances
Religion/cultural requirements recorded at referral Preferences/ special observations ascertained as part of assessment if appropriate NA NoPage 5 of 8 environments
Longer appointment times
All patients are offered an extended initial appointment where the need for ongoing length of appointments is established.Judges on an individual clinical basis
NA NA
Appointments at particular
times, for example early or
late when quiet
Patients are contacted by phone to establish preferred days/ times / venues for appointments. These are offered within practicable limits for the remainder of their contact with the Service.
As before As before Yes
Mental health illness
Recorded on referral form. Often the reason for referralMental Health needs are highlighted as part of the assessment
Support offered if appropriate. Good links with Mental Health/Psychology Services
If a patient is unable to use the telephone are
there other ways for them to contact the service?
Walk in and request to see a member of staff. Email
How does the service ensure that all patients can
access the reception and waiting area?
The venue is a specialist centre which is fully accessible. Disabled parking spaces are available, automatic wide entrance; level access and low level reception area. Guide dogs are also welcome.
How does the service ensure patients who may
experience difficulties can access the treatment
room?
Staff available on site to assist if appropriate
Are bathroom facilities available for patients who
may need help from a carer?
Yes
Has the service experienced patients missing an
appointment following arrival at a venue, for
example because of the patient calling system
excluding deaf or hard of hearing?
No
What does the service do to ensure patients
understand the information given to them in the
appointment?
Part of clinical assessment is to assess level of understanding. Joint working with SLT to understand and maximise communication/understanding
What does the service do to ensure carers
understand the information given to them? For
example information about pain relief or medicine
administration.
Joint work with carers and patient either in clinic or at home. Attendance of carers at goal setting meetings and case reviews to allow expression of views/concerns.
Does the service offer appointments to, and see
homeless patients or those in temporary
accommodation?
Yes
Would one of the service’s patients transition to
another service?
Dependent upon need and outcome of assessment / treatment
Does information regarding necessary
adjustments for access and care get passed to
the relevant agency when a patient transitions
between services?
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Would staff in the service be interested in
receiving training or accessing advice in the
following areas:
Autistic Spectrum Disorders
Yes
Mental health awareness
Yes
Sensory impairments
Yes
Learning disabilities
Yes
Learning difficulties e.g. dyslexia, dyspraxia
Yes
Lesbian, gay, bisexual health
No
Gender reassignment awareness
No
Religious and cultural awareness
Yes
Asylum seeker/refugee awareness
No
E&D signed off:
Ruth Besford
Date:
11.09.2013
Equality Report
EqA Completion Date Potential barriers identifiedProtected Characteristic Group Affected
Other Groups Affected
Actions Lead Due
A g e Di sa b ility Ge n d e r Rea ssi g n m e n t M a rr ia g e /Ci vil P a rtn e rs h ip P re g n a n cy/ M a te rn ity Race Religio n /B e li e f S e x S e xu a l Or ie n ta tio n
11.09.2013 No concerns Staff to access training
requested E&D Sept.2014 Training Requested Autistic Spectrum Disorders Mental Health Awareness Sensory Impairments Learning Disabilities Learning Difficulties (e.g. dyslexia, dyspraxia) Lesbian, gay and bisexual health Gender reassignment awareness Religious and cultural awareness Asylum seeker/refugee awareness
Report Sign Off Service Lead
E&D Lead
Name: S Lightfoot Date: 30.9.2013
Name: Ruth Besford Date: 01.10.2013
