Equality Analysis. Division Service Name

Transcription

1 Equality Analysis Division Service ame Equality Analysis umber (provided by the E&D Team) Directorate Service Lead Responsible for completion of Equality Analysis Ashton, Leigh and Wigan ewborn Hearing Screening Programme (for Paed Audiology see ALW ) ALW Children and families ame Job Title Telephone umber Address Anne Doyle Gill Edgington Luisa De Molfetta-Cookson Head of Children s Services Acting Team Leader Local Manager, HSP (ALW) Anne.doyle@bridgewater.nhs.uk gill.edgington@bridgewater.nhs.uk luisa.demolfetta@bridgewater.nhs.uk What is the aim of the service? ewborn Hearing Screening Programme The aim of the ewborn Hearing Screening Programme is early identification and management of hearing impairment which is moderate or greater (40 db HL). It is known to be important for the development of the child. Around one to two babies in every 1000 are born with a significant permanent hearing loss in one or both ears. Since the introduction of the ewborn Hearing Screening Programme in Wigan back in October 2004 all newborn babies born in Wigan have been offered a hearing screen. Babies that have no clear responses to the screen are referred to Paediatric Audiology, based at Platt Bridge Health Centre, where they are offered a full audiological assessment. Paediatric Audiology The Paediatric Audiology service provides audiological assessment, timely, effective and appropriate management of children identified with permanent childhood hearing impairment (following ewborn Hearing Screening and Diagnostic Testing). The paediatric audiology service also aims to identify acquired or progressive loss possibly identified via school entry screening programme, or the existence of significant speech and / or language delay or behavioral problems. Early intervention/detection of problems occurring in children reduces the future likelihood of major intervention being necessary. The quality of life achieved later is greatly affected if the child does not maximise their potential at the earliest possible time. Page 1 of 10

2 What are the intended benefits and improved health outcomes to patients? ewborn Hearing Screening Programme To ensure that all babies with permanent childhood hearing impairment receive effective support To reduce /eliminate long term complications (speech and language delay, poor educational attainment, emotional / mental health problems and chronic ET pathology). Paediatric Audiology Timely assessment of the hearing level of all babies and children referred into Audiology and where present the identification of the degree, type and configuration of that hearing loss. To ensure that all babies and children with permanent or temporary childhood hearing impairment receive effective support To reduce /eliminate long term complications (speech and language delay, poor educational attainment, emotional / mental health problems and chronic ET pathology). Which, if any, third sector, (charity and voluntary sector), groups does the service work with? Does the service carry out any patient engagement or work with any patient groups? The DCS (ational Deaf Children Society) and DS (Deafness Support etwork) are active members of our CHSWG (Children s Hearing Services Working Group). We have parent representatives who are members of and who attend the CHSWG. Patient surveys are also undertaken in Audiology and HSP will be undertaking a patient satisfaction survey early How do users access the service? e.g. GP Any health professional or parent. referral, self-referral How long do users tend to stay with the service? Until age 19 Are patient records paper based or computerised, Computerised systems are used. Audiology uses a if computerised which system is used? Patient Management System called Practice avigator. HSP use a national database called Which of the 9 equality strands does your service monitor? At what stage are any of the 9 equality strands above noted? At what point are patients discharged? esp. Age Disability Gender Reassignment Marriage/Civil Partnership Pregnancy/Maternity Race Religion/Belief Sex (Gender) Sexual Orientation Referral Forms First Appointment Forms Discharge Forms Other-TPP, PT experience forms o o When treatment goals are achieved and maximum functioning achieved as per discharge criteria or where transferred to adult services. Page 2 of 10

3 What is the discharge process? What is the process following a Did ot Attend? How does the service ensure a DA 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 timely and appropriate care. Parents / Carers or oung People are involved in decisions about treatment and discharge planning. Parents / Carers are provided with advice about ongoing support and management in order to enhance self management. Re-referral is possible if the conditions deteriorate. Patient records are maintained as per organisational policy, with school records. oung People are transferred appropriately to adult services Patient Access Policy in place and is applied. Audiologist overviews decision to discharge and if considers discharge not in child s interests then will send another opt in letter. Referrer Health Visitor / School urse and GP informed of non attendance so can support family to attend if needed Referral form indicates if translator required or if there are any learning difficulties that service needs to take into account in making appointments. Appointments are chosen by the via an opt-in process. During this discussion, patients can choose their nearest clinic. Text reminder system in operation where parents / carers choose this option Page 3 of 10

4 Equality Analysis The next section asks more specific questions based on CQC outcome alignment to the Equality Act 2010 and the Human Rights Act 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? 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. 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. Is there an appointment reminder procedure within the service, for example text messaging? ewborn Hearing Screening Programme- ineligible for screening- confirmed or highly suspected bacterial meningitis, microtia/atresia. These babies would be referred directly for an audiological assessment. Paediatric Audiology- If child not Ashton, Leigh and Wigan resident and not registered with Ashton, Leigh and Wigan GP Letter providing service information and how to choose a convenient appointment sent to home address on receipt of referral. Parent / Carer phones for convenient appointment and at this point options for appointment dates, times and clinics offered. Currently this service is not provided. Text reminders are offered to all patients. As an alternative, patients are phoned the working day before their appointment Page 4 of 10

5 How does the service know if a patient requires assistance for any of the following? Translation or interpretation for other languages Communication support for deaf, deafened or hard of hearing Communication support for blind or visual impaired Communication support for difficulties with speech Easy read for learning disabilities, lower literacy, the elderly Contrast of text on paper for learning difficulties Pre-Appointment/Referral At the appointment Post appointment follow up - information provided (including complaints procedure, privacy notices) This information is requested on the referral form to the service This information is requested on the referral form to the service. Many children referred have these types of disabilities This information is requested on the referral form to the service. Some children referred have these types of disabilities This information is requested on the referral form to the service. Many children referred have these types of disabilities Referrer will sometimes note any parental disability PALS and complaints information part of core documentation in leaflets prior to and after first appointments. Clinic bases have hearing loop facilities and signs displayed. Additional verbal explanations possible via phone / additional appointment for parent / carer The Trust provides some leaflets e.g. PALS Are staff confident in how to access this help and why there may need to be an adjustment made? ot provided at present ot provided at present ot provided at present ot provided at present ot provided at present Large print Learning Disability Health Passport or Care Passport Service can adapt leaflets if needed Service is likely to be involved in the assessment for passport for the child. Service can adapt leaflets if needed Service can adapt leaflets if needed Service involved in developing children s health passport so very familiar with these systems. Can also seek support from other Staff involved in developing these for children Page 5 of 10

6 Telephone contact or text messaging If referrer notes on referral form Religious observances ot at present Requests for same sex clinician Parents are always in attendance with children so not an issue. ot able to offer as female only staff Parents are always in attendance with children so not an issue. ot able to offer as female only staff Quiet areas ot at present Appointments are in child friendly environments Longer appointment times If referrer notes on form Clinician would determine appt duration required taking into account adjustments. Appointments at particular times, for example early or late when quiet At point of choosing appointment this can be requested Mental health illness If referrer notes on form AHPs and LD urse if required. Contact details are recorded at first visit and suitable means of communication arranged. If relevant to child s treatment parent likely to discuss and can form part of subsequent care planning Parents are always in attendance with children so not an issue. ot able to offer as female only staff Appointments are in child friendly environments. Individual needs can be accommodated if clinically appropriate. If required parents likely to request on behalf of child. If required will be accommodated when arranging follow up care. Discussed as part of the assessment process and readjustments would be accommodated in order to deliver care., staff know that parents should be present in all sessions Staff aware of children with disability needs and know how to mange Staff aware of children with disability needs and know how to mange Staff aware of children with disability needs and know how to mange Page 6 of 10

7 If a patient is unable to use the telephone are there other ways for them to contact the service? How does the service ensure that all patients can access the reception and waiting area? How does the service ensure patients who may experience difficulties can access the treatment room? Are bathroom facilities available for patients who may need help from a carer? 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? What does the service do to ensure patients understand the information given to them in the appointment? What does the service do to ensure carers understand the information given to them? For example information about pain relief or medicine administration. Does the service offer appointments to, and see homeless patients or those in temporary accommodation? Would one of the service s patients transition to another service? Does information regarding necessary adjustments for access and care get passed to the relevant agency when a patient transitions between services? In person, post, Level access, automatic push button doors and reception staff to offer assistance Level access with wheelchair width doors and reception staff to offer assistance all have disabled toileting/bathroom facilities o, Contact with parents and children are made in person. Clinicians check / young person understanding of advice / information as part of routine care. Supported by written advice / information as appropriate. Translators present if needed Clinicians check / young person understanding of advice / information as part of routine care. Supported by written advice / information as appropriate. Translators present if needed where service needed, Childrens services work closely together to ensure joined up approach. Complex case panel being developed to further improve our joined up approach. This panel includes other children s services from other agencies. Written information shared across service and agencies Page 7 of 10

8 Would staff in the service be interested in receiving training or accessing advice in the following areas: Autistic Spectrum Disorders Mental health awareness Sensory impairments Learning disabilities Learning difficulties e.g. dyslexia, dyspraxia Lesbian, gay, bisexual health Gender reassignment awareness Religious and cultural awareness Asylum seeker/refugee awareness E&D signed off: Ruth Besford Date: Textphone Page 8 of 10

9 Age Disability Gender Reassignment Marriage/Civil Partnership Pregnancy/Ma ternity Race Religion/Belief Sex Sexual Orientation Equality Report EqA Completion Date Potential barriers identified Protected Characteristic Group Affected Other Groups Affected Actions Lead Due Parent/carer may not have English as first language for appointment letter Contacting the service if hard of hearing Asylum seekers/refugees Service to review letters and information provided for readability for non-english speakers, less confident readers and those with BSL as first language Service to ensure all correspondence including letters and s have textphone number Staff to access requested training Service lead and E&D Service lead E&D Feb.2014 Jan.2014 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 ame: L De Molfetta-Cookson Date: E&D Lead ame: Ruth Besford Date: Page 9 of 10

10 Action Plan Review Date March 2014 and September 2014 Page 10 of 10