1. NHS Equality and Diversity Council Equality Delivery System (EDS) Maqsood Ahmad Director of NHS EDS Implementation Personal, Fair and Diverse

2. NHS Equality and Diversity Council Equality Delivery System - who it covers The EDS is designed to make improvements for patients & staff - based on NHSNW, Police Service and L/A Age Disability Gender re-assignment Marriage and civil partnership Race including national identity and ethnicity Religion or belief Sex (that is, is someone female or male) Sexual orientation Pregnancy and maternity Protected characteristics The EDS applies to people afforded protection, by the Equality Act 2010, from unfavourable treatment because of specified ‘protected’ characteristics The EDS may apply to those not protected by the Equality Act but who face stigma when accessing or using services, such as homeless people

3. NHS Equality and Diversity Council Equality Delivery System - what it delivers The EDS helps the NHS comply with the Public Sector Equality Duty Preventing ill health Helping people recover from illnesses and accidents Coping with long-term conditions Ensuring patient safety Improving patient experience NHS Outcomes Framework The EDS helps the NHS to deliver on the : The NHS Outcomes Framework The right and pledges of the NHS Constitution for patients and staff The EDS helps organisations address health inequalities in general, improving outcomes and reducing gaps

4. NHS Equality and Diversity Council EDS The process and the role for RCN Identify local interests - including patients, communities, staff and local third sector Assemble evidence - including JSNAs, Public Health data, CQC surveys & local surveys Agree roles with LINks / HealthWatch, Public Health, Health & Well-Being Boards and other parts of the Local Authority Analyse performance on 18 Outcomes for each protected group, with local interests Step 1 Step 2 Step 3 Step 4 8

5. NHS Equality and Diversity Council EDS - the process Jointly agree overall Grade for each Outcome, with local interests Jointly select a Priority Action for each Objective, with local interests Integrate Priority Actions in mainstream business including QIPP response and Quality Accounts Publish grades /actions locally; share with Health &Well- Being Boards; alert CQC to serious concerns Step 5 Step 6 Step 7 Step 8 8

6. NHS Equality and Diversity Council 1 EDS - Analysis Organisations analyse and grade their equality performance against 18 outcomes grouped into 4 objectives: Better health outcomes for all Improved patient access and experience Inclusive leadership Empowered, engaged and included staff 2 3 4 Account is taken of CQC Essential Standards and the Human Rights Act 1998 (“FREDA”)

7. NHS Equality and Diversity Council EDS - grades For each outcome, one of four grades can be chosen, and related to a RAGG rating : Excelling - Gold Achieving - Green Developing - Amber Undeveloped - Red Poor outcomes, evidence not used, local interests not engaged & equality not part of mainstream processes Very good outcomes, evidence fully used, local interests fully engaged & equality part of mainstream business

8. NHS Equality and Diversity Council NHS EDS Support Team - helping the NHS with implementation and monitoring progress Tim Rideout Implementation Director National Commissioning Board EDS Technical Working Group Sir David Nicholson Chief Executive of NCB & Chair of EDC DH Policy Leads NHS EDS Implementation Structure SHA Inclusion / Equality Leads charged with local implementation Maqsood Ahmad Director of NHS EDS Implementation Equality & Diversity Council (EDC)

9. NHS Equality and Diversity Council Regional progress on EDS implementation - Summary Governance and leadership - very good Buy-in from NHS Boards at a local and regional level – in progress Buy-in from emerging GP consortia and PCT Clusters - more progress needed Resources identified and allocated to local NHS organisations. Communications / engagement plans – good Engagement - –voluntary and community sector, LAs, LINKs / HealthWatch; patients / carers and NHS staff – good –GP Consortia and Pathfinders - more progress needed

10. NHS Equality and Diversity Council Regional progress on EDS implementation – May 2011 Region Governance and Leadership Buy-in from current NHS Boards Buy-in from emerging GP consortia and PCT Clusters Resources for EDS implementati on identified Communica- tions plan Engagement / involvement Voluntary / community sector; LAs; LINKs Patients and carers NHS staff and Staff Side GPs and GP Consortia East Midlands May 2011June 2011Aug 2011April 2011June 2011July 2011Aug 2011July 2011 East of England Feb 2011May 2011 March 2011 June 2011 LondonJune 2011July 2011June 2011March 2011June 2011Sept 2011 July 2011 North East Sept 2011June 2011Sept 2011April 2011July 2011Feb 2011 Sept 2011 North West Feb 2011TBC South East Coast April 2011 Feb 2011March 2011April 2011 March 2011June 2011 South Central Feb 2011April 2011Dec 2011Feb 2011April 2011July 2011August 2011June 2011Dec 2011 South West Feb 2011April 2011June 2011March 2011April 2011June 2011 West Midlands April 2011May 2011July 2011May 2011June 2011March 2011 May 2011July 2011 Yorkshire & Humber May 2011June 2011Dec 2011June 2011 Oct 2011 Regional EDS critical milestone completion dates - forecast for May 2011. RAG: Completed In progress Not started / insufficient progress

11. NHS Equality and Diversity Council July to November 2010 December 2010 February 2011 May 2011 June / July 2011 September 2011 October 2011 April 2012 From 2012/13 Design and engagement phase Planning for implementation starts Regional consultation begins Draft implementation plans are completed EDS is approved / rolled-out to the NHS An evaluation is commenced EDS is formally launched by NHS CB EDS is implemented as equality objectives are agreed EDS reviewed EDS – timeline