Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

SWBTB (2/10) 037 (d)
4d The EIA reveals a differential impact which also amounts to adverse impact – Outline
what actions will be taken to address adverse impact.
The policy provides mechanisms for mitigating the adverse impact (ie access to IMCAs,
amended to cover incapacity, processes to cover adversely impacted groups). These
will be monitored by audit and at the Consent Group.
Those for whom English is not a first language may potentially be disadvantaged if the
full implications of the planned procedure cannot be discussed with them, giving rise to
a risk that consent may not be informed. The policy makes provision for these by
requiring that interpreters are available to cover for this situation.
Older patients, or those under a disability, may not have sufficient capacity to give
consent. The policy provides for this by setting out a process to manage consent for
those without capacity and for ensuring that patients who have difficulty speaking are
assisted by, for example, speech therapists. The policy also deals with the provisions of
the Mental Capacity Act
Children may not have sufficient capacity. The policy provides for this by requiring
consent by a suitable person on their behalf or an assessment of the child’s capacity.
Where there is any doubt the policy also makes provision for legal advice to be sought.
A detailed assessment will be completed to assess whether any of these groups have been
disadvantaged as a result of the policy.
The Trust has a Consent Committee, which is chaired by the Clinical Risk Lead
Clinician which will monitor data sources including incidents, complaints, claims, audit,
PALS, patient survey to identify any future adverse impact and ensure this is managed
appropriately.
4e What will be the main effects and benefits?
See 4d
Step 5) Plan to address Adverse Impact
1. It is now time to complete your action plan using the table below. Please detail
how you are going to address the adverse impact, stating the immediate, medium
and long-term goals as required.
1.
Adverse
Impact
Identified
groups may
not be able
to engage
with
consent
process
Action Required
Implement
policy in line
with
implementation
plan
Expected
Outcome
Policy
embedded
across Trust
Lead
Medical
Director
Timescale
ongoing
SAPG OCT 09 - 17 -