SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

Pregnant women
Black and Minority Ethnic Groups (BME)
Disabled people.
7.18.1 Access impacts
Figure 7.44 summarises the key stakeholder concerns and the plans currently in place to
address these. Please see the full report for additional detail 16 .
Figure 7.44: Key stakeholder concerns and current plans to address these points
Theme
Travel and
access
Cost
Service
quality
Language
& cultural
issues
Summary of
concern raised
Impact of
potential
increases in
distances
travelled
Increased costs
incurred
Increased
demand,
reduced choice
and demands
on staff
UCC or out of
hospital (OOH)
providers
capability
Language and
cultural barriers
to services
Plans currently addressing points raised
Ensure a geographic spread of sites.
Produce local hospital and travel analysis fact sheet.
Develop a patient transfer process between UCC and
Accident & Emergency (A&E).
Work with local authorities to explore patient transfer process.
Continue work with Transport for London (TfL) on bus routes
and stops.
Capacity and workforce planning with ambulance services.
Further model transport and travel times to address issues.
Assessment concludes that there does not appear to be any
fundamental or systematic differences in the travel impact on
any protected characteristic, as defined in the Equality Act
2010, relative to the general population.
Commission additional analysis on economically deprived
communities.
Explore the eligibility criteria for travel concessions and
whether this can be standardised across the cluster.
„Double run‟ some services before implementation.
Support Clinical Commissioning Groups (CCGs) through the
work in developing their relationship with social care.
Work with local authorities to integrate care models, care
needs, and community budgets
Ensure UCCs have partner A&Es to aid patient transition.
Implement a standard UCC specification.
Develop Key Performance Indicators (KPIs) for
implementation and a framework that tests the safety of
changes.
Develop a framework based on existing CCG governance that
certifies safety at the point of service change.
Further engage stakeholders in response to specific requests,
e.g. sickle cell.
Answer public queries through a designated consultation unit.
It is recommended that Emergency and Urgent Care implementation group continues to work
with providers and commissioners of services to ensure that access to and quality of services
is rigorously maintained during the implementation period.
16 Focused sub-group analysis: supporting the equality duty across NHS North West London; December 2012
7b. Work of the Emergency and Urgent Care CIG 178