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

13. Equalities implications
This chapter explains how NHS NW London has met the duty under the Equalities Act 2010.
Under the Equality Act 2010, consideration of equality issues must influence the decisions
reached by public bodies. Our work assessed the possible impact of the proposals on
different protected equalities groups, with whom we carried out significant engagement. No
disproportionate impact on the protected equalities groups was identified. We intend to go
beyond the legal duty, and have included recommendations and an action plan to continue
this work as part of the implementation programme.
14. Workforce implications
This chapter describes the workforce implications of the recommendation. Workforce
changes will be required to support delivery of the clinical standards in acute care
(paediatrics, maternity, emergency and urgent care) and we have identified further analysis
required as part of the implementation. For out of hospital care, an estimated additional 250
whole time equivalent (WTE) staff will be required to deliver the reactive and proactive care
services across NW London, filling a range of new and enhanced roles that have been
identified. This is only a part of the additional 800 WTE staff we expect to be working in out
of hospital settings.
15. Implementation of proposals for hospital sites
This chapter outlines the likely activity and financial impact of the activity forecasts on
providers in NW London, including the capital investment which will be required to support
the proposed changes in the configuration and delivery of services in NW London.
16. Implementation of proposals across the CCGs
This chapter sets out, for each CCG, initiatives being introduced to improve out of hospital
care, achievements in delivery of out of hospital care to date, and further out of hospital work
planned for the future. It describes the planned investment in local hospitals, hubs, primary
care estate and out of hospital services across each borough.
17. Programme implementation arrangements
This chapter describes our proposed approach to implementing the recommendation and
how we have developed this approach taking into account feedback we received during
consultation. The chapter also includes an analysis of the implementation risks of the
recommended option and proposals for managing these. A set of implementation plans up to
March 2018 have been developed, drawing on initial planning work undertaken by acute
providers, CCGs and the Clinical Implementation Groups (CIGs). These plans provide a
view of the sequence of changes required in both the out of hospital and acute
environments. We have continued to develop an assurance process we can use to ensure
that safe, high quality care continues to be provided during the transition. The chapter also
includes discussion of the system wide activities that will be required, including workforce
development, communications, equalities and travel. Work will be managed by an
Implementation Programme Board, overseen by a Steering Group, comprising the eight
CCGs, the NCB and three neighbouring CCGs (Camden, Richmond and Wandsworth).