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Equality Impact Assessment template

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<strong>Equality</strong> and Diversity <strong>Impact</strong> <strong>Assessment</strong><br />

Name of Function/ policy/ procedure/ project/ guideline/ practice/ proposal to<br />

be impact assessed<br />

Lead (Job title, Directorate /Service /<br />

Department/Ward)<br />

Working Group members (if appropriate)<br />

Date<br />

Action (please detail who will undertake any recommendations)<br />

Please submit a copy of the completed document to nazir.makda@elht.nhs.uk<br />

Please complete the following Questions:<br />

1. Identify ALL the aims of the function*<br />

a) What is the purpose of the<br />

function*?<br />

(consider implicit and explicit aims)<br />

b) Who does the function* affect/<br />

benefit?<br />

(e.g. staff/ service users; equality<br />

groups; other stakeholder groups)<br />

c) What results/ outcomes are<br />

intended? How are these<br />

measured? What factors<br />

could contribute or detract<br />

from the outcome?<br />

d) Who will implement the<br />

function?<br />

e) Are there risks associated<br />

with the function* in relation to<br />

meeting equality duties/<br />

requirements?<br />

* Function – please read function* as meaning policy, procedure, project,<br />

guideline, practice, proposal etc as required


2. Consider the evidence (data and information)<br />

These questions can be tackled out of sequence and as a gap is identified during the<br />

process.<br />

a) What information/ data would be<br />

useful to have?<br />

b) What data (quantitative and<br />

qualitative e.g. questionnaires,<br />

published reports, staff & service<br />

user satisfaction survey,<br />

employment monitoring, audits,<br />

focus groups, trade unions,<br />

feedback, complaints/grievances,<br />

research reports, demographic<br />

data, census, local labour force<br />

statistics is available? (in house<br />

and external)<br />

c) How reliable/ valid/ up to date is<br />

data?<br />

d) What does the data tell you<br />

about:(staff & Patients)<br />

• Different Needs?<br />

• Different experiences?<br />

• Different impacts?<br />

• Different outcomes?<br />

e) Having reviewed the information<br />

and data available, do you have<br />

any remaining questions that<br />

would prevent you continuing with<br />

the impact assessment? Is there<br />

further information you can<br />

gather?<br />

f) Are there any stakeholders (see<br />

1b above) you should now<br />

consult?<br />

g) Have you consulted any experts<br />

already?<br />

h) What were the views of any<br />

experts/ stakeholders?<br />

Consider the evidence - Monitoring data (Information / evidence used to assist<br />

screening/impact assessment process)<br />

If there is no or insufficient data available, how will you obtain the information you<br />

need (e.g. new survey, focus group)<br />

* Function – please read function* as meaning policy, procedure, project,<br />

guideline, practice, proposal etc as required


3. Monitoring<br />

a) Total number of patients seen in<br />

the last 6 months in this<br />

department/ward/service?<br />

( please breakdown by ethnicity,<br />

disability, age, religion, sexual<br />

preference and gender)<br />

b) Total number of staff who work in<br />

this department/ward or Service?<br />

( please breakdown by ethnicity,<br />

disability, age, religion, sexual<br />

preference and gender)<br />

c).How many staff in this<br />

department/ward/ service have<br />

attended Diversity & <strong>Equality</strong> training<br />

in the last 2 years?<br />

Details:<br />

Details:<br />

Details:<br />

<strong>Equality</strong> & diversity training at<br />

induction [ ]<br />

<strong>Equality</strong> & diversity e-learning [ ]<br />

Cultural religious awareness [ ]<br />

Disability awareness [ ]<br />

Bullying & harassment [ ]<br />

Fair recruitment & selection<br />

training [ ]<br />

Briefing sessions [ ]<br />

Attended external training,<br />

workshops, events, seminars,<br />

conferences on equality &<br />

diversity. [ ]<br />

Does staff know how to access an<br />

interpreter i.e.<br />

o BSL [ ]<br />

o Community Languages [ ]<br />

o Induction loop facility (fixed or<br />

portable) and its operation [ ]<br />

d) Are staffs aware of the following<br />

policies and how to access them?<br />

Details:<br />

Bullying & Harassment) [ ]<br />

Equal Opportunity Policy [ ]<br />

Grievance & disputes [ ]<br />

Accessing interpretation &<br />

translation service[ ]<br />

Special leave & Family friendly<br />

policy [ ]<br />

Recruitment selection Policy [<br />

]<br />

* Function – please read function* as meaning policy, procedure, project,<br />

guideline, practice, proposal etc as required


Single <strong>Equality</strong> Scheme[ ]<br />

e) Is the ward/department/service fully<br />

equipped to meet the religious,<br />

cultural and dietary needs of Staff and<br />

Patients from ethnic minority<br />

backgrounds? And are patients<br />

informed of what is available?<br />

Details:<br />

4. Assess the likely impact on different groups and the opportunity to promote diversity<br />

(This involves determining whether or not there is an adverse impact on the main equality groups or sub groups)<br />

a) In what areas does it have an impact?<br />

E.g.<br />

• Employment<br />

• Health<br />

• Work life, including employment progression<br />

• Physical conditions<br />

• Access to information<br />

• Experience of services<br />

b) Is the impact the same/ different/ neutral/ beneficial/ adverse in relation to equality?<br />

c) How do you know this? What evidence is there?<br />

d) Does adverse impact amount to unlawful discrimination? (legal advice may be required)<br />

e) Is the impact intended to redress past disadvantage or promote equality?<br />

f) How does the function* area affect different groups and sections of those groups? (e.g. young and<br />

disabled)<br />

g) How can the function promote diversity?<br />

What impact will the policy/<br />

proposal have? For<br />

example, its affect on<br />

<strong>Equality</strong><br />

Target<br />

Group<br />

Positive<br />

<strong>Impact</strong><br />

Negative<br />

<strong>Impact</strong><br />

Neither<br />

Reason / Comment<br />

(Does the data<br />

indicate a possible<br />

adverse impact on<br />

some groups?)<br />

Lifestyles?<br />

Diet & nutrition?<br />

Exercise & physical activity?<br />

Substance use: tobacco, alcohol or<br />

drugs?<br />

Risk taking behaviour?<br />

Education & learning, or skills?<br />

Personal safety?<br />

Privacy?<br />

Communication?<br />

Relationships?<br />

Other?<br />

Social environment?<br />

Social status<br />

Employment ( paid or unpaid)<br />

Social/family support<br />

Stress<br />

Income<br />

Will it impact on;<br />

Discrimination?<br />

<strong>Equality</strong> of opportunity?<br />

Men and<br />

Women<br />

Black and<br />

Minority<br />

Ethnic<br />

Communities<br />

Disabled<br />

People<br />

High*<br />

Low#<br />

What is the strength of this<br />

evidence - for instance<br />

a) Well established and<br />

validated?<br />

b) Strong evidence, but a<br />

few gaps?<br />

c) Some evidence, but<br />

considerable gaps?<br />

d) Anecdotal?<br />

* Function – please read function* as meaning policy, procedure, project,<br />

guideline, practice, proposal etc as required


Relations between groups?<br />

Other<br />

Physical environment?<br />

Living conditions?<br />

Working conditions?<br />

Pollution or climate change?<br />

Accidental injuries or public safety?<br />

Transmission of infectious disease?<br />

other<br />

Access to and experience of services?<br />

e.g.<br />

Patient experience<br />

Quality of service<br />

Personalised Care<br />

Advocacy<br />

Dignity & respect<br />

Choice<br />

Cultural /spiritual<br />

communication<br />

Human Resources<br />

Recruitment<br />

Redeployment<br />

Training<br />

Promotion<br />

Disciplinary/Grievance<br />

Bullying & Harassment<br />

Redundancy<br />

Religion &<br />

Belief<br />

Carers<br />

Transgender<br />

people<br />

Gay, Lesbian<br />

and Bisexual<br />

people<br />

Older people<br />

Younger<br />

people and<br />

children<br />

5. Consider alternatives – what to do if there is adverse impact<br />

a) How can the function* be<br />

changed in a way that is<br />

proportionate (see glossary)<br />

and will remove unlawful<br />

discrimination?<br />

b) How can the function* be<br />

changed in a way that is<br />

proportionate and will reduce<br />

any adverse impact?<br />

c) If the function* cannot be<br />

changed, can it still be<br />

justified? (If there is direct<br />

discrimination it cannot be<br />

justified. Any adverse impact<br />

would require strong<br />

justification. You may wish to<br />

take legal advice on this).<br />

d) Can the aims be met in some<br />

other way? What can you do<br />

now/ later?<br />

* Function – please read function* as meaning policy, procedure, project,<br />

guideline, practice, proposal etc as required


6. Consult formally – relevant stakeholders<br />

a) How will you consult?<br />

• Who do you need to get<br />

views from? Internal/<br />

external?<br />

• What methods will you<br />

use? (e.g. how to contact<br />

hard to reach groups)<br />

• What formats will you use<br />

to communicate with<br />

different people?<br />

• How long will you give<br />

people to respond?<br />

b) How will you ensure that the people who are likely to be affected or who have<br />

an interest agree that :<br />

• The right issues have been<br />

identified?<br />

• Proposed modifications are<br />

suitable?<br />

• Proposals meet their<br />

needs?<br />

7. Decide whether or not to adopt/ revise the function*<br />

a) Taking into account all the data, information, potential impact issues,<br />

opportunities to promote diversity and consultation feedback, what will you<br />

do?<br />

• Reject the function*<br />

• Pilot the function* – test<br />

proposals<br />

• Modify the function* - how<br />

will your changes deal<br />

with adverse impacts?<br />

Will there be any<br />

subsequent adverse<br />

impacts?<br />

• Adopt the function* as<br />

proposed – if a negative<br />

impact was identified or<br />

where you are not<br />

incorporating feedback<br />

from consultations, you<br />

must justify adopting the<br />

function*.<br />

b) Who will progress this? Will<br />

any approvals be required?<br />

* Function – please read function* as meaning policy, procedure, project,<br />

guideline, practice, proposal etc as required


8. Make monitoring and review arrangements<br />

a) How will you know what<br />

the actual effect of the<br />

function* is?<br />

b) In what ways will you<br />

monitor? E.g. continuously,<br />

irregularly, quantitative<br />

methods such as surveys,<br />

qualitative methods such<br />

as interviews.<br />

c) How often will monitoring<br />

information be analysed<br />

and published?<br />

d) When will you review the<br />

function* taking into<br />

account any monitoring<br />

information?<br />

9. Publish <strong>Assessment</strong> results<br />

a) What are the arrangements<br />

for providing feedback to<br />

those involved in the<br />

process?<br />

b) How will you ensure the<br />

wider public knows the<br />

outcomes of your impact<br />

assessment, consultation<br />

and monitoring? Will this<br />

be a full report or a<br />

summary?<br />

c) How will you ensure<br />

access to the full impact<br />

assessment report?<br />

Recommendation<br />

Full <strong>Equality</strong> <strong>Impact</strong> <strong>Assessment</strong> required: No Yes<br />

Signature of Assessor:<br />

Date<br />

Signature: ____________________<br />

GLOSSARY<br />

* Function – please read function* as meaning policy, procedure, project,<br />

guideline, practice, proposal etc as required


Bias/Liking<br />

Culture<br />

Direct<br />

discrimination<br />

Disability<br />

Discrimination<br />

Diversity<br />

<strong>Equality</strong><br />

Ethnicity<br />

Experts<br />

Explicit aim<br />

Functions<br />

Implicit aim<br />

Indirect<br />

discrimination<br />

Institutional<br />

Racism<br />

A preference or an inclination, especially one that inhibits<br />

impartial judgement.<br />

the total range of activities and ideas of a group of people<br />

with shared traditions, which are transmitted and<br />

reinforced by members of the group<br />

Treating a person less favourably on racial/ gender/<br />

disability grounds<br />

A physical or mental impairment which has a substantial<br />

and long term adverse effect on his ability to carry out<br />

normal day to day activities.<br />

Unequal treatment of an individual or group of persons on<br />

the basis of features such as race, sexuality, gender, age<br />

or physical disposition.<br />

Recognising and valuing differences.<br />

Creating a fair society where everyone can participate and<br />

has the opportunity to fulfil their potential.<br />

Relating to or characteristic of a human group having<br />

racial, religious, linguistic, and certain other traits in<br />

common.<br />

Expert groups will include groups such as the Equal<br />

Opportunities Commission, the Disability Rights<br />

Commission, the Commission for Racial <strong>Equality</strong>.<br />

The principal purpose.<br />

The full range of our duties and powers. Can be external<br />

and internal. Includes service delivery – e.g. research,<br />

publications, media campaigns, education and health<br />

improvement projects.<br />

The secondary or hidden or implied purpose.<br />

Imposing rules or conditions on all<br />

Which one group finds it harder to<br />

comply with<br />

Which gives rise to detriment<br />

Which cannot be justified<br />

Institutional racism is that which, covertly or overtly,<br />

resides in the policies, procedures, operations and culture<br />

of public or private institutions - reinforcing individual<br />

prejudices and being reinforced by them in turn.<br />

Nationality<br />

a body of people sharing common descent, history,<br />

language etc<br />

* Function – please read function* as meaning policy, procedure, project,<br />

guideline, practice, proposal etc as required


Neutral<br />

Policies<br />

Proportionate<br />

Not better or worse<br />

The full range of formal and informal decisions we make<br />

on carrying out our functions and all the ways in which we<br />

use our powers – or decide not to. Any assessment of a<br />

policy should therefore involve examination of longstanding<br />

‘custom and practice’ and management<br />

decisions, as well as any formal written policy.<br />

A function which has the most effect on an equality group<br />

should be receive greater consideration than functions with<br />

less effect.<br />

The actions taken should be relative to other<br />

considerations, such as:<br />

1. Cost<br />

2. Other business requirements<br />

3. Effectiveness of the proposed action in achieving<br />

change<br />

4. Is it reasonable?<br />

If you are unsure of whether proposed action is<br />

proportionate please contact HR to discuss.<br />

Prejudice<br />

Race<br />

Relevant<br />

Stakeholder<br />

An adverse judgement or opinion formed beforehand or<br />

without knowledge or examination of the facts. A<br />

preconceived preference or idea. Irrational suspicion or<br />

hatred of a particular group, race, or religion.<br />

A group of people of common ancestry, distinguished from<br />

others by physical characteristics, such as hair type, colour<br />

of eyes and skin, stature, etc.<br />

A function or policy will be relevant if it has, or could have,<br />

implications of any kind for promoting equality.<br />

Those likely to be affected by the function*.<br />

* Function – please read function* as meaning policy, procedure, project,<br />

guideline, practice, proposal etc as required

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