Barts Health Equality and Human Rights Impact Assessment Report

www.brap.org.ukpeople should not be disadvantaged by having to travel longer distances away from theirlocal area to access a particular clinic or service; communications with patients must beclear and arrangements for transition orderly and not confusingSummaryResults are from a relatively low sample size and not statistically significant, yet someinteresting issues emerged. In particular, the majority of people surveyed felt that people donot receive the same quality of services from their local hospital. Similarly a slight majority ofpeople felt that people do not have the same level of access to local hospital services. Someuseful qualitative information about specific barriers by people with particular protectedcharacteristics is included (particularly in relation to disability, race and additional informationin relation to socio-economic status of service users). Those surveyed appear to be wellinformedabout the merger, yet a number of respondents had suggestions about howengagement with traditionally excluded groups could be improved.3.1.3 Additional consultation already undertaken in the areaAs described above, we reviewed evidence made available by Newham Links and WhippsCross (Quality Accounts).NewhamSpecific information was available around end of life care, breast screening, migrant accessto health, general respect and dignity in healthcare. Summarised findings from theseconsultation activities are included below:Newham African Caribbean end of life care consultation – Nov 2010 Strong emphasis on community care – care in the home, as opposed to hospital care. Lobbying for support services at home also – as opposed to hospital care Supportive and professional staff very important Concerns about not losing independence and being able to make decisions throughoutthe process. Hygiene was mentioned (not getting good care in hospital ) – respect and dignity fromstaff Many people felt that professionals didn’t take account of African Caribbean needs – buthaving looked through the paper, I think that it would be very challenging for needs to bedealt with in a hospital setting – quite an unrealistic set of demands. Some inference that clinical staff need to respect African Caribbean people more – anddon’t understand their culture. Big push for home care – some recognition that homemay not be set up to care for people who are ill adequately. Lack of understanding aboutburial cultural issues – ‘nine nights’.176