Barts Health Equality and Human Rights Impact Assessment Report

Merger issuePositiveimplicationsof the mergerBarts Health Equality and Human Rights Impact Assessment ReportNegative implications of the mergerMitigation/opportunitiesfor merged TrustImplications forcompliance with PublicSector Equality DutyImplications forprotection andpromotion ofhuman rightsmetrics used byCAGs to ensuredelivering onhealthoutcomesremains acentral focus.improvements. This will make it much more challengingfor CAGs to develop appropriate metrics for healthoutcomes at a merged Trust level. It is particularlyimportant that this issue is addressed given significantlevel of health inequalities within the catchment.health inequalities (betweenprotected characteristics).In the interim, potential toestablish a six month ‘callfor evidence’ involving localVCOs that focus on equalityto provide appropriateevidence (e.g. qualitativedata).Initiate work to influencemore coherent collection ofdata and use of similarcategories (e.g. types ofdisability recorded) acrossdifferent parts of thecatchment (working withpartner agencies). At aTrust level, need for thisdata should inform theinformatics strategy/approaches to electronicpatient recording goingforward.limits to the extent of thisinformation in EqualityReports for all three Trusts.Although there is nostatutory guidance and alack of case law on ‘howmuch’ evidence isappropriate in the context ofthe Equality Act, there is acompelling argument for themerged Trust to baseline itsperformance on healthinequality in the area and toseek to understand theimpact of its actions onaddressing that healthinequality over time. Thisshould be included as partof the information it shareswith the public on equalityprogress.Consult on how to gathermore effective evidence onhealth inequalities as theyrelate to different protectedcharacteristics (with localVCOs, patients, NHS staff).1f) FBCidentifies plansOpportunity towork with otherBaseline review has emphasised importance ofpartnership with a wide range of providers in each area.Merged Trust influencingstrategy/ relationship withThe Trust has a duty tofoster good relations in theNone identified195