Barts Health Equality and Human Rights Impact Assessment Report

Merger issuePositive implicationsof the mergerNegative implications of the mergerwww.brap.org.ukMitigationImplications forcompliance with PublicSector Equality DutyImplications forprotection andpromotion ofhuman rightsany learning needs willbe included inprofessionaldevelopment plans.There are someconcrete plans outlinedfor co-design activitiesin areas where healthinequalities areparticularly large (e.g.diabetes carepathway).discussed with those groups affected there is asignificant risk progress will be stymied.Baseline review emphasises the importance of alsoengaging voluntary and community sectororganisations/ secondary and tertiary health andsocial care providers to understand gaps inmainstream acute provision. For example, acommunity resource centre described how they werenot informed that a patient had been released andthat patient went without food for a weekend until theircare worker found them on the Monday. Localintelligence like this is critical to helping address gapsin care and gaps in information sharing. Similarly,many VCOs provide community-based, holistic careand are able to provide examples of how mainstreamservices could achieve better patient experienceresults/ opportunities for partnership to improveimpact of acute provision. The FBC does not includeany plans for developing a VCS engagement strategyto ensure this sharing of intelligence could happen.This may have negative implications for serviceimprovement to address health inequalities goingforward.(e.g. right to privacy, dignity,autonomy and respect).As the merged Trustdevelops, there will beopportunities to developservice-specific patientreported experiencemeasures that respond tosome of the healthinequalities/ human rightsissues identified in thebaseline review. Importanceof liaising with local VCOstoo in developing these.Opportunity to develop staffbehaviour-based ‘patientpromises’ that respond topatient concerns abouthuman rights infringements.Article 14:prohibition ofdiscrimination.Baseline review identified a number of examples of‘never events’ that left patients feeling genuinelyscared about returning to the hospital. Similarly,patients recounted examples of being treated withoutthe type of care and compassion they felt theydeserved. Trust will need to set out how it plans toaddress this ‘head on’ if this to be improved in thefuture.200