Barts Health Equality and Human Rights Impact Assessment Report

Merger issuePositive implicationsof the mergerBarts Health Equality and Human Rights Impact Assessment ReportNegative implications of the mergerMitigationImplications forcompliance with PublicSector Equality DutyImplications forprotection andpromotion ofhuman rightsagenda ‘sticking’ whencompeting agendasemerge.CAGs to leadon developingclinicalpriorities andstrategy forTrustClear approach toclinical leadershipinformed by specialistsfrom all Trusts.The FBC recognises that it will beimportant to retain clinical supportduring the transition/integration processand the role of CAGs will be critical inmaintaining that momentum. It was notclear from the FBC how people wererecruited to the CAG structure andwhether this runs the risk of replicatingexisting inequalities in the system. Thebaseline review identified inequalities inrecruitment of clinical staff.Need for transparency about howdecisions have been made to recruit toparticular positions within the mergedTrust structure.All positions (includingCAG) to be considered insame way in relation toEquality Act 2010 duties.None identified.As mergedTrust developsCAGs advisedto focus onequality anddiversity instrategicplanning (e.g.in carepathwaydevelopment)If implemented, willhelp to ensure negativeimpact ofpolicy/strategy onparticular groups isconsidered fully andresponded toappropriately.The advice outlined in this Appendix ofthe FBC is to be considered by CAGs.There is a risk that some of this advicemay not be followed.CAGs may require support to collate,analyse and respond to healthinequalities data and information onprogress against human rights andpatient experience/CQC essentialstandards of care. CAGs may notrequire support on this, but there is arisk that assumptions will be madeabout existing skills and knowledge onthis agenda. FBC focuses on need toimprove performance of merged Truston health equality and puts role ofCAGs centre-stage in responding toand navigating health inequalities. ThisAssessment of any support needs CAGmay have in terms of responding tohealth inequalities data (disaggregatedby protected characteristics) andstrategic planning. Possibility to runjoint sessions with E&D Leads andPublic Health professionals to ensureCAGs are fully supported to considerequality and human rights implicationsof care-planning.CAGs to work with Public Healthexperts to understand the limits ofcurrent data sets and to influence futurecollection and analysis of that data byPublic Health Partners.It is important that thoseresponsible forimplementing generalduties (including CAGs)are fully cognisant of thoseduties and their role inmeeting them.None identified.205