Relocation of the Adult Contact Lens, Low Vision and Artificial Eye ...

Who owns and who implements the policy/proposal - where does itoriginate, for example DHSSPS, HSC Board?Belfast HSC TrustAre there any factors that could contribute to/detract from the intendedaim/outcome of the policy/proposal/decision?Who are the internal and external stakeholders (actual or potential) that thepolicy/proposal/decision could impact upon? Staff; nursing, medical, optometry, technical, rehabilitation workers,administrative and clerical staff Patients Relatives Volunteers; Angel Eyes External organisations; RNIB, Guide DogsOther policies with a bearing on this policy/proposal (for example regionalpolicies) - what are they and who owns them?New DirectionsThis strategic document would see the centralisation of several ophthalmologyinpatient and diagnostic services at a Regional Eye Centre at the Mater Hospitalsite and this project is to be included in phase 2 of the Strategic Services ReviewWork stream.3

2. Available evidenceUsing the evidence/information (both qualitative and quantitative) that youhave gathered to inform this screening, please specify details/make up foreach of the Section 75 categories and for both service users and staff.CategoryDetails of evidence/informationGenderService UsersFemaleMaleService area percentagebreakdown52%48%Belfast Trustareapopulationpercentagebreakdown52.6%47.4%Age Under 1920 to 2930 to 3940 to 4950 to 5960 to 6970 to 7980 and OverReligionRoman CatholicProtestantOther ReligionNo Religion or Nonestated12.4%13.6%15.8%13.0%4.3%8.4%13.5%19.1%The Trust does not collectthis data: -Statistics, 2001Denomination Adherents %11.8%14.4%15.9%13.0%14.0%10.6%8.9%7.2%4.3%37.4%44.7%0.6%17.3%RomanCatholicPresbyterianChurch inIrelandChurch ofIreland678,462 40.2348,742 20.7257,788 15.34

EthnicityBlack AfricanBangladeshiBlack CaribbeanChineseIndianIrish TravellerPakistaniMixed EthnicityFilipinoBlack OtherWhiteNot knownDisability (NISWALD)which reported early in2007:Results from NISWALDhave found that in2006/07 18% of all peopleliving in Northern Irelandhave some degree ofdisability, The prevalencerate for adults is 21% and6% for childrenAll patients currentlyattending the clinics havea visual impairment.Service staff are culturallysensitive to the needs ofpeople from minorityethnic backgrounds. Aninterpreting service isavailable if needed: 40,200 migrantworkers registeredin NI between April08 – March 10 2347 Births wereregistered tomothers bornoutside the UKSource: UK BordersAgency School attendanceby children ofmigrants in 2009/10: primary school5130 post primary – 2402 42 languagesspoken in NIschools7

Provide details of how you have involved stakeholders, views ofcolleagues, service users and staff etc when gathering evidence.StaffMeetings have taken place with Trade Union groups and staff affected by theproposal.Service UsersPatients attending the clinic during May 2012 were provided with a letterdetailing the proposal and seeking their views on how they may be affected.several respondents expressed concerns regarding the location of the newservices and for this reason we will continue screening for adverse impact andmake any changes necessary.9

3. Needs, experiences and prioritiesTaking into account the information referred to in Table above, whatare the different needs, experiences and priorities of each of thefollowing categories, in relation to the particularpolicy/proposal/decision? Specify details for each of the Section 75categories and for both service users and staff.CategoryDetails of needs, experiences/prioritiesService UsersGender Female 52%Male 48%Age Under 1920 to 2930 to 3940 to 4950 to 5960 to 6970 to 7980 and OverReligion Please see 2.112.4%13.6%15.8%13.0%4.3%8.4%13.5%19.1%PoliticalOpinionMaritalStatusDependentStatusDisabilityPlease see 2.1Please see 2.1Please see 2.1All patients currently attending the clinics have a visualimpairment, including patients with little or no vision. Somepatients will also have co-existing disabilities such as diabetesEthnicity Please see 2.1SexualOrientationPlease see 2.110

STAFFIn the area under review there is a higher proportion of Protestants than in theTrust as a whole but is should be remembered that the actual number involved issmall. The staff affected are predominantly female and none have indicated thatthey have a disability. Not all of the staff have provided complete equalityinformation on all 9 categories. It is anticipated that there will be no reduction instaffing levels. The Trust is satisfied that there is no adverse impact regardingany equality category11

AgeReligionPoliticalOpinionMaritalStatusDependentStatusDisabilityEthnicitySexualOrientationPromotion of normalisation inthat the new premises willbe a neutral and welcomingenvironment for all staff andUsersPromotion of normalisation inthat the new premises willbe a neutral and welcomingenvironment for all staff andUsersThe proposed new location isfully DDA compliantperson centredNo. The policy has beendesigned and developed to beperson centredNo. The policy has beendesigned and developed to beperson centredNo. The policy has beendesigned and developed to beperson centredNo. The policy has beendesigned and developed to beperson centredNo. The policy has beendesigned and developed to beperson centred4.3 To what extent is the policy/proposal likely to impact on goodrelations between people of different religious belief, political opinion orracial group? minor/major/noneGoodrelationscategoryReligiousbeliefDetails of policy/proposalimpactLevel of impactMinor/major/none and pleaseexplain your reasonMinorPoliticalopinionRacialgroupMinorNone13

A sensitive holistic service is provided to all our users. The service is patientcentred and patient led4.4 Are there opportunities to better promote good relations betweenpeople of different religious belief, political opinion or racial group?Good If yes, provide details If no, provide detailsrelationscategoryReligiousbeliefPoliticalopinionRacialgroupNo. The service works closelywith the relevant User supportand community groups and thiswould continue.14

5. Screening decisionA full equality impact assessment (EQIA) is usually confined to thosepolicies or decisions considered to have major implications for equality ofopportunity.How would you categorise the impacts of this decision or policy/proposal?(refer to guidance notes for guidance on impact)Please tick:Major impactClick here for description (inserthyperlink)EQIA Required? (Delete as appropriate)NoMinor impactClick here for description (inserthyperlink)Mitigation RequiredYes/NoAlternativePolicy RequiredYes/NoNo impactClick here for description (inserthyperlink)Screened Out5.2 Please give reasons for your decision and detail any mitigation oralternative policies considered.Any relocation of staff will be dealt with in accordance with the Framework on theManagement of Staff affected by Organisational Change and the StaffRedeployment Protocol will be applied in conjunction with Trade Unions.Individual meetings took take place with affected staff in May 2012 to establish ifthey wished to transfer with the service. Staff who do not wish to transfer withthe service will be managed as outlined above.5.3 Do you consider the policy/proposal needs to be subjected toongoing screening? NB: for strategies/policies that are to be put inplace through a series of stages – screen at various stages duringimplementation.15

Yes√NoPlease give reasons for your decision If you have identified any impact,what mitigation have you considered to address this?. The proposedrelocation, from RVH to Shankill health and Wellbeing Centre may causeanxiety to some users. Screening will continue in terms of possible ‘chill factor’16

6. Consideration of disability dutiesIn what ways does the policy/proposal or decision encourage disabledpeople to participate in public life and what else could you do to do so?For example, have you engaged with disabled people in relation to thispolicy/proposal/proposal?How does the policy/proposal ordecision currently encouragedisabled people to participate inpublic life?What else could you do toencourage disabled people toparticipate in public life?N/AThe Shankill Wellbeing and TreatmentCentre is a fully accessible DDAcompliant building based in the centre ofthe local community where people go toshop and access other services.The centre provides:Therapy services:- podiatry- physiotherapy- speech and language therapy- occupational therapy.Social work and nursing services:- elderly people- family and children- people with sensory impairment- people with physical disabilities.Rehabilitation servicesCare managementDental clinics.In what ways does the policy/proposal or decision promote positiveattitude towards disabled people and what else could you do to do so?17

How does the policy/proposal ordecision currently promote positiveattitudes towards disabled people?What else could you do to promotepositive attitudes towards disabledpeople?Mandatory Equality Training whichincludes Disability Training is providedfor all staff. Additional DisabilityAwareness training is also available forall staff18

7. Consideration of Human RightsDoes the policy/proposal or decision affect anyone’s Human Rights?Highlight how you have considered each of the articles and if there was anegative impact as a result of having to interfere with someone’s humanright, outline how it was necessary, fair, justifiable and proportionate.ArticleArticle 2 – Right to lifePositiveimpactNegativeimpact =human rightinterferedwith orrestrictedNeutralimpactArticle 3 – Right to freedom from torture,inhuman or degrading treatment orpunishmentArticle 4 – Right to freedom from slavery,servitude & forced or compulsory labourArticle 5 – Right to liberty & security of personArticle 6 – Right to a fair & public trial within areasonable timeArticle 7 – Right to freedom from retrospectivecriminal law & no punishment without lawArticle 8 – Right to respect for private & familylife, home and correspondence.Article 9 – Right to freedom of thought,conscience & religionArticle 10 – Right to freedom of expressionArticle 11 – Right to freedom of assembly &associationArticle 12 – Right to marry & found a familyArticle 14 – Prohibition of discrimination in theenjoyment of the convention rights1 st protocol Article 1 – Right to a peacefulenjoyment of possessions & protection ofproperty1 st protocol Article 2 – Right of access toeducation19

Please outline any actions you will take to promote or raise awareness ofhuman rights or to ensure compliance with the legislation in relation to thepolicy/proposal or decision.A Human Rights based approach is taken in the design development andprovision of all Trust Services20

8. MonitoringWhat data will you collect in the future in order to monitor the effect of thepolicy/proposal or decision on any of the categories for equality ofopportunity and good relations, disability duties and human rights?Equality & GoodRelationsPatient and StafffeedbackComplaints andcompliments – thisinformation will beforwarded to the Healthand Social InequalitiesTeamDisability DutiesPatient and Stafffeedback on access toserviceComplaints andcompliments – thisinformation will beforwarded to the Healthand Social InequalitiesTeamHuman RightsPatient and StafffeedbackComplaints andcompliments – thisinformation will beforwarded to the Healthand Social InequalitiesTeam DNA rates / referral rates / waiting lists. Complaints Feedback from staff /users– which will be reported to the Health and SocialInequalities Team annually for two years.Approved Lead Officer:Position:Stephen BoydService ManagerDate: 1 July 2012Policy/proposal screened by: Maureen Doyle, Equality Manager,Miriam Gibson EmploymentEquality Manager25 th July 2012Please forward completed screening template to the Health and SocialInequalities team21