Attracting, supporting and retaining a diverse NHS workforce

Attracting, supporting and retaining a diverse NHS workforce
Nuffield Trust 8 November 2021 

• This report examines the representation of under-served groups and provides a set of recommendations for change as the NHS strives to become an exemplar of equality, diversity and inclusion.

Coronavirus: Which key workers are most at risk?

Coronavirus: Which key workers are most at risk?
House of Commons Library Research Briefing 2 June 2020

• This Insight outlines which workers have experienced the biggest health risk, and breaks these groups down by ethnicity, gender, country of birth, disability status, household type, and rates of pay.

Equality diversity and inclusion at the time of crisis and beyond,

Equality diversity and inclusion at the time of crisis and beyond, 

NHS Confederation blog, 28 April 2020

• Call to action for NHS chief executives to ensure BAME representation in decision making during COVID-19 and beyond

How have inequalities in the quality of care changed over the last 10 years

How have inequalities in the quality of care changed over the last 10 years
QualityWatch 23 January 2020

• Analysis of data for 23 indicators of quality of NHS care has shown that people living in the most deprived areas of England experience a worse quality of NHS care and poorer health outcomes than people living in the least deprived areas. 
• The authors used Hospital Episode Statistics, patient survey data, published health statistics and the Index of Multiple Deprivation. Using this data they looked at 23 indicators measuring the quality of NHS care for the 10% of people living in the most deprived areas and the 10% of people living in the least deprived areas of England. From this they constructed an inequality score that is comparable across different performance measures and over time.

Community-centred public health: taking a whole system approach

Community-centred public health: taking a whole system approach
PHE 14 January 2020

• Community-centred approaches are those that mobilise assets within communities, encourage equity and social connectedness and increase people’s control over their health and lives. PHE have produced a suite of resources, which are intended for use by local authority, NHS and voluntary and community sector (VCS) decision makers, to help them to:
• improve the effectiveness and sustainability of action to build healthy communities
• embed community-centred ways of working within whole systems action to improve population health.
• These resources include:
• briefing paper - a summary of findings
• slide-deck - a presentation main findings
• collection of practice examples
• list of alternative whole system frameworks

New Court of Appeal decision on the difficult issue of the Public Sector Equality Duty

New Court of Appeal decision on the difficult issue of the Public Sector Equality Duty
Mills & Reeve 8 January 2020

• The Court of Appeal's decision in Forward v Aldwyck Housing Group Limited confirms that that there is no general rule requiring the courts to quash a decision where there has been a failure to have due regard to the PSED.

Equality, diversity and inclusion in research and innovation: UK review

Equality, diversity and inclusion in research and innovation: UK review
UKRI Dec 2019

• This report reviews the evidence around what is currently known about the key challenges for EDI in the and the effectiveness of different interventions and practices which increase engagement.

(FYI)

British Social Attitudes Survey - attitudes towards emergency care

British Social Attitudes Survey - attitudes towards emergency care
The National Centre for Social Research 14 August 2019

• The first ever large-scale research into attitudes towards emergency care from the most recent British Social Attitudes Survey reveals significant differences in perspectives by a range of socio-demographic factors, such as area deprivation, age, young children in the household and gender.
• People living in deprived areas are more likely to prefer A&E departments over their GP to get tests done quickly, find it more difficult to get an appointment with their GP and think A&E doctors are more knowledgeable than GPs.
• Parents with children under 5 are most likely to have used an A&E in the last year, to think it is hard to get an appointment with their GP, less likely to trust their GP but are also more likely to use the internet to try to decide what the problem might be.
• Men are less knowledgeable about how to contact a GP out of office hours and less likely to use the internet to research a health problem.
• Those aged 18-24 are twice as likely to both research a health problem online (62%) and to use the internet to decide what to do (47%), compared with those aged 75+.

Social Metrics Commission 2019 Report

Measuring Poverty 2019
Social Metrics Commission 29 July 2019

• The report reveals that 4.5 million people are more than 50% below the poverty line, and 7 million people are living in persistent poverty. Poverty rates amongst families from ethnic minorities are particularly high. Nearly half (48%) of people in poverty – totalling 6.8 million people – live in a family where someone is disabled.

Do you work for a racist organisation?

Do you work for a racist organisation? [blogpost]
Hong-Anh Nguyen, Manager, Information and Knowledge Services, Kings Fund 21 June 2019

• A discussion of the challenges in creating a more inclusive culture and diverse organisation.

Hidden No More: Dementia and disability

Hidden No More: Dementia and disability
All Party Parliamentary Group on Dementia June 2019

• Dementia is a disability, according to domestic law and international convention. This report seeks to enable people with dementia to assert their rights to services and for their rights as citizens to be treated fairly and equally.

Workforce Disability Equality Standard

NHS Workforce Disability Equality Standard Technical Guidance
NHS England 27 March 2019

• The WDES will help NHS organisations to review their performance against ten (10) Metrics and produce action plans to close the gaps in career and workplace experience between Disabled staff and non-disabled staff. This Technical Guidance contains the WDES Metrics, and provides a range of detailed information that will support those tasked with implementing the WDES.
• The Standard that will apply to all NHS Trusts and Foundation Trusts from April 1 2019.
• The roles that CCGs are expected to play in rolling out, supporting the WDES and/or implementing the WDES as employing bodies will be agreed as part of the new IAF. Discussions about the 2019/20 IAF and the WDES will take place in 2019. 

Workforce Disability Equality Standard
NHS England February 2018

• The Workforce Disability Equality Standard (WDES) is a set of metrics that will enable NHS organisations to compare the experiences of disabled and non-disabled staff. 
• The first WDES reports for NHS Trusts and Foundation Trusts will be published in August 2019, based on data from the 2018/19 financial year.

How easy is it for nomadic Gypsies and Travellers to access primary care?

No room at the inn: How easy is it for nomadic Gypsies and Travellers to access primary care?
Friends Families and Travellers 20 March 2019

• Findings of a mystery shopping exercise in which Friends Families and Travellers contacted 50 GP practices posing as a patient wishing to register who didn’t have a fixed address or proof of identity and found that almost half of practices would not register them. 

Key Findings

National Adviser for LGBT Health in the NHS

National Adviser for LGBT Health in the NHS
17 March 2019

• Minister for Women and Equalities Penny Mordaunt has appointed the first ever National Adviser for LGBT Health in the NHS, and Advisory Panel - fulfilling the Government’s commitment to improving lives as set out in the landmark LGBT Action Plan.
• Dr Michael Brady, Medical Director of the Terrence Higgins Trust and a sexual health and HIV consultant at King’s College Hospital, will advise the government on how to tackle inequality in the healthcare system

National LGBT Survey 2017: Healthcare amongst lesbian and bisexual women

National LGBT Survey 2017: Healthcare amongst lesbian and bisexual women 
Government Equalities Office 15 March 2019

• Using data from the National LGBT Survey 2017, this report examines differences in disclosure of sexual orientation to healthcare providers and experience of healthcare among different groups of lesbian and bisexual women. 

Executive summary 

Exploring the UK’s digital divide

Exploring the UK’s digital divide
ONS 4 March 2019

• The scale of digital exclusion in the UK; those who aren’t currently using the internet, how digital skills vary for different groups of the population (including gender, age, disabled people, ethnic groups) and some of the barriers to digital inclusion.
• Regional level data only.

Equality and Health Inequality NHS RightCare Packs

Equality and Health Inequality NHS RightCare Packs
NHS England December 2018

• The Equality and Health Inequalities RightCare Pack considers measures of health inequality and aims to support CCGs and health systems to identify areas of improvement in promoting equality and reducing health inequalities.
• Each pack contains data on a number of healthcare areas in a CCG to demonstrate where there are potential opportunities for addressing equality and tackling health inequalities.

Community-centred practice: applying All Our Health

Community-centred practice: applying All Our Health - Guidance
PHE 14 November 2018

• The core principles for healthcare professionals of community-centred approaches for improving the health and wellbeing of marginalised groups and vulnerable individuals.
• Includes action points for front line healthcare professionals, team leader/manager, senior/strategic leader and a discussion of approaches to understanding local needs and measuring impact.

Modern slavery in the UK 2018

Modern slavery in the UK 2018
The Global Slavery Index

• Prevalence, Imported products at risk of modern slavery, Vulnerability and Response to modern slavery in the UK.
• Note: Rates of reporting locally and nationally are recorded by the National Crime Agency.

LGBT in Britain: health report

LGBT in Britain: health report
Stonewall 5 November 2018

• This report uncovers worryingly high rates of poor mental health experienced by LGBT people in Britain today, as well as the challenges many LGBT people face when accessing wider healthcare services.