NHS Worcestershire Local Picture Sandra Rote Director of

NHS Worcestershire – Local Picture Sandra Rote Director of Clinical Development and Executive Lead Nurse Find out more online: www. worcestershire. nhs. uk

Corporate Objective To promote equality and create a fairer society where individuals can fulfil their potential, and that difference should be valued both in terms of the PCT’s role as an employer, and as a commissioner of services. Find out more online: www. worcestershire. nhs. uk

Commitment • To promote Equality and Diversity excellence in • Healthcare provision to patients • Employment of staff • Seek to ensure services are • Accessible • Culturally appropriate • Equitably delivered to all parts of the community Find out more online: www. worcestershire. nhs. uk

Worcestershire Ethnicity Profile ● ● ● ● ● White British 516, 000 94. 11 White Irish 4, 400 0. 80 Other White 8, 200 1. 50 White & Black Caribbean 2, 100 White & Black African 0. 38 300 0. 05 White & Asian 1, 400 0. 26 Other Mixed 1, 000 0. 18 Indian 3, 000 0. 55 Pakistani 4, 200 0. 77 Bangladeshi 1, 300 0. 24 Other Asian 800 0. 15 1, 800 0. 33 Black African 800 0. 15 Other Black 300 0. 05 Black Caribbean Chinese Other Ethnic Group All Ethnic Groups Find out more online: www. worcestershire. nhs. uk 1, 600 0. 29 1, 200 548, 300 0. 22 100. 00

Health Inequalities in Worcestershire There are four main groups in Worcestershire who experience health inequalities – i. e. their health status is poorer than the County as a whole: ● Disadvantaged communities. As identified on a geographic basis. This is largely due to low incomes and unhealthy behaviours. ● Black and ethnic minorities. People from black and ethnic minority communities suffer from specific diseases (for example sickle cell disease in Africans; high rates of coronary heart disease in South Asians). In addition they tend to have lower income than the White population, and may have difficulty accessing services due to language or cultural barriers. Find out more online: www. worcestershire. nhs. uk

Continued… ● Migrant workers. Although they are often young and healthy, migrant workers may experience difficulties due to language barriers and lack of familiarity with local systems. For example they often have high rates of industrial accidents and low rates of registration with a general practitioner ● People with mental health problems and learning disabilities. Whilst it is important to provide for their specific condition, it is important not to forget that these people have the same physical health needs as the rest of the population, that are often unmet. For example people with mental health problems have high rates of smoking and people with learning disabilities and diabetes are often poorly managed Find out more online: www. worcestershire. nhs. uk

Structure for delivery of Equality and Human Rights agenda for NHSW Equality and Human Rights Committee (Sub Committee of the Board) Find out more online: www. worcestershire. nhs. uk Commissioner. Equality and Human Rights Working Group Provider- Equality and Human Rights Working Group

Key Achievements Find out more online: www. worcestershire. nhs. uk

Equality and Diversity Seminars ● ● ● Joint approach from the Single Health Equality Partnership A series of seminars across the County Aim of the seminars was to provide local communities, voluntary and community organisations, service users and residents opportunity to engage with the health economy in identifying potential equality related health issues and work with the trusts to address these issues. Find out more online: www. worcestershire. nhs. uk

Disability Related Training ● Delivered by Bluemouse Consultancy – Disability Awareness for front line staff. ● Deaf awareness and Communication Tactics by Deaf Direct for all staff Find out more online: www. worcestershire. nhs. uk

LD -Some health facts and figures ●People with learning disabilities are 2. 5 times more likely to have health problems than the general population. ●An estimated 26% of people with a learning disability are admitted to general hospitals every year compared to 14% of the general population. ●Children and young people with leaning disabilities are 6 times more likely to have mental health problems than other young people. ●About 30% of people with learning disabilities have epilepsy, this figure increases to 50% for people with severe and profound learning disabilities. ●People with learning disabilities are 58 times more likely to die before the age of 50 than the general population. 4 times as many people with learning disabilities die of preventable causes as people in the general population. Find out more online: www. worcestershire. nhs. uk

50 Times more likely… A conference to begin addressing the issues faced by people with a learning disability in Worcestershire. Some of the outcomes from the workshop include: ● How to get more support at doctors appointment ● To make sure people do the things they say they will ● Health checks ● Personalised budgets Find out more online: www. worcestershire. nhs. uk

Actions arising from the Conference ● Ring the doctors and ask when they are sending me a health check appointment ● Ask for my Health Action Plan to be filled in every time I go for an appointment ● GP practices to think about how they provide services to people with leaning disabilities Find out more online: www. worcestershire. nhs. uk

Associate Pacesetter Two projects: §Improved access to GP surgeries for deaf people or for people with a hearing impairment in Redditch §Improved access and take up rate for Cervical Screening for women with Learning Disabilities Find out more online: www. worcestershire. nhs. uk

W hi te -A ny A B te hi W -B ot Wh ritis he h i r W te I D r hi C te ish M A ix b W ed ac h k. - W C ite. . hi C W Eng te lis h G h M F M & B ite W ix ed ixe lac el k d s H As An - W Ca h r ib y ia hi J As n o oth te & b. . . r A er ia A K n o sia mix sia As r A n n e Br d b si ia iti a n ac L As or n B sh. . . r A ia iti In si n s di h or an a As Br - Pa n i t ia ki s n ish Br - B t. . . i LE tish an gl As. . ia Any. n o S LH ri L t. . . LJ As ank M ia an A Bl n ac LK sian Br A C itis N ko ar h r B sia Bl ib n ac l b a P e ck Un k o Bl sp an ac r B Bri ec ti l k ifi or ack sh e Br - C d Bl ac ar iti s i k Br h - b. . . Af iti sh ric PD - A an ny Bl S o a ck t. . . An Br y O iti R th C sh er Et hin hn es e SA ic G Vi ro et up n Z am e N ot se St at ed C Workforce by Ethnicity 3, 000 2, 608 2, 500 2, 000 1, 500 1, 000 500 33 53 31 Find out more online: www. worcestershire. nhs. uk 4 4 1 5 30 3 2 6 2 2 1 1 9 5 3 2 5 34 1 67 0

Workforce by Disability Find out more online: www. worcestershire. nhs. uk

Workforce by Sexual Orientation Find out more online: www. worcestershire. nhs. uk

Workforce by Age Find out more online: www. worcestershire. nhs. uk

HR Initiatives ● Two tick symbol ● MENCAP project – arrange placements for young adults to gain work experience ● West Midlands Graduate Internship – local graduates can access unpaid work placement in NHS ● Pre –Retirement Course Find out more online: www. worcestershire. nhs. uk

Apprenticeships ● Apprenticeship – recruitment of apprentices to help younger people into workforce Find out more online: www. worcestershire. nhs. uk

Translation and Interpretation Services ●Applied Language Solutions – over 150 languages can be accessed 24/7 ●Deaf Direct (local organisation) providing BSL interpretation. Find out more online: www. worcestershire. nhs. uk

Future Plans ● Implementation of Single Equality and Human Rights Scheme and Action Plans ● Specific targeted projects ● Associate Pacesetter Programmes ● Data collection briefings ● Embedding Equality and Human Rights throughout the organisation Find out more online: www. worcestershire. nhs. uk