Equality and diversity

Equality is about making sure everyone is treated fairly and given an equal chance to access opportunities.  It is not about treating everyone the same way.  People may require different things to achieve similar outcomes.

Diversity means ‘difference’.  When it is used in the same context as equality, it is about recognising and valuing individual as well as group differences.  It also means treating people as individuals and placing positive value on the diversity they bring as a result of them belonging to a certain personal protected characteristic or their cultural background.

To make sure everyone is able to get the best out of NHS services, we need to understand who our patients are and what their individual needs are so when they access treatment they get the right care and have the best possible experience.

We know health inequalities exist in Greater Huddersfield and that some patients have different access, experience and outcomes when they use the NHS.  We want to reduce those differences and remove them entirely where possible.

Our approach to equality and diversity is outlined in our strategy. Our equality and diversity strategy is currently being updated and will be available on this webpage by the summer of 2020. If you require any further information, please contact kate.bell@calderdaleccg.nhs.uk

Greater Huddersfield and health inequalities

The patient population of the Greater Huddersfield CCG is more than 243,000 and is continuing to rise, especially in the older age groups. This creates health and social care challenges as more people live longer with long term conditions, and brings economic and social challenges as the proportion of working age people reduces. One in six of the adult population and more than one in four under 18s are South Asian, with higher populations in Huddersfield North and South. Poverty and deprivation levels are highest in Huddersfield North and South, along with higher rates of unhealthy behaviours and higher disease burden. Lifestyles have a significant impact on the major causes of ill health and premature death in Greater Huddersfield. Whilst smoking rates continued to decline, there remained significant challenges, especially among women of childbearing age, children and those living in the more deprived areas. Two in five 14-year-olds lived with an adult who smoked. Almost half (49%) of children in Huddersfield North and South live in the top 20% most deprived areas in Kirklees, compared with one in three in Greater Huddersfield (32%) and Kirklees (38%). One in six (16%) 14-year-olds in Huddersfield South care for a family member with a disability/illness, higher than the Greater Huddersfield average (one in eight, 12%). One in five (19%) of the adult population in Greater Huddersfield are carers. This will increase as the population live longer and changes are made to social care provision for those with higher care needs. Adult carers are more likely have poorer health; especially pain and depression than non-carers For more information on the local population, inequalities and health please visit:  

Equality Act 2010 and the Public Sector Equality Duty

The Equality Act 2010 protects people against discrimination, harassment and victimisation in relation to housing, education, clubs, the provision of services and work. It unifies and extends previous equality legislation.  Equality is a legal principle to eliminate discrimination and promote equality of opportunity to people and groups.

The Public Sector Equality Duty (PSED) is made up of a general duty and specific duties. The general duty forms the main part of the legislation, and is supported by specific duties which support public bodies to demonstrate performance and compliance.

The public sector equality duty is described in Section 149 of the Equality Act and requires public bodies, including CCGs, to pay due regard to the need to:

  • Eliminate unlawful discrimination, harassment, victimisation and any other conduct prohibited by the Equality Act 2010.
  • Advance equality of opportunity between people who share a protected characteristic and people who do not share it.
  • Foster good relations between people who share a protected characteristic and people who do not share it.

The Act explains that having due regard for advancing equality involves:

  • Removing or minimising disadvantage associated with a protected characteristic;
  • Taking steps to meet the needs of individuals who share a protected characteristic (where these are different from others); and
  • Encouraging persons who share a protected characteristic to participate in public life or in any other activity where participation by that group of people is disproportionately low.

Protected characteristics are defined as:

  • Age
  • Disability
  • Pregnancy and maternity
  • Marriage and civil partnership
  • Race
  • Religion or belief
  • Sex
  • Sexual orientation
  • Gender reassignment

Under the specific duties of the PSED we are required to:

  • Publish information to demonstrate compliance with the general duty annually, including data on those with a protected characteristic who are affected by our policies and practices
  • Publish one or more equality objectives covering a four-year period

To evidence ‘due regard’ as required by the Equality Act 2010 and to be sure that the decisions we take make a real, positive difference to the lives of people in North Kirklees, where a decision is being made about a potential change to a service, policy or activity an equality impact assessment (EIA) will be completed.  We have developed an integrated impact assessment process which includes quality, equality and privacy, amongst others, to ensure that these are considered within CCG commissioning processes.

Greater Huddersfield CCG Public Sector Equality Duty annual reports
Equality objectives
Greater Huddersfield  and North Kirklees CCGs have both agreed a set of shared equality objectives for 2018 -2022. These objectives have been developed following involvement with the local voluntary, community and social enterprise sector, staff and public sector partners, including the implementation of the EDS2. The objectives have been approved by SMT and endorsed by both Governing Bodies. The objectives set out the three equality priorities that will be worked on over the next four years.

The Equality Objectives for 2018 – 2022 are:

  1. Improve access to GP Practices for specific equality groups, including LGBT and children and young people
  2. Improve engagement with specific equality groups
  3. Improve governance processes for equality

Progress on the equality objectives is monitored every six months by the Quality Committee, and an annual update for 2019-20 is provided in the action plan here.

Equality Delivery System (EDS2)

The Equality Delivery System (EDS2) is a toolkit designed by the Department of Health to help NHS organisations to improve the services they provide for their local communities, consider health inequalities in their local area and provide better working environments that are free of discrimination.

The EDS has four goals, with 18 specific outcomes.  As part of the EDS process, NHS organisations engage with their patients, local voluntary organisations and their staff in order to grade their equality performance, identify where improvements can be made and act on their findings. The EDS goals are:

  • Better health outcomes for all
  • Improved patient access and experience
  • Empowered, engaged and included workforce
  • Inclusive leadership at all levels

They are rated on a scale as follows:

  • Purple – excelling
  • Green – achieving
  • Amber – developing
  • Red – undeveloped

NHS Greater Huddersfield CCG’s EDS2 report for 2018-19 can be downloaded here. For further information please see the NHS England website.

Kirklees Equality Health Panel

Our Equality Health Panel was set up in 2017. It provides an opportunity for protected groups and their representatives to share views, information and feedback with the CCG and local provider organisations, and to promote equality in the Kirklees healthcare system. A copy of the Terms of Reference can be found here.

The panel ensures that the voices of people with characteristics protected by the Equality Act 2010 and other disadvantaged groups are represented in discussions about the planning, delivery and improvement of local healthcare services.

The panel meets quarterly.  Examples of its work include supporting the CCG and provider organisations to complete the  Equality Delivery System (EDS2)  grading process, and assisting the CCG to develop its equality objectives.

Please note, the Equality Health Panel is currently under review. The website will be updated when a decision has been made about the future of the Panel.

Workforce Race Equality Scheme (WRES)

The WRES requires NHS organisations to demonstrate progress against nine indicators of workforce equality. A Workforce Disability Equality Standard will be introduced in 2018. Our WRES return for 2016/17 is here. An action plan can be found here. Our WRES return for 2017-18 available here. Our WRES return for 2018-19 is available here.  Find here an animation for NHS England on the WRES.

Workforce Disability Equality Standard (WDES)

The Workforce Disability Equality Standard (WDES) is a newly developed set of ten specific measures that will support NHS organisations to compare the experiences of Disabled and non-disabled staff.

In the first few years local NHS organisations will report this data and local data to develop an action plan.  This will enable them to demonstrate progress against the indicators of disability equality.  The CCG will work with local providers to support them to achieve more equal access and outcomes for disabled staff and potential staff. The CCG will use the WDES in 2021/2.

Accessible Information Standard (AIS) for health and social care

The ‘Accessible Information Standard’ establishes a framework so patients and service users (carers and parents) who have information or communication needs relating to a disability, impairment or sensory loss, receive accessible information and communication support when accessing NHS or adult social services.

To prepare for the AIS in 2016 the CCG:

  • developed briefings for providers, CCG staff and GP practices and briefing sessions undertaken.
  • carried out surveys with GP practices to understand the support they need to implement the standard and used the feedback to shape and develop bespoke resources
  • provided advice and guidance to health care organisations and their staff to implement the Standard and made contact to ensure they are making progress against the Standard
  • promoted and raised awareness of the Standard with healthcare organisations and CCG staff 

Ongoing work:

Updates on work relating to the Accessible Information Standard are provided throughout the year to the CCG Quality Committee.