Equality and Diversity
Equality Objectives 2019-2022
The Equality Act asks public sector organisations, including NHS organisations, to publish at least one Equality Objective. Lincolnshire Community Health Services NHS Trust will publish four objectives which have originated from our knowledge of Lincolnshire demographics and engagement with local communities. The objectives are also inspired by the Equality Delivery System (EDS), Workforce Race Equality Standard (WRES), Workforce Disability Equality Standard (WDES), Accessible Information Standard and the Sexual Orientation Monitoring Standard.
Equality Objective 2020 – 2021 Rationale
Deliver Equality Delivery System (EDS) as a system
This revised version of the EDS was commissioned by NHS England and NHS Improvement for the NHS Equality and Diversity Council (EDC) with, and on behalf of, the NHS, it has been designed to fit with local and regional NHS re-organisation. To work towards delivering as a system.
To consider and develop engagement and actions regarding the impact of COVID-19 on local vulnerable communities.
Research in June 2020, by PHE looking at the impact of COVID-19 account age, sex, deprivation, region and ethnicity. Also to be taken into account is the existence of comorbidities, which are strongly associated with the risk of death from COVID-19 and are likely to explain some of the differences.
To consider and develop engagement and actions regarding the impact of COVID-19 and vulnerable staff both BAME and people with disabilities.
A total of 10,841 COVID-19 cases were identified in nurses, midwives and nursing associates registered with the Nursing and Midwifery Council. Among those who are registered, this represents 4% of Asian ethnic groups, 3.1% of Other ethnic groups, 1.7% of White ethnic groups and 1.5% of both Black and Mixed ethnic groups.
The PHE report states, ‘Among deaths with COVID-19 mentioned on the death certificate, a higher percentage mentioned diabetes, hypertensive diseases, chronic kidney disease, COPD and dementia than all cause death certificates. Diabetes was mentioned on 21% of death certificates where COVID-19 was also mentioned. This finding is consistent with other studies that have reported a higher risk of death from COVID-19 among patients with diabetes. This proportion was higher in all Disparities in the risk and outcomes from COVID-19.
BAME groups when compared to White ethnic groups and was 43% in the Asian group and 45% in the Black group. The same disparities were seen for hypertensive disease.
Listen, care, act and improve on existing health inequalities and increased health inequalities due to COVID 19
In the PHE report, the largest disparity found was by age. Among people already diagnosed with COVID19, people who were 80 or older were seventy times more likely to die than those under 40. Risk of dying among those diagnosed with COVID-19 was also higher in males than females; higher in those living in the more deprived areas than those living in the least deprived; and higher in those in Black, Asian and Minority Ethnic (BAME) groups than in White ethnic groups. These inequalities largely replicate existing inequalities in mortality rates in previous years, except for BAME groups, as mortality was previously higher in White ethnic groups.
We recognise the value of equality as a provider of healthcare services and as an employer, and we will make every effort to eliminate discrimination and reduce inequality.
Public Sector Equality Duty
The general equality duty is set out in the Equality Act 2010 (the Act). In summary, those subject to the equality duty must, in the exercise of their functions, have due regard to the need to:
- Eliminate unlawful discrimination, harassment and victimisation and other conduct prohibited by the Act.
- advance equality of opportunity between people who share a protected characteristics and those who do not.
- Foster good relations between people who share a protected characteristic and those who do not.
The specific duties in summary are a need to publish information:
- publish sufficient information to demonstrate its compliance with the general equality duty across its functions on a basis.
This information must include, in particular:
- Information on the effect that its policies and practices have had on people who share a relevant protected characteristic, to demonstrate the extent to which it furthered the aims of the general equality duty for its employees and for others with an interest in the way it performs its functions.
Gender Pay Gap Statement
Equality and diversity annual reports
Making health and social care information accessible Lincolnshire Community Health Services NHS Trust along with all organisations that provide NHS care and / or adult social care are required to follow the Accessible Information Standard in full from 31 July 2016 onwards.
Further details can be found on the NHS England website:
Lincolnshire Community Health Services NHS Trust are members of the following schemes: employers for carers, inclusive employers and NHS rainbow badge.