Equality Impact Assessment

Overview:

Assessment Name: Mental Health Community Support Services remodelling
Department: Adult Services Date Created: 01/04/2011 13:29:27
Lead Author: Andy Wilshire Lead ID: sshqmhaw
Additional Authors (if applicable): Andy Wilshire
Becky O'Selmo
Edward Walton
Neil Dhruev
 
Aims and Objectives: Mental Health Community Support Services currently provided by the Voluntary Sector are being reviewed to ensure that they support recovery from Mental Health for all individuals in Hampshire. Services will support individuals to improve their Social Inclusion, help them to secure their Employment, Education or Training aspirations, and improve the Health and Wellbeing of people with Mental Health problems in Hampshire.
Main Activities: Services will be commissioned to support individuals to access employment, education and training, to become less socially isolated, promote their independence and choice, and support their recovery from Mental Health problems.
Who's intended to benefit: All individuals in Hampshire who have suffered from serious Mental Health problems.

Summary of Report:

Summary of Main Findings: Hampshire County Council commissions a range of services that provide support to people with serious Mental Health problems in the community.

These services are currently being reviewed and will be remodelled following a wide consultation on Community Services as part of the Joint Hampshire Commissioning Strategy for Mental Health.

The Council is determined that the services we commission will be of benefit to everyone in the community who is eligible to receive them.

We, in partnership with NHS Hampshire and the providers of these services, will check that they are being used by members of groups that are sometimes at risk of being isolated and marginalised.

Where there is evidence of groups not using the services being provided, we will ask providers to prepare action plans to explain how this will be addressed.

Age:

What do you know about the breakdown of people who use your services compared to the community profile: Services provided are exclusively for working age Adults with Mental Health problems, and will not work with Children or older Adults with the exception of older people with an on-going functional Mental Health problem.
Will some people be unable to use or benefit from the service: The service is provided for Adults with serious and enduring Mental Health problems. This will therefore exclude those under 18, and those over 65 with organic Mental Health problems. Those over 65 with a functional Mental illness will be able to continue using services.
How could the iniative improve equality of access: Services for Young Parents with Mental Health problems are provided in some localities in Hampshire. New services will be required to establish what groups are available in their communities that support Young Parents who have Mental Health problems.

Disabled People:

What do you know about the breakdown of people who use your services compared to the community profile: Although the services that will be provided following this review and tender excercise will primarily support people with serious Mental Health problems, inevitably some of those individuals will also require additional support. New contract monitoring will require providers to record the numbers of Service Users with additional support needs in order to ensure services meet their current and future needs.
Will some people be unable to use or benefit from the service: There may be some work required to ensure that all our buildings delivering services are fully accessible to those with mobility issues and/or sensory loss.
How could the iniative improve equality of access: We will ensure that future providers of these services will promote the projects widely within their communities in order to improve uptake of services from people with additional support needs.

Future contract monitoring will enable us to review how successful organisations have been in engaging with groups that have previously not accessed services, and we will monitor performance against agreed action plans to rectify this.

Faith:

What do you know about the breakdown of people who use your services compared to the community profile: The recording of individuals with diverse religious views is not always recorded in the services we currently commission, or the agencies referring to these services. We will address this through the tendering excercise by ensuring that this is recorded on all referrals received within the services,. and that providers monitor how effective they are in engaging with all members of their community.
Will some people be unable to use or benefit from the service: We will require from providers that they actively address any obstacles that stand in the way of individuals with different religions or beliefs from benefitting from the services they provide.
How could the iniative improve equality of access: We will ensure that future providers of these services will promote the projects widely within their communities in order to improve uptake of services from people with differernt relegions or beliefs. Future contract monitoring will enable us to review how successful organisations have been in engaging with groups that have previously not accessed services, and we will monitor performance against agreed action plans to rectify this.

Gender:

What do you know about the breakdown of people who use your services compared to the community profile: The information is as for other protected characteristics. We will require that gender monitoring of those using services is recorded to ensure that the service is meeting the needs of both Men and Women with serious Mental Health problems.
Will some people be unable to use or benefit from the service: No.
How could the iniative improve equality of access: We will expect providers of new services to monitor their service users to ensurethat hey are representative of the client laod of local Community Mental Health Teams.

Race:

What do you know about the breakdown of people who use your services compared to the community profile: Nationally, people from some BME backgrounds, for example African Carribean, are more likely to be in contact with secondary mental health services, they are also more likely to be detained in psychiatric hospitals. In Hampshrie however this is not the case*, many of these services will receive the majority of their referrals from In-patient and CMHT services. We will require providers to monitor and produce action plans where neccessary to ensure their services are accessible to individuals from BME groups and that the services they provide meet the aspirations of BME communities.

*2001 Census data for Hampshire indicates 2.2% of the population is from a BME group.

2008-09 Mental Health Act assessments, 2% from a BME group.

Will some people be unable to use or benefit from the service: Providers will be expected to review how the service meets the needs of BME communities and provide alternative models of service if neccessary.
How could the iniative improve equality of access: We will ensure that future providers of these services will promote the projects widely within their communities in order to improve uptake of services from people from BME groups.

Future contract monitoring will enable us to review how successful organisations have been in engaging with groups that have previously not accessed services, and we will monitor performance against agreed action plans to rectify this.

There will also be opportunities to work in partnership with Community Development Officers and ensure providers are aware of trhe supprot available.

Gay, Lesbian, Bisexual:

What do you know about the breakdown of people who use your services compared to the community profile: The recording of individuals who are Gay, Lesbian, or Bisexual is not always recorded in the services we currently commission, or the agencies referring to these services. We will address this through the tendering excercise by ensuring that this is recorded on all referrals received within the services,. and that providers monitor how effective they are in engaging with all members of their community.
Will some people be unable to use or benefit from the service: Services will be available to all Adults in Hampshire with Mental Health problems.
How could the iniative improve equality of access: We will ensure that future providers of these services will promote the projects widely within their communities in order to improve uptake of services from people who are Gay, Lesbian, or Bisexual..

Future contract monitoring will enable us to review how successful organisations have been in engaging with groups that have previously not accessed services, and we will monitor performance against agreed action plans to rectify this.

Socio Economic Factors:

What do you know about the breakdown of people who use your services compared to the community profile: Unfortunately, people with Mental Health problems are more likely to be unemployed and reliant on means tested benefits than any other disabled group. The services are being commissioned to help address this by supporting people with serious Mental Health Problems to gain education, training or employment.
Will some people be unable to use or benefit from the service: The services will be available to all Adults in Hampshire with a serious Mental Health problem.
How could the iniative improve equality of access: Providers will be required to promote their services to ensure that those who would benefit most from them are aware of how to access them.

Rural Isolation:

What do you know about the breakdown of people who use your services compared to the community profile: There are likely to be many people with Mental Health problems who live in rural areas who are disadvantaged due to the propensity of services to be based within urban locations.
Will some people be unable to use or benefit from the service: There are clearly going to be some challenges for individuals who live in rural areas accessing services that are located within urban areas of Hampshire. We will seek to develop services for people living in rural areas by, where possible, using public buildings to provide services in rural communities.
How could the iniative improve equality of access: We will require providers to consider how they may be able to deliver services in rural locations, through using exisiting community buildings.

Other groups affected:

Are there other groups affected not already mentioned: Carers will be able to benefit from these services both directly by the co-ordination of carer support groups and services and also indirectly by the support provided to Service Users.

A number of offenders are clients of Community Mental Health teams and access these services. We will ensure that providers monitor the numbers of their clients who have a history of offending.

Conclusions of Potential Impact:

Possible Impact: We will ensure that better monitoring of service users increases our understanding of the groups that are making use of our services and where there may be changes needed to ensure that Community Based Mental Health services are working with the whole of the community.
If any groups are disadvantaged is this likely to be unlawful: N/a
Group Affected: None
Evidence: N/a

Further Actions to be taken:

Action: Monitoring of new contracts will specifically review how effective services are at engaging with the communities they work within.
Responsibility: Commisoners, and Service Providers.
Timescale: New services will be required to provide this level of monitoring when new contarcts are awarded, however we will ask providers to begin to refine their systems during the lifetime of current contracts.
Expected Outcomes: That more individuals from the specific group identified will benefit from the services provided.

Review Summary:

Review Update: