Equality Impact Assessment

Name of the proposal : Section 75 Agreement (NHS Act 2006) and Prison Substance Misuse contract monitoring

Department : Adult Services

Name of lead officer : Liz McGill

Publication date: 09/01/2012

Review date: 10/06/2013

Departmental Manager Approval by : Richard Ellis

Departmental Manager Approval date : 05/01/2012

 

 

Main purpose and aims of the policy, plan or project

A Section 75 Agreement (NHS Act 2006) between NHS Hampshire and Hampshire County Council is being sought to allow the Council to commission a substance misuse service in Winchester Prison. The service will integrate the current drug treatment and psycho-social interventions that are separately contracted and will be operational from October 2012. This follows recommendations of the Patel Report and is a Government requirement. Services will replicate the model in the community thus enabling a smoother transition for people with substance misuse issues moving in and out of prison.

Main elements of the policy, plan or project

Extensive public consultation on the model of substance misuse services in prison took place during the Patel review.

A Section 75 Agreement is required to enable the Council to commission health services. There will need to be public consultation prior to entering such an agreement.

A procurement process will be put in place for the integrated substance misuse contract in the prison, to be in place by 1 October 2012. Monitoring of that contract will occur on a regular basis.

The Section 75 Agreement will also cover the future commissioning of substance misuse services in the community currently commissioned jointly by the Council and NHS Hampshire.

Detailed Assessment

Age: Impact : Low
Any specific issues identified:  
What action will be taken to address any identified issues:  
Disability: Impact : Low
Any specific issues identified:  
What action will be taken to address any identified issues:  
Faith: Impact : No Impact
Any specific issues identified:  
What action will be taken to address any identified issues:  
Gender: Impact : Low
Any specific issues identified:  
What action will be taken to address any identified issues:  
Transgender: Impact : Low
Any specific issues identified:  
What action will be taken to address any identified issues:  
Race: Impact : Medium
Any specific issues identified: 11% white or black Caribbean and Caribbean accessing the services currently
What action will be taken to address any identified issues: Ensuring that the successful bidder for the service has effective plans to engage with this group which will be monitored. Failure to reach BME groups and ensure effective treatment will result in commissioners requiring remedial action by provider.
Sexual Orientation: Impact : Medium
Any specific issues identified: Sexual orientation of prisoners is not known or monitored currently
What action will be taken to address any identified issues: Ensuring effective holistic assessments giving prisoners the opportunity to raise any issues.
Marriage / civil partnership: Impact : No Impact
Any specific issues identified:  
What action will be taken to address any identified issues:  
Pregnancy & maternity: Impact : No Impact
Any specific issues identified:  
What action will be taken to address any identified issues:  
Other factors: Impact : Medium
Any specific issues identified: Incidence of dual diagnosis is lower than would be expected
What action will be taken to address any identified issues: Service provider will be expected to work closely with the mental health provider. This will be monitored during contract monitoring and by the Prison Partnership Board.

Details of why some groups are low and/or no impact

HMP Winchester only receives males over the age of 21. All prisoners are screened for drug and alcohol use at reception. Regardless of any disability or their faith, they would be entitled to receive treatment for any issues identified. Immediate treatment for detoxification would be put in place following reception.

Conclusion

The commissioning of the substance misuse service will not have any disproportionate impact on any protected group.

There are areas that we will need to seek more information to enable us to effectively monitor characteristics such as sexual orientation, where data is not held and a culture of not disclosing sexual orientation can prevent providers from having a clear understanding of the characteristics of service users.

There are currently 11% white or black Caribbean and Caribbean people accessing the services. Close monitoring will ensure that BME service users continue to have good access to the service.

 

For more information please visit the Hampshire County Council Equality & Diversity web page.