Equality Impact Assessment

Overview:

Assessment Name: Staffing Restructure of Older People's Nursing and Residential Services
Department: Adult Services Date Created: 07/12/2010
Lead Author: Steve Gowtridge Lead ID: sshqadsg
Additional Authors (if applicable): Wendy Rushton
Camilla Gibson
 
 
 
Aims and Objectives: There is a need in the current financial climate to address staffing establishments across all homes. There is no equity in the services and some have been allocated substantial additional budget over the recent years particularly the nursing homes. A new business model was introduced in 2009/10 which began the reduction in staff numbers. This represents the final part of the model
Main Activities: Introduction of a revised staffing structure across the residential and nursing homes run by Hampshire County Council, that better reflects industry-wide models, and will achieve significant efficiencies and cost savings for Hampshire County Council.
Who's intended to benefit: This initiative is not designed to benefit any specific client group but rather to drive efficiencies for Adult Services

Summary of Report:

Summary of Main Findings: The inititiative is designed to make provision of in-house nursing care and residential care more cost-effective. It will not affect who can access these services or how they can be accessed.

The quality of the care received will not be affected; the nature of the care received will not be significantly affected; new, more-efficient, new working practices will be introduced to ensure that the levels of care received remain broadly consistent, both with current care levels, as well as across the portfolio of residential care and nursing homes. These will include better observation, record keeping, risk assessment, training and understanding of individuals' needs.

The impacts on staff will not focus on any one specific group, relating to gender, race, disability etc. Given the high percentage of women who work within these services, it needs to be noted that it may appear to disproportionately impact upon them, although they are not being targeted specifically.

A separate staffing plan is being developed which will examine the implications for the staff at each of the individual homes, and take into account opportunities to relocate where appropriate. Any relocations will be done in line with HCC policy. There will be a voluntary redundancy exercise, open to all staff involved.

Age:

What do you know about the breakdown of people who use your services compared to the community profile: All service users in both the residential and nursing homes involved in this change are over 65. Young people do not use these services.

The staff impacted by these changes are of all ages.

Will some people be unable to use or benefit from the service: The nature of the services will not change. Likewise, how people access these services and who can access these services will remain the same.
How could the iniative improve equality of access: Please refer to main summary section.

Disabled People:

What do you know about the breakdown of people who use your services compared to the community profile: Staff: currently 0.5% of the current staff in our nursing and residential homes are registered disabled.

Service Users: currently 26% of the current residents of HCC's nursing homes and residential homes are registered disabled (28% within nursing homes and 22% within residential homes).

Will some people be unable to use or benefit from the service: The nature of the services will not change. Likewise, how people access these services and who can access these services will remain the same.
How could the iniative improve equality of access: Please refer to main summary section.

Faith:

What do you know about the breakdown of people who use your services compared to the community profile: No information has been collected for this group. However, since October 2010, we now have the ability to record this information in SWIFT so in time we will have this information on new service users. Similarly, we now ask new recruits for this data, so we will have it for new recruits but not current staff.
Will some people be unable to use or benefit from the service: The nature of the services will not change. Likewise, how people access these services and who can access these services will remain the same.
How could the iniative improve equality of access: Please refer to main summary section.

Gender:

What do you know about the breakdown of people who use your services compared to the community profile: Staff. The gender breakdown of the current staff working within our nursing and residential homes is as follows: Men 12.3%, Women 87.7%.

Service users. The gender breakdown of current residents of HCC's nursing homes and residential homes is as follows: Men 29%, Women 71%. Within nursing homes the breakdown is Men 32%, Women 68%. Within residential homes the breakdown is Men 27%, Women 73%.

Will some people be unable to use or benefit from the service: The nature of the services will not change. Likewise, how people access these services and who can access these services will remain the same.

Given the high percentage of women who work within these services, it needs to be noted that it may appear to disproportionately impact upon them, although they are not being targeted specifically

How could the iniative improve equality of access: Please refer to main summary section.

Race:

What do you know about the breakdown of people who use your services compared to the community profile: Staff. Current staffing within the nursing homes is broken down as follows:

White British (69.8%)

White Irish (0.6%)

Other White (5.2%)

Mixed White & Black African (1.2%)

Mixed White & Black Caribbean (0.5%)

Mixed White & Asian (0.4%)

Other Mixed Background (0.6%)

Asian / British Asian Indian (8.2%)

Asian / British Asian Bangladeshi (0.1%)

Asian / British Asian Other Asian (4.1%)

Asian / British Asian Pakistani (0.1%)

Black / British Black African (3.2%)

Black / British Black Caribbean (0.2%)

Black / British Black Other Black (0.1%)

Chinese (0.5%)

Other (1.1%)

Not obtained / refused (4.1%)

The racial breakdown of service users is summarised below:

White, British (96%)

White, Irish (1%)

Other White Backgrnd (1%)

Mixed White & Black Caribbean (0.5%)

Mixed White & Asian (0.25%)

Asian / British Asian Indian (0.5%)

Black / Black British Caribbean (0.25%)

Any Other (0.25%)

Not Obtained (0.25%)

Will some people be unable to use or benefit from the service: The nature of the services will not change. Likewise, how people access these services and who can access these services will remain the same.
How could the iniative improve equality of access: Please refer to main summary section.

Gay, Lesbian, Bisexual:

What do you know about the breakdown of people who use your services compared to the community profile: No information has been collected for this group. However, since October 2010, we now have the ability to record this information in SWIFT so in time we will have this information on new service users. Similarly, we now ask new recruits for this data, so we will have it for new recruits but not current staff.
Will some people be unable to use or benefit from the service: The nature of the services will not change. Likewise, how people access these services and who can access these services will remain the same.
How could the iniative improve equality of access: Please refer to main summary section.

Socio Economic Factors:

What do you know about the breakdown of people who use your services compared to the community profile: 1 (out of 10) of the nursing homes is located in an area considered to be in the top 20% of areas of deprivation according to the Index of Multiple Deprivation 2007

3 (out of 21) of the residential homes are located in an area considered to be in the top 20% of areas of deprivation according to the Index of Multiple Deprivation 2007

Will some people be unable to use or benefit from the service: The nature of the services will not change. Likewise, how people access these services and who can access these services will remain the same.
How could the iniative improve equality of access: Please refer to main summary section.

Rural Isolation:

What do you know about the breakdown of people who use your services compared to the community profile: All of the nursing homes are located in urban areas.

Out of the 21 residential homes, only 1 is located in a rural area (classed as 'Village, Hamlet & Isolated Dwellings'). The remainder are all in areas classed as 'Urban' (16) or 'Town & Fringe' (4).

Will some people be unable to use or benefit from the service: The nature of the services will not change. Likewise, how people access these services and who can access these services will remain the same.
How could the iniative improve equality of access: Please refer to main summary section.

Other groups affected:

Are there other groups affected not already mentioned: No

Conclusions of Potential Impact:

Possible Impact: Very minimal imapact. The inititiative is designed to make provision of in-house nursing care and residential care more cost-effective. Front-line provision of care will not be impacted.

It should be noted however, that given the high percentage of women who work within these services, it needs to be noted that it may appear to disproportionately impact upon them, although they are not being targeted specifically

If any groups are disadvantaged is this likely to be unlawful: No groups are being disadvantaged.
Group Affected: None
Evidence: None

Further Actions to be taken:

Action: Develop staffing plan which will examine the implications for the staff at each of the individual homes, and take into account opportunities to relocate where appropriate.
Responsibility: Wendy Rushton / Steve Gowtridge
Timescale: end Feb 2010
Expected Outcomes: Ensure opportunities for relocation of staff are maximised where appropriate. Ensure understanding of the impacts of the changes on individual workforces.

Review Summary:

Review Update: