Race equality in the NHS: Raising the standard

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Race equality in the NHS Raising the standard

• Jude Williams, Lead for Public Health

March 7th 2005
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Our statutory roles
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National Standards, Local Action Assessing
against the Governments standards

• seven domains
• safety
• clinical cost and effectiveness
• governance
• patient focus
• accessible and responsive care
• care environment and amenities
• public health

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Getting the basics right Core standards
assessments
Annual review
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Race equality and the core standards assessment

• explicit reference in standards to equality and
  human rights, for example
• C7(e) Healthcare organisations must challenge
  discrimination, promote equality and respect
  human rights
• C17 The views of patients, their carers and
  others are sought and taken into account in
  designing, planning, delivering and improving
  healthcare services.

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Health inequalities and the new role for
reviewing public health

• three drivers
• public health in Health and Social Care Act 2003
  
• public health in Department of Health (DH)
  standards
• national and local targets
• health inequalities are integral to public health

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Reviewing public health includes

• improvements to health of the public and public
  health systems
• healthcare organisations
• leadership / support for partners in delivery of
  health improvement
• commissioning and direct delivery
• whole delivery systems for improving health and
  reducing health inequality
• tackling health inequalities is integral
• ensuring fair access to all for healthcare
  services in relation to differential need
• targeted health promotion/disease prevention
  services and programmes to address health
  inequalities

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Public health strands of work

• 1 Annual assessments of core standards,
  including national targets
• C22 and C23
• national targets have new health inequality floor
  elements
• 2 Improvement reviews
• tobacco control / sexual health 05/06
• local area reviews to test developmental public
  health standard (D13) 06/07
• Integration ensuring all Healthcare Commission
  activities take account of improving health and
  reducing health inequalities

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Within the Healthcare Commission

• holistic approach to all strands of diversity
• board level and executive team commitment
• organisational three-year action plan
• Promoting human rights and reductions in in
  inequalities in health and healthcare
• Strategic goal commitment to ensure an explicit
  focus on inequalities, human rights and diversity

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To conclude race equality for the Healthcare
Commission

• Race Equality in the NHS
• Race Relations (Amendment) Act 2000 -
• three-year implementation anniversary May 2005
• NHS Race Equality Guide
• Important to make use of existing work and
  continue to build upon in the future
• Using the opportunities it has within its various
  roles