TO BE COMPLETED AT THE PLANNING AND SCOPING STATGES OF THE INITIATIVE

Appendix Two Equality Impact Assessment Proforma Initial Screening

Section / Officer responsible for the assessment / Julie Moseley
Name of Policy to be assessed / Director of Public Health Annual Report 2012 / Date of Assessment / 18/9/2012 / Is this a new or existing policy? / New
1. Briefly describe the aims, objectives and purpose of the policy. / To describe the health of the population of Cornwall and the Isles of Scilly and define objectives for health and partners in reducing inequalities in health.
2. Are there any associated objectives of the policy? Please explain. / Cornwall Health and Well-Being Strategy, Isles of Scilly Health and Well-Being Strategy, Health Inequalities Strategy, Joint Strategic Needs Assessment, Public Health Outcomes Framework.
3. Who is intended to benefit from this policy, and in what way? / The population of Cornwall and the Isles of Scilly.
Reduce the gap between people with the best health and those with the poorest health by targeting support where it is needed most and improve life expectancy.
To influence the commissioning and provision of services.
4. What outcomes are wanted from this policy? / Inform the policies of Cornwall and Isles of Scilly NHS, Cornwall Council and partners across the third sector in the improvement of the health of residents of Cornwall and the Isles of Scilly. To help people to live longer, and raise life expectancy in Cornwall and the Isles of Scilly to match the best levels in Europe. To reduce health inequalities.
5. What factors/forces could contribute/detract from the outcomes? / The economic environment could affect the resources available and outcomes mitigated by the risk of financial uncertainty and poverty. Climate change may prioritise the way in which services are commissioned and delivered. Planned changes to local services indicated by the NHS White Paper will significantly influence the delivery of public health support.
  1. Who are the main stakeholders in relation to the policy?
/ Cornwall and Isles of Scilly Health and Wellbeing Boards. Cornwall and Isles of Scilly NHS, Kernow Clinical Commissioning Group, Cornwall Council, Council of the Isles of Scilly, the third sector, and the population of Cornwall and the Isles of Scilly / 7. Who implements the policy, and who is responsible for the policy? / Cornwall and Isles of Scilly Health and Wellbeing Boards. Cornwall and Isles of Scilly NHS, Cornwall Council and Council of the Isles of Scilly, Kernow Clinical Commissioning Group
8. What is the differential impact on people from Black and Minority Ethnic Groups (BME) (positive or negative)? / Explain with examples
The demographics recognise the increase in the mixed race population in Cornwall and the Isles of Scilly. Cornwall Council is analysing the latest Census data for the number of people who identify themselves as Cornish.
How will any negative impact be mitigated?
The impact of the report should be positive, as it is aimed at reducing inequalities.
9. What is the impact for male or female people (positive or negative)? / Explain with evidence
There is a gap in life expectancy between men and women. Increase the uptake of HPV vaccine in girls.
How will any negative impact be mitigated?
The report is aimed at reducing inequalities, so any impact should be positive.
10. What is the impact on disabled people, including those with learning disabilities (positive or negative)? / Explain with evidence

Life expectancy is reduced in people with learning disability. Mental health problems are also more common.

How will any negative impact be mitigated?
The report should have positive impacts in reducing inequalities.
11. What is the impact on sexual orientation (lesbian, gay, bisexual)? / Explain with evidence
Lesbian, gay and bisexual people are more at risk of mental health problems and suicide. They are also more likely to smoke, drink excessively and use drugs.
How will any negative impact be mitigated?
The impact of the report should be positive, as it is aimed at reducing inequalities, including amongst the lesbian, gay and bisexual population.
12. What is the impact on people of different ages (positive or negative)? / Explain with evidence
Experiences in infancy and childhood are known to affect the risk of ill health later in life. Older people are at increased risk of ill health.
How will any negative impact be mitigated
The report should have positive impacts on the inequalities experienced as a result of age. There are sections that deal with specific age groups, where any particular impacts are addressed.
13. What impact will there be due religion or belief (positive or negative)? / Explain with evidence
Screening can be an issue in some cultures.
How will any negative impact be mitigated?
The report aims to reduce inequalities, allowing equal access.
14. What is the impact on marriage of civil partnership, this is particularly relevant for employment policies (positive or negative)? / Explain with evidence
Civil partnerships are respected as marriage.
How will any negative be mitigated?
The report aims to reduce inequalities, including those people in civil partnerships.
15. What is the impact on people who have gone through or are going through gender reassignment, or who identify as transgender? / Explain with evidence
Mental health issues are particularly prevalent in people who have gone through or are going through gender re-assignment. There are particular screening issues for people who have gone through or are going through gender re-assignment.
How will any negative impact be mitigated?
The report aims to reduce inequalities, including for those people who have been through or are going through gender re-assignment.
16. What is the impact on people who are pregnant or breast feeding mothers? /

Explain with evidence

A healthy weight in pregnancy, not smoking in pregnancy and breastfeeding are all recognised as being important to the future health of both the mother and the baby.
How will any negative impact be mitigated?
The report aims to reduce inequalities, including pregnant and breastfeeding mothers. Healthy pregnancy and breastfeeding are covered in specific sections highlighting the work being done to reduce inequalities.
17. How have the Core Human Rights Values of:
Fairness;
Respect;
Equality;
Dignity;
Autonomy
Been considered in the formulation of this policy/strategy
If they haven’t please reconsider the document and amend to incorporate these values. / Fairness – the report aims to promote fairness by reducing inequalities.
Respect, equality and dignity – the entire population is valued, and the inequalities are recognised; the report aims to mitigate these inequalities.
Autonomy – ensuring a patient voice, by talking to those people whose inequalities are being addressed.
18. Which of the Human Rights Articles does this document impact? / The right:
  • To life;
  • Not to be tortured or treated in an inhuman or degrading way;
  • To be free from slavery or forced labour;
  • To liberty and security;
  • To a fair trial;
  • To no punishment without law;
  • To respect for home and family life, home and correspondence;
  • To freedom of thought, conscience and religion;
  • To freedom of expression;
  • To freedom of assembly and association;
  • To marry and found a family;
  • Not to be discriminated against in relation to the enjoyment of any of the rights contained in the European Convention;
  • To peaceful enjoyment of possessions and education;
  • To free elections
/ Yes / No







√ / √





What evidence do you have for making these statements? / The annual report sets out a series of actions to protect health and well-being in its widest sense – a complete sense of physical, emotional and mental well-being, not merely an absence of disease or infirmity.
19. How will you ensure that those responsible for implementing the Policy are aware of the Human Rights implications and equipped to deal with them? / Training in equality, diversity and human rights is mandatory for all staff.
20. If the negative impacts identified have been unable to be mitigated through amendment to the policy, explain how you will conduct a full EIA / N/A
21. If the differential impacts identified are positive, explain how this policy is legitimate positive action and will improve outcomes, services or the working environment for that group of people. /

Please explain for each equality heading

BME groups

Male and female

Disabled and learning disabled people

Sexual orientation

Age

Religion or belief

Gender re-assignment
Pregnant or breastfeeding mothers
For each equality group the aim is to reduce inequalities, and create a fairer society.
22. If you do not need to proceed to a full EIA explain what amendments have been made to the policy as a result of this screening, and when they were made.
The report aims to reduce inequalities. Therefore each section has been checked at the draft stage to ensure that inequalities are not inadvertently increased by the recommended actions.

Signed (completing officer) ……………..Date 18/9/2012

Signed (Head of Section)……………………………………Date27/11/2012

Please ensure that a signed copy of this form is sent to both the Policies Officer and the Equality and Diversity lead to be placed on the Primary Care Trust website.

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