1. Embedding Equality Diversity and Human Rights
Dr Ivan Benett
GP & Clinical Director Central Manchester
CCG
Claudette Webster
Interim Deputy General Manager South
Manchester CCG
Dr Ivan Benett GPwSI Cardiology
'We hold these truths to be self-evident, that all men are created equal.'
19/06/12 Martin Luther King Jr., 1963 1

2. Deprivation scores within Manchester CCGs

3. Demographic
profile for
Central
Manchester
CCG

4. Embedding Equality Diversity and Human Rights
Why is this important for Manchester today?
The Government's Equality Strategy 'Building a fairer Britain' is
underpinned by the two principles of
equal treatment and equal opportunity.
‘By eliminating prejudice and discrimination, the NHS can deliver
services that are personal, fair and diverse and a society that
is healthier and happier. For the NHS, this means making it
more accountable to the patients it serves and
tackling discrimination in the work place.’

5. Embedding Equality Diversity and Human Rights
Why is this important for Manchester today?
The Operating Framework for the NHS in England 2011/12 - NHS organisations to
maintain progress on equality by fulfilling their statutory duties under the Equality
Act and to deliver high quality care for patients.
In addition to the Equality Act, patients’ rights to a comprehensive and fair NHS are
set out within its founding principles, legislation such as the Health Bill 2009 which
includes the NHS Constitution
Refreshed and extended following the White Paper report, 'Equity and excellence:
liberating the NHS' and the 'Future Forum'.
There are also plans for the first time, to enshrine the reduction of inequalities in
legislation within the Health and Social Care Bill.

6. Embedding Equality Diversity and Human Rights
Why is this important for Manchester today?
The Equality Act
In October 2010 the Equality Act provisions came into force, and to be phased in up until
2013. It outlaws discrimination against the following protected characteristics:
Age
Disability
Gender reassignment
Marriage and civil partnership
Pregnancy and maternity
Race (with the possibility of including caste)
Religion or belief
Sex
Sexual orientation

7. Embedding Equality Diversity and Human Rights
Why is this important for Manchester today?
WHateVer Age
Disability
our Gender reassignment
Marriage and civil
partnership status
Pregnancy and
maternity status
Race or Cast
Religion or belief
Sex or
Sexual orientation

8. Embedding Equality Diversity and Human Rights
NHS North West
‘embraces the diversity of people from all groups in society,
regardless of age, race, religion, belief, disability, gender
(including gender reassignment) or sexual orientation. We are
committed to eliminating unlawful discrimination and
promoting equality of outcomes for everyone. We aim to do
this by ensuring that the values underpinning equality,
diversity and human rights are central to our policy making,
service planning, employment practices and community
engagement and involvement. ‘

9. Embedding Equality Diversity and Human Rights
Why is this important for Manchester today?
Because it’s tHe rigHt tHing to do and integral to providing
quality serVices that are safe and match the needs of it’s users
Clinical Commissioning Groups have to be committed to Equality Diversity
Human Rights.
We need to build on the progress made to date and enhance the
relationships and partnerships between patients, communities and health and
social professionals.
In the last two years Equality Performance Improvement Toolkit [EPIT] has been the
solid foundation for Grt Manchester, providing the basis for a good
overview of the gaps and what we need to do as CCGs.

10. Embedding Equality Diversity and Human Rights

11. Embedding Equality Diversity and Human Rights

12. Why do we need a framework for primary care?
Current ED&HR assessments do not apply to Primary Care and there is no
way of benchmarking or identifying gaps
To be effective Clinical Commissioning Groups will need to develop such a
framework for general practices.
We need to establish our baseline before developing action plans for
improvement
We are not starting from scratch as there is already some evidence of the
gaps

13. What we would like to do?
Design and agree a self assessment process
suitable for primary care that:
• Provides a baseline position for all practices covering both patients and how
a practice runs itself and assures equality of outcomes for its own staff
• Enables the measurement of genuine outcomes for patients across all
protected Characteristic groupings .
• Links to local initiatives and incentive schemes i.e QOF/QP
• Enables the measurement of outcomes important to the bigger picture and
priorities of the CCG
• Will enable the measurement of outcomes relating to commissioning and
referral processes
• Ensuring that service experience and outcomes for patients can be
measures as a result of service and pathway redesign

14. We do have some enablers and levers?
• We know some of the gaps already identified from EPIT/
EDS
• Authorisation and beyond for CCGs
• Strengthening the relationships with our respective
member practices
• Progressing the agenda of Integration in partnership with
patients, communities and local statutory organisations
• CQC registration for general practices
• Quality Agenda including Patient & Public involvement
• Vital that GPs see this approach as constructive,
supportive and complimentary to what they already do