The Equality and Inclusion team at NHFT looks after all areas of equality, diversity and inclusion, and has been working to ensure the Trust adopts the inclusion agenda more actively. The team supports the Trust to meet its statutory requirements under Equality Act 2010, for staff and service users.
We work to ensure that all staff, students, service users and visitors are treated fairly and with dignity and respect. We also work closely with our third sector partners particularly from our underrepresented communities, to ensure all groups have a voice and are listened to.
As a Trust we have a duty to eliminate unlawful discrimination, harassment or victimisation, to advance equality of opportunity and to foster good relations. All public bodies including NHFT must treat people from different groups fairly and equally. This could be in our services, our jobs and through the money we spend.
Read our Equality, Inclusion and Human Rights Annual Report here.
Reverse mentoring - a mentee and mentor experience
Reverse mentoring occurs when a Senior Member of the team, in our case our Executive Directors, are mentored by non-senior colleagues. The mentor supports the colleague to advance their knowledge and understanding of a topic, using the mentor’s unique experience and insight. At NHFT we used mentors from Black & Minority Ethnic (BME) backgrounds to support our Executive Directors learning around race equality, ethnicity and diversity.
The Equality Act 2010 applies to all organisations that provide a service to the public.
The Act protects people from discrimination on the basis of Protected Characteristics. The relevant characteristics for services and public functions are:
- Gender reassignment
- Pregnancy and maternity
- Race (this includes ethnic or natural origin, colour and nationality)
- Religion or belief
- Sex (male or female)
- Sexual orientation
- Marriage/civil partnership
It is unlawful to discriminate against, harass or victimise a person when providing a service or when exercising a public function. For more information about the Equality Act, click here.
Patient equality and diversity data
Here at NHFT, equality and inclusivity is a high priority for us. We believe, understanding the equality and diversity data for those we care for has a direct link to improving patient care and outcomes. Understanding our patient and service user backgrounds can make a real difference to the services we provide, care we deliver, making sure that individual needs are considered and patient care remains high quality.
What is equality and diversity data?
When we talk about equality and diversity (E&D) data we mean the information you collect as part of your clinical role. This includes patient and service user characteristics outlined in the Equality Act 2010 above.
Why we collect this data?
We recognise patients and service users may be protective over their personal data and will want to know why it is needed and how we are going to use it. We collect this data for a number of reasons which are outlined below:
- Assurance - we need to assure ourselves that the services we deliver meet our patient groups and helps us to identify any disadvantages in our service offering
- Getting it right - we monitor the data collected to inform us, so we are able to provide the correct and high quality care to meet our county’s demographics and needs
- Our duty – we have a statutory duty as part of the Equality Act 2010 to ensure no-one, including staff, patients, service users, carers and their families are not being discriminated against and receive the correct services
- Early warning – it helps us identify any trends and early health inequalities, so we can really concentrate on these areas and address any inequalities to make a difference
- Service access – the data helps us to understand who is really accessing our services and who isn’t. It may be that there are specific groups that don’t access our services at all, and we need to understand more about the reasons why
- Services of a high standard - Helps us to provide high quality, culturally sensitive and clinically appropriate services
Examples of where data has made a difference?
Data like this has made a difference in a number of different projects and initiatives - from engagement projects and community events to Diabetes Multi-Disciplinary Team and Improving Access to Psychological Therapies. As well as so many more!
Throughout the United Kingdom, evidence showed BME communities had significantly poorer mental health outcomes and poorer experience of services. For some individuals, limited knowledge of available support and the ways to access it allowed mental health problems to become more entrenched and difficult to cope with.
In response to the above, in 2015 we embarked on our ‘Moving Ahead’ project to improve access and services for BME communities. Since then, the project has grown significantly focusing on key areas where there has been a need for change and improvement, as well as launching the community engagement programme in early 2018.
Throughout 2018 we provided Moving Ahead training to local communities which covered challenging subjects such as race equality, racial prejudice, typical assumptions made about BME communities, unconscious bias and information about how the NHS works and how to access services. A total of over 100 people have attended our Moving Ahead training programme and feedback/evaluation has been positive. Trainees have come from our own staff, BME project members and stakeholder representatives from partner organisations. Find out more about the project here.
How do we collect this data?
Collecting the data should be embedded into the initial conversations with every patient and service that accesses our services . This data is important as it is forms part of their patient clinical record, so must be correctly completed and up to date at all times.
Where is the data kept?
All patient data will be kept completely confidential. Data will be used anonymously in statistics and figures to monitor and analyse patient data so that we can be assured we are providing an equitable and equal service.
Know that it is okay if the patient does not want to share this information, simply record this on SystmOne as ‘not declared’.
Who to contact for more info on this?
For more information please contact the equality and inclusion team on EqualityIncusionTeam@nhft.nhs.uk
NHS Equality Delivery System 2 (EDS2)
The main purpose of the EDS2 is to help local NHS organisations, in discussion with local partners and communities, to review and improve their performance for people with characteristics protected by the Equality Act 2010. By implementing the EDS2, the Trust is further supported to deliver its Public Sector Equality Duty.
There are four EDS2 goals that relate to issues that matter to people who use, and work in, the NHS:
1.Better health outcomes for all
2.Improved patient outcomes and experience
3.A representative and supported workforce
To view the documents please see below in the document library folder called 'NHS Equality Delivery System 2' . All the evidence collected by the Trust and the results of our external verification of our performance under the NHS Equality Delivery System2.
A safer ramadan
You may be aware that Ramadan started on Tuesday 15 May and continues until end the evening of Thursday 14 June. This time involves periods of fasting for Muslims, this means abstaining from food, drink (including water) and smoking. While fasting is an important part of Ramadan it is also a time of self-reflection and self-evaluation for Muslims. Accommodating religious belief and practices during Ramadan is about being responsive to individual needs.
In the United Kingdom, it is estimated that there are over 325,000 Muslim people with type 2 diabetes. Fasting during the month of Ramadan is an integral part of the Muslim religion. Thanks to the study undertaken by our Innovation and Research and Diabetes Multidisciplinary teams, the Diabetes Education and Self-Management for Ongoing and Newly Diagnosed (DESMOND) programme has been adapted for implementation as an innovative educational intervention known as “A Safer Ramadan”. This is designed to meet the specific needs of Muslim services users who observe Ramadan.
The full study summary for ‘A Safer Ramadan’ can be found at the bottom of this article.
For more information on how to fast with diabetes – you can find a factsheet below. Information on how to respond in the event of a hypoglycaemic attack can also be found below.
Under the Equality Act 2010, the trust is legally obliged to undertake an equality analysis before making any decision. We are expected to ensure that 'due regard' is given to the needs of the service users based on their protected characteristics. However, our approach to equality analysis has to be relevant and proportionate, which means focusing on areas that are of significance for specific protected groups.
Equality analysis involves using equality information, and the results of engagement with protected groups and others, to understand the actual effect or the potential effect of your functions, policies or budget decisions. It helps the Trust to identify practical steps to tackle any negative effects or discrimination, to advance equality and to foster good relations.
BME staff development network
The primary aim of the BME staff development network is to provide an autonomous and effective voice for black and minority ethnic (BME) patients, staff, service users, carers and community. We aim to ensure that NHFT fulfils its statutory duties regarding race and racial equality by working in partnership with the Trust’s Equality and Inclusion Team, to champion race equality and to provide a critical challenge to ensure NHFT processes do not discriminate based on race. While recognising all the protected categories set out in the Equality Act 2010, race equality is the overarching organising principle of network.
Who we are
The BME staff development network is made up of black and minority ethnic staff from across the Trust. Non-BME colleagues with an interest in promoting awareness of racial equality and cultural awareness issues can become ‘champions’ of the network.
The BME staff development network has an executive committee, which meets on a regular basis to discuss network business and also arrange meetings that are accessible to all members of the network.
What we do
The BME Network has been established to help NHFT meet its statutory duty to promote racial equality and eliminate discrimination. The network is open to all disciplines, and staff with an interest in promoting racial and cultural equality within the workplace.
Staff disability and allies network
The staff disability and allies network provides a safe environment to share and discuss work related experiences, in order to gain support and advice around disabilities.
The network hopes to raise awareness, signpost training, offer community engagement, give support to employees (staff and managers) and advise on Trust policy improvements. This will create a culture of disability confidence for all employees.
The group will make every effort to ensure confidentiality for those who attend.
Who we are
The aim of the Staff Disability network is to help NHFT become more disability friendly. The network champions are people with disabilities and their allies, a disability could be:
- Mental health.
An ally is a colleague who does not have a disability, and does have an interest in promoting awareness of disability issues.
What we do
As a network we aim to:
- Raise awareness of disabilities amongst staff at all levels
- Create a culture of disability confidence for all employees
- Engage with local organisations to organise regular work-focused training and meetings, as well as supporting social engagement activities with local groups.
LGBT staff and allies network
The Lesbian, Gay, Bisexual and Transgender (LGBT) staff and allies network has been established to help NHFT become more LGBT friendly for both staff and service users.
Who we are
The LGBT Network champions are made up of staff who identify as LGBT or their allies. These are staff across different levels within the organisation.
What is an ally?
An ally is someone who doesn’t identify as being LGBT, and has an interest in supporting LGBT issues and promoting equalities for this group.
What we do
As a network we aim to:
- Raise awareness of LGBT health inequalities, and give support to employees and service leads
- Engage with local organisations to arrange work-focused training and meetings, as well as supporting social engagement activities with local groups
- Create a culture of confidence in LGBT issues for all employees, including creating a culture where staff and service users are happy to disclose their sexual orientation without worry.
Gender pay gap reporting
Employers in the UK with more than 250 staff are required by law to publish their gender pay gap data. A gender pay gap is the difference between the average hourly earnings of males and females with the figure expressed as a proportion of male earnings, however it is important to note that it is separate from equal (or unequal) pay.
The data for NHFT’s gender pay gap as of March 2019 is highlighted below:
Gender Pay Gap:
Women’s median hourly rate is 6.4% lower than men’s. In other words when comparing median hourly rates, women earn 94p for every £1 that men earn.
Women’s mean hourly rate is 20.1% lower than men’s. In other words when comparing mean hourly rates, women earn 80p for every £1 that men earn.
Pay quartiles are calculated by splitting all employees in an organisation into four even groups according to their level of pay. Looking at the proportion of women in each quartile gives an indication of women's representation at different levels of the organisation. Our workforce profile by gender is 85% women, 15 % men
|Quartile||Female %||Male %|
To recognise the contribution of colleagues in our improved Care Quality Commission (CQC) rating in 2017 a £12 payment was made to 100% of women and men in the organisation.
Women’s bonus pay is 83% lower (mean) than men and equal at £12 for the median payment.
*The bonus pay gap includes bonuses in the form of money, vouchers, securities, securities options, or interests in securities which relate to profit sharing, productivity, performance, incentive or commission.
Gender pay gap reporting -31 March 2017
Employers in the UK with more than 250 staff are now required by law to publish their gender pay gap data following The Equality Act 2010 Gender Pay Gap information Regulations which came into force in 2017. A gender pay gap is the difference between the average hourly earnings of males and females with the figure expressed as a proportion of male earnings, however it is important to note that it is separate from equal (or unequal) pay. The data for NHFT’s gender pay gap is highlighted below: Gender pay gap:
Women’s mean hourly rate is 20% lower than men’s. In other words when comparing mean hourly rates, women earn 80p for every £1 that men earn.
Women’s median hourly rate is 4% lower than men’s. In other words when comparing median hourly rates, women earn 96p for every £1 that men earn.
Pay quartiles: Pay quartiles are calculated by splitting all employees in an organisation into four even groups according to their level of pay. Looking at the proportion of women in each quartile gives an indication of women's representation at different levels of the organisation.
|Quartile||Female %||Male %|
Bonus pay*: Women’s bonus pay is 71% lower (mean) and 84% lower (median).
*The bonus pay gap includes bonuses in the form of money, vouchers, securities, securities options, or interests in securities which relate to profit sharing, productivity, performance, incentive or commission. Who receives bonus pay: 1% Women and 5% males. To view NHFT’s full gender pay gap report please click here.
Equality information report
If you have any questions relating to the Equality Information Report please email:
- Lenea Nyamapfeka, Equality Inclusion Manager: Lenea.Nyamapfeka@nhft.nhs.uk
- Beth Brand, Head of Patient Experience: Beth.Brand@nhft.nhs.uk
- Diana Belfon, Equality Community Engagement Manager: Diana.Belfon@nhft.nhs.uk
Equality Objectives 2020 - 2024
The Public Sector Equality Duty (PSED) section 149 of the Equality Act, (2010) requires public organisations to publish one or more Equality Objectives at least every four years, to demonstrate progress in advancing equality for protected groups and beyond. NHFT is dedicated to embedding Equality, Diversity and Inclusion (EDI) in all activities pursued in the Trust.
The Equality Objectives 2020 - 2024 publication document outlines NHFT’s new statutory SMART Equality Objectives in accordance with the PSED which are applicable to patients, service users, carers and those working for the Trust. Setting equality objectives enables us to demonstrate how we are continuing to meet the needs of our diverse workforce and provide services that are improving outcomes and patient experience for all our protected groups in our local community.
Our work on embedding equality into the provision of health services is underpinned by engagement with a range of stakeholders which included our Equality Inclusion Assurance Board (EIAB) members, patient experience pathway groups, Patient and Public Experience Steering PEG members which include our partner organisations, Volunteers and Governors. The clinical and corporate directorate management teams were also consulted.
In developing our new statutory Equality objectives 2020-2024, we drew on the experiences and data analysis of patients, services users and the public as we believe that this is critical in shaping services that are of high quality and are reflective of the needs of our diverse community.
The equality objectives were ratified by the Trust Board on 26 March, see here for the Trust Board report. The intention is to review progress on an annual basis in order to identify any new information and emerging needs and issues and adjust our objectives to respond and meet these needs.
In response to the unprecedented pressure and uncertainty presented by the Covid 19 pandemic, the Trust Board has agreed to suspend active progression of the new Equality objectives until further notice, in order to prioritise delivery of the best possible clinical care to our patients. The decision to suspend active progression with the equality objectives will be reviewed in July 2020. Once the suspension has been lifted the delivery and performance review of Equality Objectives will be undertaken via the Trusts robust governance processes