Equality objectives 2013-16

In 2013 we used the Equality Delivery System (EDS) to develop our equality objectives for 2013-16. 

This involved collecting and analysing evidence on our equality performance. This evidence was then shared with service users, carers, staff and representatives of local communities and partner organisations who graded the Trust’s equality performance. Read the results of our 2013 Equality Delivery System (EDS) assessment.

The evidence, feedback and scoring collected during the EDS engagement process was used to identify five priority areas of improvement for the Trust’s equality performance during 2013-16. Each of these five areas for improvement will be addressed by an equality objective.

These are set out below with a summary of action we have taken in 2015 to work towards achieving these.

Equality Objective 1: All SLaM service users have a say in the care they get

What does this objective aim to achieve?

To ensure SLaM service users are informed and involved in their diagnosis and care and exercise choice in their treatment.

Work to deliver this objective in 2015 included:

  • Staff in Mood and Personality Disorder (MAP) CAG’s Assessment and Treatment teams co-produced a recovery college course on assessment with members of the CAG service user advisory group. By empowering service users in the assessment process they hope all concerned are comfortable to ask about and share information relating to any equality-related needs that will support more meaningful care planning.

  • Child and Adolescent Mental Health Service (CAMHS) service users continued to be involved in CAG activities both at a borough-level and in CAG-wide activities such as presenting to the CAG executive on issues such as routine outcome measures and a survey of young people’s views on accessing mental health services.

  • Carers and ex-carers of people with dementia have been supported by Mental Health Older Adults (MHOAD) CAG to develop and deliver the ‘If only I’d known’ programme. This is a series of 6 workshops delivered by carers, with input from Trust staff and voluntary sector organisations, to support other carers cope with the challenges and questions they face.

  • Behavioural and Developmental Psychiatry (BDP) CAG continues to demonstrate excellent practice on disability equality such as:
    • Work undertaken in Lewisham on improving transition of young people to LD mental health team from CAMHS. 
    • Both the wards and community teams for people with learning disabilities and autism achieved outstanding ratings following the CQC inspection.
    • Supporting service users with learning disabilities to get involved in the development and delivery of training and presentations at conferences (including the national IAPT conference). Service users said they enjoyed this and it helped build their confidence.

  • The Trust has also developed an Involvement Strategy 2015-2019. This sets out the progress the Trust has made to date on involving service users, what needs to be done to make further progress in involving service users and how it will know this has been achieved. You can find more information on how you can get involved here.

  • The Trust used the Greenlight Toolkit to undertake a self-assessment of how mainstream services meet the needs of people with learning disabilities or autism. 

Equality Objective 2: SLaM staff treat all service users and carers well and help service users to achieve the goals they set for their recovery

What does this objective aim to achieve?

To ensure SLaM service users and carers are listened to, respected and believe that their treatment and care outcomes are good.

Work to deliver this objective in 2015 included:

  • The Trust’s CQC inspection found ‘Across the Trust the inspectors found that most services had considered access for people with mobility issues, meeting people’s spiritual and cultural needs and providing information in accessible formats. In a few areas this could be improved’.

  • Tree Of Life workshops have been delivered across the Trust to nearly 650 service users and over 250 members of staff. 75% of workshop participants were from Black British, Caribbean, African and other BME groups
    • 100% of self-report measures given to service users post workshop are positively rated, achieving 89% of the maximum score possible
    • Staff self-report measures administered pre and post workshops show statistically significant positive change on 5 of the 8 questions relating to attitudes to recovery and relationships with service users. 
    • Themes of ‘equality, empowerment, rapport and Trust building’ were identified in staff focus groups to evaluate their experiences of the tree of life workshops.
    • The Psychosis CAG have provided additional funding continue the delivery of workshops till the end of the financial year
    • The project won ‘Equality and diversity in service delivery’ category at the 2015 national positive practice awards
    • More information can be found in the Tree Of Life leaflet for service users and staff.

  • The Trust undertook an audit into the culture in care planning that identified the need to continue improving the consideration of spiritual and cultural needs in recovery and support plans.

  • Disabled Go accessibility reports are now available for Trust locations Lambeth, Maudsley and Bethlem hospital sites. The Trust has commissioned similar reports to be developed for its community venues.

  • CAMHS CAG audited reception areas including child/young-person friendliness and needs relating to disability or language.

  • Analysis undertaken of CORE outcomes of 2,311 people (from teams in MAP, MHOAD, Psychological Medicine and Psychosis CAGs) who had completed their psychological intervention during 2014/15 showed there was no statistically significant difference in outcomes between:
    • Older and younger clients
    • Females and males
    • Ethnicity groups (White British/Irish vs Other ethnicities)

  • BDP CAG supports the religious needs of patients in the medium secure forensic units. Patients are supported to attend the church, mosque or other place of worship of their choice, or to attend the onsite chapel, or to celebrate within River House with the chaplain or their own religious leader if they have no leave.

  • The Trust has worked closely with Lambeth Black Health and Wellbeing Independent Advisory Board to address recommendations of the Lambeth’s Black Health and Wellbeing Commission. This work has included holding a joint event for local members of the Black and African community in Lambeth to get feedback on how the Trust can improve its services and promote earlier access when these are need by local people.

  • The Integrated Psychological Talking Therapies service in Lewisham worked in partnership with Sydenham Gardens to develop a stabilisation group for Tamil refugees that enable members to get involved in horticultural activities as well as a talking group.

  • We are working with Croydon CCG and the BME Community Development Workers to develop and pilot cultural competency training for staff in Croydon.

  • As part of a local CQUIN, the Lambeth Promoting Recovery Teams are working with Lambeth CCG and the 300 Voices project to improve the recovery and support planning process, with particular regard to young Black male service users.

  • The Trust’s Equality Volunteer has developed an Equality Calendar for 2016 with key dates included for each protected characteristic. This has been designed for use by staff in relation to planning future equality-related activities for service users.

Equality Objective 3: All service users feel safe in SLaM services

What does this objective aim to achieve?

To ensure SLaM service users are free from abuse, harassment and bullying or get fair redress if they experience this.

Work to deliver this objective in 2015 included:

  • The Trust is developing a violence reduction strategy. The Trust lead on this presented details of the draft strategy to members of the Lambeth Black Health and Wellbeing Independent Advisory Board that has been established to work together with the Trust to address recommendations of the Lambeth Black Health and Wellbeing Commission Report.

  • LGBT awareness training was piloted in a MAP Assessment and Treatment team in Southwark and the Johnson Unit in Lewisham. LGBT awareness session in relation to children and young people were also delivered to CAMHS staff. 

  • The Trust ran an article in SLaM news during hate crime awareness week to highlight this issue and signpost to helpful information in each borough.

  • The Trust has developed a domestic violence and abuse e-learning package to enable staff to improve their recognition and response to service users experiencing domestic violence or abuse.

  • The Trust continued to use posters and leaflets, developed by the 4 in 10 service user project, on reporting homophobia, bi-phoboia and transphobia.

Equality Objective 4: To improve the representation of BME staff and staff with a disability in all aspects of meaningful engagement, participation and inclusion within the Trust

Work to deliver this objective in 2015 included:

  • Facilitating BME staff focus groups.

  • Undertaking a Trust-wide equality impact assessment of this year’s performance and development appraisal process.

  • Undertaking an audit of incidents of violence and aggression to staff in relation to ethnicity.

  • Refreshing the profile of the Trust’s Bullying and Harassment Advisors.

  • Working with local schools and colleges to promote the various careers available in NHS mental health services.

  • Reviewing the formal employee relations processes.

  • Undertaking a review of whistleblowing.

  • The Trust continues to participate in a London-wide scheme offering mentoring to BME psychology graduates who are interested in becoming Clinical Psychologists.

Equality Objective 5: Show leadership on equality though our communication and behaviour

What does this objective aim to achieve?

To create an environment where we are able to have open, honest and respectful conversations about equality at all levels of the Trust. The Board, Executive and senior leadership modelling behaviour that is expected of all members of staff.

Work to deliver this objective in 2015 included:

  • The Trust’s CQC inspection found: ‘The Trust demonstrated a real commitment in terms of meeting people’s equality, diversity and human rights’.

  • Equality and diversity training mandatory for all staff. The number of staff undertaking equality, diversity and human rights training increased from 2154 in 2014 to 2792 in 2015. In January 2016, 81.8% of staff were up to date with their equality, diversity and human rights training.

  • In response to feedback at previous partnership time events, the Trust published local-level ethnicity reports on access and experience in Croydon, Lambeth, Lewisham and Southwark.

  • The Trust’s Board requested that the Trust’s workforce equality objective was revised, highlighting race equality as a particular priority for this.

  • The Trust’s policy working group has helped improve both the quantity and quality of equality impact assessments used in Trust policy development and review.

  • The Trust, in particular staff in BDP and the Estia Centre, worked with KHP partners to hold a conference on improving services to people with learning disabilities. They have also developed free online training on working with people with learning disabilities.

  • The Trust’s The Mental Health Committee considered information on ethnicity and use of sections 2, 3 and 136 and included information on this in this year’s annual Mental Health Act report.

  • A Human Rights Recovery College course called ‘Ours to Own’ has been developed that aims to bring service users, carers and staff together to learn how to put a human rights approach into practice.

  • SLaM’s Mental Health Promotion Team continued to lead delivery of a 10 week Spiritual and Pastoral Care Training in Mental Health to members of faith and religious groups. This helps inform and empower participants to support people with mental health difficulties in their communities.

  • The introduction of demographic questions on transgender, pregnancy, hearing impairments and vision impairments in service user feedback surveys is producing important equality evidence that can be used to improve policies and procedures.A new fixed field for recording sexual orientation has been developed for the Trust’s electronic client records system and will go live in February 2016. This will help the Trust to address a longstanding gap in data in clinical activity and outcomes in relation to sexual orientation.

How do people rate our performance on delivering our equality objectives?

The Trust holds annual equality partnership time events (PTE) to give service users, carers, staff and other stakeholders an update on the delivery of our equality objectives. Participants are given information about what we have done through presentations and handouts and are asked to grade our performance using the EDS 2 grades. A summary of how participants, at equality PTE events in 2014 and 2015, graded the trust's performance are provided below:

The trust will continue providing updates on our progress in delivering these equality objectives in the equality information that we publish every year to demonstrate our public sector equality duty performance.

In 2016 the Trust will engage with service users, carers, staff and other stakeholders to evaluate the impact of its equality objectives over the last three years and refresh these for the next three years.

If you have any questions about our Equality Objectives, Equality Partnership Time Events or anything else relating to equality in the Trust's service delivery please contact the Trust’s Equality Manager at macius.kurowski@slam.nhs.uk.

 

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