Our vision is to improve health outcomes for the population of Wandsworth by commissioning services tailored to the needs of individual patients whilst addressing the diverse health needs of our population.
Within our vision is the commitment and recognition that equality and human rights must be central to the way we plan and operate as a public body, an employer and a commissioner of healthcare services.
We understand and recognise that:
people can experience inequalities, discrimination, harassment and other barriers;
patients should be at the centre of our decision making, and in partnership we can deliver high quality, accessible services that tackle inequalities and respond to personal needs;
an environment of dignity, tolerance and mutual respect should be created, maintained and experienced by all our patients, staff and members.
In delivering our vision to secure the best possible services for people in Wandsworth and be an employer of choice, we embed equality and diversity in all key aspects of our commissioning and procurement cycles and employment practices and ensure we monitor, not just our own progress with commitment, but those who provide services on our behalf as well.
The Equality Act 2010 places a requirement on the CCG, as a public body, to demonstrate how we are:
- eliminating discrimination, harassment and victimisation and any other conduct that is prohibited by or under the Act.
- advancing equality of opportunity between people who share a relevant protected characteristic and people who do not share it.
- fostering good relations between people who share a relevant protected characteristic and those who do not share it.
- being transparent about how we are responding to the Equality Duty.
We publish relevant, proportionate information showing compliance annually - you can read these reports later on this page.
As commissioners, we are determined to carry out these duties and go beyond requirements wherever possible. The following information outlines how we integrate equality and human rights into everything we do.
We want to make sure that equality, diversity and inclusion are central to our vision, strategic direction and organisational development plans, where services are designed to meet the needs of the population and individuals and families.
2. Equality objectives
Wandsworth CCG has legal duties to publish Equality Objectives every four years under the Equality Act 2010.
Between July and September 2017, Wandsworth CCG actively engaged different stakeholder groups to develop its new set of equality objectives for 2017-21. These objectives will be refreshed and renewed in keeping with the CCG's evolving circumstances.
Health inequalities: Increase overall access to Wandsworth Improving Access to Psychological Therapies services to 15% of the morbid population, with 25% of the referrals from BAME communities by March 2018.
Provider assurance: Ensure all providers provide clear information by March 2018 on how services commissioned have led to better outcomes and access for groups protected by the Equality Act.
Patient/public engagement: Undertake engagement with young people to raise awareness of mental health support services and remove barriers to accessing them over the next 12 months.
3. Understanding our local population
In order to be effective commissioners, we need to understand our local population, identify those least likely to be heard, be proactive in reaching them through our engagement activities and consider the needs of those who experience the worst health outcomes.
To do this we:
Work with public health colleagues in the Local Authority to understand available data and information about the health and wellbeing of local people. You can read more about this through the London Borough of Wandsworth website and in our Public Sector Equality Duty Report 2019-20
Use our Equality Impact Assessments (EIA) to inform who we speak to during our engagement activities. As a result of intelligence from our EIAs we targeted BME communities during the community ophthalmology project and focussed on reaching out to homeless and learning disabled communities as part of our work around chaning access to the Clapham Junction walk-in centre. You can read more about these and other projects in our PPI Annual Report
Use a range of methods to reach and work with local people - for example, using drawing techniques and body maps to discuss emotional wellbeing with children and through partnering with Healthwatch on the Grassroots programme, reaching refugees at a summer picnic.
4. Engaging our communities
Ensuring we are engaging with all our communities is very important to us.
We collect protected characteristic data when doing large scale engagement so that we can do our best to ensure we reach all these groups. We capture this by asking those who engage with us to complete an equality monitoring form. We use this information to decide if there are more groups we need to engage with, or indeed if we are engaging in the right ways to meet different communication needs.
We recognise that different groups of people have different needs when it comes to engagement. We want to make sure those with disabilities and learning difficulties are supported to be involved in the most appropriate ways and are considered when we are planning who we need to engage with – so that no groups are overlooked.
The Community Grant Scheme has been set up to facilitate conversations between Wandsworth CCG and local voluntary and community organisations. Through awarding small grants, we have aimed to support the community to learn more about and collaborate with the CCG in identifying and reducing health inequalities whilst promoting wellbeing through the projects. These groups have also become valuable engagement channels, supporting the CCG to cascade information to groups we often struggle to reach.
This year we have awarded grants to Knights Community Gym to work with disadvantaged children in the Southfields area and disadvantaged children living in the Christchurch area. Another round of grants will be awarded in January 2019. You can read more about our Community Grants Scheme in our Get Involved section.
5. NHS Equality Delivery System (EDS)
The Equality Delivery System (EDS) is a performance improvement tool developed by NHS England to help organisations such as Wandsworth CCG deliver better outcomes for patients and communities and improve the working environment for staff. Each year we select two priority areas to focus on in terms of improving access and reducing health inequalities. Through reviewing these two services with stakeholders, local people and the voluntary and community sector, a set of grades are arrived at and an action plan. Read our 2018/19 report below.
6. Public Sector Equality Duty
The public sector equality duty requires public authorities, when carrying out their functions, to have due regard to the need to:
Eliminate discrimination, harassment and victimisation and any other conduct that is prohibited by or under the Act
Advance equality of opportunity between people who share a relevant protected characteristic and people who do not share it
Foster good relations between people who share a relevant protected characteristic and those who do not share it.
Public bodies must be transparent about how they are responding to the Equality Duty, and are required to publish relevant, proportionate information showing compliance with the Equality Duty annually.
7. Workforce Race Equality Standard (WRES)
The Workforce Race Equality Standard is a set of indicators that, for the first time, require all organisations with NHS contracts, to demonstrate progress against a number of areas of race equality. We are committed to ensuring that diversity and inclusion is at the heart of everything we do in the CCG and to seek assurance from our Providers that they do the same to meet contractual requirements in relation to the Workforce Race Equality Standard (WRES) and Equality Delivery System (EDS2).
The WRES provides robust evidence of our progress, monitored by frequent feedback.
8. Equality Impact Assessments
At the very start of any project, an Equality Impact Assessment (EIA) is undertaken. This is to ensure that the project has considered any impacts it will have on the nine protected characteristics and other vulnerable groups and ensures this informs who we engage with as part of the project. This process is embedded in our governance processes - no project can progress unless an EIA has been produced.
9. Equality Monitoring
We collate and analyse anonyous information about the people we are engaging with and the protected charateristics they share under the Equalities Act (2010) to enable us to identify and take action on any gaps in our work throughout the year. Below is a sample monitoring form we use to collect this data containing an explanation of why we collect this data and how it is used.
NHS Wandsworth_ Equality and Diversity Monitoring Form 2019-1.pdf
We undertake a review of our Community Grant Scheme activity and awardees to ensure we are reaching those that share protected characteristics under the Equality Act (2010) and inclusion health groups in a fair and representative way. Below is a list of all the Community Grant projects awarded in 2019 illustrating the reach of the programme overall.