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Inclusive and equitable engagement

It is important to us, to tackle and reduce health inequalities and inequity in our communities.  We routinely monitor our performance of this by using the Equality Delivery System (EDS).

The Equality Delivery System (EDS) is a tool to help the CCG to review their equality performance and to identify future priorities and actions. Its aim is to enable the NHS to deliver better outcomes for patients and communities and better working environments for staff, which are personal, fair and diverse.

At the heart of the EDS is a set of 18 outcomes grouped into four goals. These outcomes focus on the issues of most concern to patients, carers, communities and staff. It is against these outcomes that performance is analysed, graded and action determined. The grading of the CCG will be carried out by local people across East Lancashire on a yearly basis.

The four EDS goals are:

  1. Better health outcomes
  2. Improved patient access and experience
  3. A representative and supported workforce
  4. Inclusive leadership

You can find out more about our EDS gradings here. 

Whenever we are planning engagement with our communities we firstly undertake an analysis of the issues in that population to understand who may be adversely affected by any change, and whether there are any particular groups that we need to really work hard to engage with, and listen to. We use the available information which we have described here.  We also conduct reviews of existing knowledge and data - such as reports from Healthwatch and we listen to our PPGs, GPs and we investigate feedback from Connect, our soft intelligence system. 

We then start to list who needs to know about the matter that we are engaging on - we call this a stakeholder analysis. An example of this is  document here (24 KB) .  Following this we assess what are the best ways of reaching people, particularly those who have protected characteristics under the Equality Act 2010. As such it is against the law to discriminate against someone because of: 

We work very hard to ensure that (a) we consider and reach these groups as much as any other part of the population, but also (b) that when we have conducted any engagement, we collect detailed demographic data so that we can check this. 

Examples of how we consider and focus on age groups was the children and young people engagement and for older people we have been engaging on Age UK services where we have targeted engagement to them via the services they use. Our engagement on hearing aid users started with a focus group of hearing aid users to guage if they preferred meetings or online.  Their recommendation was an online survey - which we did! When we engaged with the BME community in an area of Burnley we found that we need to work harder to really understand their views so we recruited community researchers from that community to help us - they not only understood the variety of languages but also the culture and as a result were able to obtain rich insights into people's views. 

The CCG wishes to make it as easy as possible for people to engage with us, and for those who engage with people on our behalf too. We have published information about how we provide information in accessible formats and available assistance for those who require communications or other support to help them engage with us, or with those who are engaging on our behalf. You can find this under accessible information.