planning for fairness paperwork - nhs highland · planning for fairness paperwork this...
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Planning for Fairness paperwork This documentation should be filled in on an ongoing basis as your piece of work develops. Version 3 July 2015 Updated following public consultation and preparation of Initial Agreement
Basic information (See page 2 of the guidance)
1 Name of piece of work
Proposed modernisation of community and hospital services in Skye, Lochalsh and South West Ross Health
2 Brief description of the piece of work
The proposed redesign will create a new community resource centre and hospital ‘Hub’ in Broadford with a main ‘spoke’ in Portree. T h e ‘ Hub’ will include co-location of many services including Ambulance Service, Social Care, and Community Health and Voluntary Sector partners and provide a range of in-patient, diagnostics and outpatient services. It will provide 24/7 emergency type care and will be the main out of hours centre for the district.
The spoke will include Minor Injury Unit, Primary Care Out of hours Centre, out-patient, and possibly day cases and base for SAS services.
The ‘Hub’ and ‘Spoke’ form part of a wider redesign of services which will develop care at home; care homes and community services
The changes being proposed will ensure that the facilities and the workforce are cognisant of the NHS Scotland ambition to treat as many people at home, or as near to home as possible. Further drivers are to improve efficiency and align with clinical guidelines, modern inspection standards around healthcare environment, cleanliness and risk of infection. The main changes affecting the population of Skye, Lochalsh and SW Ross are:
1. A purpose built health and social care hub based in Broadford
2. A satellite health and social centre (spoke) based in Portree, which would provide a range of community services, but no inpatient beds
3. An increase in care at home, community services and developments in local care homes/ nursing homes
3. Name of person leading this PPF: Maimie Thompson Job title of person leading PPF: Head of Public Relations and Engagement
Email of person leading PPF: [email protected]
4. Name of senior manager who will sign off the process: Gill McVicar
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5. Individuals involved in the Planning for Fairness process (*) Name Title
Paul Davidson Clinical Director
Tracy Ligema Area Manager
Kate Earnshaw District Manager
Tracey MacRitchie Partnership Representative
Helen Sikora Principal Officer Health Inequalities, Equalities and Diversity
(*) – This document is culmination of a range of work including the discussions as part of options and development and appraisal workshops and public consultation. These had representation from patients, public, staff, councillors and partner agencies. Engagement and information gathering is ongoing
Background Information 6. Briefly explain what information (research/local knowledge/general intelligence) tells us about how people with protected characteristics may be affected by this piece of work. (Consider both staff and service users) (see page 3 of the guidance) Brief explanation Protected
characteristic
The District Profile for Skye, Lochalsh and South West Ross (SL&SWR) is available on the website and provides the following information: The wider determinants:
1. The proportion of people who live in the 15% most deprived nationally in Skye, Lochalsh & Wester Ross=0% which compares to NHS Highland=6.0% and North & West Unit=3.2%. There is a relatively high level of access deprivation, but lower levels of unemployment, income deprivation, and benefits uptake compared to others areas covered by NHS Highland.
2. The proportion of children (0-19) living in poverty in SL&WR=10.8% which is lower than other areas covered by NHS Highland=13.1% and Scotland=16.8%.
3. Male life expectancy at birth in SL&SWR ranges from Skye North East=72.3 to Ross Cromarty South West=80. years. This compares to NHS Highland=75.7 and Scotland=74.5.
4. Female life expectancy at birth in Skye South=80.0, Lochalsh=84.1 years, compared with NHS Highland=80.5 and Scotland=79.5.
Priorities for action based on the health profile should be:-
Overview of population
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1. Reduce specific hospitalisation rates for specific causes: alcohol on Skye; falls 65+ in the home on Skye; COPD and CHD in Lochalsh; emergency admissions from Skye; and 65+ multiple admissions.
2. Improve and protect children’s health: increase fluoridation varnish applications; and increase referrals to child healthy weight programme.
Assuming that recent fertility, mortality and migration trends continue in the Skye and Lochalsh area the population is expected to increase by 7% between 2010 and 2035. The largest increase in population is expected in those over 65 years of age, and is particularly notable among those aged over 75 years. The projected change in population does not occur at the same pace across all the age groups. The population aged 00-04 years is projected to grow as a result of trends in births and small migration gains among the population in the key age range for family formation. There is projected loss of population in the 16-24 age range that will relate to the movement of younger people seeking educational and employment opportunities out with the area. The population aged 45-64 years is projected to decrease as the current larger cohorts move into older age groups and these people are replaced by the smaller number currently aged 25-40. Increases in population are expected for the older age groups; the 75+ population is projected to more than double by 2035 and those between 65 and 74 years of age will increase by 40 percent. October 2013 practice figures for West Ross show that 24.8% of the population are over 65 years. In South West Ross this figure increases to 34.5%, which is double the UK average. Dementia prevalence in Highland is 7.1% in people over 65 years. Skye and Lochalsh will see an increase of 327 people with dementia by 2035 and South West Ross 36 people. From the 2011 Census 16.1% of the population in Skye do not own or have access to a vehicle and 14.1% in Lochalsh and West Ross.
On average women live longer than men A higher percentage of women are carers A higher percentage of the workforce are women
Gender
From evidence, we know that older age may bring particular issues including:
Living with co-morbidity
More at risk of having at last one long-term condition (dementia)
Age
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More at risk of experiencing poor Mental Health
Feelings of isolation
More likely to becoming a carer
Increased risk of falling at home
Difficulties in accessing services due to distance or lack of transport
Older people may be actively abused or discriminated against. Unconscious discrimination can result in:
Poorer care for older people
Lack of provision of specialist treatments and preventative care
Malnutrition – through assumptions that people can feed themselves (at home or in care)
Lack of dignity
Deprivation of choices, decisions, status etc
Dismissal of symptoms as “just old age” and consequent misdiagnoses / no diagnoses
Actual or perceived poorer quality of care
More like to fall at home and in care (hospital, care home) Young people may suffer discrimination by:
Being placed in adult hospital wards
Services being provided only within school hours
Breaches of confidentiality and anonymity
Not being consulted on service development
Because some may self harming
Having a role as a carer
Difficulty in accessing dental services
Difficulty in accessing activities to promote fitness and wellbeing
Difficulty in achieving healthy eating choices
Difficulty in accessing misuse of alcohol services
Difficulties in accessing services during transitions period
Being a ‘looked after child’
People over the age of 60 with Learning Disabilities are likely to receive a lesser range of health and social services compared with younger adults with learning disabilities
People in religious faith groups should not be impacted either positively or negatively by the changes being proposed.
People in religious or faith groups
People of different sexual orientation should not be impacted either positively or negatively by the changes being proposed.
Sexual Orientation
People of different ethnicity should not be impacted either positively Ethnicity
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or negatively by the changes being proposed.
Poor design of services, communications or attitudes can lead to:
Poor or no access
Unmet communication and information needs
Inadequate or inappropriate help from carers
Failure to make “reasonable adjustments” to accommodate literacy and communication difficulties
People with Learning Disabilities may face scarcity of services
Disability
Caring can affect physical, mental and emotional wellbeing.
Many carers are themselves, elderly and/or in poor health and the physical, mental and emotional stresses of caring can exacerbate pre-existing conditions.
Carers are also disproportionately likely to develop new conditions such as back problems and depression.
SLWR have 2054 unpaid carers – 6.1% 1 – 19 hours per week, 1.6% - 20 – 49 hours per week and 2.4% 50+ hours per week = 10.1% of total population in adults this does not capture the young carers
Other issues for carers include:
Financial problems
Social isolation
Restrictions in being able to easily access services
Family relationships
Guilt/anger/feelings of inability to cope
Anxiety, depression exhaustion
Educational problems for young carers
Emotion and psychological wellbeing
Transport problems etc.
Carers
Services tend to be sparse in remote and rural settings, leading to lower levels of access
People living in remote and rural settings, particularly those who don’t have personal transport, may find it more difficult to access services Drive time analysis has been carried out shows that some people are distant from services. As part of the redesign some people will have to travel further for inpatient care or visiting people receiving inpatient care
In rural communities people tend to have the same social networks and use the same services. This can threaten confidentiality and anonymity but can also be supportive in terms of sharing transport and reducing isolation.
Sustainability of service provision can be problematic .
Rural and remote
Poverty plays a major role in creating and perpetuating inequalities including life-expectancy
Potential impact of Welfare Reform – implementation of NHS Highland mitigation plan (under development)
In 2012 the Scottish Index of Multiple Deprivation estimated
Poverty/ disadvantage
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that 1340 people in the data zones of the Skye, Lochalsh and South West Ross area (N = 19) were experiencing income deprivation. This is equivalent to about 10 percent of the area population and is comparable to the overall Highland figure of 10.6 percent. The data zones with the highest level of income deprivation in SLSWR are in Portree. Portree North (16%) and Portree West (15%) were the 52nd and 55th most deprived data zones of 292 in the Highland area.
NHS Highland is biggest significant employer in the area
Changes to roles or location of services may have impacts on staff
Staff who have been in roles a long time may find change difficult
Concerns over appropriateness of buildings for co-location,
Staff who don’t want change may influence patients, carers, clients
May be a risk that volunteers are not valued/trained/supported to the same level as directly employed staff
Staff and volunteers
Homelessness is not solely roofless, definition in the National Standards for Health and Homelessness is broad - includes people in temporary, insecure accommodation, those who cannot access their home without risk (eg fleeing domestic violence) etc. The figures below are for the period 1st April 2014 to 31st March 2015 and cover allocations made by Highland Council in Skye & Lochalsh, and Lochalsh & Skye Housing Association: North Skye: - Total no. of households housed was 73. Of these 34 were homeless = 46% of those housed were homeless. South Skye: – Total no. of households housed was 17. Of those 7 were homeless = 41% of those housed were homeless. Lochalsh: – Total no. of households housed was 16. Of those 9 were homeless = 56% of those housed were homeless. From the council allocations during 2014/15 a total of 50 households were deemed homeless. The majority of these being in North Skye, as this is where the largest settlement, Portree is located. Changes to the provision if healthcare should take into account the rights and needs of homeless people ensuring that their access to services is not adversely compounded. Across Highland, around 40% of homeless applicants are single males – they are the biggest group of homeless applicants. It should also be noted that the level of second home ownership is
Homeless people
Age Profile - Skye, Lochalsh and South West Ross District
<20 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65+ Total
1 9 16 26 33 55 72 86 83 41 6 428
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high in the District. The Highland rate is 5% but in Skye it is 16.2% and in Lochalsh and West Ross it is 16.1%.
7. Provide a brief summary of the relevant equalities data you have relating to
this piece of work (See page 4 of the guidance)
Profile of the Highland population
Census data
District profiles
Better Together Surveys
Hospital Feed-Back from Patients
HEI Inspections
Workforce profiles
Local data analysis – drive time analysis
Outpatient activity analysis
Homeless applications statistics
Report on income deprivation
2011 census on Carers
8. Briefly describe any information, gathered from involvement/participation exercises, that tells us about how people with protected characteristics may be affected by this piece of work. (consider both staff and service users) (See page 5 of the guidance)
This assessment draws on a number of significant bits of work but the most relevant are:
Informal engagement, options development and appraisal exercise (2013/14)
Public consultation exercise (19th May to 19th August 2014),
Income deprivation
Travel time analysis Other information includes
Planning for Integration - Engagement with Service Users and Carers
Highland Users Group (Mental Health)
Health and Happiness (Learning Disabilities)
Alzheimer’s Scotland Research
Senior Citizens Network
Highland Youth Voices Survey
Director of Public Health Annual Report 2013 (Young people)
Director of Public Health Annual Report 2012 (Older adults)
Director of Public Health Annual Report 2011 (Inequalities) Re-shaping care for older people in Skye, Lochalsh and Wester Ross
NHS Highland Inequalities Action Plan
Service Change/Issue Protected characteristic
Proposed change to have all in-patient services to be located in new ‘Hub’ in Broadford. This will mean some people will have to travel further for their in-
All but with particular emphasis on Age, Disability, Carers, Remote and Rural and
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patient care or to visit people receiving inpatient care, or staff providing inpatient care
Staff
Concern expressed for frail elderly if loss of beds in Portree (i.e. visitors not able to travel).
Age, Disability, Carers, Remote and Rural
Views expressed around “palliative care beds in North Skye are a must”.
Age, Disability, Carers, Remote and Rural
Travel times crucial for life or death scenarios All but with particular emphasis on Age, Disability, Carers, Remote and Rural and Staff
Transport infrastructure must be in place to support relocation of hospital services.
All but with particular emphasis on Age, Disability, Carers, Remote and Rural and Staff
Co-location of some services in Broadford will impact on some people more than others
All but with particular emphasis on Age, Disability, Carers, Remote and Rural and Staff
Important to take a whole-person, holistic view when developing services, in particular by moving away from a medical model to towards a social model of care and one that is much more multi-disciplinary
All but with particular emphasis on Age, Disability, Carers, Remote and Rural and Staff
Important to develop professional trust/respect to support good decision making regarding location of ‘Hub’ and ‘Spoke’
All but with particular emphasis on Age, Remote and Rural and Staff
Recognition that elements of good care and experience relate to people and not buildings
All but with particular emphasis on Age, Remote and Rural and Staff
If service users feel they have little influence over service development and redesign in a much more fundamental way
All
If frontline staff feel they have no say or sway and should have more influence
Staff
People with which protected characteristics may be affected? 9. Based on your background information people with which protected characteristic will you particularly need to consider when planning your work? See page 6 of the guidance and appendix 1 for a full explanation of each protected group.
Gender (women, men, transgender) People living in remote and
rural settings
Age (esp older and younger people)
People living in poverty/ disadvantage
People in religious or faith groups
Homeless people and those at risk of homelessness
Lesbian gay and bisexual people (LGB)
Staff and volunteers
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Black and Minority Ethnic people (BME)
People involved in the criminal justice system
People with a disability (inc mental, physical and learning)
Others discriminated against by association
Carers
Other
10 Which of the following prompts (all of which guide you to consider equality issues) are considerations in the work you are doing? See page 7 of the guidance (and also pages 9-17 for further explanation)
Finance planning and decision making (FP)
Workforce issues (WI)
Transport and rurality issues (TR)
Buildings and physical space (BPS)
Talking and listening to people (TL)
Immediate care delivery (ICD)
Publicising your work among staff and/or service users (PW)
Other please state below (O)
Other Local housing and/or housing support staff working with vulnerable people
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Actions Taken Generic considerations 11. Please indicate where you are confident that staff involved in developing or delivering this work have/will adhere(d) to the following guidance or policies (See page 8 of the guidance)
Yes - staff involved in this work have/will adhere(d) to the following guidance or policies (or scope of these documents where services are procured or delivered in partnership)
No – I need to carry out some more specific work to ensure this guidance is followed
Not applicable to my work
Y N N/A
WI
NHS Highland PIN policies and procedures
TR
Managing access for patients, policies & procedures
The Adverse Weather Policy
BPS
DDA Building Regulations
Accessibility Guidance section 2: Accessing Services
TL
Interpretation Guidance
Guidance on Translation and Accessible Information
Accessibility Guidance Section 3: Talking and Listening
ICD Accessibility Guidance Section 5: Flexibility
Spiritual Care Policy
Best Practice Guidelines: Privacy Dignity and Respect within NHS Highland
Multi-faith Handbook
PW Accessibility Guidance Section 4: Written Information
Guidance on Translation and Accessible information
Framework for Communications 2010 – 2012
Guide to Participation in Service Redesign and Change
New documents since April 2010 http://www.scotphn.net/pdf/2013_04_16_Final_Guidance_on_UK_Welfare_Reform.pdf UK Welfare Reform – Final Guidance for NHS Boards on Mitigating Actions
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Actions Taken Specific considerations 12. Please use the table to provide information about the more specific work you are doing to address disadvantage and discrimination and promote equality that has not been covered by your adherence to the above policies and guidance. See page 9 of the guidance (and also pages 10-17 for further explanation) You can add or delete rows to the table as you need to.
Prompt Code e.g. (FP) (more than one can be stated) *
Briefly describe all the incidences where you have recognised:
the potential for disadvantage or discrimination
the potential to promote equality
Describe what you have done to:
address the disadvantage or discrimination
promote equality
Further action required? Y/N
FP Currently significant resources are tied up in running two hospitals (running costs £4million per year and backlog maintenance of £5.5million to bring the two hospitals up to basic standard). This also means work force is split. Resources currently not prioritised to support more people to be cared for at home/safe at home
The preferred options will allow better use of resources while improving care and services for more people. There should be benefits to be realised especially for older people and those with disabilities by providing more services in the community and care-at-home. As part of the work going forward plans will be developed to implement re-design of service to increase care-at-home and address any transport issues; Developing care home capacity or care home type beds in the North will reduce need for travel and have the benefit of not using hospital beds as a default Developing options to utilise Self Directed Support Act could address issues relating to transport, access to services and deprivation. The new ‘Hub’ facility will be fully comply with current accessibility legislation. There will be no planned changes until effective new arrangements are in place
Y Ongoing
WI The move to providing more care at home; promoting social
Staff actively involved and supported as part of the re-design work. Regular
Y Ongoing
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enterprise and centralising some services provides opportunities and threats to the workforce
updates to Staff Governance, Highland Partnership Forum and Professional Executive Committee. Communications and engagement plan specifically for staff. The re-design will take a number of years to come to fruition allowing time for workforce planning and any re-training. A working group will be established to oversee this strand and will involve staff side reps
TR Any change in location of service could have an impact on some people. Potential for disadvantage especially for people with disabilities, older people and research shows women tend to have poorer access
A snap-shot survey has been carried out to look at how people currently access the hospital services – 84% travelled by car Public preference and Access will be key criteria to decide on site selection of new ‘Hub’ A Transport and Access Group will be set up to oversee the work. This will include discussions with transport providers. to transport As part of work on transforming out-patients further developments will include expanding tele-medicine service to reduce the need to travel. Development of community services and care-at-home will overall reduce the need for hospital use. Projections are being considered as part of bed-modelling. Once the number of beds are finalised more detailed plans around car at home and community services will be agreed Further work required on seeking back on any existing difficulties people experience on accessing services
Y Ongoing
TL Being able to communicate clearly and empathetically provides the foundation of providing good understanding of services and access to care and experience of care
There has been extensive engagement with service users, partner agencies, GPs and NHS Highland staff. People have said that they are happy with the culture of care and a recognition the professionalism of the staff is more important the buildings per se A three month formal consultation allowed wider views to be heard and any issues considered and responded to. Around one fifth of the adult population (2,273) people responded to the survey. Data on age, gender, category of responder, care status and car owner status were all captured. Further analysis will now be required to look at
Y Ongoing
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any specific themes now that model and location have been agreed Various working groups have been established and the stakeholder engagement plan will be refreshed
BPS Under current arrangements there are some issues with DDA compliance in some buildings. They are also not sympathetic to people with eg dementia, autism, learning disabilities and so on
Any new buildings will need to designed to be fully Disability Discrimination Act (DDA) compliant and include consultation with service users, staff, Scottish Ambulance and Access Panel and other relevant experts. The building will be designed to be sympathetic to people with eg dementia, autism, learning disabilities and so on. Local stakeholders have been involved in preparing a Design Statement which highlights any accessibility issues
Y Ongoing
ICD Currently significant resources are tied up in old buildings with backlog maintenance of £5.5m to bring the two hospitals up to basic standard. This also means work force is split and resource is tied up in buildings and so resources currently not prioritised to support more people to be care for at home
Overall the re-design will improve service delivery, quality and safety by re designing, integrating services and teams, improving the flow of patients/clients, expanding community based services, maximising the opportunities for people to be cared for at or near to home, and improving the care environment when attendance at clinics or hospital is necessary
Y Ongoing
PW There will be varying awareness of staff and service users/carers around the case for change, options appraisal process and the new model of care being proposed
Significant informal engagement and public consultation completed; Clear case for change 2,273 people completed a consultation survey response form. From these one percent of people who responded were in favour of the ‘do minimum option’ while 86% supported the preferred model of service - ‘Hub and Spoke’. The remaining 14% were ‘not given’ (8%), ‘no preference’ 2%, ‘option 3’ 2% and ‘other’ 1%. Particular concerns have been expressed in North Skye around services that will be provided in the North. A working group has been set-up to oversee this work.
Y Ongoing
* The prompt code is taken from the table on page 3 (above) where you have identified where you need to consider equality issues.
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13. Are there any actions that you would have liked to implement but couldn’t due to financial or any other reasons? (see page 17 of the guidance) Issues will emerge from the various working groups and ongoing engagement and actions agreed to mitigate any new risks ensure actions identified are effective.
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Unresolved issues See page 17 of the guidance
14. Please use this table to record any follow up work that is still needed to:
remove a negative affect or promote a positive affect
gather further information
Issue Action to be taken Responsible Person
Date (by when?)
Process to agree location of Hub
A further options appraisal exercise would be required to consider location and site for the Community Resource Hub
Project Manager/Steering Group
Complete
Location of some services has still to be determined
Detailed Equality Impact Assessment to be completed once location and site identified
Project Manager/Steering Group
Ongoing
Framework for Communications 2010 – 2012 listed in PPF Guidance is out of date
Guidance to be updated to reflect revised strategy approved at the Board Meeting February 2012 “
Head of Engagement
Complete
Ensuring that we have talked and listened to the people who are likely to be most affected/impacted
Engage with people with protected characteristics/ harder to reach groups about the impact of the proposed changes
Head of Engagement
Ongoing Work carried out as part of public consultation; Further work to be commissioned
Transport and access Establish transport and access group to address access issues relating to the new Hub
Director of Operations
Group set up
Monitoring outcomes or outputs 15. What outcomes or outputs have you set to monitor whether disadvantage is being prevented and equality promoted? (See page 18 of the guidance)
Out come or output Monitoring in place Ongoing dialogue with Steering Group to represent people with protected characteristics
Regular Project Board and Steering Group 1/4
Set up specific user groups as process develops and include people with protected characteristics – have these been set up – or are we using existing groups/channels via the community/voluntary sector
Existing groups/channels via the community/voluntary sector to be represented on various working groups Identify any gaps and agree plan of action to address
Collect equalities data as part of the public consultation to identify any gaps in talking/listening to people
Data collected, 2,273 responses.
Distribute qualitative questionnaires to staff and community during the service change process and take account of any issues raised
As above
Review all relevant feed-back as part of ongoing surveys and research at local, Highland and
Ensure this feedback is reflected in the project’s development and information available to
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national level decision-makers
Wider monitoring as part of Public Health Dashboard, part of inequalities plan?
Review inequalities plan and actions to be identified
Agree mechanism for monitoring increase of care at home and use of telemedicine
Build in as part of benefits realisation and evaluation
Monitoring access to the Hub in Broadford? Agree how this will be monitord. Build in as part of evaluation
Continue regular talking and listening sessions with people who may be affected by the proposals and those representing people who may be affected
Develop stakeholder engagement plan and monitor feed-back
Before you submit your paperwork for sign off please check that you can answer yes to all the questions in the check list on the next page (page 7). This is crucial, the Planning for Fairness process cannot be considered complete until you can do so. Your senior manager is responsible for signing off your Planning for Fairness process. Please send your completed paperwork to them before sending to the Community and Health Improvement Planning Team team. (see page 2 of the guidance for information about who can sign off a Planning for Fairness process).
Please do not write below this line.
Monitoring timescale
Every year (Recommended)
Every 2 years
Every 6 months
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Sign off (See page 19 of the guidance) Planning for Fairness sign off check list For completion by senior manager
Refers to the numbering within the paperwork.
6 Are you satisfied that relevant information has been presented in relation to how this piece of work can impact on people with protected characteristics or is it clear that where information has not been presented it is because no relevant information is available?
y
7 Has relevant equality data been collected or is it clear that where monitoring data has not been not presented it is because it’s not available?
y
8 Has there been adequate participation and consultation with people with the relevant protected characteristics or adequate consideration of existing participation and consultation information?
y
9 Are you satisfied that this piece of work has considered all the people with protected characteristics that will be particularly affected by this piece of work?
y
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Are you confident that staff involved with planning and delivering this piece of work will adhere to all the guidance documents indicated?
y
12 Are you confident that the actions documented address all the issues of disadvantage and discrimination that could exist within this piece of work?
y
12 Are you confident that the actions documented allow for the promotion of equality within this piece of work?
y
14 Are you happy that the unresolved issues can be left for resolution until after the implementation of this piece of work without disadvantaging anyone?
y
15 Is it clear how this piece of work will monitor its impacts on people with protected characteristics?
y
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Notes for sign off staff Is there any information that has emerged from this Planning for Fairness process that can only be addressed by the wider organisation (where it is not the remit of this piece of work specifically)? E.g
is equality monitoring data unavailable and therefore the need to improve on the collection of this data should be taken on board service/organisation wide
Have staff identified actions in point 13 that they have been unable to implement that:
o Exposes the organisation to unacceptable risk so needs escalating within your risk register?
o Could be taken forward to benefit staff and patients across the whole service/organisation?
Please make a note of this below and state how you will take action
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Please indicate the outcome of the Planning for Fairness process by placing a tick by the appropriate statement
Rejected – there are gaps in the information provided The paper work does not indicate that a robust process has been followed
Accept piece of work - no unresolved issues have been identified Continue to implement this piece of work
Accept piece of work - minimal change needed Continue to implement this piece of work whilst working towards the unresolved issues (identified point 14))
Accept piece of work - despite identification that major changes are needed Continue to implement this piece of work despite significant risk to the organisation
Where further work is needed please send this back to the Planning for Fairness Lead with your comments If the work is accepted please fill in the table below and email this paperwork to [email protected]
Name and job title
Contact details inc email
Date