Archived decisions
Name of Initiative, Policy or Project |
Decision report:: Transfer of Commissioning from the Primary Care Trusts to the Local Authority for Social Care for Adults with a Learning Disability | |
Department |
Adult services | |
Names of people completing assessment |
Dominique Rawlings | |
Date |
01-06-2009 | |
A front line or direct service is highly likely to have an impact on different communities. An infrastructure service may have an indirect impact. You need to use your professional knowledge to decide if you know enough about the different customer or staff groups which might be affected. These prompts will assist you to decide if you need to do an impact assessment. | ||
Describe main purpose of Initiative, Policy, Project |
Transfer of funding from Hampshire NHS to Hampshire CC for commissioning social care for adults with a learning disability | |
What are the main activities? |
o This report proposes that approximately £30 million is transferred from Hampshire NHS to the Hampshire County Council to support the transfer in responsibility for commissioning social care for adults with a learning disability o It further proposes that approval is given for single tender with organisations that are presently funded for these purposes. | |
Who is intended to benefit? |
People with learning disabilities, carers, organisations presently funded to deliver social care services
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Based on existing knowledge and information use the following checklist to decide what the impact might be on different groups and whether a more detailed impact assessment is required. Identify and summarise the data used in the grid below. Further guidance on 1. equality groups 2. data sources | ||
These different customer groups are more likely to be excluded. |
Do you know about the breakdown of people who use your services compared to the community profile? |
Will some people be unable to use or benefiting from this service? |
If any groups are disadvantaged is this likely to be unlawful? |
How could the initiative improve equality of access? |
Age · Children, young people, young parents, · older or retired people and people aged 65 or over with learning disabilities |
· 6.2% of Hampshire's school age population are ethnic minority · 5.4% of pupils with a Statement of SEN are ethnic minority BUT 10.7% have no ethnicity recorded (potentially could be BME) (see below) Data on people in this category currently receiving a service from the NHS will be transferred; this will insure better identification and understanding of needs as well as effective future planning |
For young people moving into the service the existing arrangements for Continuing Healthcare will apply. There will be no need for a transfer of commissioning, insuring a smoother transition. For BME families with little or no understanding of the Care system and little or no English, this will make the system easier to understand Service users, families and carers will only have one organisation to deal with (HCC). This will make the care system easier for them | ||
Disabled People Mobility, sight, hearing, speech & language disability or difficulty, mental health/distress · People with complex needs |
· National data shows that an increasing number of people with complex needs are surviving to adulthood. This category of people is also more likely to have complex health needs |
· Care for people with complex needs will be more personalised as a result of this transfer of funding; it will also be a lot smoother with only one organisation responsible for commissioning services | ||
Faith Communities or individuals with different religions or beliefs |
· No data collected on faith |
· Potentially, needs linked to faith (fasting, dress code, death rituals) ignored by service providers |
· HCC commissioning team includes a specialist team (EMLD project) to address ethnicity, cultural needs and faith issues. It will work with providers to support them with correctly identifying and addressing Faith and associated needs | |
Gender Women, Men, boys, girls, carers (of children, disabled or older people) |
· Of the 2153 people receiving a service funded by HCC, 1176 are female, 975 are male. |
· Carers in some established BME groups tend to be female and are less likely to speak and understand English (see below) |
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Race Black and minority ethnic individuals and communities, gypsies and travellers, migrant workers |
· Nationally data show that the overall proportion of people with moderate or severe learning disability is increasing , especially within BME groups · There is an increased incidence of Learning disability amongst certain BME groups · Local research and data show that Hampshire BME population has increased. Diversity of origin has also increased (100+ languages spoken) · Travellers is one of the biggest minority group in Hampshire: local evidence of higher incidence of LD within this group · The number of people with learning disabilities from BME groups getting a service from HCC has not increased and is below that expected given the local population make up, particularly for the Asian population · Data on people in this category currently receiving a service from the NHS will be transferred and collated in a consistent manner with current data; this will insure better identification and understanding of needs as well as effective future planning · High number of BME staff employed by care organisations |
· People from BME groups are not accessing support services. · Work on this issue indicates that this is due to: - a lack of information and awareness - a lack of understanding of the role of different professionals and requests procedures - Difference in services on offer compared to country of origin - Stigmas attached to learning disabilities in some cultures - Attitude to officialdom: lack of willingness to challenge and chase officials - lack of or limited English language skills |
· HCC commissioning team includes a specialist team (EMLD project) to address ethnicity, cultural and language needs. It works with providers to support them to identify and address cultural needs and to take a proactive approach with engagement with local community groups. It also ensures that the importance of ethnicity and culture within the wider equality agenda is reflected in the commissioning of services. It works with community groups to increase awareness of learning disability issues and of the availability of services. It supports individuals and families who want to access support services. The benefits of this project will now be available to all people with a learning disability needing support. This will help tackle issues identified in column 3, equally for all in Hampshire. · The system will now be easier for individuals and families to understand as the commissioning will no longer be split between HCC and the NHS. · The single tender will ensure there is no change in providers; there should therefore be no immediate adverse effect for staff | |
Gay, Lesbian, Bisexual, Transgender |
This group will also benefit from the EMLD project work (as above) within HCC LD commissioning team as the project's remit includes all equality strands | |||
Low or no Income |
· National evidence show that families with a disabled member are more likely to experience economic hardship · Staff employed by care organisations are traditionally on low income scales |
· Care will be easier to access and processes easier to understand, leading to less time spent dealing with different organisations · Because of the single tender process, Job security and wage level will not be affected as a result of this transfer. |