Integrated Impact Assessments – Policy on Visitors to Health and Social Care Services - Edinburgh Health & Social Care Partnership

Integrated Impact Assessments – Policy on Visitors to Health and Social Care ServicesRachel_Howe2024-10-11T15:43:26+01:00

Integrated Impact Assessments – Policy on Visitors to Health and Social Care Services

1. Title of plan, policy or strategy being assessed

Policy on Visitors to Health and Social Care Services

2. What will change as a result of this proposal?

The policy has been developed for the benefit of those using our services, visitors to the service and the staff who work within the services by outlining the expectations of those visiting our services and also the expected behaviours of staff towards visitors.

3. Briefly describe public involvement in this proposal to date and planned

There has been limited public involvement with this policy update, due to the policy already existing. Visitors and residents to Fords Road Care Home were asked to comment.

4. Is the proposal considered strategic under the Fairer Scotland Duty?

Yes – we actively considered if there were inequalities of outcome caused by socioeconomic disadvantage.

5. Date of IIA

8 February 2024

6. Who was present at the IIA?

Name	Job Title	Date of IIA training
Jane Brown	Senior Care Home Manager	09/03/2022
Sandra McLeod		09/03/2022
Pam Colston	Care Home Manager
Delia Douglas	Business Support Administrator
Mike Crossland	Contracts Officer	09/03/2022 ?

7. Evidence available at the time of the IIA

Evidence	Available?	Comments: what does the evidence tell you?
Data on populations in need	Yes	In 2019 it is estimated around 8,492 people are living with dementia in Edinburgh, which includes 313 people under the age of 65 years. This is anticipated to rise in 10 years to 10,943 and in 15 years to 12,605 people (footnote 1). The recently published Estimated and Projected Diagnosis Rates for Dementia in Scotland:2014 -2020 also confirms continued rising need within the population as risk increases with age.NHS Health Scotland – Dementia and Equality – Meeting the challenge in Scotland 2016 focused on issues experienced by population groups with protected characteristics under the Equalities Act 2010.There are key overarching recommendations for promoting equitable dementia services that embed and promote human rights. These are: continue to raise awareness which is fundamental to promoting early diagnosis; ensure robust services and support pathways; ensure appropriate knowledge and skills; further research including impact of culturally competent dementia friendly community approaches and awareness raising; developing Scottish data on incidence and prevalence in relation to people with protected characteristics including homeless people and prisoners. The Herbert Protocol is designed for people of all ages who have dementia, including people with young onset dementia (diagnosed under age of 65).
Data on service uptake/access	Yes	From 1 January to 31 December 2018 there were 125 people with dementia diagnosis reported missing (105 individual people)(footnote 2). This accounted for 4.5% of all people reported missing. Of the 125 people reported missing: 17 reported missing on more than one occasion – 15 reported missing on two occasions, 2 reported missing on 5 occasions. Average time missing (from the time reported to Police) – 1½ hours. 26 people returned to current home address independently, 99 people located elsewhere mostly having been traced by Police or, less frequently, by members of the public (bus drivers, taxi drivers, dog walkers) or family. It is anticipated that implementation of the Herbert Protocol will have a positive impact as will enable a more coordinated and quicker response in the event of someone with dementia going missing. Monitoring the uptake of support will be subject to further developments within Herbert Protocol implementation period in Edinburgh.
Data on equality outcomes	No	This subject to further development and monitoring during implementation, taking account of future national developments.
Research/ literature evidence	Yes	Scottish Government (June 2017) Scotland’s National Dementia Strategy 2017-2020. Linked to Commitment 16 within the Strategy – We will consider the upcoming recommendations of Police Scotland Missing Persons report for the dementia client group. Scottish Government (Dec 2016) Estimated and Projected Diagnosis Rates for Dementia in Scotland:2014 -2020 Edinburgh UK Government (2013 and updated 2015) Equalities Act 2010 Guidance. London Equality and Human Rights Commission in Scotland Scottish Government (2016) NHS Health Scotland – Dementia and Equality – Meeting the challenge in Scotland Edinburgh Scottish Government (2016) The Carers (Scotland) Act 2016. Edinburgh Alzheimer Scotland (2009) Charter of Rights for People with Dementia and Their Carers 2010 Edinburgh Scottish Government (2011) Standards of Care for Dementia in Scotland June 2011 Edinburgh
Public/patient/ client experience information	Yes	As outlined above. To make the necessary improvements to the Herbert Protocol form. Anticipated positive impact for carers of people at risk of going missing as will provide re-assurance of some forward planning taking place, with essential information gathering in event of this happening. While it will not prevent someone from going missing it is hoped person will be found quicker.
Evidence of inclusive engagement of service users and involvement findings	Yes	As outlined above. Feedback on Herbert Protocol form and ongoing case history gathering to inform further developments.
Evidence of unmet need	Yes	Awareness amongst staff and public on use of Herbert Protocol is low. Communications and engagement plan is in place for staff awareness raising from April 2019 and full multi-media launch early June 2019 to raise public awareness and encourage use of form. Consideration will need to be given to implementation for homeless people, easy read version, storage of forms in obvious place in the home.
Good practice guidelines		Development of the Herbert Protocol should meet the principles and standards within the Charter of Rights for People with Dementia and Their Carers 2010, Standards of Care for Dementia in Scotland June 2011
Environmental data	Yes	The importance of dementia friendly communities to support people living with a dementia diagnosis, awareness raising and dementia training are strongly linked to the Herbert Protocol as outlined in Scotland’s National Dementia Strategy 2017-2020. Will have neutral impact on geographical areas as equally applies to urban and rural communities in Edinburgh.
Risk from cumulative impacts		None noted
Other (please specify)	Yes	Compliance requirements will relate to The Equality Act 2010 and any successor legislation, advice and best practice guidance issued. It will also regularly involve and consult with people who have a dementia diagnosis and those who support them to inform developments. Ongoing work and discussions should be equitable across all groups with protected characteristics and include people diagnosed in acute hospital wards, care homes and in employment.
Additional evidence required?	No

8. In summary, what impacts were identified and which groups will they affect?

Equality, Health and Wellbeing and Human Rights	Affected populations
Positive – Provides Clarity for visitors to Health and Social Care services and creates equality. Allows Equal access and supports the right to family and private life. May facilitate the repair of family connections and support fractured relationships. Provide a safe and secure environment for vulnerable individuals	Older people, over 65 living in EHSCP managed care homes and those living in supported accommodation
Negative – Possibility of individuals being impacted by the behaviours of others, if this is in anyway antisocial.

Equality, Health and Wellbeing and Human Rights

Affected populations

Positive –

Provides Clarity for visitors to Health and Social Care services and creates equality. Allows Equal access and supports the right to family and private life. May facilitate the repair of family connections and support fractured relationships. Provide a safe and secure environment for vulnerable individuals

Older people, over 65 living in EHSCP managed care homes and those living in supported accommodation

Negative –

Possibility of individuals being impacted by the behaviours of others, if this is in anyway antisocial.

Environment and Sustainability including climate change emissions and impacts	Affected populations
Positive – No restrictions on numbers visiting. This could facilitate car sharing opportunities for visitors.	Older people, over 65 living in EHSCP managed care homes and those living in supported accommodation
Negative Minimal Impact

Environment and Sustainability including climate change emissions and impacts

Affected populations

Positive –

No restrictions on numbers visiting. This could facilitate car sharing opportunities for visitors.

Older people, over 65 living in EHSCP managed care homes and those living in supported accommodation

Negative

Minimal Impact

Economic	Affected populations
Negative – Possible cost impact due to limited parking at Care Homes meaning visitors may have to pay for parking or use taxi.

Economic

Affected populations

Positive –

Car sharing opportunities, may reduce costs for visitors to EHSCP services

Negative –

Possible cost impact due to limited parking at Care Homes meaning visitors may have to pay for parking or use taxi.

9. Is any part of this policy/ service to be carried out wholly or partly by contractors and if so how will equality, human rights including children’s rights, environmental and sustainability issues be addressed?

Agency staff are used within care homes. They have the same rights as permanent employees in relation to Zero tolerance to aggression and to being treated with dignity and respect.

10. Consider how you will communicate information about this policy/ service change to children and young people and those affected by hearing loss, speech impairment, low level literacy or numeracy, learning difficulties or English as a second language? Please provide a summary of the communications plan.

Policy will be placed on Orb. Managers of services will be encouraged to display/share copy of policy. Support from appointed worker can be sought for specific communication difficulties.

11. Is the plan, programme, strategy or policy likely to result in significant environmental effects, either positive or negative?

12. Additional information and evidence required

N/A

13. Specific to this IIA only, what actions have been, or will be, undertaken and by when? Please complete:

Specific actions (as a result of the IIA which may include financial implications, mitigating actions and risks of cumulative impacts)	Who will take them forward (name and job title	Deadline for progressing	Review date
Sign off of IIA	Jane Brown Senior Manager Care Homes	04/03/2024	29/02/2024

Specific actions (as a result of the IIA which may include financial implications, mitigating actions and risks of cumulative impacts)

Who will take them forward (name and job title

Deadline for progressing

Review date

Slight amendment to wording of policy at 12.1

Sandra McLeod

19/02/2024

Sign off of IIA

Jane Brown

Senior Manager Care Homes

04/03/2024

29/02/2024

Specific actions (as a result of the IIA which may include financial implications, mitigating actions and risks of cumulative impacts)	Who will take them forward (name and job title	Deadline for progressing	Review date
Send IIA to integratedimpactassessments@edinburgh.gov.uk to be published on the Council website www.edinburgh.gov.uk/impactassessments	Jane Brown	04/03/2024
Progress to EMT and then Sign off at Policy and Sustainability committee	Sandra McLeod	04/03/2024	29/02/2024
Contact communications team to get a Copy of policy placed on Orb	Jane Brown Senior Manager Care Homes

14. Are there any negative impacts in section 8 for which there are no identified mitigating actions?

Facilitating smoking for visitors. There is no smoking on Council premises for visitors.

15. How will you monitor how this policy, plan or strategy affects different groups, including people with protected characteristics?

Ongoing reviews and assessments at appropriate points in time.

16. Sign off by Head of Service

Name

Date 02.10.2024

Edinburgh Integration
Joint Board