Equality, Inclusion, Recovery - Greater Manchester West Mental

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Equality, Inclusion, Recovery - Greater Manchester West Mental ...

    “Improved Lives, Optimistic Futures”

     Equality, Inclusion, Recovery

    (Incorporating Single Equality Scheme)

    April 2009-April 2014

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    1. Introduction 4

    2. Social inclusion and recovery 6

    2.1 Recovery 6

    2.2 Social inclusion priorities for healthcare 6

    3. Single Equality Scheme 10

    3.1 Functions 10

3.2 Involvement and engagement: members and governors 11

    3.3 Impact assessment 13

    3.4 Publication and monitoring 13

    3.5 Leadership 14

    3.6 Training 14

    3.7 Race and ethnicity 15

    3.8 Disability 21

    3.9 Gender 23

    3.10 Age 26

    3.11 Spirituality/religion 28

    3.12 Sexual orientation 31

4. Corporate action plan April 2009- April 2014 32

Appendix 1: New and revised policies on which equality impact

    assessments have been undertaken since April 2007 42

    Appendix 2: Related guidance and reports 46

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1. Introduction

    Greater Manchester West Mental Health NHS Foundation Trust is committed to improving the lives of our service users, carers, staff and the broader populations whom we serve. Our aspirations to achieve this corporate social responsibility are set out in “Committed to sustaining communities” within which one of the key objectives is to implement a

    strategy that promotes social inclusion and the recovery model. Social inclusion and recovery are closely linked to the equality and diversity agendas, and this strategic plan incorporates the Trust’s Single Equality Scheme which sets out our arrangements for meeting our statutory duties in relation to race equality, disability equality and gender equality, as well as actions on age, sexual orientation and spirituality.

    Through implementation of “Equality, Inclusion, Recovery” we will continue to strive to be an organisation that:

    ; Has the confidence and respect of service users, carers,

    communities, our staff and partner organisations

    ; Provides high quality mental health and substance misuse services

    that meet the needs of all our diverse communities

    ; Is fully representative of our diverse communities

    ; Has equality and diversity embedded in its culture

    ; Works with service users to maximise opportunities for full

    community engagement

    ; Works to reduce stigma in mental health & substance misuse

    ; Enhances the quality of life and challenge the exclusion of patients,

    carers and communities by delivering improved mental health and

    social care services and outcomes for individuals and communities

    in partnership with those communities and with our partner


    ; Recruits, supports and retains a diverse and skilled workforce by

    providing training and guidance to deliver acceptable, valued and

    effective services with confidence.

    ; Promotes partnership and networking with service users, carers,

    our workforce and partner organisations within and across the

    Trust’s services and geographical communities to support social

    inclusion and recovery.

    ; Ensures services meet statutory obligations under relevant

    equalities legislation and the Human Rights Act (1998)

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    ; Engages with service users and their carers to ensure that they

    have equal access to a full range of housing, employment, training

    and leisure activities and to promote their family life

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2. Social inclusion and recovery

2.1 Recovery

    The recovery approach means working towards aims that are meaningful to service users, being positive about change and promoting social inclusion for mental health service users and carers.”

    Nursing Strategy 2007-2010

    Greater Manchester West Mental Health NHS Foundation Trust

    Recovery refers to the lived or real life experience of service users. Recovery is a deeply personal and unique process for each individual and involves the development of new meaning and purpose in ones life as one grows beyond the impacts and effects of mental illness and/or problematic substance misuse. Concepts of recovery emphasise the value and uniqueness of each person and pay regard to their different viewpoints and cultural perspectives as a resource.

The Trust’s Nursing Strategy 2007-2010 describes our commitment to

    incorporate the principles of the recovery approach into every aspect of nursing practice, and sets out goals for putting the values of the recovery approach into practice in accordance with the “ten essential shared

    capabilities for mental health practice” (Sainsbury Centre for Mental Health, 2004). These goals will provide the framework for achieving multi-disciplinary recovery-led practice across all clinical services.

The Trust has published a handbook on personal recovery planning

    “Taking back control: A guide to planning your own recovery” that provides service users with a guide through the recovery model. The handbook is supported by three recovery tools- “Personal recovery plan”, “Advance

    decisions” and “Taking back control”.

Our aims:

    ; Introduction of “ten essential shared capabilities” into all clinical


    ; Roll-out of clinical supervision policy

    ; Review of CPA and CPA training to reflect recovery approach

    ; Roll-out of Taking back control: A guide to planning your own

    recovery and the three recovery tools

    2.2 Social inclusion priorities for health and social care

    The Trust is committed to progressing the agenda for social inclusion and mental health set out in the Government’s report- “ Mental health and

    social exclusion”. This gives a comprehensive action plan aimed at reducing persistent inequalities experienced by people with mental illness in respect of their access to employment, housing, education, leisure and wider civic participation.

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    We have developed successful initiatives on employment, homelessness and day services modernisation, and will continue to collaborate on this agenda with our statutory and non-statutory partners in order to achieve successful outcomes.

Our aims:

    ; Provision of support on employment and social issues for those with

    severe and enduring mental health and/or substance misuse


    ; Transformation of day services into community resources that

    promote social inclusion and recovery through improved access to

    mainstream opportunities

    ; Strengthening training on vocational and social issues for health

    and social care professionals

    ; Tackling of inequalities in access to health and social care services

; Supporting service users in their role as parents

    ; Promotion of the personalisation agenda including greater take-up

    of direct payments and individualised budgets to facilitate social

    participation and independence

    ; Ensuring appropriate housing provision is accessible and available

    to people with needs arising from mental health and/or substance

    misuse problems.

2.2.1 Employment, social Issues and day services

; Employment initiatives:

    The exclusion of service users from employment, and the impact this has on both physical and mental health, as well as broader life opportunities, is well documented. Support for ambitions to retain or to gain meaningful employment is therefore integral to our approach to treatment and care.

    Specific initiatives on employment include the contribution of Support, Time and Recovery (STR) workers, day services projects offering support to retain employment, preparation to enter the workforce and actual paid work, and volunteering and training programmes linked to services. In drugs and alcohol services a well-established volunteer programme for service users has led to paid employment within the directorate and wider Trust.

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    Building on these projects, we are committed to increasing access to meaningful work opportunities in a broad range of settings in collaboration with partners. Some services will be led and evaluated by Service Users, and we will support service users to access mainstream services enabling community participation. Over time we expect the number of current and former service users employed by the Trust to rise.

Our aims:

    ; Increased access to employment preparation initiatives

    ; To support employed service users in retaining their jobs

    ; Greater number of service users employed by the Trust

    ; Greater use of STR workers

    ; Accommodation initiatives

    People with mental health and substance misuse problems are vulnerable to the loss of settled accommodation through problems such as maintaining income or managing tenancies when they are unwell, or need to go into hospital. In addition the stigmatisation linked to mental illness may leave them isolated or even force them to give up otherwise viable tenancies. Unsettled accommodation or homelessness will in turn cause or exacerbate mental and physical health problems and social exclusion.

    We recognise the impact on mental health of problems with gaining and sustaining suitable accommodation. Our assessments will include accommodation issues as standard, and plans will be made to address any evident problem, recognising the importance of this to care and recovery.

    We are committed to robust care planning for people whose accommodation is at risk or unsatisfactory. Through collaborative working with partners in statutory and non-statutory agencies we will help people to secure the accommodation they need, and help to maintain them in it.

    We will not allow homelessness to be a barrier to the provision of treatment and care. Rather we will work with partners to find solutions to homelessness through initiatives such as the Alcohol and Drugs Directorate referral pathway for dependent drinkers in the Manchester area who have complex needs and no fixed address.

    2.2.2 Inequalities of access to health services

    The Nursing Strategy 2007-2010 sets out goals for promoting equitable

    care for all groups and individuals that provide a framework for action

    across all clinical services.

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    Poor physical health outcomes are often closely linked to severe and enduring mental illness & substance misuse. The Trust will continue to address the physical health inequalities experienced by patients with mental health problems & substance misuse through implementation of its physical health policy and through specific physical health care roles. We will also engage in community-led projects with partner agencies to ensure equality of access for hard to engage and socially excluded groups.

Our aims:

    ; Improved patient-access to physical healthcare

    ; Reduction in alcohol and drugs related harm in local


    ; To assist achievement of local health inequalities and public

    health targets

    ; Promotion of mental health in primary care

2.2.3 Care Programme Approach (CPA), direct payments and

    individualised budgets

    The implementation of new guidance on the Care Programme Approach will ensure that comprehensive plans including employment,

    accommodation and physical health are in place for those with complex needs.

    The Trust has recovery-based guidelines for CPA that include the requirement to offer direct payments to all those who are eligible for this option. This work on direct payments will provide a platform for the roll-out of individualised budgets in the context of Putting People First.

    Direct payments, and in time, individualised budgets will greatly increase the ability individuals have to specify care packages that reflect their choices and priorities, and help them towards full participation in their communities.

Our aims:

    ; Increase in number of service users who use individualised

    budgets/direct payments in managing their own care

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    Single Equality Scheme 3.

    (a scheme to set out how we plan to meet the duties placed upon us by all equalities legislation in respect of race and ethnicity, disability, gender, age,

    spirituality/religion and sexual orientation for our workforce and our service users)


    ; Race Equality Scheme

    (a scheme to set out how we plan to meet the duties placed upon

    us by the Race Relations (Amendment) Act 2000 for our workforce

    and our service users)

    ; Disability Equality Scheme

    (a scheme to set out how we plan to meet the duties placed upon

    us by the Disability Discrimination Act 2005 for our workforce and

    our service users)

    ; Gender Equality Scheme

     (a scheme to set out how we plan to meet the duties placed upon

    us by the Sex Discrimination Act as amended by the Equalities Act

    2006 for our workforce and our service users)

3.1 Functions

    The management of the Trust’s functions is organised into six corporate directorates and seven clinical directorates:

Corporate directorates:

    ; Medical directorate

    ; Operations and nursing directorate

    ; Human resources and governance directorate

    ; Finance directorate

    ; Estates and facilities directorate

    ; Service and business development directorate

Clinical directorates:

    ; Bolton mental health and social care directorate

    ; Salford mental health and social care directorate

    ; Trafford mental health and social care directorate

    ; Alcohol and drugs directorate

    ; Adult forensic directorate

    ; Supra-district directorate

    ; Young persons directorate

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