ITEM 7 Resettlement Update
North Lanarkshire Council · 21 February 2024
Back to IJB Performance, Finance and Audit Committee — 21 February 2024 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
Page 1
1 REPORT Item No: 7 SUBJECT: Health Care Resettlement for asylum seekers and refugees across Lanarkshire. TO: Integration Joint Board, Performance, Finance & Audit Committee Lead Officer for Report: Maggs Thomson, Head of Health Author(s) of Report Sharon Simpson, Health and Social Work Manager Maureen Burns, Interim Service Manager till December 2023 DATE: 21 February 2024 This paper is coming to the IJB PFA for: For approval ☐ For endorsement ☐ To note ☒ The purpose of the report is to provide an overview on the arrivals of refugees, asylum seekers and unaccompanied asylum seeking children to Lanarkshire. This report will also provide an update on the work of the healthcare resettlement team that was developed as a response on an interim basis to support those arrivals. 2. ROUTE TO THE BOARD This paper has been: Prepared By: ☒ Reviewed By: ☐ Endorsed By: ☐ Maureen Burns Interim Service Manager Health Care Resettlement, NHS Lanarkshire and Sharon Simpson, Health and Social Work Manager. 3. RECOMMENDATIONS It is recommended that the IJB PFA committee: 1) Acknowledge the contents of report. 2) Request future updates when available.
Page 2
2 4. VARIATIONS TO DIRECTIONS? 5. BACKGROUND/SUMMARY OF KEY ISSUES Since 2015 all Scottish Local Authorities have participated in the Syrian Refugee Resettlement programme. From 2015 until 2019, approximately 300 Syrian refugees were settled in Lanarkshire. The Syrian Refugee Resettlement Programme, in its initial form, came to an end in April 2020. In spring 2020, the UK Government published information and guidance about a replacement programme, the ‘UK Resettlement Scheme’ (UKRS), and sought confirmation from Councils about their willingness to continue to participate in refugee resettlement. The UKRS was established in response to the ongoing refugee crisis across the globe and a number of refugees continue to arrive in Lanarkshire from Syria and other countries such as Sudan, Iraq, Palestine and Afghanistan. The Afghan Relocations and Assistance Policy (ARAP) was launched in April 2021, reflecting the changing situation in Afghanistan and Lanarkshire are continuing to see a small number of arrivals via the ARAP programme. The launch of the revised UK National Transfer Scheme for Unaccompanied Asylum Seeking Children (UASC) August 2023, was built around the concept of a weighted rota to enable the transfer of Unaccompanied Minors from the ‘entry LA’ to another local authority. The scheme is intended to relieve the pressure of southern local authorities which are no longer able to support the increasing numbers of UASC arriving, both to more fairly distribute responsibility for UASC across the UK and to improve support and outcomes for UASC. As a result of this Lanarkshire has seen around 5-6 arrivals of young people every month. In December 2021 the Home Office and Mears established an emergency contingency accommodation for single male asylum seekers at a hotel in East Kilbride. The Scottish Government in conjunction with COSLA committed to support Ukrainian people coming to live in Scotland via the Homes for Ukraine scheme and The Super Sponsor scheme. In May 2022 welcome hubs were set up within 2 hotels in Lanarkshire with a further 4 established in June 2022 with the Scottish Government extending the hotel contracts until March 2024. This report will provide a summary of the refugee and asylum arrivals to interim hotel accommodation, the settled population and recommissioned properties. It will also provide a summary of work completed by the Health Care Resettlement Team and the Health Improvement staff and ongoing work of the Health Improvement Manager for Health and Wellbeing of Asylum Seekers and Refugees. Yes ☐ No ☐ N/A ☒
Page 3
3 5.1 Health Care Resettlement Team Recruitment of an interim Health Care Resettlement team commenced October 2022 and was fully established and recruited to in March 2023 as an initial, short term response to the increasing numbers of asylum seekers and extensive number of Ukrainian refugees arriving in Lanarkshire. The resettlement health care team has supported and contributed to the Lanarkshire Strategic Oversight and Operational Groups and has established strong communication links with the Public Health Department and other healthcare services to ensure managers and staff are kept up to date with national and local matters in relation to asylum seekers and refugees. Regular updates have been provided to CMT. The Health Care Resettlement team consists of Interim Service Manager 37.5hrs (1wte) Left post 01/12/2023 Interim Team Leader 37.5hrs (1wte) Left post 27/10/2023 Interim Specialist Nurse 30 hrs (0.8wte) Leaving post 30/01/2024 Interim Clerical Officer to support above team 15hrs (0.4wte) Left November 2023 The contracts of these staff were extended and agreed until March 2024 as these pays were secured from the monies already drawn down from the programmes that were funded. Daily clinical triage was established to assess any heath needs, with signposting, referral and support to each of the existing hotel sites across Lanarkshire initially on a daily basis. Many of the asylum seekers and refugees attending have presented with mental health concerns associated with trauma and long term conditions such as hypothyroidism, asthma and diabetes requiring support with prescriptions. Those requiring GP registration have been supported in doing so. These contacts have ranged from a minimum 20 minutes up to 1 ½ hours due to the requirement of interpreting services, referrals to other services and the complex sensitive nature of concern. The team’s efforts have been instrumental in addressing the health needs and ensuring the well-being of these vulnerable populations during their resettlement process. Clinical triage has also been provided to those families that have arrived following leaving the cruise ships until they have been registered with a GP and have the ability to access universal services. A Ukrainian Health Needs Assessment has been formulated and offered to all new arrivals and is now available on Morse patient recording system. The team has tried to address the many challenges that asylum seekers and refugees face by providing a person centred service in a trauma informed manner. The programme of work has moved at pace and necessitated a team approach, partnership and multidisciplinary working to ensure connectivity to support a smoother transition and integration into mainstream services.
Page 4
4 Pathways have been developed for direct referrals to Midwifery Services, Mental Health, Sexual Health, Public Dental, Smoking Cessation, Public Health, Mears, wider Vaccination Service and an Unaccompanied Asylum Seeking Children’s pathway. Standard Operating Procedures have been compiled to support the administration of vaccinations to the asylum population within their current accommodation. All pre 5 children who have been residing within hotel accommodation who were outstanding vaccinations have been vaccinated prior to moving to more permanent accommodation. All of those children will also have a non-routine wellbeing assessment carried out in this time and vaccinated as required and communication is in place to the appropriate Health Visiting Team when children have moved to more permanent accommodation within a locality. The wider vaccination service has provided Covid vaccinations to those within the interim hotel accommodation to try and improve uptake rates. To support this, a resettlement health care repository has been set up on a shared drive to ensure knowledge, information, processes and protocols are accessible. A resettlement email has also been developed to share and transfer information with colleagues and partners. One WTE Health Improvement Manager and 0.5wte admin support are currently in post until October 2024 to carry out a training needs assessment of health care staff and undertake a population health needs assessment of asylum and refugee populations resettling in Lanarkshire to inform planning for future support. Connections have been made across all NHS services to improve their understanding of the health needs of refugees and asylum seekers and the rights and entitlements of them to access health services. Information for staff on supporting the healthcare and wellbeing of asylum seekers and refugees living in Lanarkshire has been created and is now available on a landing page on the NHSL intranet, FirstPort. The development of information for the public to access is also underway. 5.2 Hotel Accommodation for Ukrainian refugees Initially there were 6 hotels across Lanarkshire hosting Ukrainian refugees however due to the recommissioning of properties and a reduction in new arrivals from September there is now only 1 hotel in East Kilbride with 72 residents awaiting appropriate matching. 5.3 Recommissioned properties At present there are circa 2000 people from Ukraine now settled in Lanarkshire within recommissioned properties, private arrangements and hosting arrangements. There have been a number of properties recommissioned across Lanarkshire to support Ukrainian refugees and these properties are now at capacity. Birkshaw Tower in Wishaw has 50 properties let with 115 people in total residing there, consisting of 76 adults and 39 children. High Coats in Coatbridge has 143 properties occupied at this time with 296 residents consisting of 224 adults and 72 children. Barrack Street accommodation has 150 adult residents at this time and is at full capacity.
Page 5
5 GP registrations have been supported by the team for all of the above residents in a rotational pro rata basis as requested by GP services within the respective localities. GP registration has generated CHI numbers for all therefore supporting access to other health services. 5.4 Asylum population Currently the Bruce Hotel in East Kilbride is hosting 71 male residents. This has been an increase from the initial capacity of 65 residents. Room sharing within the hotel was implemented on the 1st September 2023 with 31 rooms identified as having the ability to be maximised. Ever since the team has been formed, all new arrivals to the hotel have been offered a full health needs assessment specifically drawn up for the asylum population. These thorough assessments have helped identify any immediate health concerns or underlying medical conditions. The assessments have been crucial in determining the appropriate care and support required. The team have also facilitated GP registrations for these men. Vaccination history has been sought and those with outstanding vaccinations that have consented are being immunised by the team and connections have been made with the wider vaccination service moving forward. At this time the men residing here have originated from 13 countries speaking 15 different languages. Networks of support have been set up and the Health Protection team have offered and carried out TB screening to many of the residents with Blood Borne Virus services currently facilitating BBV screening. 5.5 Unaccompanied Asylum Seeking Children As a result of the revised National Transfer Scheme for Unaccompanied Asylum Seeking Children (UASC), Lanarkshire has been supporting around 5 to 6 young people per month who have been arriving. Demographics of arrivals have been mainly boys aged 16-17yrs with a small number of 15 year olds. The health needs of this population are predominantly supported by the Through Care and School Nursing service. All of these young people are residing with foster placements, children’s houses or supported accommodation. 5.5.1 North Lanarkshire Within North Lanarkshire, 39 young people have been supported (aged between 15 and 20 years). There are currently 21 under the age of 18, and 18 who are over 18 years and supported as care leavers residing here. The Health Care Resettlement team have supported the School Nursing Team in North Lanarkshire to carry out Health Needs Assessments for all UASC not in education until through care support staff take up post. 5.5.2 South Lanarkshire 44 UASC have been supported in South Lanarkshire with currently 34 still residing and being supported here, comprising 1 female and 33 males ranging from 16-19 years of age. The most common countries of origin are Iran and Vietnam with others from Iraq, Syria and Afghanistan.
Page 6
6 5.6 Resettlement Health Care & Wellbeing Improvement Plan 2023-2024 A Resettlement Healthcare & Wellbeing improvement plan has also been developed by the service. Appendix 1. The main high level outcomes of this plan are: 1. Staff and service providers have a sound knowledge and understanding of the rights and health and wellbeing needs of New Scots settling in NHS Lanarkshire area. 2. Appropriate and timely health & social care services and wider wellbeing services, that are sensitive to the needs of New Scots settling in Lanarkshire are established. 3. All staff have access to up to date information regarding resettled populations, access to translation & interpreting services as well as to technology & equipment that supports the delivery of services for resettled populations. 4. New Scots are thriving and are integrated into their local community & able to access health & wellbeing services and supports. 5.6.1 Support - Strategic & Operational Groups & Third Sector Involvement A Lanarkshire Resettlement Healthcare and Wellbeing Oversight group and an Operational Sub-Group are fully established and the Oversight Group has ratified the Improvement Plan. A community and third sector conference took place on 22nd June 2023 to engage the wider voluntary sector in the development of community based support for people settling in Lanarkshire. An Equality Impact Assessment (EQIA) has been completed for the Resettlement Healthcare & Wellbeing Programme. Work to date has focused on addressing the immediate and longer term health needs of those ethnic minority groups who have recently resettled in Lanarkshire. 5.6.2 Training Needs Assessment A training needs assessment (TNA) has been carried out with NHS Lanarkshire staff most likely to come into contact with asylum seekers and refugees as part of their healthcare role. The TNA aimed to identify areas where staff may require further training and knowledge to identify areas where staff may require further training and knowledge to improve the provision of good quality and equitable health care delivery to refugees and asylum seekers resettling in Lanarkshire. An online survey with healthcare staff was carried out with 283 responses. The survey set out to explore their experience of supporting refugees and asylum seekers and the results of the TNA will inform the development of any recommendations on how best to support healthcare staff to provide high quality care for these populations. 5.6.3 Population Health Needs Assessment
Page 7
7 A Population Health Needs Assessment (PHNA) is currently being undertaken. To date there has been little research to understand the challenges faced in accessing healthcare or how health care experiences effect the health and wellbeing of asylum seekers and refugees in Scotland or indeed in the UK. Also, there has been a lack of research on health behaviours and the impact of the social determinants on the health of these populations. Undertaking a health needs assessment on these populations will help ensure that their health needs are addressed, reduce health inequalities but also support future planning and integration to local health care systems. The PHNA aims to find out the following: What do people asylum seekers and refugees know about health services in Lanarkshire? What factors promote and what factors inhibit people’s access and use of health services? What factors promote and what factors inhibit people’s integration into their local community? How aware are health professionals of the welfare and healthcare needs of asylum seekers and refugees? In their view what factors promote and what factors inhibit access and use of health services by refugees and asylum seekers? What is the availability of routinely collected health data on these populations? A more detailed action plan for health improvement and health care will be completed based on the key findings of the population health needs assessment and the staff training needs analysis. 6. CONCLUSIONS The programme of work has moved at pace and necessitated a team approach, partnership and multidisciplinary working to ensure connectivity to support the transition and integration into main stream services. The team’s work has had a profound impact on improving health outcomes and overall wellbeing of asylum seekers and refugees. Through their support and guidance, the team has ensured that that the settling populations can easily access healthcare services, resulting in timely diagnosis, treatment and improved health outcomes. Through the support of the Health Improvement Manager, the wider team have empowered asylum seekers and refugees with the essential knowledge and skills to maintain and improve health, prevent ill health and navigate the health care system independently. The arrival of Ukrainian refugees to Lanarkshire has greatly decreased such that only 1 hotel now hosts families in Lanarkshire from the original six. Additionally, there is currently one hotel hosting asylum seeking males. As part of the Widening Asylum Dispersal Strategy, Lanarkshire is now seeing people seeking asylum moving in to dispersal accommodation. At this time numbers have
Page 8
8 been low however it is difficult to estimate these numbers. MEARS procure accommodation for asylum seekers and they will notify health of any new arrivals in to the area. They will support GP registrations as directed. Those residing with initial hotel accommodation are supported by one GP Practice as a Local Enhanced Service (LES) agreement. The numbers of people seeking asylum and refugees coming to and settling in Lanarkshire will continue. By working together, we can ensure that refugees and asylum seekers in Lanarkshire have access to the health care services they require to live healthy, fulfilling lives and integrate into our community effectively. 7. IMPLICATIONS Workforce – Health Care Resettlement staff have contracts to 31 March 2024 however the Interim Service Manager and the Interim Team Leader in the Resettlement Healthcare Team are moving into new posts by December 2023. The remaining staff within the team will finish the end of January. To ensure a smooth transition of the team, there has been a Service Manager in North and South identified and agreed to oversee any future programmes of work and will attend single and multiagency meetings that are currently in place. All relevant information, processes and pathways have been developed and accessible on the resettlement shared drive and regular meetings have been established to facilitate a seamless transfer of information and responsibilities. There are no new arrivals of Ukrainians to interim hotel accommodation therefore no clinical triage will be required however if there were to be a large number of new refugee or asylum populations arriving in Lanarkshire this would have an impact on universal services. Standard Operating Procedures and pathways have been developed to support this until any new arrivals are fully integrated into mainstream health services. The situation is changing each day regarding arrivals, therefore this report sets out what is known to date. There is no ongoing funding and/or an indication of a predictable volume / flow of people coming to Lanarkshire that would indicate the need for a discrete Resettlement Team. Moving forward the model being proposed is one that creates a sustainable approach and ensures that we can react with a shared pan Lanarkshire deployment of existing staff to support the needs of the emergent population no matter which local area they are placed. This is currently being referred to as the “reserve team” which will consist of an agreed volume of identified staff from each locality overseen by a Health and Social Work Manager (north), coordinated by two Service Managers (N&S) and supported by professional colleagues deployed dependent on the presentation of the new arrivals. At this time the model needs to be finalised and signed off and an implementation plan developed that will identify process, staff and training. The current infrastructure of the Strategic and Operational Resettlement Healthcare Groups will be the vehicle to support the change in model. 7.1 NATIONAL OUTCOMES
Page 9
9 Link(s) to National Health and Wellbeing Outcomes People are able to look after and improve their own health and wellbeing and live in good health for longer ☒ People, including those with disabilities or long-term conditions, or who are frail, are able to live, as far as reasonable practicable, independently and at home or in a homely setting in their community ☐ People who use Health and Social Care Services have positive experiences of those services, and have dignity respected ☒ Health and Social Care Services are centred on helping to maintain or improve the quality of life of people who use those services ☒ Health and Social Care Services contribute to reducing health inequalities ☒ People who use Health and Social Care Services are safe from harm ☐ People who work in Health and Social Care Services feel engaged with the work they do and are supported to continuously improve the information, support, care and treatment they provide ☒ Resources are used effectively and efficiently in the provision of Health and Social Care Services ☐ 7.2 ASSOCIATED MEASURE(S) Resettlement Healthcare & Wellbeing Improvement Plan 2023-2024 incorporates measures for each action. 7.3 FINANCIAL All refugees and asylum seekers have a right to health care. Funding for health can be accessed for refugees coming via the UKRS. This is funding that can be drawn down by NHSL from the Home Office to cover primary and secondary care costs, in the initial year up to £2,600 per person. Unfortunately, there is no additional funds that health can access to cover the costs of the Ukrainian refugees, asylum seekers or UASC. The Health Care Health Improvement staff and the Health Care Resettlement team was established on a temporary basis from the reserves drawn down from this funding. Funding may be required for public health screening. A refreshed LES agreement was being developed and accepted by the GPs, which has provided them with a payment for each person registered with their practice paid from this current fund. This LES agreement has been agreed until the 31st of March 2024. All refugees have access to public funds, the UASC have become the responsibility of and are cared for by the Local Authority. The asylum population residing in initial hotel accommodation are supported by Mears with accommodation and meals provided however they have no recourse to public funds and those families living and arriving in dispersal properties do not have any recourse to public funds. The details of the proposed capacity have been agreed and approved by Finance. Appendix 2. Yes ☒ No ☐ N/A ☐
Page 10
10 7.4 RISK ASSESSMENT/RISK MANAGEMENT Relevant Risk Register Details Current Risk Level Risk Owner Choose an item. 7.5 ENGAGEMENT & PARTICPATION Stakeholders have been consulted and involved through the development of the Health Care Resettlement oversight and operational groups. Multiagency groups are currently in place across both local authorities. A community and third sector conference took place in June 2023. A training needs assessment has been carried out with NHS Lanarkshire staff most likely to come into contact with asylum seekers and refugees as part of their healthcare role aimed to identify areas where staff may require further training and knowledge. A Population Health Needs Assessment is currently being undertaken and a more detailed action plan for health improvement and health care will be completed based on the key findings of this and the staff training needs analysis. Please tick the engagement and participation objectives that link(s) with this piece of work and provide further details regarding the engagement and participation that was undertaken. Objectives Further Details ☒ Involve stakeholders in the development work aimed at achieving the national outcomes ☒ Provide stakeholders with information on how to get involved ☒ Ensure a diverse range of engagement and participation and opportunities are in place to suit different needs ☒ Measure how well we involve community stakeholders in the planning, design and delivery of our services ☒ Provide regular feedback on how stakeholder engagement and participation is shaping and influencing service development and delivery ☐ Provide support to enable stakeholder representatives to participate meaningfully and confidently at meetings ☒ Develop participation guidelines to ensure a common understanding and set of
Page 11
11 expectations for both stakeholders and partnership staff ☒ Support engagement planning and participation in localities, taking account of other engagement activity and local plans across the Community Planning Partnership 7.6 INEQUALITIES & FAIRER SCOTLAND DUTY EQIA Completed & Fairer Scotland Impact Assessment Form Completed. Appendix 3 EQIA added to website: 8. BACKGROUND PAPERS 9. APPENDICES Appendix 1A Resettlement Healthcare & Wellbeing improvement Plan Appendix 2Finance Report Appendix 3 EQIA Completed & Fairer Scotland Impact Assessment Form CHIEF ACCOUNTABLE OFFICER (or Depute) Members seeking further information about any aspect of this report, please contact the following; Sharon Simpson Health and Social Work Manager Sharon.Simpson@lanarkshire.scot.nhs.uk Yes ☒ No ☐ N/A ☐ Yes / Date added ☒ No ☐ N/A ☐
Page 12
12 Direction from North Lanarkshire Integration Joint Board (IJB) 1 Reference Number 2 Report Title 3 Date direction issued by IJB 4 Date from which direction takes effect 5 Direction to: 6 Does this direction supersede, revise or revoke a previous direction – if yes, include reference number(s) 7 Functions covered by direction 8 Full text of direction 9 Budget allocated by Integration Joint Board to carry out direction 10 Performance Management / Governance arrangements 11 Date direction will be reviewed
Page 13
13 Direction from North Lanarkshire Integration Joint Board (IJB) 1 Reference Number 2 Report Title 3 Date direction issued by IJB 4 Date from which direction takes effect 5 Direction to: 6 Does this direction supersede, revise or revoke a previous direction – if yes, include reference number(s) 7 Functions covered by direction 8 Full text of direction 9 Budget allocated by Integration Joint Board to carry out direction 10 Performance Management / Governance arrangements 11 Date direction will be reviewed
Page 14
14 Appendix 1 Lanarkshire Resettlement Healthcare & Wellbeing Improvement Plan 2023-2024 Task not started Task started but delayed Task on schedule Task completed Prepared by: The Resettlement Healthcare & Wellbeing Team for Asylum Seekers & Refugees January 2023 Updated July 2023
Page 15
15 Background The UK Government has made a commitment, to resettle refugees from various countries in the UK. The Scottish Government (SG) in conjunction with COSLA has agreed to support many of these people in Scotland. In response to the crisis in Ukraine, the SG have indicated their commitment to support Ukrainian people coming to settle in Scotland. The indicators are that the numbers of people seeking asylum, and arriving as refugees and coming to settle in Lanarkshire will increase. In summary the current situation is that there are various groups of people coming to settle in Lanarkshire, who will require healthcare and support. Asylum seekers or refugees living in Scotland, have the right to NHS healthcare while staying here. Health is fundamental Human Right for all, including asylum seekers and refugees. According to the 1951 Refugee Convention, refugees should have access to the same or similar healthcare as host populations. According to international law, a refugee is a person who: Owing to well-founded fear of being persecuted for reasons of race, religion, nationality, membership of a particular social group or political opinion, is outside the country of his nationality and is unable, or owing to such fear, is unwilling to avail himself of the protection of that country; or who, not having a nationality and being outside the country of his former habitual residence as a result of such events, is unable or, owing to such fear, is unwilling to return to it. Article 1(A) 1951 UN Convention relating to the Status of Refugees. An asylum seeker is a person who has applied to be recognised as a refugee. There are different forms of humanitarian protection which provide rights and entitlement similar to refugee status. Under current constitutional arrangements, asylum issues are reserved to the UK Government and handled by the Home Office. This includes operation of the asylum system, provision of asylum accommodation and support, and the management and decisions related to UK resettlement programmes. Many of the services which are essential to support the integration of refugees into our communities, including healthcare and education, are however devolved to the Scottish Government.
Page 16
16 The second New Scots Refugee Integration Strategy 2018 – 2022 builds on the first strategy and “aims to be dynamic, so that it can adapt to changing political, policy or international contexts, which have an impact on refugees and asylum seekers living in Scotland.” The latest version of the New Scots Integration Strategy can be found here: New Scots: refugee integration strategy 2018 to 2022 - gov.scot (www.gov.scot) We understand an update is due to be published soon. The Lanarkshire Resettlement Healthcare & Wellbeing Improvement Programme will champion the aspirations of the New Scots Strategy for the improvement and protection of the health and wellbeing of these target populations. It will contribute to a concerted, consistent approach to the delivery of healthcare, health improvement and integration plans for these populations and will develop to encompass a variety of community based projects, staff training & healthcare programmes that are adapted to the needs of refugees and asylum seekers. The resettlement healthcare team will support and contribute to the Lanarkshire Strategic Oversight and Operational Groups and establish strong communication links with the Public Health Department and other healthcare services to ensure managers and staff are kept up to date with national and local matters in relation to asylum seekers and refugees. The team will also support the development of and contribute to the aims and objectives of the soon to be established National Network of staff who support the resettlement of asylum seekers and refugees in Scotland. The overall aim is to improve the health of individuals and their families who have via a variety of routes, resettled in Lanarkshire. This will be done in partnership with our community planning & Health & Social Care colleagues through the provision of healthcare services and prevention and awareness raising initiatives, particularly targeting those living in areas of deprivation. The main high level outcomes of this plan are: 1. Staff and service providers have a sound knowledge and understanding of the rights and health and well-being needs of New Scots settling in NHS Lanarkshire area. 2. Appropriate and timely health & social care services and wider well-being services, that are sensitive to the needs of New Scots settling in Lanarkshire are established.
Page 17
17 3. All staff have access to up to date information regarding resettled populations, access to translation & interpreting services as well as to technology & equipment that supports the delivery of services for resettled populations. 4. New Scots are thriving and are integrated into their local community & able to access health & well-being services and supports.
Page 18
18 High level Outcomes High level Key actions How will we know Timescale Lead Progress 1.Staff and service providers have a sound knowledge and understanding of the rights and health and well- being needs of New Scots settling in NHSL area. 1.1 Undertake a systematic literature review of evidence base for this population to identify gaps in knowledge and in the data. 1.2 Conduct a population health needs assessment and develop a health plan to address need. 1.3 Complete a clinical assessment for 1.1 Systematic literature review completed. 1.2.1 Population HNA completed and health issues identified. Resettlement Health plan developed to meet the health and well- being needs of the target population. 1.2.2 The results of the population HNA should inform the need for the setting up of: a dedicated mental health/trauma service; a Near Me Hub. 1.3 Results from the clinical assessments June 2023. Oct. 2023 On-going Health Improvement Manager (Asylum Seekers & Refugees) Health Improvement Manager (Asylum Seekers & Refugees) Interim Service Manager Completed and to be finalised ready for inclusion in the POP HNA In hand with data collation nearly complete and all stakeholder interviews underway All in hand and early data analysis underway and being collated
Page 19
19 new arrivals from January 2023. 1.4 Identify staff training needs to identify attitudes, values and knowledge regarding target population. recorded on Morse to identify trends/gaps in service provision. 1.4.1 Training needs analysis completed with key staff groups and training courses developed/procured to address staff needs. The TNA should address staff needs in terms of delivering a trauma informed practise. Oct 2023 (Asylum Seekers & Refugees) Health Improvement Manager (Asylum Seekers & Refugees) Underway and surveys out to staff now High level Outcomes High level Key actions How will we know Timescale Lead Progress 2. Appropriate and timely health & social care services and wider well-being 2.1 Ensure decisions, practices & policies are fair and do not 2.1 Conduct an Equality Impact assessment of the Resettlement Programme. Areas for August 2023 Interim Service Manager Completed and submitted for final approval
Page 20
20 services, that are sensitive to the needs of New Scots settling in Lanarkshire are established. discriminate against New Scots. 2.2 Ensure that NHSL has strategies and systems in place to respond to the immediate and ongoing needs of resettling people. 2.3 Recruit and manage the resettlement healthcare team. improvement to be addressed within the health plan. 2.2.1 Develop a high level plan and pathway that puts in place forward planning and contingency measures to respond to the needs of new scots. 2.2.2 Scope out sources of funding and ensure systems in place to identify and claim all funds due to NHSL. 2.2.3 Develop a funding profile and spend plan projected for up to 3 years. 2.3 Resettlement healthcare team recruited & established. Jan 2023 May 2023 June 2023 (Asylum Seekers & Refugees) Lead for Coordinating Healthcare for Asylum Seekers & Refugees. Interim SM (Asylum Seekers & Refugees) Interim SM (Asylum Seekers & Refugees) High level plans in place along with a responsive healthcare team recruited and in place All funding applied for and un place to sustain the response team until March 2024 Completed with Finance until March 2024 at which point funds will all be utilised and further decisions will need to be made to address the need for the response team and the LES payments Team all in place All in hand
Page 21
21 2.4 Staff can practice safely, meeting the needs of the target populations. 2.5 Ensure the health & well- being needs of asylum seeking and refugee children are met. 2.4.1 Set out Standard Operating Procedures and pathways for all clinical work, referrals and public health screenings, and immunisations. 2.4.2 Develop and maintain all rotas to support any contingency or interim places where people are accommodated. 2.4.3 Develop and maintain databases as required. 2.4.4 Further develop and agree systems for payments and contracts with GPs and any other providers. 2.5.1 Set out and communicate the pathway and supports for Unaccompanied Asylum Seeking Interim SM (Asylum Seekers & Refugees) Interim SM (Asylum Seekers & Refugees) All in place All in place New LES to be finally approved at July 2023 that is fairer and more sustainable In place In place
Page 22
22 Children and Young people (UASC). 2.5.2 Set out key pathways and agree systems for notification to ensure children are identified if not yet GP registered, and once GP registered ensure known to health visitor or school nurse. High level Outcomes High level Key actions How will we know Timescale Lead Progress 3. Ensure all staff have access to up to date information regarding resettled populations, access to translation & interpreting services as well as to technology & equipment that supports delivery of services for resettled populations. 3.1 Develop a communications plan around all the key areas of work to ensure that all staff and service users can access the resources and supports that are developed. 3.2 Lead on communications internally and with the Scottish 3.1 Communication plan developed & disseminated. 3.2.1 Establishment of a Pan Lanarkshire oversight group and an operational group for June 2023 June 2023 Lead for Coordinating Healthcare for Asylum Seekers & Refugees. Lead for Coordinating Healthcare for Asylum Seekers & Refugees. Communications to key groups done along with the development of the website Oversight group established with TOR and has met twice and membership agreed.
Page 23
23 Government, the Home Office, COSLA and other National colleagues, ensuring reporting mechanisms to all relevant parties in NHSL and the 2 HSCPs. 3.3 Develop resources in partnership with translation services as appropriate and depending on the gaps identified in the HNA. 3.4 Utilise internal communication channels to healthcare and wellbeing support for people resettling in NHSL area. 3.2.2 Consider reporting structures, data information needs and frequency to ensure that NHSL and the 2 HSCPs receive timeous reports and updates as the plans and supports are established. 3.3 Suite of resources developed & accessible to relevant HSCP staff. 3.4 Develop & publish content on NHSL’s web-site, First Port, The Pulse and weekly staff briefing. On-going On-going On-going Health Improvement Manager (Asylum Seekers & Refugees) Health Improvement Manager (Asylum Seekers & Refugees) Health Improvement Operational group meeting date set for August 2023, TOR proposed and TBA. Agreed to report via the North Core group and copy reports to the respective groups across NHSL area. Collation ongoing and links to key sites and resources done and will be the dedicated website link. Website pages complete and Live and article to follow in the team briefings and Pulse etc.
Page 24
24 regularly update and keep HSCP & community planning staff informed. 3.5 Liaise with partners nationally involved in resettlement programmes to share good practice and research findings and to foster joint working. 3.6 To disseminate information on the resettled populations as appropriate to staff and volunteers in the H&SCP’s. 3.5 Joint partnership projects, research projects, disseminate good practice to staff groups via email, staff briefing etc. 3.6. Contribute to “Our Health Together” report. June 2023 Manager (Asylum Seekers & Refugees) Lead for Coordinating Healthcare for Asylum Seekers & Refugees. Many ongoing such examples underway such as the arts pprojects. It was agreed that as there was a parallel process in terms of the POP HNA learning and outcomes from that will be shared and fed in later, along with encouraging and supporting people from ethnic minority groups to participate in the development of the Our Health Together consultations.
Page 25
25 High Level Outcomes High Level Key actions How will we know Timescale Lead Progress 4. New Scots are thriving and are integrated into their local community & able to access health & well-being services and supports. 4.1 Develop a local network of health improvement, third sector & other HSCP staff to share good practice and foster joint work, to provide a forum to respond to national or local policy developments. 4.2 Promote patient’s rights, access to health services and self- management to refugees and asylum seekers. 4.3 Establish health services and community health and wellbeing 4.1.1 Emails, reports, staff briefing, joint research projects, information on NHSL landing page on First Port, The Pulse. 4.1.2 Work in tandem with the 2 health and equalities officers in VANL and VASLAN respectively to ensure a community capacity and connectedness to support wider wellbeing of these groups of people. 4.2.1 Suite of resources sourced/developed & available in accessible formats which are promoted to the target audience. 4.3.1 Utilise existing communication channels and networks to highlight & promote August 2023 On-going On-going Health Improvement Manager (Asylum Seekers & Refugees) Health Improvement Manager (Asylum Seekers & Refugees) Health Improvement Manager (Asylum Seekers & Refugees) All in hand New Scots 3rd sector event has taken place and the outcomes and outputs are being worked up for dissemination and action. Some in hand and some to be developed after the POP HNA and further consultation with stakeholders. Ongoing and in hand
Page 26
26 initiatives that responds to the health and wellbeing needs of New Scots across a lifespan. community health and wellbeing services to resettled people & to staff & volunteers who support them. 4.3.2 Develop new initiatives as directed by the population HNA in partnership with HSCP staff & volunteers. On-going Health Improvement Manager (Asylum Seekers & Refugees) TBC once the HNA is completed
Page 27
27 Appendix 2 NHS Lanarkshire Resettlment Healthcare(Refugees/Displaced Peoples) Finance Report: 21/22; 22/23; 23/24 2021/22 Spend 73,933 2022/23 Spend 404,032 477,965 2023/24 Spend To September 2023 Pays 170,456 Non Pays 6,058 LES Payments To GP's 80,340 256,854 Total Spend To Date(21/22, 22/23, To Sept 23) 734,819 Anticipated Spend - Remainder of 23/24 171,316 24/25 Spend 76,664 247,980 Total Spend - 21/22, 22/23, 23/24, 24/25 982,800 Funding Received / Anticipated Home Office Claim: 21/22 858,000 Home Office Claim: July 21 to March 22(Received 22-23) 96,200 Home Office Claim - Received March 23 - Afghan Claim Since 2021(Received 22-23) 13,000 Anticipated Funding 23-24 From Home Office - New Claim For Syrians Arrived in Feb 23 15,600 982,800 The funding received from the Home Office has been carried forward via the IJB reserves.
Page 28
28 Appendix 3 This is a legal document stating you have fully considered the impact on the protected characteristics and is open to scrutiny by service users/external partners/Equality and Human Rights Commission If you require advice on the completion of this EQIA, contact hina.sheikh@lanarkshire.scot.nhs.uk ‘Policy’ is used as a generic term covering policies, strategies, functions, service changes, guidance documents, other Name of Policy NHSL healthcare and wellbeing resettlement programme (Health Care Resettlement Team) (Population Health Needs Assessment) Names and role of Review Team: Maureen Burns (Interim Service Manager) Maria Reid (Senior Manager Health Improvement) Susan Lyttle Cheryl Martin (Interim Team Leader) Date(s) of assessment: commenced 24.04.2023 SECTION ONE AIMS OF THE POLICY 1.1. Is this a new or existing Policy : _New_________________ Please state which: Policy Strategy Function Service Change Guidance Other New service 1.2 What is the scope of this EQIA? NHS Lanarkshire wide Service specific Discipline specific Other (please detail)
Page 29
29 ______________________________ 1.3a. What is the aim? To set up a health care and wellbeing service in response to the global situation focussing on the most vulnerable population of asylum seekers and refugees coming to Lanarkshire. An interim Health Care Resettlement team has now been established and recruited to within NHSL in response to the current situation. Clinical triage has been established to assess any heath needs, with signposting, referral and support to each of the existing hotel sites daily. The nursing team works closely with our multiagency partners, particularly the council resettlement teams in North and South, completing Health Needs Assessments (HNAs) and offering an initial triage system to identify more urgent health needs, which includes symptomatic TB screening and immunisation status when living in temporary accommodation. The team ensures these needs are met through referral to the appropriate services as required. When a more settled status is achieved, GP registration is facilitated with independence encouraged and universal services involvement. 1.3b. What is the objectives? Key areas of work required which will be rights based and trauma informed to provide a service to the growing population of refugees and asylum seekers arriving in Scotland and the sudden arrivals following the war in Ukraine. 1. Staff and service providers have a sound knowledge and understanding of the rights and health and well-being needs of New Scots settling in NHS Lanarkshire area. 2. Appropriate and timely health & social care services and wider well-being services, that are sensitive to the needs of New Scots settling in Lanarkshire are established. 3. All staff have access to up to date information regarding resettled populations, access to translation & interpreting services as well as to technology & equipment that supports the delivery of services for resettled populations. 4. New Scots are thriving and are integrated into their local community & able to access health & well-being services and supports. 1.3c. What is the intended outcomes? Health and wellbeing needs of asylum seekers and refugees are identified and supported with a focus on prevention and early intervention. Healthcare services are continuously improved to ensure accessible, high quality care is delivered in the right place, at the right time and by the right person.
Page 30
30 . 1.4. How have the stakeholders been involved in the development of this policy? Connections are being made across all NHS services to improve their understanding of the health needs of refugees and asylum seekers and the rights and entitlements of refugees and asylum seekers to access health services. GP contracts have been negotiated and agreed via the Lanarkshire Medical Committee. A landing page is currently in development to support staff groups when working with asylum seekers or refugees. An Oversight Group has been established and is chaired by the Head of Health, Health and Social Care North Lanarkshire, and will oversee the planning and governance of all the associated work streams. Views of clients are captured and recorded at every contact. Regular partnerships to share information and recent developments. 1.5 Examination of Available Data and Consultation - Data could include: consultations, surveys, databases, focus groups, in-depth interviews, pilot projects, reviews of complaints made, user feedback, academic or professional publications, reports etc) A database has now set up to gather data on health need assessments, referrals, immunisation status. All clinical contacts by team are recorded on Morse whereby data on contacts can be pulled. Individual Health Needs Assessments are being offered to all new arrivals within the hotels. Refugees and asylum seekers are informed about health services, their rights and how to access services. They are also provided with the information on Scotland’s healthcare system and how to access primary care services. A review of the literature was undertaken initially to look for studies regarding health issues, health needs, risk factors and lifestyle issues as well as healthcare experiences of asylum seekers & refugees in the UK and across Europe. A further review was then undertaken to look specifically at experiences of healthcare of refugees and asylum seekers in primary care, secondary care, maternity care, dental and oral health, screening, immunisation, mental health and sexual and reproductive health services again in the UK and Europe. A Report on data to support planning for the health needs assessment (HNA) of people from various countries, including Syria, Afghanistan and Ukraine that have been settled in Lanarkshire was undertaken and the objective was to collect data for analysis to support health needs assessment (HNA) for people from various countries, including Syria, Afghanistan and Ukraine that have resettled in Lanarkshire or are seeking asylum. Challenges are there is no single source of data that is able to provide an accurate estimate of the number people from various countries seeking refuge in Scotland as immigration is not devolved to Scotland and there are various immigration schemes, and there are constant changes to government policies notably due to changing circumstances on a global level. Data capturing methodology from 2000 till date shows differences to how data were segregated or classified, while some data from same period shows different figures e.g. dependant breakdowns are not available prior to 2002, Unaccompanied Asylum Seeking Child (UASC) breakdowns are not available prior to 2006 and age and sex breakdowns are not available prior to 2009.
Page 31
31 There is also lack of consistency as to how migrant are classified either as asylum, resettled or other names adopted by present government policies on immigration as shown in Box 2 above. The Vulnerable Persons Resettlement Scheme (VPRS) was launched in January 2013 with a commitment to resettling a further 20,000 in refugees in Scotland? under the scheme by 2020. This target was reached in February 2021 but delayed due to the pandemic. Following this, the scheme was replaced by the UK Resettlement Scheme(UKRS). Available figures do not include those resettled to the UK under the ex gratia scheme for Afghan locally engaged civilians. Name any experts or relevant groups / bodies you should approach (or have approached) to explore their views on the issues. Public Health Health Protection colleagues BBV services Public Health Scotland Interpreting Services North and South local authority resettlement teams Hina Sheikh and Chris Kimber VANL and VASLAN Equality and Diversity Officers MEARS Group Terrence Higgins Trust Health Improvement Maternity services Mental Health Sexual Health services Health Visiting services
Page 32
32 Long term conditions Quit your way Public Dental Service Gender Based Violence services A full health needs assessment on arrival What do we know from existing in-house quantitative and qualitative data, research, consultations, focus groups and analysis? A review of literature has been undertaken. Population Health Needs assessment 1.6.2 As part of UNCRC you need to consider what the voices of children and young people in our communities are telling you about this proposal and are there gaps in evidence? The service aims to ensure that childrens rights are respected, protected and fulfilled.The best interests of the child is a primary consideration in all actions and decisions that affect them. All children and young people are offered a Health Needs Assessment on arrival to the area. As part of this assessment, there is an assessment of their wellbeing focussing on all well being indicators. Children have the right to express their opinions freely therefore their perspectives and voices are included throughout the assessment process. Their views are sought and recorded at these contacts and they are encouraged to participate and be heard in decisions that may affect them. As part of the Population Health Needs Assessment depending on age and maturity will have the opportunity to participate in the interviews/focus groups.This service promotes the realisation of childrens rights by promoting equality and non discrimination . 1.7. What resource implications are linked to this policy? This service will be funded initially from existing non-recurring monies however if the need continues to provide the service additional funding will be set out in a separate business case.
Page 33
33 SECTION TWO IMPACT ASSESSMENT Complete the following table, giving reasons or comments where: The Programme could have a positive impact by contributing to the general duty by – Eliminating unlawful discrimination Promoting equal opportunities Promoting relations within the equality group The Programme could have an adverse impact by disadvantaging any of the equality groups. Particular attention should be given to unlawful direct and indirect discrimination. If any potential impact on any of these groups has been identified, please give details - including if impact is anticipated to be positive or negative. If negative impacts are identified, the action plan in appendix 3 form C must be completed Equality Target Groups – please note, this could also refer to staff Positive impact Adverse impact Neutral impact Reason or comment for impact rating By providing triage service helps identify any health needs or supports required. This service is provided on an outreach capacity which helps reduce barriers to access. Information on accessing universal health services is provided and promoted. Staff sign post to routes to work and money matters services as required.
Page 34
34 2.1. Age Children and young people Adults Older People X Age appropriate health care services are provided to all asylum seekers and refugees. All age groups have access to assessment and onward referral as required. - Children & Young People that arrive as unaccompanied asylum seekers will be offered an individualised full health needs assessment in keeping with the Care experienced pathway whilst they are in supported accommodation (childrens houses). - Adults and Older people are offered the assessment on arrival within the contingency arrangements and referred on to age appropriate services as required. 2.2. Disability (incl. physical/ sensory problems, learning difficulties, communication needs; cognitive impairment, mental health) x The health care resettlement team provides the care in the clients own accommodation and would ensure that appropriate adjustments required are supported. Appropriate referrals to Allied Health Professionals would be made and support of partner agencies with transition in to more permanent accommodation. Right Care, right place, right time detail shared. Mental Health - mental health resources shared and pathway in place for any referral required. All staff provide services in a trauma informed manner.
Page 35
35 2.3. Gender Reassignment X There is no differential impact on gender reassignment. When delivering the service, we will continue to advocate the use of gender -neutral language, including provision of information materials and ensure a gender neutral clinical environment that the service users will access. The team would need to be aware of the specific health needs of transgender people and ensure that their needs are being met. 2.4 Marriage and Civil partnership X The health care resettlement team would have no differential impact on the protected characteristics of marital or partnership status 2.5 Pregnancy and Maternity (including breastfeeding) X There should be a positive impact on pregnancy and maternity as pathways have been developed and information regarding antenatal care, vaccination programmes are available in many languages. Midwifery staff have access to language line and language line enabled ipads are available on site within the maternity unit. 2.6 Race/Ethnicity X The service has been developed to support our new Scots settling into Lanarkshire area. The services are provided in a culturally sensitive manner. All staff have access to language line and translated information. NHS Lanarkshires new Digital Plan 2023-28 should also support this as the plan advocates provision of language translation options for the Lanarkshire public as required by the NHS Scotland Interpreting, Communication Support and Translation National Policy (2020) Cultural awareness training is sought and a landing page is under development to support all of NHSL staff.
Page 36
36 2.7 Religion/Faith X There is no differential impact on Religion and/or Faith and the resettlement health care team ensure that health care services are provided in a way that respects the religious and cultural beliefs of refugees and asylum seekers. Religious and cultural beliefs are sought to ensure that the health care provided suits their needs and provided in a culturally sensitive way. 2.8 Sex (male/female) X There is no differential impact on sex. The service is delivered in a manner that is sensitive to the needs of different sexes. As part of the initial assessment we inquire about the patients preference for the gender of staff they would like to work with and will continue to advocate the use of gender appropriate staff to anyone wishing this for religious and cultural reasons 2.9 Sexual Orientation Lesbians Gay men Bisexuals X There is no differential impact on sexual orientation the service will be accessible and appropriate for all people of all sexual orientation. When delivering the service, we will continue to advocate the use of gender - neutral language, including provision of information materials and ensure a gender neutral clinical environment that the service users will access. 2.10 Carers x Implementation will have no differential impact. Those in carers role can be offered carers assessment and referred to appropriate services. 2.10 Homeless x All asylum seekers and refugees within Lanarkshire are provided with interim contingency accommodation and supported to move in to more permanent accommodation.
Page 37
37 2.12 Involved in criminal justice system X There should be no differential impact for those involved in the criminal justice system 2.13 Literacy x All materials and communications are considered in terms of literacy skills and age appropriateness. Materials are Easy Read and can be adapted for individuals with a learning disability if required. Materials have been translated to many languages and staff have access to Interpreting services (Interpreting protocols shared with all services)and translation services. 2.14 Rural Areas X The service is delivered within the clients accommodation therefore should have no differential impact. 2.15 Staff Working conditions Knowledge, skills and learning required Location Any other relevant factors x Staff are aware of Working from home policy and Lone working policy. Risks assessments have been completed for working off site in hotel accommodation Staff are aware of NHS Lanarkshire’s mandatory training requirements, staff aware of NES modules in relation to trauma, bespoke training has been arranged in relation to trauma informed practice, Gender based violence, understanding trafficking and exploitation, Mears (Understanding Asylum process) training. Training needs analysis to be completed for relevant staff. Landing page in development for Firstport 2.16. What is the socio-economic impact of this policy / service change? (The Fairer Scotland Duty places responsibility on Health Boards to actively consider how they can reduce inequalities of outcomes caused by socio-economic disadvantage when making strategic decisions)
Page 38
38 Positive Adverse Neutral Rationale/Evidence Low income / poverty X There should be no differential impact on low income / poverty as the service is accessible and appropriate for people from socioeconomic backgrounds. Living in deprived areas X There should be no differential impact on living in deprived areas Living in deprived communities of interest X There should be no differential impact on living in deprived communities of interest. Employment (paid or unpaid) X There should be no differential impact on employment. SECTION THREE CROSSCUTTING ISSUES What impact will the proposal have on lifestyles? For example, will the changes affect: Positive impact Adverse impact No impact Reason or comment for impact rating 3.1 Diet and nutrition? x Diet, nutrition and lifestyle is discussed as part of the Health Needs Assessment offered to all new arrivals to Lanarkshire. The staff take into account the different foods that people eat and the advice will relate to their diet. 3.2 Exercise and physical activity? X Exercise and physical activity is discussed is discussed as part of the Health Needs Assessment offered to all new arrivals to Lanarkshire
Page 39
39 3.3 Substance use: tobacco, alcohol or drugs? X As part of an individualised health needs and assessment and the offer of clinical triage , information is shared and a direct referral can be made to Quit Your Way (NHS Lanarkshire Stop Smoking Service). Some of the arrivals have came from areas with high prevalence of smokers. The service has translated, materials that have been shared with the team. Alcohol brief interventions are offered to all new arrivals and any history of drug taking is recorded as part of health assessment and onward referral to addiction services if appropriate. 3.4 Risk taking behaviour? X Discussed part of the Health Needs Assessment offered to all new arrivals to Lanarkshire, referral pathways have been compiled for direct referral to sexual health services, mental health services and blood borne virus service. BBV training has been attended by all team members. BBV is risk assessed and screening has been offered to our asylum population. SECTION FOUR CROSSCUTTING ISSUES Will the proposal have an impact on the physical environment? For example, will there be impacts on: Positive impact Adverse impact No impact Reason or comment for impact rating 4.1 Living conditions? X This service should have a positive impact on an individual’s living conditions. Any reasonable adjustments to properties will be considered of required.
Page 40
40 4.2 Working conditions? X There should be no impact on working conditions for refugees. Asylum seekers are unable to work within the first year of seeking asylum and require to apply for work visa after this time. 4.3 Pollution or climate change? X The service is delivered to the interim accommodation therefore should have no negative impact on pollution or climate change. Will the proposal affect access to and experience of services? For example: Positive impact Adverse impact No impact Reason or comment for impact rating Health care X The development of a health care resettlement team aims to provide effective, efficient and safe access to all refugees and asylum seekers. Social Services X The service should have no negative impact on Social services in fact and should be positive due the multiagency working and decision making. Education X The service should have no negative impact on Education and should be positive due the multiagency working. Transport X Not currently applicable as the service is provided on one site. Housing X The service should have no negative impact on Housing and should be positive due to involvement from all agencies. SECTION FIVE MONITORING How will the outcomes be monitored?
Page 41
41 Regular reporting Service evaluation Feedback from service users Population Health Needs Assessment What monitoring arrangements are in place? Morse, SIRS Who will monitor? Strategic Oversight Group Operational Group will report directly to the Strategic Oversight Group What criteria will you use to measure progress towards the outcomes? A high level plan based on the New Scot Strategy has been developed and has a range of proposed measures and objectives for the service and the oversight group will monitor the progress of the outcomes. PUBLICATION Public bodies covered by equalities legislation must be able to show that they have paid due regard to meeting the Public Sector Equality Duty (PSED). This should be set out clearly and accessibly, and signed off by an appropriate member of the organisation. Once completed, send this completed EQIA to the Equality & Diversity Manager
Page 42
42 Authorised by Title Signature Date Appendi x 3: Form C Identified Negative Impact Assessment Action Plan Name of EQIA: Date Issue Action Required Lead (Name, title, and contact details) Timescale Resource Implications Comments Further Notes:
Page 43
43 Signed: Date: