Equality, Diversity and Inclusion

What is Equality, Diversity and Human Rights?

Equality equates to fairness: where people are always being subject to appropriate, justifiable and non-discriminatory lived experiences. This especially applies to:

• Users of a service,
• Members of a workforce,
• Members a community,
• Members of a population,
• ...and citizens of a country or individual members of humanity.

 

It is a standard where people routinely subject each other to:

• Fair opportunities: non-discriminatory life chances
• Fair treatment: non-discriminatory behaviour, environments, practices and decisions, and
• Fair outcomes: the results of responses to known or expressed needs, merits, demands, wants, wishes, choices etc. are non- discriminatory and do not lead to disadvantage or inequality.

 

Diversity equates to personalisation: where people are valued and supported consistent with their individual distinctiveness and uniqueness so their needs can be met and their contributions effectively harnessed.

This again applies to: users of a service, members of a workforce, members a community, members of a population, and citizens of a country or individual members of humanity. 

It is a standard where people treat each other in ways that ensures mutual:

• Recognition of each other’s diversity where actions are based on finding out and understanding diversity
• Respect of each other’s diversity where actions are non- judgemental and value each other’s diversity, and
• Responses to each other’s diversity ensure actions are appropriate and relevant to an individual’s uniqueness and distinctiveness.

 

Human rights equates to standards: were people are treated humanely, and where everyone, at all times and places, routinely receive the basic entitlements that they are due simply because they are human.

It is a standard where people routinely enjoy:

• Freedoms to pursue certain things e.g. whatever one wishes to believe.
• Freedoms from certain things e.g. not to be tortured.
• Freedoms from arbitrary interference from state or public authorities e.g. have ones liberty / freedom of movement restricted without good reason and due process.

The Equality Act 2010 requires that we undertake outcome focused activity in addressing equality and diversity issues as a service provider and employer, across nine protected characteristics.

The Act contains nine protected characteristics, which cannot be used as a reason to treat someone unfairly:

• Age
• Disability
• Gender reassignment (whether or not someone is trans)
• Marriage or civil partnership (including same-gender marriage)
• Pregnancy and maternity/paternity
• Race or ethnicity
• Religion or belief
• Sex or gender
• Sexual orientation

 

We have a general duty to eliminate unlawful discrimination, harassment and victimisation, advance equality of opportunity and foster good relations between people who share a protected characteristic and those who do not share it. 

As a public sector organisation, we also have specific duty to prepare and publish specific and measurable equality objectives every four years.

The Act contains a general duty which requires us to have due regard to:

• Eliminating unlawful discrimination, harassment and victimisation
• Advancing equality of opportunity
• Fostering good relations between people who share a protected characteristic and those who do not share it.

 

The Act also contains specific duties which are to:

• Prepare and publish equality objectives at least every four years after that
• Ensure that the objectives are specific and measurable, and set out how progress towards the objectives will be measured
• Publish details of engagement in developing the equality objectives also at least every four years, and in line with publication of objectives
• Consider its published equality information before preparing and publishing these objectives
• Publish the objectives in a reasonably accessible format either as an individual document or as part of another report.

The vision of Birmingham Community Healthcare is to develop into a Truly Inclusive Organisation and that ambition will be realised when our Birmingham Community Healthcare People tell us that the Trust is a Great Place to Work.

 

A commitment to being a Truly Inclusive Organisation. The priority actions for 2024 / 2025 are summarised as follows:

• Delivery of  Key Performances Indicators
• Actively supporting Staff Equality Networks and engagement
• Embedding Equality, Diversity & Inclusion within Divisional priorities and objectives
• Anti Racism Commitment / Race Equality Code  – become an anti-racist organisation
• Embedding Inclusive Leadership
• Recognising and Realising Potential
• Developing Data and Performance Management
• Equality in Recruitment and Promotion Practices
• Fairness and Equality in Employment Processes
• Inclusive Engagement
• Embed Disability Inclusion
• Zero Tolerance
• System Engagement
• Equality Monitoring

The Trust routinely collects equality data on patients and staff members and uses this information to ensure that its services and employment opportunities are fair and accessible to all. 

To help organisations access and improve their performance in service design and delivery, under the Equality Act 2010 and the Public Sector General Equality Duty, organisations must publish sufficient information to demonstrate that, in the exercise of its functions, it has a due regard to: 

• Eliminate discrimination, harassment and victimisation.
• Advance equality of opportunity between people who share a protected characteristic and those who do not; and to
• Foster good relations between people who share a relevant protected characteristic and those who do not. 

 

In order to achieve the aims of the general equality duty described above, the Trust must demonstrate that it has a good understanding of the impact that policies, services and practice have on people with different protected characteristics*. 

An important way for the organisation to achieve this is through the collection and analysis of equality information, including information on engagement with people from protected characteristics where relevant. 

Therefore, equality data reports have been created, as follows:

Annual Equality Workforce Data Report 2022 - 2023

This report covers all of the protected characteristics:

• Age
• Disability
• Ethnicity (race)
• Gender reassignment
• Sex
• Religion and belief
• Sexual orientation
• Pregnancy and maternity
• Marriage and civil partnerships. 

If you would like more information regarding the Annual Workforce Equality Data Report, please contact the Equality, Diversity and Inclusion Team.

As part of the standard the Trust MUST do five things:

• Ask people if they have any information or communication needs, and find out how to meet their needs.
• Record those needs in a set way on patient records.
• Highlight a person’s file, so it is clear that they have information or communication needs, and clearly explain how these should be met.
• Share information about a person’s needs with other Trust Teams/Departments, NHS and adult social care providers, when they have consent or permission to do so.
• Act to make sure that people get information in an accessible way and communication support if they need it.

 

A patient’s experience of our services must be positive to encourage the patient to continue to use the service.  To support this Birmingham Community Healthcare NHS Foundation Trust  is implementing the Accessible Information Standard which aims to make sure that disabled people who are our patients, service users and their carers and parents have access to information that they can understand and any communication support they need. This includes making sure that people get information in different formats if they need it, such as large print, Braille, embossed, easy read, via email and visual/British Sign Language (BSL) etc.

 

• Trust Patient Information Policy and Accessible Information Standard Policy
• Patient Information Policy
• Accessible Information Standard Policy
• Further information: NHS England Accessible Information Standard

 

A short update about the approval is also available in the following formats:

• Accessible Information Standard update July 2015 -  Easy Read (Insert copy)
• Accessible Information Standard update July 2015  - Word document (Insert copy)
• Accessible Information Standard Update - July 2015 (pdf version)
• Accessible Information Standard update July 2015 (BSL video and subtitles)
• Accessible Information Standard update July 2015 (audio version)

 The Equality Delivery System (EDS) is a system that helps NHS organisations improve the services they provide for their local communities and provide better working environments, free of discrimination, for those who work in the NHS, while meeting the requirements of the Equality Act 2010.  The EDS was developed by the NHS, for the NHS, taking inspiration from existing work and good practice. 

 

• EDS Action Plan 2022 Template
• Further information: NHS Equality Delivery System 2022

Slavery and Human Trafficking Statement  

This statement is made pursuant to section 54(1) of the Modern Slavery Act 2015 and applies to Birmingham Community Healthcare NHS Foundation Trust (BCHC).

 

Introduction

Modern Slavery and human trafficking is a criminal activity which can occur in all sectors of society, including health and social care.  The impact of such activities can often be felt by vulnerable individuals who suffer from poor mental and physical health as a result, often in circumstances which might be hard to reach by frontline agencies.  As a large provider of healthcare services delivered in a community setting, Birmingham Community Healthcare NHS Foundation Trust (“BCHC”) recognises that it has a central role to play in upholding the principles of the Human Rights Act 1998, specifically we are committed to the right that people have to be free from slavery or forced labour under Article 4.

 

We do this by ensuring we have systems in place to identify and support the victims of modern slavery and human trafficking as well as ensuring our business activities are free from legal and ethical labour standard abuses.

 

Definition of Offences

Modern day slavery, servitude, forced or compulsory labour

A person commits an offence if the person:

•  holds another person in slavery or servitude and the circumstances are such that person knows or ought to know that the other person is held in slavery or servitude.
• requires another person to perform forced or compulsory labour and the circumstances are such that that the person knows or ought to know that the other person is being required to perform forced or compulsory labour.

 

Human trafficking

A person commits an offence if:

• the person arranges or facilitates the travel of another person (victim) with a view to being exploited.
• it is irrelevant whether the victim consents to travel and whether or not the victim is an adult or a child.

 

Exploitation

A person is exploited if 1 or more of the following issues are identified in relation to the victim:

• slavery, servitude, forced or compulsory labour
• sexual exploitation
• removal of organs
• securing services by force, threats and deception
• securing services from children, young people and vulnerable persons.

 

Our organisational structure

The Trust is one of the largest providers of community healthcare services in the country and provides universal and specialist healthcare services for patients in the city of Birmingham and across the wider West Midlands area – covering a population in excess of 1.1 million. We are an NHS organisation with over 5,000 employees and an annual turnover of £386 million. Further details about what we do can be found on our website at www.bhamcommunity.nhs.uk

 

Our supply chains

The Trust supports and respects the protection of human rights for all its employees and workers within its supply chain.  We are committed to treating individuals with respect and dignity, and do not condone the use of our products or services which infringe the basic human rights of others.  We expect our suppliers and business partners to adhere to the same high standards and to take all reasonable steps to combat slavery and human trafficking.

 

As part of the Birmingham and Solihull Procurement Collaborative (BSolPC) since September 2023, our procurement approach continues to follow the Crown Commercial Service standards and includes a mandatory exclusion question regarding the Modern Slavery Act 2015 through all procurement exercises.  When procuring goods and services, we apply NHS Terms and Conditions and the NHS Standard Contract (for clinical procurement services).  Both require suppliers to comply with relevant legislation.

 

The inclusion of Social Value is actively promoted within the BSolPC and is applied to all procurement exercises where it is relevant and appropriate (e.g. framework direct award, mini competition or tender) to ensure processes eradicate modern slavery and trafficking within our supply chains.

 

As part of the monthly Head of Procurement and Senior Management Team meetings, a “four box” report is collated of which is included “Sustainability/Social Value initiatives & Update“ and report updates within the various projects or initiatives being undertaken within this specific area.

 

Policies in relation to slavery and human trafficking

Our policies and procedures are devised to reflect we take all reasonable steps to achieve our commitment to support the eradication of slavery and human trafficking.  This includes, but is not limited to, the following policies: 

• Procurement Strategy;
• Counterfraud and Corruption Policy;
• Equality Diversity and Human Rights (EDHR) at Work Policy;
• Conflict of Interest (including Gifts, Hospitality and Sponsorship) Policy;
• Safeguarding Adults Policy;
• Safeguarding Children Policy;
• Freedom to Speak Up Policy; and
• Incident Management.

 

Due diligence processes in relation to slavery and human trafficking in our business and supply chains

Through the BSOL PC the Trust has in place due diligence procurement and tendering processes to ensure all its selected suppliers and any third parties are compliant with the Modern Slavery Act (2015).

 

As of 1^st April 2022, all NHS organisations are required to adopt central government’s Social Value Model (Procurement Policy Note 06/20), which requires a minimum 10% weighting in all procurements dedicated to Net Zero and Social Value, including the elimination of Modern Slavery.  BCHC has implemented the Social Value Model within our evaluation criteria and have also liaised with framework organisations as to where this duly fits as part of the scored service criteria, when using procurement frameworks.

 

Our Procurement Team has embedded Social Value using the Crown Commercial Service Model in tenders post 1^st April 2022. 

 

Training on Modern Slavery and Human Trafficking

We ensure that all staff have access to training on how to identify those who are victims of modern slavery and human trafficking.  This training includes the latest information and helps staff develop the skills to support those who come into contact with health services.

 

We have embedded this training within our safeguarding training, as part of our staff mandatory training programme, and have been clear about the action expected to be taken if suspected.  Compliance with this training requirement is monitored through our mandatory training reporting as part of our performance management processes, which are overseen by our Finance and Performance Committee on behalf of the Board.

 

The BSolPC Strategic team have completed in June 2023 both the mandated Modern Slavery training provided through the Government Commercial College which comprises of four modules and an assessment test and Net Zero and Social Value training provided by the Social Value Portal comprised of three modules and assessment test.

 

Management and Effectiveness of steps being taken

BCHC supports the Government’s objectives to eradicate modern slavery and human trafficking and recognises the significant role the NHS has to play in both combatting it, and supporting victims.  In particular, we are committed to ensuring our supply chains and business activities are free from ethical and labour standards abuses.  We have taken steps to assess and manage that risk and put in place mechanisms to monitor their effectiveness.  Steps taken to date include: 

• Implementation of the Crown Commercial Service’s Social Value Model, which requires a minimum 10% weighting in all procurements dedicated to Net Zero and Social Value, including the elimination of Modern Slavery, within our tendering criteria.  These details are explicit within the recommendation report presented to our Executive Team Meeting, Finance and Performance Committee and/or Trust Board for approval, in line with the scheme of delegation.
• On a monthly basis BSOLPC submit a report to the Midland Regional Co-Ordination Centre SPOC confirming the number of projects which have included the minimum 10% net zero and social value weighting within the five themes as per the central Social Value Model.
• Specific Key Performance Indicators (KPIs) from the Social Value Model will form part of the local contract and reporting KPIs for the successful supplier.  The KPIs will be reported based on the agreed reporting period to ensure that the supplier is achieving its social value objectives.
• Within the NHS contractual terms and conditions (August 2022) there is the requirement in the “key schedules “ to name the senior person appointed and responsible for the Social Value and Net Zero Commitments and there is also commitment to Social value and Social Value prescribing within the NHSE 23-24 Standard contract terms.
• Our Freedom to Speak Up Policy is intended to help establish and support an open culture and gives a platform for our employees to raise concerns about poor working practices.  As part of that policy the Trust has a Freedom to Speak Up Guardian who is a member of staff independent of the Trust Board and Executive to whom staff can raise any concerns in a confidential manner.
• Our Safeguarding Policies for Adults and Children aim to protect and respond on behalf of adults and children with care and support needs who are experiencing, or at risk of, abuse or neglect through the process of identifying, reporting and preventing abuse.  The purpose of the Policy is to provide a pathway for staff to ensure safe practice, a clear process for partnership working and an understanding of the adult and children safeguarding process, which include, recognition, responding and reporting abuse.
• We confirm the identities of all new employees and their right to work in the United Kingdom, and pay all our employees above the National Living Wage.
• Our international recruited workforce are ethically recruited in line with the Department of Health and Social Care Code of Practice.  We only work with regulated recruitment agencies and have employed an International Recruitment Pastoral Manager to ensure that are recruits have holistic support in and out of the workplace. 
• We support our staff to understand and respond to modern slavery and human trafficking, and the impact that each and every individual working in the NHS can have in keeping present and potential future victims of modern slavery and human trafficking safe.
• Our Equality, Diversity and Human Rights (EDHR) policy, Dignity at Work and Grievance policies ensure that our employees have a mechanism by which they are able to address issues which affect them personally.

 

Further details can be found at: https://www.bhamcommunity.nhs.uk/equality-diversity-and-inclusion

 

David Sallah
Trust Chair

 

Richard Kirby
Chief Executive Office

 

This statement was approved by the BCHC Board of Directors on 5^th December 2024 and will be reviewed annually.

 

BCHC Slavery and Human Trafficking Statement 2025 [pdf] 718KB

NHS England introduced the Workforce Disability Equality Standard (WDES) into the 2018/19 NHS Standard Contact.

The Workforce Disability Equality Standard (WDES) is a set of ten specific measures (metrics) which enables NHS organisations to compare the workplace and career experiences of Disabled and non-disabled staff. NHS organisations use the metrics data to develop and publish an action plan.

Year on year comparison enables NHS organisations to demonstrate progress against the indicators of disability equality.

 

Making a difference for Disabled staff

The WDES is important, because research shows that a motivated, included and valued workforce helps to deliver high quality patient care, increased patient satisfaction and improved patient safety.

The WDES enables NHS organisations to better understand the experiences of their Disabled staff and supports positive change for all existing employees by creating a more inclusive environment for Disabled people working and seeking employment in the NHS.

The standard requires organisations to demonstrate progress against a number of indicators of workforce equality.

Our results and associated action plan are published in the BCHC Workforce Disability Equality Standard Report and Action Plan 2024.

NHS England has incorporated the Workforce Race Equality Standard (WRES) into the 2015/16 NHS Standard Contact.

 

The standard requires organisations to demonstrate progress against a number of indicators of workforce equality.

 

The NHS Equality and Diversity Council announced on 31 July 2014 that it had agreed action to ensure employees from black and minority ethnic (BME) backgrounds have equal access to career opportunities and receive fair treatment in the workplace.

 

This is important because studies shows that a motivated, included and valued workforce helps deliver high quality patient care, increased patient satisfaction and better patient safety.

 

Our results and associated action plan are published in the BCHC Workforce Race Equality Standard Action Plan and Report 2024.

 

To find out more please visit the following web pages:

• NHS Equality and Diversity Council

• NHS Workforce Race Equality Standard