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fair for all

"Of course, not everyone within ethnic minority communities experiences the same disadvantage. Ethnic minority groups are heterogeneous, and it is well known that particular groups have greater health needs than others."

Analysis of the Ethnic Minority Dimension of Health Improvement Programmes and Trust Implementation Plans

Health Improvement Programme

Health Board

Yes

No

Description

Argyll & Clyde

tick

Generic

Ayrshire & Arran

tick

Brief mention of work with the ethnic minority communities appears in an extract 1996 OPCS survey of Psychiatric Morbidity in Great Britain

Borders

tick

Generic

Dumfries & Galloway

tick

Under the Joint Community Care and Health Improvement Programme, there is a significant and detailed report of local response in tackling race and health:
Section 4, Sub Section 4.8, Pages (73-76)

Fife

tick

Ethnicity is simply acknowledged as one issue that needs to be addressed in tackling inequalities:
Section 1, Sub Section 1.5, Sub Sub-Section 1.58, Page (7)

Forth Valley

tick

As part of Achieving Better Services for Patients ... to deliver and agree work programme with ethnic working group ... Section 5, Sub Section 5.18, Page (61).
Key Actions: Section 5, Pages (27, 28 and 66), Section 8 Page (20)

Grampian

tick

The Board clearly recognises the gap in health service provision to ethnic minority groups. They are currently in the early stages of developing a programme:
Section 3, Sub Section 3.3 Page (14)

Greater Glasgow

tick

The HIP has a substantial section which indicates the way forward for the Board in developing a Multicultural Healthcare Programme.
HIP chapter, Section 19, Pages 97-98

Highland

tick

Under reducing inequalities the Board has a long-term objective of access, and to address issues relating to both health experience and access to services for ethnic minority groups within Highland. HIP 1999-2004, Section 4.2.4, Page 22. Corporate Contract 1999-2000, Page 13 Tackling Inequalities - HIP Para. 4.2, Ethnicity - HIP Para 4.2.4. Current year's HIP not made available

Lanarkshire

tick

There is some recognition of particular problems faced by ethnic minority communities in accessing and using health services:
Section 3, Sub Section 3.7 and 3.8, Page 8

Lothian

tick

As part of the Board's commitment to tackle health inequalities. It will also address relevant issues in relation to ethnic minority groups:
Chapter 3, Section 3.2, Sub Section 3.2.1, Pages 14-15 - Chapter 5, Sub Section 5.2.
Appendix 9, Theme 1, Page 108
Appendix 4, Page 100

Orkney

tick

Generic

Shetland

tick

Generic

Tayside

tick

Generic

Western Isles

tick

There is an indication that the Board would like to look at Ethnic Minority Issues in terms of Patients and Public Involvement:
Chapter 8, Sub Section 8.3.3, Page 17

Carstairs State Hospital

 

tick

HIP 1999-2004: Section 7, Page 16 _ Improving Health ... continued commitment to address the needs of ethnic minority groups ... All staff will have individual life-long learning plans that will be continuously updated, allowing staff to adapt to changing requirements. HIP 2000-2005: Section 1, Page 2 - Introduction

Common Service Agency

tick

Generic

Health Education Board for Scotland

tick

Annual Report 1998/99 - Strategic Development and Capacity Building, Page 8, Health Service, Page 10 ... initiative for ethnic minority groups as part of the collaboration between Health Service, Community and Voluntary Sector Programmes. No details of the collaboration has emerged. ...
Health Promotion Library Scotland Services has been made more accessible with the introduction of the leaflets in a range of non-English languages, Page 33

Scottish Ambulance Service

tick

Generic

Scottish Executive Health Department

tick

The Scottish Executive's Equality Strategy: Working Together for Equality, indicates the Government's commitment to tackling discrimination and prejudice across Scotland.
Our National Health: A Plan for Action, A Plan for Change further indicates the Health Department's intention to develop a diversity framework to ensure the NHS meets the distinctive needs of Ethnic Minority Groups

The majority of respondents appeared to believe that ethnic minority communities were included in the generic descriptive terms: inequalities, equity, equitable service, under-represented groups, social inclusion, equality, deprived communities, poor communities, groups with greatest need, disadvantaged or vulnerable groups, groups suffering from discrimination.

Trust Implementation Plan - Race and Health

Trust

Yes

No

Description

Lomond & Argyll Primary Care

tick

Generic

Renfrewshire & Inverclyde Primary Care

tick

Generic

Argyll & Clyde Hospitals

tick

Ethnic minority health is one of the key issues under Achieving Better Services for Patients, Section 5.2, Page 28. Also under improving health and reducing inequalities, one of the objectives is to provide health care to displaced persons within the terms of the Asylum Seekers Bill, Appendix 2, No. 3.10, Page 47

Ayrshire & Arran Primary Care

tick

Generic

Ayrshire & Arran Acute

tick

Generic
The Trust has given its commitment within the TIP to reduce health inequalities within A&A by working in partnership with other local National health Service providers and agencies

Borders Primary Care

Generic

Borders General Hospital

tick

Not made available

Dumfries & Galloway Primary Care

tick

Race and Health will be looked at as part of TIP Objective to tackle health inequalities/social inclusion. The designated responsibilities for this will be with the Director for Performance Management and LHCC Manager

Dumfries & Galloway Acute Maternity Hospitals

tick

Generic

Fife Primary Care

tick

Part of the TIP objective is to improve equality of access to all services, including support to ethnic minority groups in Fife to better access health information and health services - Section 4, Page 11. Reference is also made to address issues relevant to ethnic minority groups in relation to Achieving Better Services for Patients - Section 8A, Page 91

Fife Acute Hospitals

tick

Achieving Better Services for Patients - to evaluate services for those patients with special needs including those with disabilities and from ethnic minority groups - Section 3.1, Pages 23 and 25

Forth Valley Primary Care

tick

Section 2 - Achieving Better Services for Patients, Objective 4 - Patient Involvement and Responsiveness. '... to raise awareness of the needs of people from ethnic minority backgrounds and to ensure equity of access to services and employment within the Trust

Forth Valley Acute Hospitals

tick

Generic

Grampian Primary Care

tick

Generic

Grampian University Hospital

tick

Generic

Highland Primary Care

tick

Generic

Greater Glasgow Primary Care

tick

The Trust notes ethnic minority issues as one of the key areas which it must address under Achieving Better Services for Patients, Page 3.

The Trust intends to strengthen its Multicultural Health Development Programme in three key areas:

  • Development of consistent core standards.
  • Taking collective action in its consultation processes.
  • Initiating services with LHCCs as informed by local priorities and needs. Section 4.5, Pages 31 - 33.

Annexure B1, Page 68 - South East Glasgow LHCC: priority to look at provision and sensitivity of services to ethnic minority communities.
Page 76- to support Health Visitor Led Work with ethnic minority families.
Page 72 - Greater Shawlands LHCC: to develop services for people from ethnic minority communities.
Page 82 - Both LHCCs will assess and develop services for ethnic minority groups

North Glasgow University

Not made available

South Glasgow University

Not made available

Yorkhill Hospital

Not made available

Highland Acute

tick

Generic (TIP - 1999/2000)

Lanarkshire Primary Care

tick

Section 5 - Making the Difference ... one priority is to be the appointment of a Health Visitor to assess the needs of ethnic minority groups in Airdrie, Page 67. Section 6 - Priority 11 ... to appoint a Health Visitor to access needs of ethnic minority groups, Page 76. Section 7 - Airdrie LHCC will look at ethnic minority development as one of their clinical priorities, Page 80. A section on ethnic minority groups, Page 82, with detailed action plan, Page 84

Lanarkshire Acute

tick

Generic

Lothian Primary Care

tick

Service impact - as part of inequalities ... to address the needs of ethnic minority communities and consider expansion of services within the Minority Ethnic Health Inclusion Project (MEHIP) ... Section 2, Pages 9-10

West Lothian Healthcare

tick

72-78: Clinical Governance and Quality Strategy - Patient and Public Involvement Objectives ... Action Programme to Achieving Better Services for Patients has been developed and will be implemented under various headings, one of which is ethnic minority issues, 78.6, Page 34.

Lothian University Hospitals

Not made available

Tayside Primary Care

Not made available

Tayside University Hospitals

tick

Section 5.5 - Tackling Inequalities:

  • Increase awareness of services available for ethnic minority communities, Page 53;
  • To develop packages of care based on local needs of ethnic minority communities, Page 59

HIP and TIP: Statement on Race and Ethnicity

Regions

Boards and Provider Units

Available Evidence

West

Argyll & Clyde

cross

Lomond & Argyll PCT

cross

Renfrewshire & Inverclyde PCT

cross

Argyll & Clyde Hospitals

tick

Aryshire & Arran

tick

Aryshire & Arran PCT

cross

Aryshire & Arran Acute

cross

Greater Glasgow

tick

Greater Glasgow PCT

tick

North Glasgow University

Insufficient

South Glasgow University

Insufficient

Yorkhill Hospitals

Insufficient

Lanarkshire

tick

Lanarkshire PCT

tick

Lanarkshire Acute

cross

Dumfries & Galloway

tick

Dumfries & Galloway PCT

tick

Dumfries & Galloway Acute Maternity Hospital

cross

East

Lothian

tick

Lothian PCT

tick

West Lothian Healthcare

tick

Lothian University Hospitals

Insufficient

Fife

tick

Fife PCT

tick

Fife Acute

tick

Tayside

cross

Tayside PCT

Insufficient

Tayside University Hospitals

tick

Borders

cross

Borders PCT

cross

Borders General Hospital

Insufficient

North

Highland

tick

Highland PCT

cross

Highlands Acute

cross

Grampian

tick

Grampian PCT

cross

Grampian Acute

cross

Central

Forth Valley

tick

Forth Valley PCT

tick

Forth Valley Acute

cross

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