Embedding equalities and inclusive decision making in the LLR system
We helped an integrated care system implement a framework for making decisions that addresses bias and improves how equality is considered from the outset of decisions and proposals.
The Inclusive Decision Making Framework (IDMF) is developed to embed equality and health inequality considerations within decision making. Our Equality and Inclusion team helped implement the framework in the Leicester, Leicestershire and Rutland Integrated Care System (ICS). There are specific steps that embed equality and health inequality considerations within each stage of the decision making process:
- Foster a culture of inclusive decision making across the system
- Provide a shared equality, diversity and inclusion resource across different partners
- Provide practical steps to ensure that the needs of different communities and staff are considered when planning
- Meet the challenges of delivering the NHS Long Term Plan across the system
- Meet legal duties – in terms of equality, human rights and reducing health inequalities.
We began in Spring 2021 by delivering workshops and engagement sessions for key stakeholders. We developed a range of supporting documents, communications and resources and shared them across the ICS for information and guidance.
To implement the framework, there was a period of transition of processes and systems at all partner organisations. To support this, we designed and delivered more workshops to trusts, local authorities and clinical commissioning group to outline best practice on how to use and embed the principles of the framework.
Each workshop included academic and theory based information and practical examples from Leicester, Leicestershire and Rutland case studies and ongoing work. Interactive elements ensured attendees were engaged and involved. An overview of the key transition steps was also provided in a pre-workshop delegate pack.
The workshops included discussions around the decision making process, fostering a culture of inclusive decision making, the importance of due regard and how to practically apply the specific steps.
The IDMF is an innovative approach that addresses bias and improves how equality is considered from the outset of decisions and proposals. Its successful implementation should help ensure that the needs of patients and staff from protected characteristic groups are embedded within every decision that is made across the Leicester, Leicestershire and Rutland system.
It will also ensure that insight gathered from Equality Impact Assessments informs every project and is included in any project planning documentation. This provides assurance that partner organisations meet the Public Sector Equality Duty and other legislative requirements.
Successful integration of the IDMF into current and future processes requires support from all partners and staff involved in decision making. A total of 12 IDMF workshops were delivered including two tailor-made sessions for the system’s People Board / Equality, Diversity and Inclusion Task group and one for a hospital’s People Services team.
Workshops were attended by a total of 147 staff from across the system who are helping to embed the IDMF within each of their teams and workstreams.
News and views
Recorded live at the NHS ConfedExpo, join host Richard Caddy in an engaging dialogue with Kelly Bishop, Assistant…
Our Health Economics Unit (HEU), in a successful collaboration with the Midlands Decision Support Network, has marked a…
The Digital Innovation Unit (DIU), along with their commercial partner Citizen Communications, are hosting an event on the 31…
How we can help health systems
Developing health systems
Acting as an independent and trusted partner within the system to facilitate working across stakeholders and integrate elements of the provider system…Learn more about Developing health systems
Workforce resilience and transformation
Supporting systems to build a sustainable and integrated workforce, transforming systems, organisations and the workforce experience to improve resilience.Learn more about Workforce resilience and transformation
Communications and engagement
Supporting ICSs with approaches to design and deliver effective communication, engagement and behavioural insights as a key enabler for system change and…Learn more about Communications and engagement
Digitally enabled transformation and IT
Digitising care and partnering with systems for the transformation of digitally enabled service delivery (and other supporting processes) across vision, planning and…Learn more about Digitally enabled transformation and IT
PHM analytics and decision support
Applying intelligence-led understanding of the health of the population to support the redesign of care and improve patient and financial outcomes across…Learn more about PHM analytics and decision support
Place and primary care transformation
Supporting providers to work together at a place and neighbourhood level to manage common resources, integrate community teams, improve health and reduce…Learn more about Place and primary care transformation
Clinical redesign and provider collaboration
Redesigning how health and care works across England - placing people at the centre of their own health and care and utilising…Learn more about Clinical redesign and provider collaboration
Personalised healthcare commissioning services
Providing end-to-end funded care services, including patients as active partners in identifying their healthcare needs and then commissioning care to meet these.…Learn more about Personalised healthcare commissioning services
Business enabling services
Delivering a wide range of support functions through transactional services, business partnering and transformation that drives efficiencies and releases value and time…Learn more about Business enabling services