NHS organisations within the West Yorkshire Health and Care Partnership are committed to equality, diversity and inclusion.
The Equality Delivery System (EDS22) is a toolkit designed by the Department of Health to help NHS organisations to improve the services they provide for their local communities, consider health inequalities in their local area and provide better working environments that are free of discrimination, as set out in the Equality Act 2010. This work must include involvement and partnership working with local partners and local communities. The EDS helps NHS organisations meet their Public Sector Equality Duty.
Since its launch in 2011 the NHS Equality Delivery System 2 has been used across the partnership within the NHS to:
- Assess our performance in addressing our Equality Diversity and Inclusion (EDI) priorities.
- Provide opportunities for stakeholders to analyse our performance data and input into that assessment.
- Assist with identifying our EDI priorities for the future.
- Provide opportunities to work in partnership to deliver and assess those priorities consistently.
In 2022 NHS England launched a new Equality Delivery System 22 framework following a review of the EDS2. EDS 2022 is a tool designed for both NHS commissioners and NHS providers.
We remain committed to using the EDS frameworks to support consistent assessment and involvement of all our communities in our EDI work.
The EDS comprises eleven outcomes spread across three Domains, which are:
- Commissioned or provided services
- Workforce health and well-being
- Inclusive leadership.
Each outcome is scored and rated by the ICB, patients, the public, the VCSE sector, workforce and trade union colleagues. The potential scores are as follows:
- Undeveloped activity If score under 8, adding all outcome scores in all Domains.
- Developing activity If score between 8 and 21, adding all outcome scores in all Domains.
- Achieving activity If score between 22 and 30, adding all outcome scores in all Domains.
- Excelling activity If score 31 and above, adding all outcome scores in all Domains.
Scores are then added together to provide organisations with an overall score, or an EDS Organisation Rating.
Our Approach in West Yorkshire
Within the West Yorkshire Health and Care Partnership, it has been agreed that organisations will use the EDS22 to assess their performance. Participating organisations have agreed that for EDS22 partners will work together to:
- Share and compare data and information.
- Engage and involve stakeholders in EDS22 processes together.
- Peer-review our assessment processes and outcomes to promote consistency of approach and score.
- Share and co-create the materials needed to implement the EDS22 to ensure effective use of our resources.
Completion of EDS22 involved active conversations with patients, public, staff, staff networks, trade unions and Healthwatch West Yorkshire to review and develop our services, workforce and leadership.
Domain 1 assesses commissioned and provider services. The ICB worked in partnership with provider organisations, patients and the public at the five West Yorkshire places:
- Calderdale, Kirklees and Wakefield reviewed the personalisation of maternity services.
- Leeds focused on Children and Young People’s mental health services.
- Bradford reviewed respiratory services.
For Domains 2 and 3, the EDI Team worked closely with the People Team to gather all the data and analyse it effectively. West Yorkshire ICB involved staff and trade unions to provide a robust check and challenge and to identify gaps and potential improvements.
Healthwatch West Yorkshire representatives provided further Independent Review on our Leadership [Domain 3].
Scoring across the ICB, workforce and trade union representatives resulted in some variation, with some outcomes scored as 1 and some as 3, but all were averaged for our overall score.
For a comprehensive outline of our approach, ratings and feedback, you can go to our full NHS West Yorkshire ICB EDS22 Report.
Evidence Collated
Comprehensive evidence was collated in partnership with colleagues and partners across all the Domains. Check and challenge was provided by partners, colleagues, trade union representatives and for Domain 3, an independent peer review provided by West Yorkshire Healthwatch.
For summaries of evidence by Domain, please see the following links;
Domain 1 Evidence - Commissioned or provided services
Domain 1 Rating - We scored ourselves 2 in all Outcomes – ‘Achieving’
Domain 2 Evidence - Workforce health and well-being
Domain 2 Rating - We scored ourselves 2 in all Outcomes – ‘Achieving’
Domain 3 Evidence - Inclusive leadership
Domain 2 Rating - We scored ourselves 2 in all Outcomes – ‘Achieving’
For a comprehensive collation of all evidence provided, you can review our Full Reporting Template.
Objectives identified across domains
Following the involvement and peer review activity, objectives were identified for each Domain. These will be refined over the coming months.
For summaries of objectives identified by Domain, see the following links;
Domain 1 Objectives - Commissioned or provided services
Domain 2 Objectives - Workforce health and well-being
Domain 3 Objectives - Inclusive leadership
For a comprehensive collation of our objectives identified to date, you can review our Full Reporting Template.
Next Steps
We will continue to refine these actions and ensure they are aligned with other EDI actions from workforce reports, staff experience and improvement plans, (e.g. Workforce Disability Equality Standard, Gender Pay Gap). These will then be prioritised to identify specific organisational EDI objectives and the SMART actions required to deliver EDI improvement.
West Yorkshire ICB will review this first EDS22 implementation to capture lessons learnt, internally and with partners and other stakeholders to help us improve future delivery and participation.
This evaluation will enable the ICB to work more effectively with partners to implement EDS22.
West Yorkshire ICB wishes to thank all those involved in the completion of the EDS22 process.