Embedding Equality

Embedding Equality – planning, developing and delivering services that meet the needs of our diverse community

The following information describes how we take equalities into account when assessing need, planning services, designing and purchasing services, and evaluating those services.

1. Assessing Need

Under the 2010 Equality Act public organisations like the City and Hackney Clinical Commissioning Group must publish information about its service users who share a protected characteristic, to show it understands their needs.

The following documents and resources provide detailed information about our local population and their health needs.

City and Hackney Health and Wellbeing Profile

The City and Hackney Health and Wellbeing Profile provides a detailed description of the health and wellbeing needs of the local population.

It is produced regularly by Hackney Council in partnership with the Local NHS, the City of London Corporation and community organisations. We have a statutory responsibility to publish this document, which is also known as the Joint Strategic Needs Assessment (JSNA).

The Health and Wellbeing Profile provides a 'big picture' of local needs, ranging from the social and environmental conditions which shape health and wellbeing through to the specific illnesses and conditions that local people suffer from. The profile is used to improve the way Hackney Council, the City of London Corporation and the NHS commission and deliver services for local people.

Hackney Council's Shared Evidence Base

The Shared Evidence Base brings together all of the major plans, policies and research documents about Hackney, its people and place.

The Shared Evidence Base includes a quarterly facts and figures leaflet which provides a quick guide to key data and trends, the Hackney Profile, which gives more detailed information about population, equality groups, health, employment, education and housing, environment, growth and change in the borough, profiles of each of Hackney’s 21 wards, as well as more in-depth, subject-based research on population, children and young people, community safety, housing, the local economy and planning.

The Equality and Diversity pages include information about Hackney Council’s equality objectives and Single Equality Scheme.

The City of London Corporation's Equality and Diversity web pages

These web pages contain information about the City of London Corporation’s Single Equality Scheme and service delivery data.

The Public Health Outcomes Framework

The Public Health Outcomes Framework tracks progress on key indicators on the wider determinants of health like school readiness; measures to prevent illness like vaccination and screening; factors which improve health like smoking prevention; and indicators which point to the overall effectiveness of health treatment and preventative services such as mortality rates generally and for specific diseases for each local authority area in England.

The ‘Marmot’ Indictors

This is a set of indicators designed to measure the social determinants of health. Indicators include life expectancy, young people not in training, employment or education and people in households in receipt of means tested benefits. They are available at regional and local authority level.

The London Health Observatory

This website contains a wide range of data, research and intelligence about health and health services in London.

Hackney Healthwatch

Hackney Healthwatch is the local watchdog for health services. It aims to get all sections of the community involved in discussions and decisions on local health matters.

Healthwatch carries out inspections of specific health services. It also commissions and undertakes research – such as the 23 research projects conducted by community organisations funded through its Fund for Health. Topics ranged from the health needs of people with long-term conditions in the Cheredhi Jewish community to training disabled volunteers to undertake access audits of public buildings.

2. Planning services

Our Five Year Plan sets out our vision for the coming years, which is based on the following principles:

  • Patients in control of their health and well being;
  • A joined-up system which is safe, affordable, of high quality, easy to access, eliminates patients waste and improves patient experience;
  • A collaborative approach to reducing health inequalities and premature mortality and improving patient outcomes;
  • Getting the best outcomes for every £ we invest through an equitable balance between good preventative services, strong primary and community services and effective hospital and mental health services which are wrapped around patient needs;
  • Services working efficiently and effectively together to deliver patient and clinical outcomes and providers in financial balance.

In 2014 the Government issued guidance for NHS commissioners on their legal duties to promote equality and prevent health inequality. 

3. Design and purchase of services

The 2010 Equality Act places a duty on public bodies to eliminate unlawful discrimination, advance equality of opportunity and foster good relations between different groups.

We will assess the impact of all major decisions on the equality groups affected by carrying out Equality Impact Assessments.

Equality Impact Assessments

In most cases reports for key decisions will include an Equality Impact Assessment, which will be published and available for the public to read. Equality Impact Assessments look at the potential impacts, both positive and negative, that a service, policy or function may have on different groups of people. We can then enhance the positive impacts on equality and minimise any negative effects.

Understanding how different people will be affected by our decisions helps us develop policies and services that are appropriate and accessible to all, and which meet different people's needs.

Information on Equality Impact Assessments undertaken will be published here once available.

Service specifications

Once commissioned the City and Hackney Clinical Commissioning Group agrees a detailed service specification with the service provider.

Each specification outlines the steps the service will take to eliminate unlawful discrimination, advance equality of opportunity and foster good relation between different groups.

4. Monitoring and evaluation

We continue to monitor the delivery and effectiveness of services we commission to ensure they are performing effectively and helping us meet our equality objectives.

We do this in a number of ways.

The Equality Delivery System

The Equality Delivery System (EDS) is an outcomes based assessment framework which is designed in line with the Equality Act 2010.   There are four goals:

  • Better health outcomes for all
  • Improved patient access and experience;
  •  Empowered included and engaged staff; and
  • Inclusive leadership at all levels.

The CCG will discuss its performance against each of these goals with local stakeholders and agree whether it is excelling, achieving, developing or underdeveloped. The views of patients, staff and local interest groups, particularly City and Hackney Healthwatch will be taken into account.

The EDS will be used by the Care Quality Commission (CQC) to assess the City and Hackney Clinical Commissioning Group. 

The EDS not only enables us to demonstrate we are fulfilling our duties under the Equality Act 2010 but also reflects our organisational values particularly being democratic and collaborative. It also provides evidence in the event the CCG is challenged on any decisions.

The City and Hackney Care Commissioning Group has agreed a plan for its initial self assessment under the EDS from December 2013 – January 2015. Our Equality Delivery System webpage describes how we will implement the system.

Benefits realised reports

These outline the benefits that have been achieved as a result of our interventions.

Benefits realised reports will be published on our website once available.


At the end of each commissioning period, our services are evaluated to see how far they have achieved their objectives. 

Details of the evaluation reports will be published on our website once available.

Feedback and complaints

We will monitor the number of complaints made by patients about local health services as well as the equality groups of those making the complaints to ensure particular groups are not being unfairly treated.

For details on how to make a complaint, please see our complaints pages. Information on complaints monitoring will be published here once available.