Equality and Human Rights Screening

This report includes published screenings from January 2018 to March 2018.

If you wish to download a hard copy of the screening outcome report please click here.

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Policy & Screening Document /Policy Description

Date

Screening Outcome

Reason for Outcome

Provision of adult speech and language therapy service on Royal Hospitals on Sundays and Statutory Days

To establish a permanent rota for 7.5 hours of Adult Speech and Language Therapy on Sundays and designated statutory days for the acute RVH wards (excluding ED, CAU, ICU/HDU,CICU, Neurosciences and ENT).  Funding for this service development was secured following on from a successful pilot commenced in Feb 2016 which was staffed by volunteers and limited to mornings only.  Benefits to patients include being commenced on oral intake earlier thereby reducing the amount of time patients remained Nil by Mouth.  Other outcomes include the facilitation of patient discharge or transfer to another hospital, thereby impacting on overall patient flow.

5/1/18 Screened out Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Pathway for the management of non-obstetric adult patients who decline specified blood components or blood products.

This policy provides guidance on the legal, ethical and clinical aspects of caring for competent non-pregnant adult patients, 18 years and older, who decline transfusion of one or more blood components or blood products.  It includes guidance on perioperative measures to reduce blood loss, make use of transfusion alternatives and harness a patient’s possible postoperative outcome.

9/1/18 Screened out Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Guidelines for empirical antibiotic prescribing in hospitalised adults.

The intended outcome from these guidelines is to maintain the appropriateness of antibiotic prescribing decisions, taking account of both efficacy and unintended consequences of antibiotic use including rising prevalence of resistance and healthcare-associated pathogens.

9/1/18 Screened out Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

RVH Pathway for admission of patients with suspected stroke.

To provide a clear pathway of admission for patients with suspected stroke to ensure admission to Stroke Unit when appropriate.  To avoid inappropriate admission of patients who are unlikely to have stroke.

10/1/18 Screened out Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Modernisation of Ward 4 South in the Belfast City Hospital Tower

The primary aim of this project is to reconfigure Ward 4 South in the Belfast City Hospital (BCH) Tower to provide daycare services only i.e the ward will no longer have inpatient beds to which inpatients could be admitted.  This will increase capacity to provide daycare treatments which will subsequently help to reduce waiting times for patients and improve service user experience.

17/1/18 Ongoing screening The Trust has decided to subject this proposal to ongoing screening to ensure that the impact is not more adverse than originally anticipated and that the mitigation is appropriate to minimise any negative impact.

Winter Planning safety initiative to ensure safe and effective care in older people’s acute services

This proposal involves the temporary down-turning of Ward 1 Meadowlands, which provides acute services for older people and accordingly the redeployment of staff to older people's acute wards.   The Trust will instead provide appropriate services in the community and fund a multi-disciplinary team to ensure the full needs of service users are met.  This temporary initiative is a contingency measure to last 6 months.  It is the intention of the service to re-open Ward 1 Meadowlands after 6 months assuming nursing vacancies have been filled.

22/1/18 Ongoing screening The Trust has decided to subject this proposal to ongoing screening to ensure that the impact is not more adverse than originally anticipated and that the mitigation is appropriate to minimise any negative impact.

Identification of insured EEA patients using Emergency Dept services

The aim is to identify EEA patients in Emergency Depts (ED), obtain their European Heath Insurance Card details and report these to the overseas healthcare team in the Dept for Work and Pensions so that costs can be reimbursed by the member state country.

31/1/18 Screened out Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

PARIS Community Information System Implementation

The Community Information System (CIS) within the Belfast Trust is Civica’s Paris, a person-centred community information system being implemented in both Adult and Children’s Community Services for around 4,500 users. It will be available on desktop and laptop computers.

The business case for the implementation gives a comprehensive list of aims and benefits, but these can be grouped into the follow categories.

•         Risk Management

•         Expanding Business  Information Requirements

•         Modernising Community Services.

•         Performance Management

•         Efficiency and Productivity

•         Structured and standardised information

•         Integrated Assessment Processes

•         HPSS ICT Programme objectives.

5/2/18 Screened out with mitigation Screened out with mitigation.

Management of patient controlled analgesia in adult patients

This policy applies to all adult inpatients in the Belfast Trust who have a patient controlled analgesia modality prescribed for pain. It is intended to serve as a guide for safe, effective use of patient controlled analgesia.

20/2/18 Screened out Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Non medical prescribing policy

This policy sets out a framework for the development and implementation of non-medical prescribing of medicines within Belfast Health and Social Care Trust (BHSCT) and thus establishes a consistent approach for non-medical prescribing.  This policy applies to all registered nurses, midwives, specialist community public health nurses, pharmacists and other allied health professionals registered with the Trust as non-medical prescribers of medicines in accordance with their job descriptions and KSF outlines.

21/2/18 Screened out with mitigation Screened out with mitigation

Complementary Therapy Policy within Learning Disability Inpatient Services

To provide clear guidance on the roles and responsibilities of the Complementary Therapist within Learning Disability Inpatient Facilities in the Belfast Health and Social Care Trust and to ensure standardisation of practice in co-ordinating the delivery of individualised, person centred, comprehensive therapies.

27/2/18 Screened out Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Management of the induction of labour

This guideline offers best practice advice on the care of women who are having or being offered induction of labour.

The purpose of this document is to provide all obstetricians, midwives with clear guidance on the indications for induction of labour and to provide a clear and safe pathway for the care of women who are having or being offered Induction of Labour within the Belfast Health and Social Care Trust and includes guidance on the use of ‘Propess®’ (Dinoprostone 10mg) as an induction agent.

27/2/18 Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Emergency Caesarean Section Guideline

This guideline provides direction for all health care professionals involved in the care of childbearing women who require an emergency Caesarean Section (CS).

This guideline should ensure that staff caring for women who require an emergency Caesarean Section follow the same pathway in carrying out an emergency Caesarean Section.

27/2/18 Ongoing screening

The Trust has decided to subject this proposal to ongoing screening to ensure that the impact is not more adverse than originally anticipated and that the mitigation is appropriate to minimise any negative impact.

Guideline for the prevention, diagnosis and management of Hyponatraemia in labour and the immediate post partum period.

The purpose of this guideline is to reduce the risk of hyponatraemia through the expedients of:

Increased awareness
Accurate fluid balance monitoring
Earlier detection.

1/3/18 Screened out Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Policy & procedures for the application of paediatric orthopaedic splintage for developmental dysplasia of the hip – DDH

The policy and procedures clarify the steps to be taken by nursing staff in the         application of splintage (Pavlik Harness or Ring Splints) for the treatment of Developmental Dysplasia of the Hip (DDH) following diagnosis by a member of orthopaedic medical staff.

6/3/18 Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

NI Controlled Drugs Local Intelligence Network (LIN):  Guidance for disclosing Identifying Details of Relevant Persons.

The policy describes regional agreed guidance for Controlled Drugs Accountable Officers. The purpose of the regional guidance is to assist Accountable Officers and relevant colleagues within the organisation in the decision making process regarding the disclosure of a person’s details to the Local Intelligence Network.

7/3/18 Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.

Standard operating procedure (SOP) on the prevention of ventilator associated events.

This standard operating procedure (SOP) is to be used when caring for a child who is mechanically ventilated in PICU. It outlines ventilator associated events and their prevention using the ventilator associated pneumonia care bundle.

28/3/18 Screened out

Screened out as per Equality Commission’s guidance on screening with no adverse impact with regard to equality of opportunity and/or good relations for people within the equality and good relations categories.


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Archive of screening outcome reports:

Screenings Sept - Dec 2011

Screenings Jan-Mar 2012

Screenings April-June 2012

Screenings July-Sept 2012

Screenings Oct-Dec 2012

Screenings Jan-Mar 2013

Screenings April-June 2013

Screenings July-Sept 2013

Screenings Oct-Dec 2013

Screenings Jan-Mar 2014

Screenings April-June 2014

Screenings July - September 2014

Screenings Oct - Dec 2014

Screenings Jan - Mar 2015

Screnings April - June 2015

Screenings July - Sept 2015

Screenings Oct - Dec 2015

Screenings Jan - March 2016

Screenings April - June 2016

Screenings July - September 2016

Screenings Oct - December 2016

Screenings Jan - March 2017

Screenings April - June 2017

Screenings July - 8 Nov 2017.

Screenings 9 Nov 2017 - Dec 2017