Engagement on the Equality Delivery System ratings and objectives

We have signed up to the implementation of the new NHS Equality Delivery System (EDS). It’s an optional equalities tool designed to help us provide better outcomes for patients and communities, and better working environments for staff which are personal, fair and diverse.

The  Equality Delivery System will help us to recruit, develop and retain the best and most talented professionals reflective of the rich diversity of our capital city, as well as enhancing the experiences of our patients and service users, in line with our vision and values.

As part of the process, we are asking patients, staff and the public to rate us against key equalities outcomes and to comment on the equality objectives we have set.



How can I take part in the engagement exercise?

The EDS has 18 outcomes grouped into four goals. The outcomes focus on issues of most concern to patients, carers, communities, NHS staff and Boards.

The four goals are:

  1. Better health outcomes for all
  2. Improved patient access and experience
  3. Empowered, engaged and inclusive staff
  4. Inclusive leadership

You can help us by rating us against each of the outcomes, which are listed in the EDS grades manual. You can choose from:

  • Excelling (purple) – Using good data and evidence, the organisation can demonstrate that services are designed, procured and delivered to fully meet the needs of all protected characteristic groups, promoting wellbeing and reducing health inequalities.
  • Achieving (green) – Using best available evidence, the organisation can demonstrate that patients from most protected characteristic groups have their safety prioritised, assured and are just as safe as patients as a whole.
  • Developing (amber) – Evidence indicates that health needs assessments and resulting services are delivered by providers in appropriate ways for only some protected groups. It could be fine for all protected groups, but there is only evidence on some of them.
  • Undeveloped (red) – The organisation is unable to demonstrate, using best available evidence, that service changes are discussed with patients from protected groups and that the service changes are made smoothly. All or most protected characteristic groups report less satisfactory service changes and transitions than patients as a whole.

Evidence could include reports, staff & service user surveys, Care Quality Commission registration evidence, public health intelligence etc.

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Rate us against the EDS outcomes

Important: Please read all the key sources of equalities information and documents and then rate us against the 18 outcomes on the form below. In the box state whether you would rate us as excelling, achieving, developing or undeveloped.

For example, for (1.1) Services are commissioned, designed and procured to meet the health needs of local communities, promote well-being, and reduce health inequalities, you may think we are 'developing' - so type this in the box next to the outcome.

If you are unable to access the form below, or would prefer to send us your own comments please email EqualityandInclusionTeam@lond-amb.nhs.uk with your ratings.

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Have your say on our equality objectives

We have chosen the following equality objectives, spanning the four EDS goals.

Please can you let us know if you agree with the objectives we have chosen or, if you think we should have different equality objectives, tell us what you think these should be and why.

Goal 1 – Better health outcomes for all

  • Our objective: We will ensure that the satisfaction rates with our Patient Transport Service are equitable for both women and men using the service  

Goal 2  – Improved access and experience

  • Our objective: We will improve the process for capturing equalities data in the area of patient complaints to ensure that more than 50 per cent of complainants have provided relevant details and begin to monitor trends in complaints from black and minority ethnic (BME) Service users in 2012/13.

Goal 3 – Empowered, engaged and well-supported staff

  • Our objective: We will act on the results of the staff survey and develop both corporate and localised actions to improve key problems identified by 2016

Goal 4 – Inclusive leadership

  • Our objective: The Equality and Inclusion Steering Group will appoint champions for each of the protected characteristic groups (age, disability, gender reassignment, marriage or civil partnership, pregnancy and maternity, religion or belief, sex, sexual orientation or any other aspect of a person’s background) by 2014, to ensure that the interests of these groups are protected and promoted with regard to staff, patients, service users and other stakeholders in line with the requirements of the Equality Act 2010.

Important: Please read our objectives above, aligned with each goal, and fill out the form below to let us know if you agree with the objectives we have set. You just need to tick 'agree' or 'disagree'. We have left room for you to be able to make any other suggestions.

If you are unable to access the form below, or would prefer to send us your own comments please email EqualityandInclusionTeam@lond-amb.nhs.uk 

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Background to the Equality Delivery System

The Equality and Diversity Council, a sub-committee of the NHS Management Board, chaired by Sir David Nicholson, the Chief Executive of the NHS in England, and comprising representatives from the NHS, Department of Health, Trade Unions, patient groups, regulators and the voluntary sector, have sponsored and supported the design of this new equalities toolkit. It is intended to support NHS organisations in improving their equality performance and mainstreaming equalities into their mainstream business.

It has been designed specifically to assist NHS bodies with meeting the requirements of the Equality Act 2010 public sector duty and is intended to support NHS Trusts with meeting the equality aspects of the NHS Constitution, the NHS Outcomes Framework, Care Quality Commission’s Essential Standards and the Human Resources Transition Framework. The EDS was officially launched on 10 November 2011.

For more information about the EDS, please visit the Equality Delivery System website.

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Key sources of equalities information

London Ambulance Service documents and reports:

More information about our equality and inclusion work.

If you require any of these documents in an alternative format, or a different language please contact EqualityandInclusionTeam@lond-amb.nhs.uk

Equality Delivery System documents

Pleas note the NHS Equality Delivery System team will shortly be providing an EasyRead version of the documents below:

All the above documents can be found on the Equality Delivery System website.

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What we been doing to progress the EDS?

Throughout 2011, in preparation for the Equality Delivery System, our Equality and Inclusion team has:

  • attended the London EDS workshops, chaired by the NHS London Equalities Lead, Mary Clarke.
  • invited Mary Clarke to a meeting at Equality and Inclusion Steering Group to present on the EDS, and initial sign-up was given to the implementation of the Equality Delivery System by the Trust. (August 2011)
  • taken part in a London-wide EDS workshop, which included representatives from NHS staff, service users, the voluntary sector and commissioners. (October 2011)
  • taken part in the Outer North East London (ONEL) Equality Partnership Group EDS workshop, comprising a wide range of interested stakeholder groups. (November 2011)

We will continue to be represented as an associate member on the EDS working group ONEL is setting up to oversee their progress against the EDS.

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Goals, grades and outcomes

The EDS ensures that NHS organisations, in collaboration with their relevant interest groups, are able to analyse and grade their performance and set one or more equality objectives, as required by the Equality Act 2010, which are then incorporated into their business planning processes.  Below are links to the evidence we provided for our Care Quality Commission registration, which enables you to assess our performance.

At the centre of the EDS are four goals and eighteen outcomes (Annex 1 – pages 28-29 of the Equality Delivery System Main Text.

We believe that the EDS provides a very helpful opportunity to engage with our diverse stakeholders on a wide range of initiatives, aimed at removing health inequalities  and improving health outcomes for all.

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Contact Us

For more details about this section of our site, or if you require any of these documents in an alternative format or a different language, please email us below