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Royal United Hospital, Bath NHS Trust
Achieving a Positively Diverse RUH
AGENDA ITEM 11.1 – APPENDIX 3
Achieving a Positively Diverse RUH
Equality Impact Assessment for Delivery of Patient Care
Impact Assessment Undertaken by: Steve Hart, Divisional Manager - Surgery
Date: 19.08.08
Department: Surgical Division – Orthopaedic Spine Specialty Team
Title of proposed change Appointment of Full Time Orthopaedic Spine Specialist
Approved by: Steve Hart - Divisional Manager
Briefly describe the service that your department is providing:
Provision of specialist orthopaedic spinal inpatient and outpatient services for the benefit of patients
within catchments areas of B&NES and Wiltshire PCT.
Describe your patient base in terms of : (last 12 months patient attendances)
291 patients were discharged in the period April 07-March 08. These are summarised below:
 Ethnicity
ethnic_code
A
C
G
H
N
R
S
Z
Grand Total
Ethnic Group
British
Any other White background
Any other mixed background
Indian
African
Chinese
Any other ethnic group
Not stated
Total
226
4
1
3
1
1
1
54
291
 Gender M = 145 F = 146
 Disability1
Not known
1
A disabled person is someone who has a long-term physical or mental health impairment that has a substantial and long term adverse effect on his or
her ability to carry out normal day to day activity (individuals with cancer are specifically included in this definition.)
Author: Steve Hart, Divisional Manager, Surgery
Date: September 2008
Version: 1
Public Trust Board
3 September 2008
Royal United Hospital, Bath NHS Trust
Achieving a Positively Diverse RUH
AGENDA ITEM 11.1 – APPENDIX 3
 Age
Age Band
0-9
10-19
20-29
30-39
40-49
50-59
60-69
70-79
80-89
90-99
Total
Count
20
22
25
40
42
35
37
28
31
11
291
Briefly describe the change that is being proposed:
The introduction of a second full time spine specialist consultant to more effectively manage the
current activity referral flows and to provide an opportunity for increased referrals to be treated at the
RUH.
How have you ensured that patients have been involved and consulted in developing these
proposals?
Patients have not been directly involved in developing the proposal for a new spinal consultant. This
has largely been driven by demand currently out weighing capacity available at present within the
RUH. Patients have, however, been consulted with in respect of informing future orthopaedic
patient pathways.
How will the changes proposed impact the patient base that you have described above. Please
indicate positive, negative or neutral impact.
There will be a positive affect in that patients will be seen effectively and more promptly enabling the
RUH to make progress towards the aspiration of a local maximum ten week wait.
Where a negative impact is identified, how might the proposal be changed to avoid this?
No negative impacts.
What are the costs/benefits of altering the proposal?
Increased costs and benefit are documented within the business case. Namely, increased
operational expenditure offset by the benefits of increased revenue flows and reduced access times.
Author: Steve Hart, Divisional Manager, Surgery
Date: September 2008
Version: 1
Public Trust Board
3 September 2008
Royal United Hospital, Bath NHS Trust
Achieving a Positively Diverse RUH
AGENDA ITEM 11.1 – APPENDIX 3
Author: Steve Hart, Divisional Manager, Surgery
Date: September 2008
Version: 1
Public Trust Board
3 September 2008