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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