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Equality Impact Assessment Please read the Guide to Equality Impact Assessment before completing this form. The completed assessment is to form part of the policy/proposal/business case appendices when submitted to [email protected] for consideration and approval. CANCER SERVICES INCLUDING THE ACUTE ONCOLOGY AND THE CHEMOTHERAPY SERVICE SECTION A A Does the document, proposal or service affect one group less or more favourably than another on the basis of: Yes/No Justification & data sources Patients with suspected cancer or with a confirmed cancer diagnosis are managed according to Cancer Network agreed clinical guidelines (Cancer Peer Review). The Trust’s Access Policy ensures that cancer patients are favourably treated on the basis of clinical need irrespective of race, ethnic origin or nationality. Cancer suspect / diagnosed patients are provided with “key worker” contact details for information and psychological support. There is a Macmillan Information and Support Manager based in the Cancer Unit that all patients, families and carers, regardless of whether they are a patient of Mid-Cheshire Hospital or not can access to receive comprehensive information, signposting, counselling support and complementary therapy. Interpretation service are available within the Trust via the Big Word or face to face via PALS. Individual treatment plans and holistic needs assessment is undertaken for all patients including members of the travelling community where positive arrangements are put in place to promote and encourage accessibility to cancer services. No issues identified relating to sex. All genders can access cancer services according to clinical need. Trans patients are assessed on an individual basis and treated according to their clinic needs. Individual needs would be assessed and identified in confidence. Preferred gender identity is established prior to consultation / treatment. Urological / Gynaecological cancers would be treated according to clinical need. This may be by gender at birth. A Trust policy is in place to safeguard patients requiring radiological imaging / radiographs. Individualised risk assessments are undertaken for patients requiring investigation / treatment (point of care testing) and for staff employed by the Trust. Medication advice / support is readily available from the Pharmacy Dept.. Staff employed by the Trust has 1 Race, ethnic origins (including gypsies and travellers) or nationality No 2 Sex No 3 Transgender No 4 Pregnancy or maternity No equitable access to parental leave. 5 Marriage or civil partnership No 6 Sexual orientation including lesbian, gay and bisexual people No 7 Religion or belief No 8 Age No 9 Disability - learning disabilities, physical disability, sensory impairment and mental health problems No 10 Economic/social background No B Human Rights – are there any issues which may affect human rights No issues identified. Patients are treated according to their clinical need. No issues identified relating to sexual orientation. Treatment is given according to clinical need. No issues identified relating to religion or belief. Access to multi faith leaders is available via Switchboard . The Macmillan Information and Support Service have three volunteers and the manager who have attended ‘Opening the Spirtual Gateway’ training. A referral system is in place for the Macmillan Information and Support Manager to refer individuals to the chaplaincy. Treatment options are discussed with individual patients for e.g. Jehovah Witness patients requiring blood products. Service available for adults only. Young people below 18 will attend specialist centres. Treatment is considered on an individual basis and given according to clinical need. Additional services would be appropriately provided depending on individual needs. Patients receiving chemotherapy receive free car parking within the Trust (NHS Confederation). Patients are treated according to clinical need. Patients in receipt of benefits can claim travel costs through MCHFT general office. Benefits advice is available within the Macmillan Unit three mornings a week which includes Department of Works and Pensions and Macmillan grants. 1 Right to Life No Patients are consented for Chemotherapy / treatment according to clinical need. Cancer patients have access to their Key Worker for palliative support. Adjuvant therapy is offered according to clinical need. Proposed treatment plans are discussed in sub-specialty multidisciplinary team (MDT) meetings, which comply with Cancer Peer Review measures. 2 Freedom from Degrading Treatment No No issues have been identified. 3 Right to Privacy or Family Life No Relatives / carers can attend Outpatient Services with agreement from patient. 4 Other Human Rights (see guidance note) No No issues have been identified Date: 11th June 2014 Name: Delyth A. Owen Signature: D. A. Owen Job Title: Clinical Nurse Manager, Cancer Services Date:9th June 2014 Signature J. Pieczarka Name: Julie Pieczarka Job Title. Macmillan Information and Support Manager. Where an impact has been identified in Section A, please outline the actions that have been agreed to reduce or eliminate risks in Section B. If there are no impacts identified in Section A, completion of Section B is not necessary. SECTION B Please expand tables below as necessary SECTION B NUMBER A1-10, B1-4 NATURE OF IMPACT EVIDENCE STAKEHOLDER INVOLVEMENT ACTION COST LEAD TIMESCALE RISK SCORE