Select Committee on Business, Enterprise and Regulatory Reform Written Evidence


Reply to questionnaire from Department of Health

QUESTIONNAIRE ON IMPLEMENTATION OF THE GENDER EQUALITY DUTY

1.   What practical measures have you taken to implement the duty in relation to employees of your Department? Have you undertaken an equal pay audit, or another survey to detect any barriers to the full participation of women in your workforce? What have you done to address under-representation of women in specific grades or types of post?

    —    The profile of women in senior posts within the Department of Health exceeds Cabinet Office targets (40% compared with 37%) We have therefore set ourselves additional "stretch" objectives to ensure we strive to improve our position. One of these is that, by December 2008, there should be 43% of women in the SCS.

    —    Our HR strategy set out in our Single Equality Scheme sets out a number of positive action measures including diversity briefings for headhunters and recruitment agencies to ensure that we have a diverse pool of applicants; career development programmes open to all staff from under-represented groups; a planned programme of mentoring for staff in these groups; and monitoring of all recruitment and employment data by gender and the other equality strands. We've also just completed the first stage analysis of the equal pay review and we are currently carrying out some more detailed analysis.

    —    All HR policies and processes are now equality impact assessed before implementation. We have just established a Single Equality Council, with representatives from the diversity networks, who will have central role to play in quality assuring and diversity proofing all internal policies and procedures, and will comment on draft health and social care policies.

2.   Have you reviewed the policies and administrative procedures of your Department for gender bias? What action have you taken to correct such bias?

  Our Single Equality Scheme sets out a number of activities that we are undertaking in respect of gender equality. These include:

    —    Establishment of the Gender Equality Advisory Group (GEAG) —functioning to advise DH on health trends, provide a consultative forum on outward-facing policy, review and provide feedback on its development and implementation. This includes development of an action plan to address discrimination against transgender people.

    —    Domestic Abuse—DH has established guidance, set up advisory groups and linked with specialist organisations. The aims of this are to improve maternal health and needs of pregnant women in view of the fact that many cases of domestic abuse start during pregnancy. Guidance issued on Responding to Domestic Abuse: A handbook for Health Professionals.

    —    Sexual Orientation and Gender Identity Action Group (SOGIAG) —A programme to eliminate discrimination and promote equality for Lesbian Gay Bisexual and Transgender people in health and social care a number of projects sitting underneath this work including work on transgender health and promotion of positive image/good relations plus leaflets on Sexual Health Information for Women who have sex with women.

    —    Gender research Project—Developing research and guidance into how men and women access services. This project will be very strategic and will systematically analyse and provide evidence in relation to gender equality and then provide a basis for identifying specific actions that the DH and NHS needs to take to address gender inequality of outcomes in health. This will help to inform priorities for the future.

    —    Public health information strategy and policy guidance to support local analysis of commissioning and service development—EQIA completed on planned development work.

    —    Guidance on effective community and court liaison to address gender issues—on target for delivery by March 2008.

    —    Delivering gender equality for women's mental health—work includes strengthening accountability, improving quality and experience of services, and improved support.

    —    Including gender equality in Departmental EqIA training. The Department urges all staff to acquire EqIA training to inform policy-making. Its internal policy specialist site signposts staff on how to acquire this training.

  The Department is committed to promoting equality within the health service in order to achieve delivery on our drive to improve health, tackle health inequalities and create greater choice and responsiveness in the NHS. The Department's EglA training underpins its commitment to ensuring that the legal requirements in terms of ensuring that different groups and individuals within society are not discriminated against or excluded, must be the starting point for all its policies.

  The Government also has a number of programmes to embed equality within public services and underpin new legislative frameworks and undertakings.

    —    The Department of Health has published a guide to help NHS organisations comply with the legislation: Creating a Gender Equality Scheme: A Practical Guide for the NHS provides best practice advice on how NHS organisations might produce a Gender Equality Scheme. The Guide specifically addresses issues of equal pay as well as a broader commitment towards tackling gender inequalities within healthcare.

    —    The Department is supporting the NHS's Single Equality Scheme project which also incorporates gender equality.

    —    The Department and NHS Employers (part of NHS Confederation representing NHS Trusts in England on Workforce issues) have been doing work for some time on the development of a single equality scheme for NHS organisations. There is also advice on the NHS Employers' Website on both gender duty and carrying out pay audits for NHS organisations.

    —    As part of Agenda for Change—the new pay and reward system for the NHS—the Equalities Group (a sub-group of the NHS Staff Council) are now monitoring the levels of pay by gender and ethnicity, comparing pre- and post-Agenda for Change levels.

    —    The Department has a key role in the development of the social care workforce and as we deliver the requirements set out in Our Health, Our Care, Our Say, we are working closely with the Improvement and Development Agency for Local Government (IDeA) and Skills for Care Eastern to gather information that will help develop a model of practice for employers. Our aim is to bring employers together, from health and social care, public, private and voluntary sectors and learn how they have worked across boundaries, to effectively agree a shared workforce plan that is coherent and cohesive with their business planning process. When we are able to present a model of integrated workforce planning that is shown to work, we would aim to roll this out across other areas with the expectation that, employers would join up recruitment, induction and training which in time would result in reduced staff turnover as the sectors improved partnership working.

    —    The Department also provides funding and grants to develop the social care workforce: the National Training Strategy (NTS) grant provides £107.9 million in 2007-08 to support training and development of staff working in both Adult and Children's social care services; the Human Resources Development Strategy Grant provides £49.75 million in 2007-08 to support social care employers to develop the social care workforce; £285 million is being invested in 2007-08 on Social Care Development and Training; £91 million is being spent to continue to support social work education and training, including over £60 million in financial support to social work students.

3.   Have your procurement policies and practices been changed to take account of the gender equality duty? How do they reflect the duty?

    —    In terms of procurement the Department's terms and conditions of contract contain a clause relating to Discrimination and Human Rights that stipulates: "... the Contractor shall ensure that it complies with all current employment legislation and in particular, ... the Sex Discrimination Act 1975 (as amended), ... the Equality Act 2006, ...".

    —    An additional clause is being considered to provide additional clarification on the specific responsibilities and consultation will take place with our Solicitors branch.

4.   Generally, are there any differences in your approach to implementing the gender equality duty from your approach to implementing the race equality duty?

    —    We have developed a Single Equality Scheme that captures activity across all the equality strands and, whilst we adopt the same principles and practices in the collation of information, we are clear that the gender equality duty places specific requirements on public sector bodies.

    —    In terms of policy development, we have set up a Gender Equality Advisory Group which helps the Department develop strategic direction in this area.

    —    We keep our commitments in our Single Equality Scheme under constant review and revise our plans taking into account comments from internal and external stakeholders, including the Equal Opportunities Commission.





 
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