Equality and diversity

NHS Coastal West Sussex Clinical Commissioning Group (CWS CCG) is committed to eliminating unlawful discrimination, promoting equality of opportunity in respect to the way we commission healthcare services and to developing a diverse and well supported workforce which reflects the population we serve.

The Equality Act 2010 requires us to meet our Public Sector Equality Duty across the range of protected groups of age, gender, disability, race and ethnicity, sexual orientation, religion/ belief, gender reassignment, marriage / civil partnership and pregnancy/maternity status.

Equality objectives

As a public sector body, we are required to prepare and publish equality objectives. Our equality objectives are aligned with our vision, values and strategic objectives and were established when we were authorised as a clinical commissioning group in 2013 and are in place until April 2017.

Refreshing our objectives in 2016

During 2016 we are going to use the Equality and Delivery System 2 (known as EDS2) to refresh our objectives.

This is a process of reviewing local information about the population we serve, looking closely at our performance and what we are doing to provide equal opportunities, and – importantly - asking our stakeholders to grade us. We have set up a task and finish group to drive this work forward. 

If you would like to work with us on this and help us to grade our current performance please contact us so we can include you in our planning.

About the Coastal West Sussex population

West Sussex County Council Public Health department regularly collect and update information about our population. The most recent information (2015) can be found here:

Some key findings for our area are:

  • We have one of the oldest populations in England, over 23% of our population is aged over 65 (compared to the England average of 16%). 
  • 9% of the population were born outside the UK. The population has a high proportion of White British residents, the biggest minority group are “White Other” with the next biggest group as “Asian / Indian”.
  • Based on population estimates there will be 40-55,000 Lesbian, gay and bisexual people in West Sussex
  • Based on population estimates there will be around 16,000 people with a Learning Disability in West Sussex
  • We have areas of high deprivation – some areas along the coastal strip are amongst the 10% most deprived in the country. Life expectancy can vary by almost 13 years across the patch – 70.8 years in Littlehampton and 83 years in Bramber
  • It is estimated that 61,600 people have common mental health problems in the CWS area.

Addressing health inequalities

One of the key challenges in the CCG area is reducing inequalities in provision of services and improving the health of people, including those living in areas where we see highest variation in health outcomes e.g. those of highest deprivation, or poor access in rural areas. In 2014 we held health inequalities training for CCG staff and local GPs.

On 22 September 2015, the CCG agreed a fundamental commitment to address the unacceptable variation in outcomes between local populations, bringing all communities up to the level of best performance, in line with the Marmot principles. This will be achieved by a targeted approach: 

  • In developing new models of care, the approach and investment will be fair for all communities, proportionate to level of need.
  • Targeting health prevention in CWS most deprived communities by joining health and well-being hubs to primary care in the most deprived areas as part of the primary care strategy.
  • Prioritising parity of esteem for mental health both in improving mental health outcomes and improving the physical health of those with mental health needs.
  • Piloting an approach to working jointly with partner agencies, Adur and Worthing District Councils and West Sussex County Council in specific communities in Adur and Worthing.

In relation to the last point, a new joint project called “Going Local” is being set up to help local people address the root causes of ill-health. This is a project that brings together the CCG, Adur and Worthing Councils and West Sussex County Council.

Part of this involves the launch of a community referral (social prescribing) pilot project across seven GP practices to put new advisers into the community who can support individuals and connect people (patients) to services and help in the community.  It is a means for primary care services to refer patients with social, emotional or practical needs to a range of non-clinical services often provided by the voluntary and community sector.

It is hoped that the project will be up and running by late summer / early autumn.

In January 2016, the CCG appointed a Clinical Lead for Health and Wellbeing who will develop a system-wide programme to improve health and wellbeing in our population, as well as reducing health inequalities. There will be a strong focus on partnership working across primary care and other providers, local councils, county council, public health, patient groups and the voluntary sector.

Reaching patients who do not speak English as their first language

A guide to where to get the best NHS care in West Sussex is available in the following languages on our "get the right care" page:

The following posters in Polish about where to get appropriate health care are also available for display in waiting rooms:

Equality Impact Assessments

Equality Impact Assessments are a way to ensure that we take into consideration the potential positive and negative impacts of any change in our services. We also describe what action we would take if there are any possible negative impacts.  Please find below recent Equality Impact Assessments.

Equality impact assessment for Arun Medical Group patient list's possible redistribution to alternative GP practices.

Useful links

  • Government Equality office - responsible for equality strategy and legislation across government.  It leads on issues relating to women, sexual orientation and transgender equality.
  • Equality and Human Rights Commission (EHRC) monitors human rights, protecting equality across 9 grounds - age, disability, gender, race, religion and belief, pregnancy and maternity, marriage and civil partnership, sexual orientation and gender reassignment.

Equality Objectives and EDS2 from our partners