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NICE and NICE’s equality programme in 2012. Nick Doyle Clinical and public health analyst. Ground to be covered. About NICE Where NICE fits into the health, public health, and social care system NICE’s approach to equality analysis Developments since the last Equality Forum

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nice and nice s equality programme in 2012

NICE and NICE’s equality programme in 2012

Nick Doyle

Clinical and public health analyst

ground to be covered
Ground to be covered
  • About NICE
  • Where NICE fits into the health, public health, and social care system
  • NICE’s approach to equality analysis
  • Developments since the last Equality Forum
  • The impact of our equality analyses on guidance recommendations
  • NICE’s equality objectives
  • Our priorities for 2013/2014
what does nice do
What does NICE do?
  • NICE provides guidance on promoting good health and preventing and treating ill health
  • NICE guidance is about:
    • Clinical practice (clinical care for diseases and conditions)
    • Public health (preventing disease and improving the population’s health)
    • Health technologies (drugs and other treatments)
    • Interventional procedures, medical devices and diagnostic tools
  • But it also includes:
    • Quality standards for the NHS, social care, and public health
    • Quality and Outcomes Framework (QOF) indicators for primary care
    • Commissioning outcomes framework (COF) indicators for measuring the impact of commissioning by clinical commissioning groups
  • NICE runs:
    • NHS Evidence, giving Google-like access to high quality evidence
    • The Medicines and Prescribing Centre (MPC), providing NICE good practice guidance on use of medicines
nice in the health and social care system
NICE in the health and social care system

Cabinet Sub-Committee on Public Health

Secretary of State for Health

Dept for Education

Dept for Communities

Dept for Transport etc

Department of Health

NHS Commissioning Board

CQC

NICE

Public Health England

Ofsted

Central

Health & wellbeing boards

Local

Local authorities

adult/children’s social care, public health, housing, transport, environment etc

Clinical commissioning groups

Some public health

NHS healthcare

Primary care

Housing, transport, environment, leisure etc

Social care

Community health services

Public health

nice s approach to equality analysis
NICE’s approach to equality analysis
  • Age
  • Disability
  • Gender re-assignment
  • Pregnancy & maternity
  • Race
  • Religion or belief
  • Sex
  • Sexual orientation

People sharing protected characteristics

Socio-economic

  • Social exclusion
  • Area-based deprivation
  • Determinants of health inequalities

Special groups

  • For example:
  • Homeless people
  • Looked after children
  • Asylum seekers
nice s equality analysis process
NICE’s equality analysis process

Scoping

Involvement of stakeholder organisations

Involvement of patients, carers and the public

Assessing the

evidence

Draft guidance, quality

standard or indicator

Final guidance

developments since the last equality forum
Developments since the last Equality Forum
  • NICE’s annual equality report:
    • Compares the diversity of NICE’s workforce and advisory bodies with that of other organisations – the Department of Health, the CQC, the EHRC, and health, social care and ‘other’ public bodies
    • finds a smaller proportion of people describing themselves as disabled among NICE staff and new members of NICE advisory bodies than in the ‘benchmark’ organisations
    • finds a marked rise in rates of non-disclosure of monitoring information among new members of NICE advisory bodies
  • NICE’s equality objectives – focusing on diverse advisory body membership and effective participation
  • Our response to the 2011 Equality Forum’s suggestions:
    • An immediate change – we now consult at the scoping stage of NICE quality standards
    • A number of areas for longer-term development
  • Patient and Public Involvement Programme project on engagement with children and young people
impact of equality analysis on guidance recommendations in 2011 12
Impact of equality analysis on guidance recommendations in 2011/12
  • Equality analysis of 158 items of guidance: 286 equality issues found, 99 (35%) having an impact on recommendations:
what are nice s equality objectives
What are NICE’s equality objectives?
  • Objective 1:
  • The reasons for this research objective:
    • We need advisory bodies that are representative, and we also need specialist knowledge and understanding of equality
    • We need to do better in recruiting people with disabilities but also from other protected groups
    • But it’s not just about numbers, it’s about achieving effective participation of people with disabilities and others
  • The research findings should help us get the maximum benefit from the involvement of people from protected groups
  • They may be of interest beyond NICE
what are nice s equality objectives1
What are NICE’s equality objectives?
  • Objective 2
  • The reason for the objective:
    • We need more complete equality monitoring information from people who want to work at NICE and, especially, from people who want to be members of advisory bodies
    • There are growing gaps in monitoring information about advisory body members, so it’s difficult to set useful objectives for diversity
  • Work on this objective should result in better quality monitoring information and more effective recruitment policies
equality priorities for 2013 14
Equality priorities for 2013/14
  • Complete work on NICE’s equality objectives
  • Review and update NICE’s equality scheme and transfer it into the National Institute for Health and Care Excellence
  • Continue to make improvements where we can to NICE’s methods for equality analysis
  • Maintain NICE’s compliance with Equality Act duties