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Delivering for Remote and Rural Healthcare: The Final Report of the Remote and Rural Workstream


Equality and Diversity Impact Assessment

Equality and Diversity Impact Assessment involves anticipating the consequences of policies or functions on relevant groups for example patients, carers, staff, and communities in respect of age, gender, faith, disability, race, and sexual orientation and making sure that as far as possible, any negative consequences are eliminated or minimised and opportunities for promoting equality are maximised.

The five key themes of the project have been examined using an EQIA approach 56. Pervasive issues have been highlighted to illustrate how equality and diversity is relevant to the models described / strategic development and were possible specific working examples have also been included to illustrate the impact of equality and diversity on standards of practice and/or care.

Common issues reflected across all workstream themes leading to potentially positive and/or negative impacts for different individuals, groups and communities include: the sustainability of services; workforce in terms of capacity and as a representation of the broader community; managing technology; the presence of professional and social support networks; the availability and capacity of transport networks and community resilience.

Equality and Diversity Impact Assessment of the Remote and Rural Project has highlighted how many of the issues presented within a remote and rural setting would be reflected in any setting, the key differences are that a) the remoteness and rurality can significantly increase the potential of an impact either positive or negative; and b) any actual negative impact on an individual will be exacerbated by remoteness and rurality in terms of being able to raise an issue as well as finding appropriate support to address a negative impact.

Although addressing or preventing negative impacts may have resource implications, by giving appropriate consideration to such potential at the beginning rather than the end of a process resources can be used more effectively, will be of more benefit over a longer period of time and will be more clearly evidenced in terms of building up a longer term business case.


Within the Equalities legislative framework it is expected that each NHS Board will, when progressing local implementation of the models presented in the report, conduct and report on Equality and Diversity Impact Assessments according to locally agreed guidelines.