The Human Rights Act 1998 sets out a range of rights which have implications for the way the ICB buys services and manages their workforce. In practice this means that we must:

Act compatibly with the rights contained in the Human Rights Act in everything we do. Recognise that anyone who is a ‘victim’ under the Human Rights Act can bring a claim against the ICB (in a UK court, tribunal, hearing or complaints procedure).

Wherever possible, existing laws that the ICB as a public body deals with, must be interpreted and applied in a way that fits with the rights in the Human Rights Act 1998.

Click the link here for more information on Understanding Human Rights.

The main purpose of the Equality Delivery System 2 (EDS2) is to help local NHS organisations, in discussion with local partners including local populations, review and improve their performance for people with characteristics protected by the Equality Act 2010. It is aligned to NHS England’s commitment to an inclusive NHS that is fair and accessible to all.

The four EDS2 goals are:

1. Better health outcomes for all

2. Improved patient access and experience

3. Empowered, engaged and included staff

4. Inclusive leadership at all levels

More information is available:

• A refreshed Equality Delivery Service for the NHS
• 2015 EDS2 Goals and Outcomes Easy Read
• 2015 EDS2 How it works Easy Read
• NHS England Equality Delivery System Video
• 2022-23 EDS2 Summary Report
• 2021 EDS2 Summary Report

ICBs should commit to the principles of the WRES and apply as much of it as possible to their own workforce

To produce action plans to close any gaps in workplace experience between white and black and ethnic minority (BME) staff.

To improve BME representation at senior and Board level of the organisation where the representation does not reflect the population it serves

In this way, ICBs can demonstrate good leadership, identify concerns within their workforces and set an example for their providers.

Workforce Race Equality Standard (WRES) Action Plan 2021/22

NHS Workforce Race Equality Standard Report 2020/21

The WRES applies to NHS providers, independent sector providers and voluntary sector providers. All providers of NHS services (other than primary care) are required to address the issue of workforce race inequality by implementing and using the WRES.

Key to the ICB achieving our equality objectives is our relationships and the support we provide to NHS and other key providers. In our supporting role, the ICB works collaboratively with providers to establish shared understandings and expectations, to be innovative while performing efficiently and effectively within an environment of economic restraint.

Key Providers Equality and Inclusion Webpages: Norfolk and Norwich University Hospital NHS Trust

Norfolk and Suffolk Foundation Trust

Norfolk Community Health and Care

East of England Ambulance Service NHS Trust

East Coast Community Healthcare

James Paget University Hospital

Queen Elizabeth Hospital Kings Lynn

The Modern Slavery Act came onto the statute in March 2015. The main thrust of the Act focuses on illegal activity in the UK; however, the legislation also looks at the potential for slavery down the supply chain outside of the UK. The Act has direct implications for businesses operating in any sector in the UK.

Businesses operating above the turnover threshold of £36 million are required to produce a ‘Slavery and Human Trafficking Statement,’ outlining what steps they have taken in their supply chain and own business to ensure slavery and human trafficking is not taking place.

Who does the Act apply to?

a) A body corporate (wherever incorporated) which carries on a business, or part of a business, in any part of the United Kingdom, or

b) A partnership (wherever formed) which carries on a business, or part of a business in any part of the United Kingdom.

The aim of this measure is to encourage businesses to do the right thing and to drive transparency as companies’ statements are published, scrutinised and compared.

Equality Impact Assessments (EIAs) are one tool for examining the main functions and policies of an organisation to see whether they have the potential to affect people differently. Their purpose is to identify and address existing or potential inequalities, resulting from policy and practice development. Ideally, EIAs should cover all the strands of diversity and will help NHS organisations get a better understanding of their functions and the way decisions are made, by:

considering the current situation deciding the aims and intended outcomes of a function or policy considering what evidence there is to support the decision and identifying any gaps ensuring it is an informed decision What is equality analysis?

ICBs are responsible for making a wide range of decisions, from the contents of overarching policies and budget setting to day-to-day decisions that affect specific individuals.

Equality analysis is a way of considering the effect on different groups protected from discrimination by the Equality Act, such as people of different ages. There are two reasons for this:

To consider if there are any unintended consequences for some groups. To consider if the policy will be fully effective for all target groups. It involves using equality information, and the results of engagement with protected groups and others, to understand the actual effect or the potential effect of the CCGs functions, policies, or decisions. It can help to identify practical steps to tackle any negative effects or discrimination, to advance equality, and to foster good relations.

The ICB uses an EIA template to assess and record its equality analysis for each project or area of work. The template also includes a list of the protected characteristics from the Equality Act and prompts to assess if other health inequalities might be present due to e.g. low income or access to services in rural areas.

In accordance with the Equality Act 2010 (Gender Pay Gap Information) Regulations 2017, employers with 250 or more employees are required to publish Gender Pay Gap calculations no later than 30 March each year.

NHS Norfolk and Waveney ICB's Gender Pay Gap Report for March 2024 is available here.