The EDS serves the purpose of helping NHS organisations review and improve their performance in respect of the protected characteristics aligned to NHS England’s Long Term Plan and its commitment to an inclusive NHS that is fair and accessible to all and their Public Sector Equality Duty (PSED) set out in The Equality Act 2010, as an employer, commissioner and a service provider.
EDS implementation by NHS provider organisations is mandatory in the NHS Standard Contract and is a key requirement for all NHS commissioners. Detailed information on how to implement EDS 2022 is contained in the EDS 2022 Technical Guidance.
EDS for 2025/26
Important Information
Please note that the annual review below is for February 2026.
Following the annual review of the EDS, the Trust has moved from ‘Achieving’ to ‘Developing’. It acknowledges and aligns with the findings of the three recent external reviews that either had a full or partial focus on the approach and position of the Trust with regards to Equality Diversity and Inclusion (EDI).
The review by ENEI was commissioned by the Trust in acknowledgement of its EDI-related challenges and concluded the Trust had areas for improvement although compliant with its statutory requirements. The Trust is committed to bringing about the required change and as a result developing the necessary improvement actions that will be incorporated into the Inclusion and Belonging Plan, which will provide the overarching framework.
It is in light of the findings from the reviews that there has been a shift from ‘Achieving’ to ‘Developing’, as opposed to a deterioration in activity.
The below tables set out all the outcome ratings and scores used to confirm the overall rating. This has been arrived at by referring to the EDS Ratings and Score Card Guidance. All outcome ratings and scores have been taken from evidence gathering and subsequent allocation in collaboration with key internal leads, key stakeholders and external peers. It is important to note that Domain 1 focuses on specific areas of activity as opposed to an overall overview as with Domains 2 and 3.
Please find below further detail:
- Domain 1 Commissioned or Provided Services Evidence
- Domain 2 Workforce Health and Well-being Evidence
- Domain 3 Inclusive Leadership Evidence
| Domain 1 | Outcome | Score/Rating 2025 | Score/Rating 2026 |
|---|---|---|---|
| Commissioned or provided services evidence | 1A: Patients (service users) have required levels of access to the service | 2/Achieving | 2/Achieving |
| 1B: Individual patients (service user’s) health needs are met | 2/Achieving | 2/Achieving | |
| 1C: When patients (service users) use the service, they are free from harm | 2/Achieving | 2/Achieving | |
| 1D: Patients (service users) report positive experiences of the service | 2/Achieving | 2/Achieving |
| Domain 2 | Outcome | Score/Rating 2025 | Score/Rating 2026 |
|---|---|---|---|
| Workforce health and well-being | 2A: When at work, staff are provided with support to manage obesity, diabetes, asthma, COPD and mental health conditions | 2/Achieving | 2/Achieving |
| 2B: When at work, staff are free from abuse, harassment, bullying and physical violence from any source | 2/Achieving | 1/Developing | |
| 2C: Staff have access to independent support and advice when suffering from stress, abuse, bullying harassment and physical violence from any source | 2/Achieving | 1/Developing | |
| 2D: Staff recommend the organisation as a place to work and receive treatment | 2/Achieving | 1/Developing |
| Domain 3 | Outcome | Score/Rating 2025 | Score/Rating 2026 |
|---|---|---|---|
| Inclusive Leadership | 3A: Board members, system leaders (Band 9 and VSM) and those with line management responsibilities routinely demonstrate their understanding of, and commitment to equality and health inequalities | 2/Achieving | 1/Developing |
| 3B: Board/Committee papers (including minutes) identify equality and health inequalities related impacts and risks and how they will be mitigated and managed | 2/Achieving | 1/Developing | |
| 3C: Board members and system leaders (Band 9 and Very Senior Manager) ensure levers are in place to manage performance and monitor progress with staff and patients | 2/Achieving | 1/Developing |