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.
Revised EDS for 2023/24 – EDS 2022
A review of the EDS was undertaken throughout 2021 and 2022 to incorporate system changes and take account of the new system architecture. Through collaboration and co-production and taking into consideration the impact of COVID-19, the EDS was updated and transitioned from EDS2 to EDS 2022 comprising of eleven outcomes spread across 3 Domains:
- Domain 1 Commissioned or provided services
- Domain 2 Workforce health and well-being
- Domain 3 Inclusive leadership
EDS 2022 was published on the NHS England website in August 2022 and shared with the West Yorkshire Health and Care Partnership Integrated Care Board (ICB) and stipulated that EDS reviews should:
- Be carried out annually with the result of the review published on organisation websites by 28th February.
- Take place as follows:
- Domain 1 – Summer/Quarter 2
- Domain 2 – Spring/Quarters 1
- Domain 3 – Autumn/Quarter 3
EDS for 2022/23 – EDS2
Due to the challenge to implement EDS 2022 by February 2023 that was recognised locally and regionally, it was agreed across Leeds to:
- Complete the existing three-year EDS process based on EDS2 and publish self-assessments against Goals 3 and 4 by the 28th February 2023.
- Begin compliance against EDS 2022 at the start of the new financial year on the 1st April in continued collaboration with the Integrated Care Board (ICB) representing Leeds, Leeds and York Partnership Foundation Trust and Leeds and Community Healthcare.
Please find below Goals 3 & 4 Self-Assessments for 2022/23:
Goal 3 ‘Empowered, Engaged and well-supported staff’
Goal 4 ‘Inclusive Leadership At All Levels’
EDS for 2023/24 – EDS 2022
Following a review against each of the outcomes of each of the three domains of EDS 2022 throughout 2023/24, the Trust is rated as ‘Developing’. The total outcome score for the Trust was 21, which is 1 point away from ‘Achieving’. Organisations who score between 8 and 21 are rated as ‘Developing’.
The below tables set out all the outcome scores used to confirm the total outcome score of 21. This has been arrived at by referring to the EDS Ratings and Score Card Guidance. All outcome scores have been taken from evidence gathering and outcome score allocation in collaboration with key internal leads, key stakeholders and peers. 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 |
| Commissioned or provided services | 1A: Patients (service users) have required levels of access to the service | 2/Achieving |
| 1B: Individual patients (service user’s) health needs are met | 2/Achieving | |
| 1C: When patients (service users) use the service, they are free from harm | 2/Achieving | |
| 1D: Patients (service users) report positive experiences of the service | 2/Achieving |
| Domain 2 | Outcome | Score/Rating |
| 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 |
| 2B: When at work, staff are free from abuse, harassment, bullying and physical violence from any source | 2/Achieving | |
| 2C: Staff have access to independent support and advice when suffering from stress, abuse, bullying harassment and physical violence from any source | 2/Achieving | |
| 2D: Staff recommend the organisation as a place to work and receive treatment | 1/Developing |
| Domain 3 | Outcome | Score/Rating |
| 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 |
| 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 | |
| 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 |