{"text_format":"1","workbook":"xlsx","n_sheets":13,"sheets":["Version & Notes","Menu","Summary","Safety","Effectiveness","Experience","System and Other Impacts","Measurement","EIA","Upload Attachments","Instructions","Decision Matrix","QIA Matrix"],"not_rendered":{"charts":2,"images":5,"macros":1,"external_links":0,"defined_names":2,"comments":7,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"Version & Notes","index":0,"n_rows":201,"n_cols":8,"rows_kept":201,"cut":false,"hidden":false,"merged":[[3,2,3,6]]}
[null,null,"Click to return to menu"]
[null,null,"Author and Review History"]
[null,null,"Title"]
[null,null,{"$f":"Menu!F4","v":"Merger between Meadowgreen Health Centre and The Avenue Medical Practice"}]
[]
[null,null,"Name","Version Number","Author / Reviewer","Action","Date","Notes"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Author","Initial"]
[null,null,null,"Reviewer","Review"]
[null,null,null,"Authoriser","Update"]

{"sheet":"Menu","index":1,"n_rows":34,"n_cols":10,"rows_kept":34,"cut":false,"hidden":false,"merged":[[1,3,2,9],[28,3,28,4],[24,3,25,9],[3,3,3,4],[4,3,4,9],[16,3,16,4],[3,5,3,9],[18,3,18,4],[18,5,18,9],[17,3,17,4],[4,1,5,1],[5,3,14,9],[17,5,17,9],[16,5,16,9],[26,7,26,9],[22,3,22,4],[22,5,22,6],[20,1,21,1],[20,3,20,4],[21,3,21,4],[20,5,20,6],[21,5,21,6],[20,8,20,9]]}
[]
[null,"Quality & Equality Impact Assessment",null,"Devon STP Quality Equality Impact Assessment"]
[]
[null,"Instructions",null,"Title:",null,"Merger between Meadowgreen Health Centre and The Avenue Medical Practice"]
[null,"There are 4 domains relating to patient care: Safety, Effectiveness, Experience and Impacts and an Equality Impact Assessment in this tool.\n\nBegin the tool by completing this sheet and then complete Safety assessment first.\nPlease work through this tool  to identify the impact of your proposed service changes against the status quo. Complete the four worksheets with either text or using the drop down boxes in highlighted in white. Calculations are then automated.\nYou will also need to complete the Equality Impact Assessment (EIA) to demonstrate compliance with the Equality Act 2010.\nResults are displayed in the summary sheet.\n(Use Ctrl - C and Ctrl - V to copy and paste.)",null,"Summary description of the change proposal:"]
[null,null,null,"The reason why we are submitting this request is to ensure the provision of long-term sustainable health care to the practice population of the The Meadowgreen Health Centre and The Avenue Medical Practice .This will enable innovative approaches to delivering primary care and extending opening hours to offer increased access to patients. Both sites would upon the merger open on a Thursday afternoon and provide core hours across both sites all days of the week. \n\nWe would continue to build on the strong relationship we have developed through working as part of the Peak Edge Network with staff already working across both sites. The Partners are already partners at both Practices and have we have started to align our working processes for benefit of our patients.\n\nWe believe this proposal if successful will have a significant benefit for patients offering them more sustainable access to general practice services and it will put the practice in a position to work with the CCG and NHS England to deliver the clinical services in line with ambition set out in the Five Year Forward View.\n\n"]
[]
[null,"Menu"]
[null,"Assessments"]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"Completed by:",null,"Joanne Johnson and Elaine Rissbrook"]
[null,"Other views",null,"Date:",null,"1st June 2020"]
[null,null,null,"Initial or Review",null,"Initial"]
[]
[null,null,null,"Review Group",null,"None",null,"Outcome","Not Considered"]
[null,null,null,"Date:",null,"2017-01-01"]
[null,null,null,"Max Review Date:",null,{"$f":"F22+(Safety!B14*7)","v":"2017-12-31"}]
[null,"On completion please send a copy to:",null,"Notes"]
[]
[]
[null,"Goto Version and History using link below using link:"]
[null,"Version & Notes",null,"Please enter the CCG total population (thousands)"]
[null,null,null,1200,null,",000"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,"QEIA NHSv34 SYS FEB18"]
[null,null,null,null,null,null,null,null,null,"© NHS Devon CCG"]

{"sheet":"Summary","index":2,"n_rows":30,"n_cols":13,"rows_kept":30,"cut":false,"hidden":false,"merged":[[7,8,10,16],[25,10,25,16],[27,10,27,16],[23,10,23,16],[29,10,29,16],[15,12,15,16],[17,12,17,16],[19,12,19,16],[20,12,20,16],[12,8,12,16],[18,8,18,16],[13,12,13,16]]}
[null,"Click to return to menu"]
[null,"Summary of Quality & Equality Impact Assessment",null,null,null,null,null,null,null,"Date of print: ",null,null,{"$f":"TODAY()","v":"2020-06-11"}]
[]
[null,"Quality Impact Assessment Overview",null,null,null,null,null,null,"Title of change proposal"]
[null,null,null,null,null,null,null,null,{"$f":"Menu!F4","v":"Merger between Meadowgreen Health Centre and The Avenue Medical Practice"}]
[]
[null,null,null,null,null,null,null,null,"Summary description of the change Proposal"]
[null,null,null,null,null,null,null,null,"We are submitting this request is to ensure the provision of long-term sustainable health care to the practice population of the The Meadowgreen Health Centre and The Avenue Medical Practice .This will enable innovative approaches to delivering primary care and extending opening hours to offer increased access to patients, the Practice would upon the merger open both sites on a Thursday afternoon and provide core hours across sites all days of the week. Maintaining the existing high level of services it will enable better access to general practice and associated community services in and out of hours.\n\n"]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,"Total Quality Impact"]
[null,null,null,null,null,null,null,null,"Total Quality Score",null,{"$f":"'QIA Matrix'!M13","v":280},null,{"$f":"IF(K14=0,\"No overall change\",IF(K14>0,\"Improvement in overall quality\",IF(K14<0,\"Reduction in overall quality - look to mitigate\",\"FAULT\")))","v":"Improvement in overall quality"}]
[]
[null,null,null,null,null,null,null,null,"Total Impact score (using absolute values)",null,{"$f":"'QIA Matrix'!M12","v":280},null,{"$f":"IF(K16<20,\"Low Impact\",IF(K16<51,\"Medium Impact\",IF(K16<80,\"High Impact\",\"Very High Impact\")))","v":"Very High Impact"}]
[]
[null,null,null,null,null,null,null,null,"System & Other Impacts Score",null,{"$f":"'QIA Matrix'!M14","v":60},null,{"$f":"IF(K18=0,\"No overall change\",IF(K18>0,\"Positive effect on other impacts\",IF(K18<0,\"Negative effect on other impacts\",\"FAULT\")))","v":"Positive effect on other impacts"}]
[null,null,null,null,null,null,null,null,"Equality Impact"]
[null,null,null,null,null,null,null,null,"Equality Impact Assessment: Groups affected",null,{"$f":"EIA!F59","v":1},null,{"$f":"IF(K20=0,\"Neutral effect\",\"Consider actions to mitigate\")","v":"Consider actions to mitigate"}]
[null,null,null,null,null,null,null,null,"Sum of +ve and -ve impacts",null,{"$f":"EIA!D61","v":0},null,{"$f":"IF(EIA!D68=\"Yes\",\"Equality Impact Assessment Complete\",\"Equality Impact Assessment not completed\")","v":"Equality Impact Assessment Complete"}]
[null,null,null,null,null,null,null,null,"Engagement Activity",null,{"$f":"IF(EIA!N59=0,\"No\",\"Yes\")","v":"Yes"}]
[]
[null,null,null,null,null,null,null,null,"Completed by:",null,{"$f":"Menu!F17","v":"Joanne Johnson and Elaine Rissbrook"}]
[]
[null,null,null,null,null,null,null,null,"Reviewed by:",null,{"$f":"Menu!F21","v":"None"}]
[]
[null,null,null,null,null,null,null,null,"Outcome of Review:",null,{"$f":"Menu!I21","v":"Not Considered"}]
[]
[null,null,null,null,null,null,null,null,"Date of Review:",null,{"$f":"Menu!F22","v":"2017-01-01"}]

{"sheet":"Safety","index":3,"n_rows":17,"n_cols":10,"rows_kept":17,"cut":false,"hidden":false,"merged":[[15,8,15,13],[3,2,3,12],[4,2,4,12],[7,2,7,12],[6,2,6,12]]}
[null,"Click to return to menu"]
[null,"Safety"]
[]
[null,"Geography, hospital, department or other area this applies to:","Describe the change proposed and the clinical area(s) the change applies to."]
[null,"General Practice Medical Centre"]
[]
[null,"Description","What is the impact on the SAFETY of patients of implementing the change proposed including any improvement actions?\n(Please add a description of evidence)"]
[null,"Consider:\nAvoidable Harm to patients\nWaiting leading to harm\nImpact on Safeguarding\nSuitably qualified and experienced staffing\nSafe levels of staffing\nInfrastructure\nClean & Safe environment\nTreatment procedures\nCommunication\nAdministration","Avoidable Harm to patients - The Practice has considered current guidance, best practice procedures for patient safety to  assess any negative impact. In all cases the Practice has concluded that patient safety will improve with the procedures that have already been implemented.  For example a robust DMARD policy has been implemented at The Avenue in line with Meadowgreen.  This has meant the introduction of blue books and recall to ensure the safe monitoring of those patients on DMARD medication.One of the first pieces of work Meadowgreen carried out was to perform a demand analysis on the appointment system at The Avenue.  As a result of this analysis (see attached) the appointment system was changed to offer all day triage to those patients who felt their problem could not wait for a routine appointment.This has been met favourably by staff and patients alike.  Staff often felt frustrated that by mid morning they were asking patients to ring back the following day or directing them to the walk in centre.Both Practices now have the same Safeguarding Lead as this gives continuity and better overview of cases.  These are shared with all staff in Clinical Meetings that are held regularly every 2 weeks along with any significant events that may have arisen.The merger of the two practices would bring together a greater skill mix.  Patients would have access to GP's, GP Registrars, Practice Nurses, ECP's, Physician Associates, Nurse Practitioners, Mental Health Practitioner.The newly merged practice has no plans to make any staff redundant and is currently assessing the need to increase reception and admin hours. Both sites maintain a high standard of cleanliness and safety. Communication across both sites can often be frustrating as the clinical systems are not currently merged.  However once this has been addressed, instant messaging will enable greater communication across the Practices. Secretaries and Coders will work from the main site, once the clinical system has merged.  This will bring consistency to the standard of coding."]
[]
[null,5,"Total Impact"]
[null,null,null,null,null,null,null,null,null,"Band"]
[null,1250,"Number of patients affected per week of the change",null,null,null,null,null,null,{"$f":"IF(B12>'Decision Matrix'!AY15,5,IF(AND(B12<='Decision Matrix'!AZ14,B12>='Decision Matrix'!AY14),4,IF(AND(B12<='Decision Matrix'!AZ13,B12>='Decision Matrix'!AY13),3,IF(AND(B12<='Decision Matrix'!AZ12,B12>='Decision Matrix'!AY12),2,IF(B12<='Decision Matrix'!AZ11,1,0)))))","v":4}]
[]
[null,52,"Time, in weeks, the change will continue.",null,null,null,null,null,null,{"$f":"IF(B14>40,5,IF(AND(B14<=40,B14>=31),4,IF(AND(B25<=30,B14>=21),3,IF(AND(B14<=20,B14>=11),2,IF(B14<=10,1,0)))))","v":5}]
[]
[null,"Impact Description"]
[null,{"$f":"HLOOKUP(B10,'Decision Matrix'!B11:L17,4)","v":"Incident leading  to enhanced benefit\nMultiple permanent benefit or irreversible positive health effects "}]

{"sheet":"Effectiveness","index":4,"n_rows":13,"n_cols":3,"rows_kept":13,"cut":false,"hidden":false,"merged":[[12,1,18,1]]}
[null," d"]
[null,"Effectiveness"]
[]
[null,"Geography, hospital, department or other area this applies to:","Describe the change proposed and the clinical area(s) the change applies to."]
[null,{"$f":"Safety!B5","v":"General Practice Medical Centre"},{"$f":"Safety!C5","v":0}]
[]
[null,"Description","What is the impact on the EFFECTIVENESS of care on patients, of implementing the change proposed including any improvement actions? (Please add a description of evidence)"]
[null,"Consider:\nHCAI \nNICE\nNational Evidence Base\nEffect on Health Outcomes\nPromotion of self care\nLeadership\nCompetence\nReliability\nResponsiveness\nUse of Evidence\nAttach key documents","Both Practices Data from the Quality and Outcomes Framework (QOF) shows patient outcomes are at or above average compared to the\nnational average.\nStaff assess needs and delivered care in line with current evidence based guidance.\nClinical audits demonstrate quality improvement. The Prescribing audit in line with NICE guidelines was reviewed at a Network Level and learning was taken by the other practices in the Network.\nStaff have the skills, knowledge and experience to deliver effective care and treatment. All staff attend regular updates and we have in house learning events which include staff from both Practices.  2 of our Nursing staff, one from each Practice were nominated for the Nurse of the Year award 2019.  One of the Nurses went on to win it for demonstrating excellent care and leadership skills.\nAll staff have received an appraisal in the preceding year. Training and development plans are included in the appraisal process.\nStaff work with other health care professionals to assess need, plan care and deliver treatment plans to improve outcomes for patients with more complex need. All Reception Staff are trained in care navigation, guiding patients towards self care where appropriate.  "]
[]
[null,5,"Total Impact Score"]
[]
[null,"Impact Description"]
[null,{"$f":"HLOOKUP(B10,'Decision Matrix'!B11:L17,5)","v":"Totally acceptable level of effective treatment"}]

{"sheet":"Experience","index":5,"n_rows":13,"n_cols":3,"rows_kept":13,"cut":false,"hidden":false,"merged":[]}
[null," "]
[null,"Patient Experience"]
[]
[null,"Geography, hospital, department or other area this applies to:","Describe the change proposed and the clinical area(s) the change applies to."]
[null,{"$f":"Safety!B5","v":"General Practice Medical Centre"},{"$f":"Safety!C5","v":0}]
[]
[null,"Description","What is the impact on the EXPERIENCE of care on patients, of implementing the change proposed including any improvement actions? (Please add a description of evidence)"]
[null,"Consider:\nWaiting\nPatient Autonomy\nDignity, respect & compassion\nTravel to place of care\nInformed Choice\nControl of care\nResponsiveness\nEmpathy & Caring\nFamily & Friends Test\nFeedback complaints\nFeedback from PALs\nAttach key documents\n","The merger will ensure that both sites will deliver and maintain core services and provide the opportunity to increase locally commissioned services and national enhanced services, eg Care Home DES to be delivered to Leonard Cheshire home.\nIt will improve information management and technology systems – training is planned to ensure that we are using SystmOne to the best of it’s capability and therefore the service we provide to patients is as efficient as it possibly can be.  Both Practices are also using the Ardens templates and looking at the long term condition recall system to align both Practices recalls.\nBeing a larger Practice has potential to deliver a wider range of services and greater specialist knowledge due to its wider skill mix and offer greater access to a variety of appointments (telephone and e-consults) Both Practices are currently introducing DoctorLink and and ACCURx for e-consultations.  Patients have found this of benefit during the COVID crisis.\nServices will be accessible at an enhanced range of times (early mornings, lunchtimes, evenings until 8pm) these will be provided at one site but it will offer wider access to a multidisciplinary health service team in the community, Improve the quality of services for all patients and have the ability to provide more care in the community – increased gp availability to GP’s, nurses and HCA’s to visit patients in their homes to carry our reviews and Patient Centred Care Planning\nBoth Practices have employed through the Network 2 Social Prescribers who are working closely with both practices and developing and forming links with the local voluntary sector and services.  \nThe Practices both participate actively in the Family and Friends test and predominantly receive good feedback regarding the care their patients receive.  Complaints are dealt with in a timely manner and are reviewed by the whole practice to learn and discuss what went wrong and could it have been done any better."]
[]
[null,4,"Total Impact Score"]
[]
[null,"Impact Description"]
[null,{"$f":"HLOOKUP(B10,'Decision Matrix'!B11:L17,6)","v":"Multiple letters of praise / positive independent review \nRepeatedly exceeds internal standards "}]

{"sheet":"System and Other Impacts","index":6,"n_rows":17,"n_cols":13,"rows_kept":17,"cut":false,"hidden":false,"merged":[[15,8,15,13],[4,2,4,12],[7,2,7,12],[6,2,6,12],[9,8,9,9],[10,8,10,9],[9,4,9,6],[10,4,10,6]]}
[null,"Click to return to menu"]
[null,"System & other Impacts"]
[]
[null,"Geography, hospital, department or other area this applies to:","A description of the clinical area(s) the change impacts on."]
[null,{"$f":"Safety!B5","v":"General Practice Medical Centre"},{"$f":"Safety!C5","v":0}]
[]
[null,"Description","Please describe how the change proposed may impact on other parts of the health and social care economy or other services  or ability to deliver the change. (Please add a description informing the score)"]
[" ","Consider:\nShared risk with partner agencies\nClarity of accountability & clinical leadership\nCost effectiveness\nEngagement of staff in design & Implementation\nLocation of service\nPublic and Patient involvement in development & feedback\nEnvironmental consideration\nSocial value (Social Value Act 2012) Impact\nPrivacy Impact (Personal data)\nImpact on other partner organisations\nImpact on employees and other staff, contractual & welfare \nReputation\nVisitors, temporary residents & carers.\nSufficient change management proposed?","We have considered the impact of the proposed plan in terms of share risk with Partner agencies and there will be no change. The location of services will only improve with all services being offered at both sites. Clarity of accountability and clinical leadership will remain the same as all Partners are Partners at both sites.  There will be no reduction in cost to the Practices as all staffing levels are to be maintained if not increased in some areas. Staff have been consulted at all stages and have been able to feed in to ideas and suggestions to process change.  As the service is to be accessible from both locations there will actually be improved access for Meadowgreen patients that live closer to The Avenue site.  This was an objection from patients raised when Meadowgreen relocated to Jordanthorpe Health Centre. The feedback from patients now is very positive and some patients have tried to register at the Avenue already.We have met with the PPPG and all members are very supportive of the idea and can see the benefits.  There will be no change to the service visitors, temporary residents and carers receive. They will be treated with the same respect and dignity that they always have been."]
[null,"Choose the key impact type"]
[null,"Financial sustainability",null,"Please indicate other key impacts.",{"$f":"'Decision Matrix'!A23","v":"Financial sustainability"},null,null,"No",{"$f":"'Decision Matrix'!A24","v":"Staff Experience"},null,"No",{"$f":"'Decision Matrix'!A25","v":"Carers"},"No"]
[null,"Total Impact Score",null,null,{"$f":"'Decision Matrix'!A27","v":"Impact on Partner Organisations"},null,null,"No",{"$f":"'Decision Matrix'!A28","v":"Environment"},null,"No",{"$f":"'Decision Matrix'!A26","v":"Reputation"},"No"]
[null,3]
[null,null,null,null,null,null,null,null,"Band"]
[null,{"$f":"Safety!B12","v":1250},"Number of patients, carers or public affected per week.",null,null,null,null,null,{"$f":"IF(B14>'Decision Matrix'!AY15,5,IF(AND(B14<='Decision Matrix'!AZ14,B14>='Decision Matrix'!AY14),4,IF(AND(B14<='Decision Matrix'!AZ13,B14>='Decision Matrix'!AY13),3,IF(AND(B14<='Decision Matrix'!AZ12,B14>='Decision Matrix'!AY12),2,IF(B14<='Decision Matrix'!AZ11,1,0)))))","v":4}]
[]
[null,"Impact Description"]
[{"$f":"VLOOKUP(B10,'Decision Matrix'!AH6:AI11,2,FALSE)","v":4},{"$f":"HLOOKUP(B12,'Decision Matrix'!B20:L28,A17)","v":"0.5% - 1% under performance against budget"}]

{"sheet":"Measurement","index":7,"n_rows":25,"n_cols":18,"rows_kept":25,"cut":false,"hidden":false,"merged":[[17,6,17,9],[18,6,18,9],[19,6,19,9],[15,1,15,5],[16,1,16,5],[17,1,17,5],[18,1,18,5],[19,1,19,5],[20,1,20,5],[20,6,20,9],[20,10,20,15],[13,1,13,5],[13,6,13,9],[13,10,13,15],[14,1,14,5],[14,6,14,9],[14,10,14,15],[15,10,15,15],[16,10,16,15],[17,10,17,15],[18,10,18,15],[19,10,19,15],[15,6,15,9],[16,6,16,9],[11,1,11,5],[11,6,11,9],[11,10,11,15],[12,1,12,5],[12,6,12,9],[12,10,12,15],[8,10,8,15],[9,1,9,5],[9,6,9,9],[9,10,9,15],[10,1,10,5],[10,6,10,9],[10,10,10,15],[2,1,2,15],[24,1,24,4],[5,1,5,5],[4,1,4,5],[5,10,5,15],[5,6,5,9],[4,6,4,9],[4,10,4,15],[6,1,6,5],[6,6,6,9],[6,10,6,15],[7,1,7,5],[7,6,7,9],[7,10,7,15],[8,1,8,5],[8,6,8,9]]}
[null,"Click to return to menu"]
[null,"Measurement (quality indicators)"]
[null,"How will the Impact of Safety, Effectiveness and Experience described above be measured?"]
[]
[null,"Measurement Description",null,null,null,null,"Current or New Measure",null,null,null,"Method of implementation",null,null,null,null,null,"Responsible lead","Start Date"]
[null,"Safety",null,null,null,null,"New Audit",null,null,null,"Continually audit and review with Peers",null,null,null,null,null,"Dr Carl Egdell","ongoing"]
[null,"Effectiveness",null,null,null,null,"Current measure",null,null,null,"Staff appraisals, QOF Targets, Clinical Reports,",null,null,null,null,null,"All","ongoing"]
[null,"Experience",null,null,null,null,"Current measure",null,null,null,"Friends and Family, complaints, SEAs, GP Survey",null,null,null,null,null,"All","ongoing"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Attach relevent documents or links in the upload attachements sheet by clicking below:"]
[]
[null,"Go to Upload Attachments"]

{"sheet":"EIA","index":8,"n_rows":68,"n_cols":14,"rows_kept":68,"cut":false,"hidden":false,"merged":[[64,13,65,13],[56,1,56,2],[2,1,2,7],[2,9,2,14],[3,2,3,14],[4,2,4,14],[8,1,9,1],[64,1,65,11],[11,1,21,1],[23,1,29,1],[33,1,35,1],[37,1,41,1],[47,1,51,1]]}
[null,"Click to return to menu"]
[null,"Equality Impact Assessment",null,null,null,null,null,null,null,null,null,"Click here to go to Useful Links..."]
[null,"In order to demonstrate compliance with the Equality Act 2010\nDo I need to complete this analysis?\n- If you are introducing change, you should complete this analysis.\nWhat do I need to do?\n- Be proportionate to your work - you will know the significance of the work you are carrying out \n- Be reasonable in your judgement and completion of the analysis \n- Be honest in your appraisal and actions that you will undertake to address any (negative/ positive) issues\n- Use intelligent information for your analysis that helps you to understand who are your customers and how they will be affected by your project/ plan \n- Share your work with the Equality & Diversity lead, especially if you have any concerns and/or do not understand anything in this tool. ",null,null,null,null,null,null,null,"When considering the potential impact on those that share protected characteristics, think about: \n- if there are any unintentional barriers to particular communities\n- whether your project/ plan will bring about positive improvements\n- if it creates good opportunities for accessing services \n- will it improve personal choice for one particular group and not another\n- the consequences for individual people; people can have more than one protected characteristic\n- both people who use the service and staff\nHave you identified any potential discrimination or adverse impact that cannot be legally justified?"]
[null,"Geography, hospital, department or other area this applies to:","A description of the clinical area(s) the change impacts on."]
[null,{"$f":"Safety!B5","v":"General Practice Medical Centre"},{"$f":"Safety!C5","v":0}]
[null,"Equality and Diversity Profile Screening"]
[null,"Protected Groups","Potential People with protected characteristics","Does this group currently use/access the service?",null,"What impact will there be on each group from the proposal?",null,"No's people Affected",null,"Impact Score",null,"Is there any particular information on this group relating to the proposal?\nOutline any evidence of current use.\nOutline evidence from engagement activities including involving communities.\nAny further information?",null,"Has there been specific engagement or consultation  with this group?"]
[]
[null,"Sex / Gender","Women","Yes",null,"Neutral",null,0,null,{"$f":"IF(H9>'Decision Matrix'!$AY$15,5,IF(AND(H9<='Decision Matrix'!$AZ$14,H9>='Decision Matrix'!$AY$14),4,IF(AND(H9<='Decision Matrix'!$AZ$13,H9>='Decision Matrix'!$AY$13),3,IF(AND(H9<='Decision Matrix'!$AZ$12,H9>='Decision Matrix'!$AY$12),2,IF(AND(H9<='Decision Matrix'!$AZ$11,H9>=1),1,0)))))*IF(OR(F9=\"Unknown\",F9=\"Adverse Impact\"),-1,IF(F9=\"Benefit\",1,0))","v":0},null,null,null,"Yes"]
[null,null,"Men","Yes",null,"Neutral",null,0,null,{"$f":"IF(H10>'Decision Matrix'!$AY$15,5,IF(AND(H10<='Decision Matrix'!$AZ$14,H10>='Decision Matrix'!$AY$14),4,IF(AND(H10<='Decision Matrix'!$AZ$13,H10>='Decision Matrix'!$AY$13),3,IF(AND(H10<='Decision Matrix'!$AZ$12,H10>='Decision Matrix'!$AY$12),2,IF(AND(H10<='Decision Matrix'!$AZ$11,H10>=1),1,0)))))*IF(OR(F10=\"Unknown\",F10=\"Adverse Impact\"),-1,IF(F10=\"Benefit\",1,0))","v":0}]
[]
[null,"Race / Ethnic Group","Asian","Yes",null,"Neutral",null,0,null,{"$f":"IF(H12>'Decision Matrix'!$AY$15,5,IF(AND(H12<='Decision Matrix'!$AZ$14,H12>='Decision Matrix'!$AY$14),4,IF(AND(H12<='Decision Matrix'!$AZ$13,H12>='Decision Matrix'!$AY$13),3,IF(AND(H12<='Decision Matrix'!$AZ$12,H12>='Decision Matrix'!$AY$12),2,IF(AND(H12<='Decision Matrix'!$AZ$11,H12>=1),1,0)))))*IF(OR(F12=\"Unknown\",F12=\"Adverse Impact\"),-1,IF(F12=\"Benefit\",1,0))","v":0},null,null,null,"Yes"]
[null,null,"Asian British","Yes",null,"Neutral",null,0,null,{"$f":"IF(H13>'Decision Matrix'!$AY$15,5,IF(AND(H13<='Decision Matrix'!$AZ$14,H13>='Decision Matrix'!$AY$14),4,IF(AND(H13<='Decision Matrix'!$AZ$13,H13>='Decision Matrix'!$AY$13),3,IF(AND(H13<='Decision Matrix'!$AZ$12,H13>='Decision Matrix'!$AY$12),2,IF(AND(H13<='Decision Matrix'!$AZ$11,H13>=1),1,0)))))*IF(OR(F13=\"Unknown\",F13=\"Adverse Impact\"),-1,IF(F13=\"Benefit\",1,0))","v":0}]
[null,null,"Black","Yes",null,"Neutral",null,0,null,{"$f":"IF(H14>'Decision Matrix'!$AY$15,5,IF(AND(H14<='Decision Matrix'!$AZ$14,H14>='Decision Matrix'!$AY$14),4,IF(AND(H14<='Decision Matrix'!$AZ$13,H14>='Decision Matrix'!$AY$13),3,IF(AND(H14<='Decision Matrix'!$AZ$12,H14>='Decision Matrix'!$AY$12),2,IF(AND(H14<='Decision Matrix'!$AZ$11,H14>=1),1,0)))))*IF(OR(F14=\"Unknown\",F14=\"Adverse Impact\"),-1,IF(F14=\"Benefit\",1,0))","v":0}]
[null,null,"Black British","Yes",null,"Neutral",null,0,null,{"$f":"IF(H15>'Decision Matrix'!$AY$15,5,IF(AND(H15<='Decision Matrix'!$AZ$14,H15>='Decision Matrix'!$AY$14),4,IF(AND(H15<='Decision Matrix'!$AZ$13,H15>='Decision Matrix'!$AY$13),3,IF(AND(H15<='Decision Matrix'!$AZ$12,H15>='Decision Matrix'!$AY$12),2,IF(AND(H15<='Decision Matrix'!$AZ$11,H15>=1),1,0)))))*IF(OR(F15=\"Unknown\",F15=\"Adverse Impact\"),-1,IF(F15=\"Benefit\",1,0))","v":0}]
[null,null,"Chinese","Yes",null,"Neutral",null,0,null,{"$f":"IF(H16>'Decision Matrix'!$AY$15,5,IF(AND(H16<='Decision Matrix'!$AZ$14,H16>='Decision Matrix'!$AY$14),4,IF(AND(H16<='Decision Matrix'!$AZ$13,H16>='Decision Matrix'!$AY$13),3,IF(AND(H16<='Decision Matrix'!$AZ$12,H16>='Decision Matrix'!$AY$12),2,IF(AND(H16<='Decision Matrix'!$AZ$11,H16>=1),1,0)))))*IF(OR(F16=\"Unknown\",F16=\"Adverse Impact\"),-1,IF(F16=\"Benefit\",1,0))","v":0}]
[null,null,"Gypsy or Roma","Yes",null,"Neutral",null,0,null,{"$f":"IF(H17>'Decision Matrix'!$AY$15,5,IF(AND(H17<='Decision Matrix'!$AZ$14,H17>='Decision Matrix'!$AY$14),4,IF(AND(H17<='Decision Matrix'!$AZ$13,H17>='Decision Matrix'!$AY$13),3,IF(AND(H17<='Decision Matrix'!$AZ$12,H17>='Decision Matrix'!$AY$12),2,IF(AND(H17<='Decision Matrix'!$AZ$11,H17>=1),1,0)))))*IF(OR(F17=\"Unknown\",F17=\"Adverse Impact\"),-1,IF(F17=\"Benefit\",1,0))","v":0}]
[null,null,"Irish","Yes",null,"Neutral",null,0,null,{"$f":"IF(H18>'Decision Matrix'!$AY$15,5,IF(AND(H18<='Decision Matrix'!$AZ$14,H18>='Decision Matrix'!$AY$14),4,IF(AND(H18<='Decision Matrix'!$AZ$13,H18>='Decision Matrix'!$AY$13),3,IF(AND(H18<='Decision Matrix'!$AZ$12,H18>='Decision Matrix'!$AY$12),2,IF(AND(H18<='Decision Matrix'!$AZ$11,H18>=1),1,0)))))*IF(OR(F18=\"Unknown\",F18=\"Adverse Impact\"),-1,IF(F18=\"Benefit\",1,0))","v":0}]
[null,null,"Mixed Heritage","Yes",null,"Neutral",null,0,null,{"$f":"IF(H19>'Decision Matrix'!$AY$15,5,IF(AND(H19<='Decision Matrix'!$AZ$14,H19>='Decision Matrix'!$AY$14),4,IF(AND(H19<='Decision Matrix'!$AZ$13,H19>='Decision Matrix'!$AY$13),3,IF(AND(H19<='Decision Matrix'!$AZ$12,H19>='Decision Matrix'!$AY$12),2,IF(AND(H19<='Decision Matrix'!$AZ$11,H19>=1),1,0)))))*IF(OR(F19=\"Unknown\",F19=\"Adverse Impact\"),-1,IF(F19=\"Benefit\",1,0))","v":0}]
[null,null,"White","Yes",null,"Neutral",null,0,null,{"$f":"IF(H20>'Decision Matrix'!$AY$15,5,IF(AND(H20<='Decision Matrix'!$AZ$14,H20>='Decision Matrix'!$AY$14),4,IF(AND(H20<='Decision Matrix'!$AZ$13,H20>='Decision Matrix'!$AY$13),3,IF(AND(H20<='Decision Matrix'!$AZ$12,H20>='Decision Matrix'!$AY$12),2,IF(AND(H20<='Decision Matrix'!$AZ$11,H20>=1),1,0)))))*IF(OR(F20=\"Unknown\",F20=\"Adverse Impact\"),-1,IF(F20=\"Benefit\",1,0))","v":0}]
[null,null,"White British","Yes",null,"Neutral",null,0,null,{"$f":"IF(H21>'Decision Matrix'!$AY$15,5,IF(AND(H21<='Decision Matrix'!$AZ$14,H21>='Decision Matrix'!$AY$14),4,IF(AND(H21<='Decision Matrix'!$AZ$13,H21>='Decision Matrix'!$AY$13),3,IF(AND(H21<='Decision Matrix'!$AZ$12,H21>='Decision Matrix'!$AY$12),2,IF(AND(H21<='Decision Matrix'!$AZ$11,H21>=1),1,0)))))*IF(OR(F21=\"Unknown\",F21=\"Adverse Impact\"),-1,IF(F21=\"Benefit\",1,0))","v":0}]
[null,null,"other ethnic backgrounds","Yes",null,"Neutral",null,0,null,{"$f":"IF(H22>'Decision Matrix'!$AY$15,5,IF(AND(H22<='Decision Matrix'!$AZ$14,H22>='Decision Matrix'!$AY$14),4,IF(AND(H22<='Decision Matrix'!$AZ$13,H22>='Decision Matrix'!$AY$13),3,IF(AND(H22<='Decision Matrix'!$AZ$12,H22>='Decision Matrix'!$AY$12),2,IF(AND(H22<='Decision Matrix'!$AZ$11,H22>=1),1,0)))))*IF(OR(F22=\"Unknown\",F22=\"Adverse Impact\"),-1,IF(F22=\"Benefit\",1,0))","v":0}]
[]
[null,"Disability","Physical","Yes",null,"Benefit",null,0,null,{"$f":"IF(H24>'Decision Matrix'!$AY$15,5,IF(AND(H24<='Decision Matrix'!$AZ$14,H24>='Decision Matrix'!$AY$14),4,IF(AND(H24<='Decision Matrix'!$AZ$13,H24>='Decision Matrix'!$AY$13),3,IF(AND(H24<='Decision Matrix'!$AZ$12,H24>='Decision Matrix'!$AY$12),2,IF(AND(H24<='Decision Matrix'!$AZ$11,H24>=1),1,0)))))*IF(OR(F24=\"Unknown\",F24=\"Adverse Impact\"),-1,IF(F24=\"Benefit\",1,0))","v":0},null,"Access to fully Equality Act compliant buildings",null,"Yes"]
[null,null,"Sensory (hearing and/or partial sight)","Yes",null,"Neutral",null,0,null,{"$f":"IF(H25>'Decision Matrix'!$AY$15,5,IF(AND(H25<='Decision Matrix'!$AZ$14,H25>='Decision Matrix'!$AY$14),4,IF(AND(H25<='Decision Matrix'!$AZ$13,H25>='Decision Matrix'!$AY$13),3,IF(AND(H25<='Decision Matrix'!$AZ$12,H25>='Decision Matrix'!$AY$12),2,IF(AND(H25<='Decision Matrix'!$AZ$11,H25>=1),1,0)))))*IF(OR(F25=\"Unknown\",F25=\"Adverse Impact\"),-1,IF(F25=\"Benefit\",1,0))","v":0}]
[null,null,"Deaf people","Yes",null,"Neutral",null,0,null,{"$f":"IF(H26>'Decision Matrix'!$AY$15,5,IF(AND(H26<='Decision Matrix'!$AZ$14,H26>='Decision Matrix'!$AY$14),4,IF(AND(H26<='Decision Matrix'!$AZ$13,H26>='Decision Matrix'!$AY$13),3,IF(AND(H26<='Decision Matrix'!$AZ$12,H26>='Decision Matrix'!$AY$12),2,IF(AND(H26<='Decision Matrix'!$AZ$11,H26>=1),1,0)))))*IF(OR(F26=\"Unknown\",F26=\"Adverse Impact\"),-1,IF(F26=\"Benefit\",1,0))","v":0}]
[null,null,"Learning Disabilities","Yes",null,"Neutral",null,0,null,{"$f":"IF(H27>'Decision Matrix'!$AY$15,5,IF(AND(H27<='Decision Matrix'!$AZ$14,H27>='Decision Matrix'!$AY$14),4,IF(AND(H27<='Decision Matrix'!$AZ$13,H27>='Decision Matrix'!$AY$13),3,IF(AND(H27<='Decision Matrix'!$AZ$12,H27>='Decision Matrix'!$AY$12),2,IF(AND(H27<='Decision Matrix'!$AZ$11,H27>=1),1,0)))))*IF(OR(F27=\"Unknown\",F27=\"Adverse Impact\"),-1,IF(F27=\"Benefit\",1,0))","v":0}]
[null,null,"Mental Health","Yes",null,"Neutral",null,0,null,{"$f":"IF(H28>'Decision Matrix'!$AY$15,5,IF(AND(H28<='Decision Matrix'!$AZ$14,H28>='Decision Matrix'!$AY$14),4,IF(AND(H28<='Decision Matrix'!$AZ$13,H28>='Decision Matrix'!$AY$13),3,IF(AND(H28<='Decision Matrix'!$AZ$12,H28>='Decision Matrix'!$AY$12),2,IF(AND(H28<='Decision Matrix'!$AZ$11,H28>=1),1,0)))))*IF(OR(F28=\"Unknown\",F28=\"Adverse Impact\"),-1,IF(F28=\"Benefit\",1,0))","v":0}]
[null,null,"Dementia","Yes",null,"Neutral",null,0,null,{"$f":"IF(H29>'Decision Matrix'!$AY$15,5,IF(AND(H29<='Decision Matrix'!$AZ$14,H29>='Decision Matrix'!$AY$14),4,IF(AND(H29<='Decision Matrix'!$AZ$13,H29>='Decision Matrix'!$AY$13),3,IF(AND(H29<='Decision Matrix'!$AZ$12,H29>='Decision Matrix'!$AY$12),2,IF(AND(H29<='Decision Matrix'!$AZ$11,H29>=1),1,0)))))*IF(OR(F29=\"Unknown\",F29=\"Adverse Impact\"),-1,IF(F29=\"Benefit\",1,0))","v":0}]
[null,null,"Other long term conditions","Yes",null,"Neutral",null,0,null,{"$f":"IF(H30>'Decision Matrix'!$AY$15,5,IF(AND(H30<='Decision Matrix'!$AZ$14,H30>='Decision Matrix'!$AY$14),4,IF(AND(H30<='Decision Matrix'!$AZ$13,H30>='Decision Matrix'!$AY$13),3,IF(AND(H30<='Decision Matrix'!$AZ$12,H30>='Decision Matrix'!$AY$12),2,IF(AND(H30<='Decision Matrix'!$AZ$11,H30>=1),1,0)))))*IF(OR(F30=\"Unknown\",F30=\"Adverse Impact\"),-1,IF(F30=\"Benefit\",1,0))","v":0}]
[]
[null,"Sexual Orientation","Lesbian, gay men and bisexual","Yes",null,"Neutral",null,0,null,{"$f":"IF(H32>'Decision Matrix'!$AY$15,5,IF(AND(H32<='Decision Matrix'!$AZ$14,H32>='Decision Matrix'!$AY$14),4,IF(AND(H32<='Decision Matrix'!$AZ$13,H32>='Decision Matrix'!$AY$13),3,IF(AND(H32<='Decision Matrix'!$AZ$12,H32>='Decision Matrix'!$AY$12),2,IF(AND(H32<='Decision Matrix'!$AZ$11,H32>=1),1,0)))))*IF(OR(F32=\"Unknown\",F32=\"Adverse Impact\"),-1,IF(F32=\"Benefit\",1,0))","v":0},null,null,null,"Yes"]
[]
[null,"Gender reassignment","Men to women","Yes",null,"Neutral",null,0,null,{"$f":"IF(H34>'Decision Matrix'!$AY$15,5,IF(AND(H34<='Decision Matrix'!$AZ$14,H34>='Decision Matrix'!$AY$14),4,IF(AND(H34<='Decision Matrix'!$AZ$13,H34>='Decision Matrix'!$AY$13),3,IF(AND(H34<='Decision Matrix'!$AZ$12,H34>='Decision Matrix'!$AY$12),2,IF(AND(H34<='Decision Matrix'!$AZ$11,H34>=1),1,0)))))*IF(OR(F34=\"Unknown\",F34=\"Adverse Impact\"),-1,IF(F34=\"Benefit\",1,0))","v":0},null,null,null,"Yes"]
[null,null,"Women to men","Yes",null,"Neutral",null,0,null,{"$f":"IF(H35>'Decision Matrix'!$AY$15,5,IF(AND(H35<='Decision Matrix'!$AZ$14,H35>='Decision Matrix'!$AY$14),4,IF(AND(H35<='Decision Matrix'!$AZ$13,H35>='Decision Matrix'!$AY$13),3,IF(AND(H35<='Decision Matrix'!$AZ$12,H35>='Decision Matrix'!$AY$12),2,IF(AND(H35<='Decision Matrix'!$AZ$11,H35>=1),1,0)))))*IF(OR(F35=\"Unknown\",F35=\"Adverse Impact\"),-1,IF(F35=\"Benefit\",1,0))","v":0}]
[null,null,"Trans","Yes",null,"Neutral",null,0,null,{"$f":"IF(H36>'Decision Matrix'!$AY$15,5,IF(AND(H36<='Decision Matrix'!$AZ$14,H36>='Decision Matrix'!$AY$14),4,IF(AND(H36<='Decision Matrix'!$AZ$13,H36>='Decision Matrix'!$AY$13),3,IF(AND(H36<='Decision Matrix'!$AZ$12,H36>='Decision Matrix'!$AY$12),2,IF(AND(H36<='Decision Matrix'!$AZ$11,H36>=1),1,0)))))*IF(OR(F36=\"Unknown\",F36=\"Adverse Impact\"),-1,IF(F36=\"Benefit\",1,0))","v":0}]
[]
[null,"Age","<5 years old","Yes",null,"Neutral",null,0,null,{"$f":"IF(H38>'Decision Matrix'!$AY$15,5,IF(AND(H38<='Decision Matrix'!$AZ$14,H38>='Decision Matrix'!$AY$14),4,IF(AND(H38<='Decision Matrix'!$AZ$13,H38>='Decision Matrix'!$AY$13),3,IF(AND(H38<='Decision Matrix'!$AZ$12,H38>='Decision Matrix'!$AY$12),2,IF(AND(H38<='Decision Matrix'!$AZ$11,H38>=1),1,0)))))*IF(OR(F38=\"Unknown\",F38=\"Adverse Impact\"),-1,IF(F38=\"Benefit\",1,0))","v":0},null,null,null,"Yes"]
[null,null,"5 - 18 years old","Yes",null,"Neutral",null,0,null,{"$f":"IF(H39>'Decision Matrix'!$AY$15,5,IF(AND(H39<='Decision Matrix'!$AZ$14,H39>='Decision Matrix'!$AY$14),4,IF(AND(H39<='Decision Matrix'!$AZ$13,H39>='Decision Matrix'!$AY$13),3,IF(AND(H39<='Decision Matrix'!$AZ$12,H39>='Decision Matrix'!$AY$12),2,IF(AND(H39<='Decision Matrix'!$AZ$11,H39>=1),1,0)))))*IF(OR(F39=\"Unknown\",F39=\"Adverse Impact\"),-1,IF(F39=\"Benefit\",1,0))","v":0}]
[null,null,"18 - 65 years old","Yes",null,"Neutral",null,0,null,{"$f":"IF(H40>'Decision Matrix'!$AY$15,5,IF(AND(H40<='Decision Matrix'!$AZ$14,H40>='Decision Matrix'!$AY$14),4,IF(AND(H40<='Decision Matrix'!$AZ$13,H40>='Decision Matrix'!$AY$13),3,IF(AND(H40<='Decision Matrix'!$AZ$12,H40>='Decision Matrix'!$AY$12),2,IF(AND(H40<='Decision Matrix'!$AZ$11,H40>=1),1,0)))))*IF(OR(F40=\"Unknown\",F40=\"Adverse Impact\"),-1,IF(F40=\"Benefit\",1,0))","v":0}]
[null,null,"65 - 85 years old","Yes",null,"Neutral",null,0,null,{"$f":"IF(H41>'Decision Matrix'!$AY$15,5,IF(AND(H41<='Decision Matrix'!$AZ$14,H41>='Decision Matrix'!$AY$14),4,IF(AND(H41<='Decision Matrix'!$AZ$13,H41>='Decision Matrix'!$AY$13),3,IF(AND(H41<='Decision Matrix'!$AZ$12,H41>='Decision Matrix'!$AY$12),2,IF(AND(H41<='Decision Matrix'!$AZ$11,H41>=1),1,0)))))*IF(OR(F41=\"Unknown\",F41=\"Adverse Impact\"),-1,IF(F41=\"Benefit\",1,0))","v":0}]
[null,null,">85 years old","Yes",null,"Neutral",null,0,null,{"$f":"IF(H42>'Decision Matrix'!$AY$15,5,IF(AND(H42<='Decision Matrix'!$AZ$14,H42>='Decision Matrix'!$AY$14),4,IF(AND(H42<='Decision Matrix'!$AZ$13,H42>='Decision Matrix'!$AY$13),3,IF(AND(H42<='Decision Matrix'!$AZ$12,H42>='Decision Matrix'!$AY$12),2,IF(AND(H42<='Decision Matrix'!$AZ$11,H42>=1),1,0)))))*IF(OR(F42=\"Unknown\",F42=\"Adverse Impact\"),-1,IF(F42=\"Benefit\",1,0))","v":0}]
[]
[null,"Faith or Belief",null,"No",null,"Neutral",null,0,null,{"$f":"IF(H44>'Decision Matrix'!$AY$15,5,IF(AND(H44<='Decision Matrix'!$AZ$14,H44>='Decision Matrix'!$AY$14),4,IF(AND(H44<='Decision Matrix'!$AZ$13,H44>='Decision Matrix'!$AY$13),3,IF(AND(H44<='Decision Matrix'!$AZ$12,H44>='Decision Matrix'!$AY$12),2,IF(AND(H44<='Decision Matrix'!$AZ$11,H44>=1),1,0)))))*IF(OR(F44=\"Unknown\",F44=\"Adverse Impact\"),-1,IF(F44=\"Benefit\",1,0))","v":0},null,null,null,"Yes"]
[null,"Maternity and Pregnancy",null,"Yes",null,"Neutral",null,0,null,{"$f":"IF(H45>'Decision Matrix'!$AY$15,5,IF(AND(H45<='Decision Matrix'!$AZ$14,H45>='Decision Matrix'!$AY$14),4,IF(AND(H45<='Decision Matrix'!$AZ$13,H45>='Decision Matrix'!$AY$13),3,IF(AND(H45<='Decision Matrix'!$AZ$12,H45>='Decision Matrix'!$AY$12),2,IF(AND(H45<='Decision Matrix'!$AZ$11,H45>=1),1,0)))))*IF(OR(F45=\"Unknown\",F45=\"Adverse Impact\"),-1,IF(F45=\"Benefit\",1,0))","v":0},null,null,null,"Yes"]
[null,"Marriage and Civil Partnership",null,"No",null,"Neutral",null,0,null,{"$f":"IF(H46>'Decision Matrix'!$AY$15,5,IF(AND(H46<='Decision Matrix'!$AZ$14,H46>='Decision Matrix'!$AY$14),4,IF(AND(H46<='Decision Matrix'!$AZ$13,H46>='Decision Matrix'!$AY$13),3,IF(AND(H46<='Decision Matrix'!$AZ$12,H46>='Decision Matrix'!$AY$12),2,IF(AND(H46<='Decision Matrix'!$AZ$11,H46>=1),1,0)))))*IF(OR(F46=\"Unknown\",F46=\"Adverse Impact\"),-1,IF(F46=\"Benefit\",1,0))","v":0},null,null,null,"Yes"]
[]
[null,"Others","Asylum seekers and refugees","No",null,"Neutral",null,0,null,{"$f":"IF(H48>'Decision Matrix'!$AY$15,5,IF(AND(H48<='Decision Matrix'!$AZ$14,H48>='Decision Matrix'!$AY$14),4,IF(AND(H48<='Decision Matrix'!$AZ$13,H48>='Decision Matrix'!$AY$13),3,IF(AND(H48<='Decision Matrix'!$AZ$12,H48>='Decision Matrix'!$AY$12),2,IF(AND(H48<='Decision Matrix'!$AZ$11,H48>=1),1,0)))))*IF(OR(F48=\"Unknown\",F48=\"Adverse Impact\"),-1,IF(F48=\"Benefit\",1,0))","v":0}]
[null,null,"Travellers","No",null,"Neutral",null,0,null,{"$f":"IF(H49>'Decision Matrix'!$AY$15,5,IF(AND(H49<='Decision Matrix'!$AZ$14,H49>='Decision Matrix'!$AY$14),4,IF(AND(H49<='Decision Matrix'!$AZ$13,H49>='Decision Matrix'!$AY$13),3,IF(AND(H49<='Decision Matrix'!$AZ$12,H49>='Decision Matrix'!$AY$12),2,IF(AND(H49<='Decision Matrix'!$AZ$11,H49>=1),1,0)))))*IF(OR(F49=\"Unknown\",F49=\"Adverse Impact\"),-1,IF(F49=\"Benefit\",1,0))","v":0}]
[null,null,"Variation in care provision","No",null,"Neutral",null,0,null,{"$f":"IF(H50>'Decision Matrix'!$AY$15,5,IF(AND(H50<='Decision Matrix'!$AZ$14,H50>='Decision Matrix'!$AY$14),4,IF(AND(H50<='Decision Matrix'!$AZ$13,H50>='Decision Matrix'!$AY$13),3,IF(AND(H50<='Decision Matrix'!$AZ$12,H50>='Decision Matrix'!$AY$12),2,IF(AND(H50<='Decision Matrix'!$AZ$11,H50>=1),1,0)))))*IF(OR(F50=\"Unknown\",F50=\"Adverse Impact\"),-1,IF(F50=\"Benefit\",1,0))","v":0},null,null,null,"Yes"]
[null,null,"Rurally  Isolated","No",null,"Neutral",null,0,null,{"$f":"IF(H51>'Decision Matrix'!$AY$15,5,IF(AND(H51<='Decision Matrix'!$AZ$14,H51>='Decision Matrix'!$AY$14),4,IF(AND(H51<='Decision Matrix'!$AZ$13,H51>='Decision Matrix'!$AY$13),3,IF(AND(H51<='Decision Matrix'!$AZ$12,H51>='Decision Matrix'!$AY$12),2,IF(AND(H51<='Decision Matrix'!$AZ$11,H51>=1),1,0)))))*IF(OR(F51=\"Unknown\",F51=\"Adverse Impact\"),-1,IF(F51=\"Benefit\",1,0))","v":0},null,null,null,"Yes"]
[null,null,"Parity of Esteem","Yes",null,"Neutral",null,0,null,{"$f":"IF(H52>'Decision Matrix'!$AY$15,5,IF(AND(H52<='Decision Matrix'!$AZ$14,H52>='Decision Matrix'!$AY$14),4,IF(AND(H52<='Decision Matrix'!$AZ$13,H52>='Decision Matrix'!$AY$13),3,IF(AND(H52<='Decision Matrix'!$AZ$12,H52>='Decision Matrix'!$AY$12),2,IF(AND(H52<='Decision Matrix'!$AZ$11,H52>=1),1,0)))))*IF(OR(F52=\"Unknown\",F52=\"Adverse Impact\"),-1,IF(F52=\"Benefit\",1,0))","v":0},null,"\n",null,"Yes"]
[]
[null,"Inequalities Check","Least deprived parts of the population","Yes",null,"Neutral",null,0,null,{"$f":"IF(H54>'Decision Matrix'!$AY$15,5,IF(AND(H54<='Decision Matrix'!$AZ$14,H54>='Decision Matrix'!$AY$14),4,IF(AND(H54<='Decision Matrix'!$AZ$13,H54>='Decision Matrix'!$AY$13),3,IF(AND(H54<='Decision Matrix'!$AZ$12,H54>='Decision Matrix'!$AY$12),2,IF(AND(H54<='Decision Matrix'!$AZ$11,H54>=1),1,0)))))*IF(OR(F54=\"Unknown\",F54=\"Adverse Impact\"),1,IF(F54=\"Benefit\",-1,0))","v":0}]
[null,null,"Most deprived parts of the population","Yes",null,"Benefit",null,0,null,{"$f":"IF(H55>'Decision Matrix'!$AY$15,5,IF(AND(H55<='Decision Matrix'!$AZ$14,H55>='Decision Matrix'!$AY$14),4,IF(AND(H55<='Decision Matrix'!$AZ$13,H55>='Decision Matrix'!$AY$13),3,IF(AND(H55<='Decision Matrix'!$AZ$12,H55>='Decision Matrix'!$AY$12),2,IF(AND(H55<='Decision Matrix'!$AZ$11,H55>=1),1,0)))))*IF(OR(F55=\"Unknown\",F55=\"Adverse Impact\"),-1,IF(F55=\"Benefit\",1,0))","v":0},null,"Deprived areas have closer access to our services"]
[]
[null,"Have you engaged in public engagement activities?",null,null,null,null,null,null,null,null,null,null,null,"Yes"]
[]
[null,"Total number of groups affected",null,{"$f":"COUNTIF(D9:D52,\"Yes\")","v":31},null,{"$f":"COUNTIF(F9:F52,\"Benefit\")+COUNTIF(F9:F52,\"Adverse impact\")","v":1},null,null,null,null,null,"Groups covered by engagement activities.",null,{"$f":"COUNTIF(N9:N46,\"Yes\")","v":9}]
[]
[null,"Total Impact Score",null,{"$f":"SUM(J9:J52)","v":0}]
[]
[null,"Next Steps (Summary)"]
[null,"Outline any actions to ensure equality and engagement? "]
[null,"• To ensure the provision of long-term sustainable health care to the practice population of the The Avenue Medical Practice and Meadowgreen Health Centre and the surrounding area by aligning protocols and policies to provide a safe environment for all patients and ensure we deliver safe, effective care at all times.\n  \n• Significant benefit for patients and the wider neighbourhood offering them greater flexibility to access general practice.  It is an effective and efficient way to deliver the clinical services in line with ambition set out in the Five Year Forward View.\n\n• Enable better access to general practice and associated community services.\n\n• To provide a sustainable presence in Jordanthorpe, Batemoor, Lowedges, Greenhill, Bradway and Norton and allowing all patients equal access to all services provided by the Practice at the site they wish to access.\n"]
[]
[]
[null,"EIA Completed?",null,"Yes"]

{"sheet":"Upload Attachments","index":9,"n_rows":5,"n_cols":2,"rows_kept":5,"cut":false,"hidden":false,"merged":[]}
["Click to return to menu"]
[null,"Please upload your attachments in this workbook."]
[]
[null,"Demand Review for Combined Practice MGHC.docx"]
[null,"L:\\MSWDOCS\\Network DES\\QOF AUDIT\\Quality Improvement Project NSAID & PPIs.docx"]

{"sheet":"Instructions","index":10,"n_rows":15,"n_cols":4,"rows_kept":15,"cut":false,"hidden":false,"merged":[]}
["Click to return to menu"]
[null,"Guide to completion of the tool",null,"Useful Links…"]
[null,"A copy of the policy can be found here on the website.",null,"http://www.legislation.gov.uk/ukpga/2010/15/contents"]
[null,null,null,"https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/85041/equality-duty.pdf"]
[null,"1. Fullscreen. Sometimes it is easier to work in fullscreen mode to see as much as possible on the screen. Buttons to enter and exit fullscreen mode are on the main menu.\n\nNavigation. Use the Hyperlinks or the buttons to navigate around the workbook - hyperlinks are always underlined in blue. These go purple after they have been clicked. You may then return to the main menu by clicking on the return to menu in the top left hand corner of the worksheet.\n\nWork in turn on each worksheet from Safety, Effectiveness, Experience and other impacts using the NEXT buttons. Finally review the summary (which can be printed).",null,"http://www.equalityhumanrights.com/private-and-public-sector-guidance/public-sector-providers/public-sector-equality-duty \n"]
[]
[null,"2. Any white area requires your input into the tool, either with narrative, inserting documents or using the drop down lists. Orange areas show information that has been entered or feedback from figures entered into scoring.",null,"http://www.legislation.gov.uk/ukpga/2010/15/contents "]
[]
[null,"3. Where you add narrative please describe the evidence behind any assertions made or the score chosen. In addition detailed evidence such as papers, links to data etc may be added in each section by embedding the document as an object (see help files in excel to do this).",null,"https://www.gov.uk/equality-act-2010-guidance "]
[]
[null,"4. The calculation in the QIA matrix is designed to give a graphical view of the relative scores. Scores can be positive or negative.",null,"https://www.gov.uk/government/publications/public-sector-quick-start-guide-to-the-public-sector-equality-duty"]
[]
[null,"5. To ensure consistency of scoring please use the decision matrix tab which gives a narrative guidance to the score meaning.",null,"http://www.devonhealthandwellbeing.org.uk/library/needs-assessments/"]
[null,null,null,"http://www.swscn.org.uk/improving-quality/parity-of-esteem/"]
[null,null,null,"Below are the Quality Equality Impact Assessment Policy and Equality and Diversity Policy"]

{"sheet":"Decision Matrix","index":11,"n_rows":28,"n_cols":54,"rows_kept":28,"cut":false,"hidden":false,"merged":[[7,2,7,5],[20,1,20,5],[20,7,20,11],[18,0,18,11],[11,1,11,5],[11,7,11,11],[16,1,16,5]]}
[]
[null,"Click to return to menu",null,"<-80","-51 to -80","-21 to -50","-1 to -20",0,"1 to 20"," 21 to 50","51 - 80",">80",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Data Lists - do not edit",null,null,null,null,null,null,null,null,null,null,null,null,null,"Scale category name","Score",null,"Score","No pts from","No pt to","Score","Length of time category"]
[null,null,null,"Very high negative  impact","High negative impact","Medium negative impact","Low negative impact","No Impact","Low positive impact","Medium positive impact","High positive impact","Very high positive impact ",null,null,null,null,null,null,null,null,null,null,null,"Data Lists - do not edit",null,null,null,null,null,null,null,null,null,null,null,"Yes",null,null,null,null,null,null,null,null,null,null,"Very high positive impact",5,null,1,1,250,1,"1 – 10"]
[null,"Review body - threshold for authorisation",null,"Very High Risk ","High Risk ","Medium Risk","Low Risk","No Risk",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Patient Scorer",null,null,"Weeks Scorer",null,null,null,null,null,"No",null,null,null,null,null,null,null,null,null,null,"High positive impact",4,null,2,251,500,2,"11 – 20"]
[null,"Total Score",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,-5,"Catastrophic",null,0,0,null,0,0,null,null,"other impacts scorer",null,null,null,null,null,null,null,"NOT USED",null,null,null,null,"Medium positive impact",3,null,3,501,750,3,"21 – 30"]
[null,"Composite or any individual Quality score","<20","20-50","51 - 80",">80",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,-4,"Major",null,1,"1-50 patients",null,1,"1- 4 weeks",null,null,{"$f":"A23","v":"Financial sustainability"},4,null,null,null,"Measurements",null,null,1,"1-50 patients",1,"1- 4 weeks",null,"Low positive impact",2,null,4,751,1000,4,"31 – 40"]
[null,"Rating ","Low Impact","Medium Impact","High Impact","Very High Impact",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,-3,"Moderate",null,2,"51-200 patients",null,2,"5 - 12 weeks",null,null,"Staff Experience",5,null,"Not Considered",null,"Current KPI",null,null,2,"51-200 patients",2,"5 - 12 weeks",null,"Very low positive impact",1,null,5,1000,null,5,">40"]
[null,"Review & Approval Required by","Governing Body",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,-2,"Minor",null,3,"201 - 500 patients",null,3,"13 - 26 weeks",null,null,"Carers",6,null,"Approved",null,"Current Audit",null,null,3,"201 - 500 patients",3,"13 - 26 weeks",null,"No impact",0]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,-1,"Negligible",null,4,"500 - 1000 patients",null,4,"26 - 39 weeks",null,null,"Reputation",7,null,"Not supported - further info. required",null,"Current measure",null,null,4,"500 - 1000 patients",4,"26 - 39 weeks",null,"Very low negative impact",-1,null,null,"Modifier",{"$f":"BA9/BA11","v":1.3333333333333333},{"$f":"Menu!D29","v":1200}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"Neutral",null,5,">1000 patients",null,5,"> 40 weeks",null,null,"Impact on Partner Organisations",8,null,"Rejected impact on quality",null,"New KPI",null,null,5,">1000 patients",5,"> 40 weeks",null,"Low negative impact",-2,null,"Score","No pts from","No pt to","Baseline pop"]
[null,-5,-4,-3,-2,-1,0,1,2,3,4,5,null,null,null,null,null,null,null,null,null,null,null,1,"Negligible",null,null,null,null,null,null,null,null,"Environment",9,null,null,null,"New Audit",null,null,null,null,null,null,null,"Medium negative impact",-3,null,1,{"$f":"AY3*$AZ$9","v":1.3333333333333333},{"$f":"AZ3*$AZ$9","v":333.33333333333331},900]
[null,"Negative",null,null,null,null,"Neutral","Positive",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,"Minor",null,null,"impact","patient","weeks","total",null,null,null,null,null,null,null,"New measure",null,null,null,null,null,null,null,"High negative impact",-4,null,2,{"$f":"AY4*$AZ$9","v":334.66666666666663},666.66666666666663,"Can change this baseline"]
[null,"Catastrophic","Major","Moderate","Minor","Negligible","Neutral","Negligible","Minor","Moderate","Major","Excellence",null,null,null,null,null,null,null,null,null,null,null,3,"Moderate",null,"Min",5,5,5,{"$f":"AD13*AC13*AB13","v":125},null,null,"Engage","<0 to -10",null,"Initial",null,"PREM",null,null,null,null,null,null,null,"Very high negative impact",-5,null,3,668,1000]
["Safety","Incident leading  to death \nMultiple permanent injuries or irreversible health effects \nAn event which impacts on a large number of patients ","Major injury leading to long-term incapacity/disability \nRequiring time off work for >14 days \nIncrease in length of hospital stay by >15 days \nMismanagement of patient care with long-term effects ","Moderate injury  requiring professional intervention \nRequiring time off work for 4-14 days \nIncrease in length of hospital stay by 4-15 days \nRIDDOR/agency reportable incident ","Minor injury or illness, requiring minor intervention \nRequiring time off work for >3 days \nIncrease in length of hospital stay by 1-3 days ","Minimal injury requiring no/minimal intervention or treatment. \nNo time off work","No effect either positive or negative","Minimal benefit requiring no/minimal intervention or treatment. ","Minor benefit, requiring minor intervention \nReduction in length of hospital stay by 1-3 days ","Moderate benefit  requiring professional intervention \nReduction in length of hospital stay by 4-15 days","Major benefit leading to long-term improvement/reduction in disability \nReduction in length of hospital stay by >15 days \nImprovement in management of patient care with long-term effects","Incident leading  to enhanced benefit\nMultiple permanent benefit or irreversible positive health effects ",null,null,null,null,null,null,null,null,null,null,null,4,"Major",null,"Max",5,5,5,{"$f":"AD14*AC14*AB14","v":125},null,null,"Consult","-10 to -20",null,"Review",null,"PROM",null,null,null,null,null,null,null,null,null,null,4,1001.3333333333333,1333.3333333333333]
["Effectiveness","Totally unacceptable level or effectiveness of treatment","Non-compliance with national standards with significant risk to patients if unresolved ","Treatment or service has significantly reduced effectiveness","Overall treatment suboptimal","Peripheral element of treatment suboptimal ","No effect either positive or negative","Peripheral element of treatment optimal ","Overall treatment optimal","Treatment has significantly improved effectiveness","Compliance with national standards with significant benefit to patients","Totally acceptable level of effective treatment",null,null,null,null,null,null,null,null,null,null,null,5,"Excellence",null,null,null,null,null,{"$f":"AD15*AC15*AB15","v":0},null,null,"Mitigate",">-20",null,null,null,null,null,null,null,null,null,null,null,null,null,null,5,1333.3333333333333,0]
["Experience","Gross failure of experience if findings not acted on \nInquest/ombudsman inquiry \nGross failure to meet national standards ","Multiple complaints/ independent review \nLow performance rating \nCritical report ","Formal complaint (stage 2) complaint \nLocal resolution (with potential to go to independent review) \nRepeated failure to meet internal standards ","Formal complaint (stage 1) \nLocal resolution \nSingle failure to meet internal standards ","Informal complaint/inquiry ","No effect either positive or negative","Informal positive expression/inquiry ","Letter of praise\nLocal recognition\nMeets internal standards ","Letter of praise to board\nLocal recognition \nRepeatedly meets internal standards ","Multiple letters of praise / positive independent review \nRepeatedly exceeds internal standards ","Consistently exceeds local and national standards  of experience  verified by external scrutiny.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Data lists - do not edit"]
["Patient Numbers",null,null,null,null,null,0,{"$f":"AB6","v":"1-50 patients"},{"$f":"AB7","v":"51-200 patients"},{"$f":"AB8","v":"201 - 500 patients"},{"$f":"AB9","v":"500 - 1000 patients"},{"$f":"AB10","v":">1000 patients"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Review Group",null,null,null,"DATA LISTS DO NOT EDIT",null,null,null,null,null,"EIA",null,null,"Inequalities checker"]
["Other Impacts Scorer",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"None",null,null,null,null,null,null,null,null,null,"Benefit","Yes",null,"Reduces inequality"]
[null,-5,-4,-3,-2,-1,0,1,2,3,4,5,null,null,null,null,null,null,null,null,null,null,null,"QEIA Panel",null,null,null,null,null,null,null,null,null,"Adverse impact","No",null,"Increases inequality"]
[null,"Negative",null,null,null,null,"Neutral","Positive",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Exceptional QEIA Panel",null,null,null,null,null,null,null,null,null,"Neutral","Unknown",null,"Neutral"]
[null,"Catastrophic","Major","Moderate","Minor","Negligible","Neutral","Negligible","Minor","Moderate","Major","Excellence",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Unknown",null,null,"Unknown"]
["Financial sustainability",">1.51% over performance against budget","1% - 1.5% over performance against budget","0.5% - 1% over performance against budget","0.26% - 0.5% over performance against budget","0 - 0.25% over performance against budget","On budget","0 - 0.25% under performance against budget","0.26% - 0.5% under performance against budget","0.5% - 1% under performance against budget","1% - 1.5% under performance against budget",">1.51% under performance against budget",null,null,null,null,null,null,null,null,null,null,null,"Other delegated meeting."]
["Staff Experience","Sustained and open external criticism of the organisation by staff in local, national and social media. Industrial action taken. External review of staff  pratices.","Medium term and open external criticism of the organisation by staff in local, national and social media. Negative staff side industrial action. Critical staff survey.","Short term and open external criticism of the organisation by staff in local and social media.\nNegative staff side action. Negative staff survey.","Criticism of the organisation by staff in internally. Negative staff side.\nNegative staff survey.","Internal criticism of the organisation.","No effect either positive or negative","Internal praise of the organisation.","Praise of the organisation by staff in internally. Positive staff side.\nPositive staff survey.","Short term and open external praise of the organisation by staff in local and social media.\nPositive staff side action. Positive staff survey.","Medium term and open external praise of the organisation by staff in local, national and social media. Positive staff side.. Praise in  staff survey.","Sustained and open external praise of the organisation by staff in local, national and social media. Exemplar for staff side. External exemplar of staff  pratices."]
["Carers","Carers role, personal health and welfare is significantly damaged over a sustained period.","Carers role, personal health and welfare is damaged over a medium period.","Carers role, personal health and welfare is temporarily damaged.","Carers role and personal health and welfare suffers temporarily.","Carers role suffers temporarily","No effect either positive or negative","Carers role enhanced temporarily","Carers role and personal health and welfare enhanced temporarily.","Carers role, personal health and welfare is temporarily signifcantly enhanced","Carers role, personal health and welfare is significantly enhanced over a medium period.","Carers role, personal health and welfare is significantly enhanced over a sustained period."]
["Reputation","Loss of public confidence.\nSustained and open external criticism of organisation/individual by (named) staff/GPs on social media.\nSustained criticism by MPs/ministers leading to resignation of chair/chief officer.\nSustained external criticism of organisation/individual by staff/GPs on social  media leading to resignation of chair/chief officer.\nLocal and national broadcast/print/trade news coverage over more than seven days.\nPMQ discussion with Governmental and shadow parties critical of CCG.\nPolitical crisis as result of CCG action/inaction.\nLoss of criminal proceedings.","Long-term reduction of public confidence.\nSustained criticism by MPs.\nSustained external criticism of organisation/individual by staff/GPs on social  media.\nSustained criticism of organisation/individual by staff/GPs in media. Sustained PALS/complaints contacts. \nNational broadcast news coverage over more than two days. \nLocal broadcast news coverage over more than three days.\nFront page trade press coverage.\nFront page broadsheet coverage.\nEscalation and public comment at ministerial/PM level with intervention.\nSustained criticism by Health and Wellbeing Board and intervention.\nNational/international recognition of campaigning.\nOSC escalation to ministerial level with intervention.\nLoss of civil court proceedings due wilful act.\nCriminal proceedings.","Medium-term reduction in public confidence. Moderate external criticism of organisation/individual by staff/GPs on social  media.\nLocal media coverage with criticism by another statutory organisation.\nFront page negative local media coverage Local negative lead broadcast item.\nNational broadsheet coverage limited to inside pages.\nNational broadcast news coverage.\nTrade (HSJ etc…) media coverage.\nHeavy increase in PALS/complaints contacts about issue.\nNational negative broadsheet coverage of issue.\nDifficult MP enquiries and/or requests to meet to discuss/criticism.\nEscalation internally or externally to ministerial level.\nDifficult Healthwatch presentation with criticism/escalation.\nDifficult Health and Wellbeing Board presentation with criticism/escalation.\nPersistent and effective campaigning.\nOSC escalation to ministerial level.\nLoss of civil court proceedings due negligence or maladministration.\n\n","Short-term reduction in public confidence.\nInternal criticism by staff.\nLocal print media coverage limited to inside pages/small articles.\nModerate social media comment with criticism by patient/s and/or carer/s.\nIncrease in PALS/complaints contacts about issue.\nMP enquiry.\nHealthwatch questions/FOI/ request to present.\nHealth and wellbeing Board request to meet.\nOverview and scrutiny committee (OSC) presentation request.\nActive social media campaigning.\nLoss of civil court proceedings.\n","Public awareness of issue.\nDiscussion among staff.\nQuestions from staff/other NHS organisation.\nLimited critical social media comment.\nQuestions from public/FOI.\nHealthwatch interest or questions.\nHealth and Wellbeing board interest or questions.\nOverview and scrutiny committee interest or questions.\nInterest from campaigning.\norganisation\nCivil court proceedings.","No effect either positive or negative","Public awareness of issue.\nDiscussion amoung staff.\nQuestions from staff/other NHS organisation.\nLimited supportive social media comment.\nQuestions from public/FOI.\nHealthwatch interest or questions.\nHealth and wellbeing board interest or questions.\nOverview and scrutiny committee interest or questions.\nInterest from campaigning organisations.","Short-term improvement in public confidence.\nInternal support by staff.\nLocal print media coverage limited to inside pages/small articles.\nModerate social media comment with support by patient/s and/or carer/s.\nIncrease in PALS/complaints contacts about issue.\nMP enquiry.\nHealthwatch questions/FOI/ request to present.\nHealth and wellbeing Board request to meet.\nOverview and scrutiny committee (OSC) presentation request.\nActive social media campaigning.\n","Moderate external improvement of organisation/individual by staff/GPs on social  media.\nLocal media coverage with positive comment by another statutory organisation.\nFront page positive local media coverage Local positive lead broadcast item.\nNational broadsheet coverage limited to inside pages.\nNational broadcast news coverage.\nTrade (HSJ etc…) media coverage.\nHeavy increase in PALS/compliments contacts about issue.\nNational positive broadsheet coverage of issue.\nPositive  MP enquiries and/or requests to meet to discuss/support.\nEscalation of positive work internally or externally to ministerial level.\nSupportive Healthwatch presentation with positive/escalation.\nPositive Health and Wellbeing Board presentation with support/escalation.\nPersistent and effective campaigning.\nOSC escalation to ministerial level","Long-term enhancement of public confidence.\nSustained support by MPs.\nSustained external support of organisation/individual by staff/GPs on social  media.\nSustained positive stories of organisation/individual by staff/GPs in media. Sustained PALS/compliments contacts. \nNational broadcast news coverage over more than two days. \nLocal broadcast news coverage over more than three days.\nFront page trade press coverage.\nFront page broadsheet coverage.\nEscalation and public comment at ministerial/PM level with intervention.\nSustained support by Health and Wellbeing Board and intervention.\nNational/international recognition of campaigning.\nOSC escalation to ministerial level with intervention.","Enhancement of public confidence.\nSustained and open external support of organisation/individual by (named) staff/GPs on social media.\nSustained support by MPs/ministers leading to ministerial support of chair/chief officer.\nSustained external support of organisation/individual by staff/GPs on social  media leading to positive recognition of chair/chief officer.\nSustained support of organisation/individual by staff/GPs in media leading to positive recognition of chair/chief officer.\nLocal and national broadcast/print/trade news coverage over more than seven days.\nPMQ discussion with Governmental and shadow parties enhancing reputation of CCG.\nPolitical positive reform as result of CCG action."]
["Impact on Partner Organisations","A large number of partner organisations will experience sustained and critical service pressure or disruption.","Partner organisations will experience sustained and major service pressure or disruption.","Partner organisations will experience time limited and major service pressure or disruption.","Partner organisations will experience short term and service pressure or disruption.","A partner organisation may experience brief service pressure or disruption.","No effect either positive or negative","A partner organisation may experience brief service pressure relief or improvement.","Partner organisations will experience short term and service pressure relief or improvement.","Partner organisations will experience time limited and major service pressure relief or improvement.","Partner organisations will experience sustained and major service pressure relief or improvement.","A large number of partner organisations will experience sustained and service critical pressure relief or improvement."]
["Environment","Carbon emissions, energy use, waste, water, transport, chemical impacts and biodiversity have a catastrophic negative impact  or decrease local biodiversity etc)","Carbon emissions, energy use, waste, water, transport, chemical impacts and biodiversity have a major negative impact  or decrease local biodiversity etc)","Carbon emissions, energy use, waste, water, transport, chemical impacts and biodiversity have a moderate negative impact  or decrease local biodiversity etc)","Carbon emissions, energy use, waste, water, transport, chemical impacts and biodiversity have a minor negative impact  or decrease local biodiversity etc)","Carbon emissions, energy use, waste, water, transport, chemical impacts and biodiversity have a neglible negative impact  or decrease local biodiversity etc)","No effect either positive or negative","Carbon emissions, energy use, waste, water, transport, chemical impacts and biodiversity have a neglible positive impact  or decrease local biodiversity etc)","Carbon emissions, energy use, waste, water, transport, chemical impacts and biodiversity have a minor positive impact  or decrease local biodiversity etc)","Carbon emissions, energy use, waste, water, transport, chemical impacts and biodiversity have a moderate positive impact  or decrease local biodiversity etc)","Carbon emissions, energy use, waste, water, transport, chemical impacts and biodiversity have a major positive impact  or decrease local biodiversity etc)","Carbon emissions, energy use, waste, water, transport, chemical impacts and biodiversity have a catastrophic positive impact  or decrease local biodiversity etc)"]

{"sheet":"QIA Matrix","index":12,"n_rows":19,"n_cols":23,"rows_kept":19,"cut":false,"hidden":false,"merged":[[6,12,7,12],[9,3,10,3],[9,4,10,4],[9,6,10,6],[9,8,10,8],[9,10,10,10],[9,12,10,12],[6,3,7,3],[6,4,7,4],[6,6,7,6],[6,8,7,8],[6,10,7,10]]}
[null,null,null,"Click to return to menu"]
[null,null,null,"Quality Impact Table and Weighting adjustment"]
[]
[]
[null,null,null,0,1,null,2,null,3,null,4,null,5]
[null,null,null,"Defect (-ve) / Benefit (+ve)","+ve / -ve impact score per pt (-10 to 10)",null,"No. pts affected  by defect / benefit (by band)",null,"No. wks pt affected (max 52)",null,"Weighting",null,"Outcome Score"]
[null,null,null,"Safety",{"$f":"Safety!B10","v":5},null,{"$f":"Safety!J12","v":4},null,{"$f":"Safety!J14","v":5},null,1,null,{"$f":"E7*G7*I7*K7","v":100},{"$f":"ABS(M7)","v":100},null,null,null,null,null,null,null,"Safety",{"$f":"E7*G7*I7*K7","v":100}]
[]
[null,null,null,"Effectiveness",{"$f":"Effectiveness!B10","v":5},null,{"$f":"Safety!J12","v":4},null,{"$f":"Safety!J14","v":5},null,1,null,{"$f":"E9*G9*I9*K9","v":100},{"$f":"ABS(M9)","v":100},null,null,null,null,"Upward facing bars +ve",null,null,"Effectiveness",{"$f":"E9*G9*I9*K9","v":100}]
[null,null,null,"Experience",{"$f":"Experience!B10","v":4},null,{"$f":"Safety!J12","v":4},null,{"$f":"Safety!J14","v":5},null,1,null,{"$f":"E10*G10*I10*K10","v":80}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"ABS(M10)","v":80},null,null,null,null,null,null,null,"Experience",{"$f":"E10*G10*I10*K10","v":80}]
[null,null,null,"Total quality impact score (using absolute values)",null,null,null,null,null,null,null,null,{"$f":"N11+N9+N7","v":280},null,null,null,null,null,"Downward facing bars -ve"]
[null,null,null,"Overal Quality (total include positive benefits score and negative disbenefits scores)",null,null,null,null,null,null,null,null,{"$f":"M10+M9+M7","v":280},null,null,null,null,null,null,null,null,"System & Other Impacts",{"$f":"M14","v":60}]
[null,null,null,"System & Other Impacts",{"$f":"'System and Other Impacts'!B12","v":3},null,{"$f":"'System and Other Impacts'!I14","v":4},null,{"$f":"Safety!J14","v":5},null,1,null,{"$f":"E14*G14*I14*K14","v":60}]
[null,null,null,"Global Quality Impact Score",null,null,null,null,null,null,null,null,{"$f":"M14+M13","v":340},null,null,null,null,null,null,null,null,"Overall Quality",{"$f":"W11+W9+W7","v":280}]
[]
[]
[null,null,null,"Decision Matrix Guidance"]
[null,null,null,"(Use hyperlink to review detailed guidance"]