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EQUALITY IMPACT ASSESSMENT FORM PART A INITIAL SCREENING FORM Section One Name of proposal, policy, service review or report (referred throughout as proposal) Clinical Strategy Directorate / Service
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How to fill out equality impact assessment form

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01
To fill out an equality impact assessment form, start by carefully reading the instructions provided. Make sure you understand the purpose of the form and the information required.
02
Begin by providing your personal details such as your name, job title, and contact information. This allows the assessors to identify who completed the form and to reach out for any clarifications if needed.
03
Next, provide details about the project, policy, or decision that you are assessing for its impact on equality. Include a brief description of the initiative and its objectives.
04
Identify the specific equality characteristics that are relevant to the assessment. This may include factors such as age, disability, gender, race, religion, and sexual orientation. Consider how the initiative may impact individuals with different characteristics.
05
Assess the potential impact of the initiative on each equality characteristic identified. Identify both positive and negative effects, and consider any potential mitigating measures that can be put in place.
06
Provide evidence or reasoning to support your assessment. This can include data, research, expert opinions, or stakeholder feedback that supports your analysis. Ensure that your reasoning is clear and logical.
07
Consider the engagement and consultation process that was undertaken during the development of the initiative. Describe how feedback was collected from relevant stakeholders, including individuals or groups that may be disproportionately affected by the initiative.
08
Outline any actions or recommendations that arise from the assessment. This may include suggestions for improving the initiative, accommodating specific needs, or addressing potential inequalities. Be specific and provide clear rationale for each recommendation.
09
Review and edit your completed form to ensure accuracy and clarity. Double-check that all required sections have been completed and that your responses are consistent throughout the form.

Who needs an equality impact assessment form?

01
Any organization or entity that wants to ensure that their policies, projects, or decisions do not disproportionately impact certain groups of people.
02
Employers, particularly those in the public sector, are often required to conduct equality impact assessments as part of their legal obligations to promote equality and prevent discrimination.
03
Government departments, local authorities, and public agencies frequently use equality impact assessment forms to evaluate the potential impact of their policies, programs, or initiatives.
04
Non-governmental organizations, community-based organizations, and advocacy groups may also use these forms to assess the impact of their activities and ensure they align with their commitment to equality.
Remember, it is important to consult with relevant legislation, guidelines, or policies specific to your jurisdiction or organization to ensure compliance with any legal requirements related to equality impact assessment forms.
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The equality impact assessment form is a document that organizations use to evaluate the potential impact of their policies, practices, and decisions on equality and diversity.
Organizations that want to ensure they are promoting equality and diversity in their decision-making processes are required to file an equality impact assessment form.
To fill out an equality impact assessment form, organizations need to consider the potential impact of their decisions on different equality groups, gather relevant data, analyze the information, and develop actions to address any issues identified.
The purpose of the equality impact assessment form is to help organizations identify and address any potential negative impacts of their policies or decisions on equality and diversity, ultimately promoting a more inclusive and fair environment.
The equality impact assessment form typically requires details about the policy or decision being assessed, the potential impact on various equality groups, data sources used, analysis of the information, and proposed actions to address any issues identified.
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