ICS Belonging Plan – 2023 to 2028


Executive summary

Our Lancashire and South Cumbria (LSC) Integrated Care System (ICS) belonging plan sets out our commitments to developing a truly joined up approach to creating inclusive workplaces that enable our people to do their best work, and to create better opportunities for communities to thrive. With this in mind, our people, our citizens and our patients are placed at the heart of our transformation in LSC being the best place to live, work and belong. We will work across our whole system, focusing on improvements at place, ICS level and individual organisation level.

We are clear on the 'what' and the 'why' but up until now we have not grasped the 'how'. But rest assured that the hard work has already begun.

There are enormous challenges in LSC as our geography stretches from Barrow-in-Furness down to Morecambe Bay. We serve a population of approximately 1.8 million across four places; Blackpool, South Cumbria, Blackburn with Darwen and Lancashire. We have a total workforce of around 93,840. There are significant differences in the number of years people can expect to live a healthy life across our area. In some of our neighbourhoods, healthy life expectancy is just 46.5 years. More than 20,000 people living in LSC have five or more long-term health conditions and in some places the number of children living in poverty is as high as 38%.

Each of the four places and their respective populations within our geography have significant differences. Given the evident disparities, in line with our commitment to all strands of diversity, in its broadest sense, we have a number of key challenges. These include to attract and retain a workforce that is representative of the communities we serve, retain the diverse workforce we already have, improve the experiences of our diverse workforce and to contribute to building social capital in local communities. Only then, we believe, we will achieve our desired outcomes.

Our focus will be to increase the intersectional diversity of our workforce by making improvements to our recruitment process and retaining our people by ensuring our career progression programme is inclusive by design. To build for the future, we must inspire new staff to join and encourage existing staff to stay. We will invest in our talent through coaching, mentoring, and sponsorship programmes, coupled with fair and transparent processes. This can only be done by treating people equitably and without discrimination. We recognise that our data systems do not capture transgender as a protected characteristic group. We use the term LGB+ which reflects a community within and across our workforce. However, this will not limit our efforts to ensure we go the extra mile to engage, listen, and make the necessary improvements to ensure our Trans community are equally seen and heard in our workplaces.

We will implement a culture transformation programme that respects and values all the differences our workforce brings. This will be led from the top and across all levels of our leadership teams through role modelling inclusive behaviours, and taking a zero-tolerance approach to bullying, harassment and discrimination. Our value-based mindset and inclusive behaviours will enable us to be the employer of choice, delivering high-quality care to our patients and citizens.

As we better understand the health inequalities experienced by our communities, our programme of work on widening participation will aim to reach deep into neighbourhoods. In partnership with the voluntary, community, faith and social enterprise sectors and the local authority we will extend our employment offer to drive socio and economic improvements. Our aim is to make employment options simpler and even more accessible with the focus on improving living standards for those residing in areas of high deprivation and on the lowest of household incomes. Our communities will be at the centre of everything we do. We want to help make people's dreams turn into a reality.

Furthermore, it is through our close partnerships across our whole system and collaborative way of working that we will achieve the ambitions and commitments set out in this plan. Together we will inspire our people, our citizens and our communities to come together, to value our differences and to deliver the health and care that matters to them.

Year one of the belonging plan will have two equal areas of focus. Firstly, it will look to make demonstrable improvement across the NHS sector in terms of staff experience and representation. Secondly, the plan will actively look to align its inclusion priorities with local government and our voluntary sector partners.

Over the course of this five year plan it is hoped for the creation of deepening synergy across all partners, to ensure a unified and consistent inclusion offer across all our health and care sector colleagues within each of our four places.

We would like to acknowledge the contributions, expertise and lived experiences shared with us by staff, staff networks, managers and system leaders in helping to shape this plan. We hope this plan - which is in line with the NHS's first equality, diversity and inclusion (EDI) improvement plan - provides the framework for making the LSC an even better place to work whoever you are, where all staff feel they belong, can thrive, and - ultimately - deliver the best possible service for our patients.

Equality, diversity and inclusion

We will reinforce our commitment to:

  • Have equal representation at all levels.
  • Be transparent in our decision-making process.
  • Remain fair in our people processes and practices.

Culture transformation

We aspire to create a working environment where:

  • Everyone at all levels display inclusive behaviours.
  • Senior leaders are held accountable for ensuring good practice is adopted.
  • Senior leaders ensure lessons learnt help us improve each day.
  • People feel safe to speak up and bring their whole self to work.
  • People are valued for their contribution.

Employer commitment

We are seen as an employer of choice because:

  • We value difference.
  • We make flexible working central to our people offer.
  • Our service design and delivery meets and reflects the diverse needs of patients and citizens through robust Equality and Health Inequalities Impact Assessment (EHIIAs).
  • We reach into our communities to attract and recruit diverse talent into our organisations.

93,840 NHS Lancashire and South Cumbria workforce

We are stronger together than we are alone - Walter Payton


Where are we now?

There are a number of inequalities we need to address, for which we have devised a clear plan of action, featuring priorities and measures of success.

In the work place

  • Disabled, LGB+, Religion categories show high level of non-declaration (ESR Dec 2022).
  • Double negative experiences of BME bank staff.
  • Unequal and unfair workplace experiences reported by internationally recruited staff.
  • Men are under-represented in Nursing, Midwifery and Health Visiting roles.
  • Disabled people are significantly under-represented across all medical, Allied and Health Professional (AHP) and Nurse, Midwife and Health Visitor (NMHV)� groups.
  • Allied Health Professional (AHP) workforce least diversely represented.

Career progression

  • 50% of BME staff experienced unfair career progression and promotion opportunities (2022 Staff Survey).
  • 56% of LGB+ staff experienced unfair career progression and promotion (2022 Staff Survey).
  • 46% of disabled people or those with long-lasting health conditions experienced unfair career progression and promotion (2022 staff survey).

Bullying and harassment

  • 26% BME staff experienced bullying and harassment from patients and public.
  • 23% BME staff experienced bullying and harassment from other staff.
  • 30% of disabled people with long lasting health conditions experienced bullying and harassment from patients and public.
  • 23% of disabled people with long lasting health conditions experienced bullying and harassment from other colleagues.

Board representation

  • NHS Trust Boards are significantly under-represented by BME, LGB+ and disabled people.

Under representation

  • LSC BME workforce at 16%, similar to regional at 16% but is lower than national BME representation at 24% (ESR Dec 2022).
  • In LSC workforce BME, disabled and LGB+ staff are under-represented at most pay grades, excluding Band 1, Band 5 and Medical roles (ESR Dec 2022).

Discrimination

  • BME staff have experienced discrimination from patients and public which has worsened year on year since 2021.
  • BME staff are more than twice as likely to experience discrimination from managers, team leaders and colleagues compared to their white colleagues.
  • 20% of LGB+ people experienced discrimination from patients and public.
  • 24% of LGB+ staff experienced discrimination from managers.

Employer of choice

  • Develop compassionate and inclusive culture.
  • Consistency in employer commitment.
  • Improve flexible working opportunities.
  • Attract from a more diverse talent pool and retain that talent.
  • Deliver an outstanding employee experience.

Did you know in Lancashire and South Cumbria...

The NHS Electronic Staff Record (ESR) system does not have the capability for trans employees to share their identity and so our understanding of their experience at work is limited.

50% BME and 56% LGB+ LSC colleagues reported that opportunities for career progression and promotion felt unfair (2022 staff survey).

More than 20% of our workforce are over the age of 55 and will therefore retire in the not-too-distant future


One workforce: belonging...

Our vision for Lancashire and South Cumbria is simple... everyone to feel they belong

Our citizens will be seen and heard, and we will reach into our communities to attract and recruit diverse talent into our organisations.

These principles are at the heart of our aims

Belonging first - Getting the basics right, focus on people promise

How we show up - Role model inclusive behaviours at all levels of leadership and adopt active allyship

Hot spots - Develop intelligence in areas of inequity that require deeper analysis, addressing structural inequalities for targeted groups and populations

Doing it once - In partnership with system leaders, collaborate to deliver programmes of work at scale

Building capacity - Inclusion is everyone's business, drive inclusion improvements through all business areas to achieve outputs at pace and amplify the voice of our people


Our five year vision

Road map setting out our ICS belonging plan for Lancashire and South Cumbria.

Where are we now?

  • Disabled, LGB+, Religion categories show high level of non-disclosure.

  • Double negative experiences of BME bank staff.
  • Unequal and unfair workplace experiences reported by internationally recruited staff.
  • Under-representation.
  • Barriers to career progression and promotion.
  • Discrimination - staff, patients, public.
  • Bullying and Harassment - staff, patients, public.
  • NHS Boards significantly under-represented.

Our vision

Our vision for Lancashire and South Cumbria is simple; for everyone to feel they belong.

Delivery of our priorities�

Our aim is to be the employer of choice where our culture will be one of compassion and inclusion. Our people will reflect the diverse communities we serve. Our people will be seen and heard, and our communities will achieve better health outcomes as a direct reflection of or outstanding workforce.

Our priorities are divided into three main areas of focus:

  • Place
  • ICS level
  • Individual organisation in the ICS

At the heart of our aims are the following principles:

  • Belonging first - getting the basics right, focus on people promise.
  • Doing it once - in partnership with system leaders, collaborate to deliver programmes of work at scale.
  • Building capacity - inclusion is everyone's business, drive inclusion improvements through all business areas to achieve outputs at pace and amplify the voice of our people.
  • How we show up - role model inclusive behaviours at all levels of leadership and adopt active allyship.
  • Hot spots - develop intelligence in areas of inequity that require deeper analysis, addressing structural inequalities for targeted groups and populations.

Belonging workstream governance

Belonging is identified as one of 5 top priorities for our Lancashire and South Cumbria workforce. This key priority area will facilitate measured delivery of our other important priorities. To capture what success will look like, we have set out the governance framework for belonging across our system. There are clear lines of responsibility and accountability, which are reported on a regular basis into the People Board and up to the ICB.

The belonging workstream is led by a Senior Responsible Owner (SRO) who is from within the ICS and will support the successful delivery of the Belonging workstream.

Again, our belonging workstream framework will focus on three main areas:

  • Place
  • ICS level
  • Individual organisation in the ICS

How we will work together

Our integrated care system (ICS) will work with the key partners described in the governance framework. We will harness our expertise collectively to achieve our ambition and share resources to accomplish mutual goals. Through sharing knowledge, resources and experience will bring a better perspective to all aspects of our work and help to enable productivity, work more efficiently and facilitate inspiring teams to deliver on the belonging priorities across our ICS.

Outcomes

  • Governance and accountability built into LSC ICS belonging programme - tracking progress and supporting challenged areas.
  • Recognise good practice and celebrate success and drive innovation for continuous improvement.
  • Fair and equal representation of diversity of staff, reflecting the populations we serve, at all levels through our people practices.
  • Reduce workplace structural inequalities.
  • People will have positive experiences and fair opportunities to progress in the workplace.
  • Our populations will be enabled to have equitable health and care outcomes.
  • ICS will lead on inclusive design and delivery of services we offer to our communities.
  • A culture of civility, compassion and respect will enable people to feel valued for their differences.
  • Our people will bring their whole self to work, feel they belong to our organisations and are empowered to do their best work.
  • An increase in colleagues choosing to share their identity information with us.

Measures of success - short to medium term

  • Implementation of frameworks and accreditations such as the Anti-Racist Framework, Disability Confident, Employer and Disability Charter, Veteran Aware and Rainbow Badge.
  • An increase in colleagues choosing to share their identity information with us.
  • Maximise participation in staff survey to help achieve more reliable results on career progression, career development, bullying and harassment within and outside workforce.

Measures of success - medium to long term

Improve

  • Workforce Race Equality Standard (WRES), Workforce Disability Equality Standard (WDES), gender, ethnicity and disability pay
  • Staff survey results relating to how disabled people feel about being valued.
  • Staff survey results relating to career progression and career development, particularly of those from BME, disabled, LGB+ and long-term health conditions.
  • Workplace experiences for staff recruited from overseas.�

Recruit and retain

  • Diverse talent.

Increase

  • Diversity of BME, disabled, LGB+, Allied Health Professionals (AHP) Nurse, Midwife and Health Visitor (NMHV) groups.
  • Diversity across workforce, particularly at senior levels.
  • BME, disabled and LGB+ representation at Board level.
  • Overall proportion of BME workforce, fairer representation across all pay grades.

Reduce

  • Bullying and harassment.

Did you know in Lancashire and South Cumbria...

By 2033, the population of Lancashire and South Cumbria is expected to be 2.05 million.

9% of our population are from ethnically diverse backgrounds.

Since Covid, our workforce has grown by 9%.


Place

Lancashire and South Cumbria is a geographically diverse area in the North-West of England which comprises coastal towns, urban city centres and rural villages. The population is approximately 1.8million, set to increase to 2.05 million by 2033. Our challenge is to ensure we retain our ageing workforce, attract young and diverse talent in to our health and care roles and as a minimum ensure we reflect the communities, patients and citizens we serve.


Priorities

Year 1 (from April 2023)

  • Implement widening participation programme to attract diverse talent from local communities.
  • Implement Equality and Health Inequalities Impact Assessment (EHIIA) toolkit across the whole system.

Year 2-5

  • Completion of Health Equity Assessment Tool (HEAT) and EHIIA for all service design, service delivery and change to health and care service, ensuring our people, our citizens and our under- served populations are reflected in our health and care services.
  • Build on widening participation programme for under-represented communities, focus on care leavers, refugee communities and carers.

"Our steadfast commitment to delivering on our Belonging priorities is absolutely essential in ensuring that every partner organisation within the ICS is able to nurture a diverse, representative and inclusive culture where the needs of people from all backgrounds are met and where every single one of our people feels valued, safe and heard."

As one of the largest systems in England, our resident population in LSC is hugely diverse, and by ensuring that our residents recognise themselves and their own communities in our workforce when accessing services, I am confident that we can truly begin to make a positive difference to improving health outcomes and reducing the myriad of inequalities experienced by different groups within our population.

"I have lived and worked in Blackpool and South Lakes and there is a very high older population in South Lakes and pockets of unseen social deprivation which I have seen as a District Nurse. There is a misconception that South Lakes in where wealthy people live. Of course there are wealthy people who live there but who would have thought that Windermere would need a Foodbank."

Interesting facts about Lancashire and South Cumbria...

More than 90% of the population are white

Approximately 40% of ill-health is due to smoking

Nearly a third of residents live in deprivation


ICS level

Lancashire and South Cumbria ICS is a partnership of organisations that come together to plan and deliver joined up health and care services to improve the lives of people who live and work across the four geographical areas we serve.

Priorities

Year 1 (from April 2023)

  • Develop guidelines on inclusive recruitment.
  • Delivery of Non-Executive Director (NED) development, reciprocal mentoring and inclusion training.
  • Showcase examples of good practice and success stories.
  • Link organisation-based staff networks.
  • Provide oversight of (Workforce Race Equality Standard) WRES and (Workforce Disability Equality Standard) WDES.

Year 2-5

  • Develop and deliver a comprehensive induction, onboarding and development programme; implement a support package for internationally recruited staff.
  • Implement a data-led approach to recruitment and talent progression.
  • Support the development and implementation of inclusive and compassionate clinical and non-clinical leadership at all levels.
  • Ensure health inequalities within the workforce are well understood and reduced; nursing, maternity, primary care and Allied Health Professionals (AHP).
  • Embed an inclusive and compassionate culture programme which eliminates bullying, discrimination, harassment and physical violence.
  • CEO specific and measurable EDI objectives to which they will be individually and collectively accountable.

Did you know...

Lancashire is one of the youngest counties in the UK. It was formed in 1182

'Our Digital Future' strategy outlines five interconnected themes to improve our health and care across the system

In England, 1 in 19 working age adults is employed by the NHS


Individual organisation in the ICS

Priorities

Year 1 (from April 2023)

  • Implement data sharing campaigns to encourage better data capture on ESR.
  • Senior leaders to share statement of commitment on tackling inequalities and health inequalities.
  • Identify clear priorities to reduce inequalities aligned to WRES and WDES, including inclusive recruitment, career progression and reducing bullying and harassment.
  • Ensure staff networks are promoted and supported.
  • Implement EDI training and development.
  • Implement activities recognising and valuing differences in culture, religion and celebration days.

Year 2-5

  • Create a culture of compassionate and inclusive leadership, eliminating bullying and harassment, discrimination and physical violence at work.
  • Implement inclusive behaviours through role modelling and allyship.
  • Use ESR data to understand the diversity of the workforce and Gender Pay Gap across pay bands.
  • Deliver on the WRES and WDES equality standards.
  • Implement LGB+ improvement framework.
  • Implementation of frameworks and accreditations such as the Anti-Racist Framework, Disability Confident, Employer and Disability Charter, Veteran Aware and Rainbow Badge.
  • Implement fair and inclusive recruitment process.
  • Implement targeted talent progression programmes for BME and disabled people.
  • Develop staff networks, amplifying the voice of under-represented staff, encouraging a decision-making voice.
  • Implement specialist training for all line managers, focus on inclusive recruitment.

Interesting facts about Lancashire and South Cumbria...

21,442 people have five or more long term health conditions

There are 175,000 unpaid carers

63,000 people providing more then 50 hours each week of unpaid care


Belonging workstream governance

Our NHS is built on the values of everyone counts, dignity and respect, compassion, improving lives, working together for patients and commitment to quality. These values underpin how health and care (this includes local authority) is provided, but also extends to our LSC workforce.

We aspire to be an ICS that people want to work for. We want to attract and retain the best people to create high-performing teams with a strong, collaborative, can-do culture. We will all work together to ensure we further strengthen our workforce. Our core workforce priorities are:

  • Increase our workforce capacity.
  • Develop the culture of Equality, Diversity and Inclusion and belonging for our people.
  • Transform and innovate through People Digital.
  • Improve the health and Wellbeing of our people.
  • Optimise workforce productivity and transformation across our system.

Belonging is identified as one of 5 top priorities for our Lancashire and South Cumbria workforce. This key priority area will facilitate measured delivery of our other important priorities. To capture what success will look like, we have set out the governance framework for belonging across our system. There are clear lines of responsibility and accountability, which are reported on a regular basis into the People Board and up to the ICB.

Our Belonging workstream, which is aligned to the NHS equality, diversity, and inclusion improvement plan, is led by a Senior Responsible Owner (SRO) who is from within the ICS and will support the successful delivery of the Belonging workstream.

Belonging runs through our ICS core purpose our LCS Joint Forward Plan and the ICS Workforce priorities. Our commitment to the People Promise fully supports and further embeds the Belonging workstream. We recognise the interdependencies with our work on Health and Well Being and our population health workstreams, which run alongside the Belonging programme.

As a responsible organisation we remain committed to adhering to government laws, health and safety standards, equality and fairness for all and data and security requirements. In adherence to the Public Sector Equality Duty we will embed Equality and Health Inequality Impact Assessments (EHIIA) and continue to deliver improvements to our equality standards. These include but are not limited to the following equality standards of excellence;


The ICS LSC Belonging Governance Framework

Partners from across our ICS are committed to collaborate to identify shared priorities in tackling the challenges that exist in relation to diversity and equality of our health and care workforce, to transform the culture of our organisations and ensure our employer commitment is developed and implemented.

Measures of success

Collectively, we will measure our success in the short-term (1 year) and long-term (2-5 years). We expect to track progress through the Gender Pay Gap reports, WRES and WDES metrics, improvements through our staff survey results and our workforce data reports. Governance and accountability for progress will follow through the Belonging operating model laid out in page 11 of this plan.

What will success look like?

  • In five years' time, if we have successfully achieved what we set out to, we believe...

Measures of success - short to medium term

  • Implementation of frameworks and accreditations such as the Anti-Racist Framework, Disability Confident, Employer and Disability Charter, Veteran Aware and Rainbow Badge.
  • An increase in colleagues choosing to share their identity information with us.
  • Maximise participation in staff survey to help achieve better results on career progression, career development, bullying and harassment within and outside workforce.

Measures of success � medium to long term

Improve

  • Inclusive recruitment processes.
  • Staff survey results relating to how disabled people feel about being valued.
  • BME and disabled talent management and career progression.
  • Workplace experiences for staff recruited from overseas.

Increase

  • Diversity of BME, disabled, LGB+, AHPs and NMHVs.
  • Diversity across workforce, particularly at senior levels.
  • BME, disabled and LGB+ representation at Board level.
  • Overall proportion of BME workforce, fairer representation across all pay grades.

Reduce

  • Bullying and harassment.

Belonging outcomes

  • Governance and accountability built into LSC ICS Belonging programme will include the Belonging implementation plan and governance framework - tracking progress and supporting challenged areas.
  • Design and implementation of revised EIA approach which is embedded as part of routine business. Recognise good practice and celebrate success and drive innovation for continuous improvement.
  • Reduce workplace structural inequalities.
  • People have positive experiences in the workplace and have fair opportunities to progress.
  • Fair and equal representation of diversity of staff, reflecting the populations we serve, at all levels through our people practices.
  • ICS leader in inclusive design and delivery of the services we offer to our patients and populations.
  • Civility and respectful culture where people are valued for their differences and are compassionate in their behaviours.
  • Our people bring their whole self to work, feel they belong to our organisations and are enabled to do their best work.

Belonging benefits

Patient benefits

  • More inclusive services as we encourage the application of Equality & Health Inequality Impact Assessments and Health Equality Assessment Tool.

Organisational benefits

  • We are recognised as an inclusive employer, attracting diverse talent and fair and equal in our people process.
  • Improved staff survey results.
  • Compassionate and inclusive culture.
  • Increased productivity as people are encouraged to bring their whole self to work and are valued for their contributions.
  • Contribute to reduced sickness absence as people policies are reflective of the health and well being of the needs of our people.
  • Retain the best talent as they are seen, heard and have representative role models.

Staff benefits

  • The voice of our people is heard.
  • People are seen and heard to make a positive change in the organisation, enabling improved workplace practices and processes.
  • People are able to bring their whole self to work.
  • Psychological safety is the normal.
  • People are not afraid to try and test new ideas, even if they do not work as effectively as planned.
  • Leadership is role modelled through compassionate and inclusive behaviours.

How we will know we have made a difference...

Our people will tell us about their workplace experiences through the staff survey results

Our workforce data will evidence the diversity of our workforce by numbers

The voice of our people is heard through staff networks, listening rooms and regular engagement so that our processes, policies and practices are reflective of everyone's needs


How we will work together... these are our guiding principles for collaboration

Partnership, collaboration and integration

Our integrated care system (ICS) will work with the key partners described in the belonging governance framework.� We will harness our expertise collectively to achieve our ambition and share resources to accomplish mutual goals. Through sharing knowledge, resources and experience will bring a better perspective to all aspects of our work and help to enable productivity, work more efficiently and facilitate inspiring teams to deliver on the belonging priorities across our ICS.

Our partners

Lancashire and South Cumbria Health and Care Partnership is a partnership of the following organisations:

  • NHS Organisations
  • Local authorities
  • Six upper-tier
  • Two unitary councils
  • 12 district councils
  • Voluntary, Community, Faith and Social Enterprise (VCFSE)
  • Wider
  • Healthwatch
  • Universities
  • Colleges
  • Hospices

Strong leadership, successful collaboration will require:

  • Shared agreement about problem areas
  • Shared aims, values, principles about change, and improvement strategies
  • Shared outcomes and accountability at all levels for those outcomes
  • Shared commitment to monitoring outcomes and making adjustments when barriers and problems are identified
  • Shared information and resources - doing it once
  • Opportunities for risk-taking, and continued learning.

Benefits of partnership, collaboration and integration:

  • Encourages problem-solving.
  • Allows colleagues to learn from each other.
  • Colleagues' productivity rates likely to increase.
  • Overall problem-solving becomes easier.
  • Team collaboration will help enhance the ICS's ambition to become an example of good practice.
  • Remote teams and individuals are likely to be more productive.

Applying trust

  • Believe in each other's integrity and strength
  • Enable others to do the right thing
  • Build psychological safety to enable our people to speak up

Respect

  • To accept, acknowledge each other for who we are as individuals

Empowerment

  • Enable people to take ownership of their work and contribute to meaningful decision-making

Willingness

  • Set people up for success so they feel willing to volunteer to take on tasks outside their role and responsibilities

Effective communication

  • Making that connection with others and creating an environment where everyone feels included and heard

Find out more

Lancashire and South Cumbria Integrated Care Board www.lancashireandsouthcumbria.icb.nhs.uk

Lancashire and South Cumbria Integrated Care System​​​​​​​ www.healthierlsc.co.uk

Lancashire and South Cumbria ICS interactive map​​​​​​​ www.healthierlsc.co.uk/ServiceMap

Lancashire and South Cumbria � Partners​​​​​​​  www.healthierlsc.co.uk/partners


Accessibility sStatement

We want to ensure that the information we communicate is fair and accessible to all sections of our local communities. Patients, the public and staff can request reasonable adjustments such as information converted into other formats for easier reading.

To request information or any of our key documents in an alternative format such as easy read, braille, larger print, audio or other formats, please email lsc.icb@nhs.net quoting your address, telephone number along with the title and date of the publication, plus the format you require.

For any questions and further information e-mail lsc.icb@nhs.net or telephone 01772 214232.


Glossary of terms

Work - An individual's sense that their uniqueness is valued and respected by their organisation and colleagues; an accumulation of day-to-day experiences that enables a person to feel safe and bring their full, unique self to work.

Place - Reflected by communities, neighbourhoods and places of interest and what this means to people living in that place. Local organisations and services they offer will play a key role in enabling belonging in place.

Transgender - An individual whose gender identity and gender expression does not correspond with the sex they were assigned with at birth.

Difference - A point or way in which people or things are dissimilar.

Collaboration - Working together to complete a task or achieve a goal.

Teamwork - Being connected, respected, and united.

Anti-racist - Opposing racism and promoting racial equality.

Citizen - An inhabitant of a particular place.

Family - One workforce, one voice.

Class - Divisions based on perceived social or economic status.

Understood - Being heard, listened and recognised for your contributions

Kind - Generous, helpful, and thinking about other people�s feelings.

Faith - Complete trust or confidence in someone or something.

Diversity - The acceptance and inclusion of people of all backgrounds.

Culture - How our individual identity and values are rooted within a history and heritage that we can share with others.

Community - The condition of sharing or having certain attitudes and interests in common.

Inclusion - Thoughts, ideas and perspectives of all individuals matter.

Compassionate - Understanding with empathy.

Understanding - Showing compassion and empathy.

Integration - Coming together to achieve joint priorities and outcomes.

Custom - An action or way of behaving that is usual and traditional among people in a particular group or place.

Trusting - Can count on others.

Psychological safety - Feeling safe to speak your truth without fear.

Equity - Recognition of difference to reach an equal outcome.

Disability - Types of disability: Mobility, Visual, Hearing and Hidden impairments; Deaf; Neuro diverse; Mental Health Survivor; Long-term Condition; Learning Disability; Autism.

Common interest - The feeling of wanting to give your attention to something or of wanting to be involved with and to discover more.

Authentic - Being actually and exactly what is claimed.

Valued - Considered to be important or beneficial.

Honest - Truthful and sincere.

Intersectionality - A concept for understanding how aspects of a person's identities combine to create different and multiple discrimination and privilege.

Welcome - Gladly received.

Caring - Displaying kindness and concern for others.

Happy - Feeling or showing pleasure or contentment.

Place - A particular position, point, or area in space.

Neighbourhood - A district or community within a town or city.

Accessibility tools

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