Equality and Inclusion

Bolton has a diverse population and the CCG considers the needs of particular communities when making decisions about local health services.  We do this because we have a statutory duty to do so, but also because we know that it’s the right thing to do.  Whenever we consider a change to an existing NHS service we look at the impact this may have on particular groups in Bolton. To view Bolton CCG's Equality Strategy, click here.

We value the diverse communities in Bolton and the diversity of our own workforce.

We believe that patients and CCG staff should have:

  • Equal access to health services
  • Equally high standards of health and care
  • Equal opportunities to work with us
  • Protection from discrimination, harassment, and victimisation
  • An equally strong voice in our decision making

 So we will:

  • Always aim to remove or reduce disadvantages experienced by people due to their protected characteristics as set down by the Equality Act 2010 (more information on this below).
  • Aim to meet the needs of people from particular groups where these needs are different from the needs of other people.
  • Engage with people from these groups to hear what they have to say.

 What are protected characteristics?

 There are nine protected characteristics set down by the Equality Act 2010:

  • Age
  • Disability
  • Gender (male/female)
  • Gender re-assignment (transitioning from one gender to another)
  • Pregnancy and maternity
  • Race
  • Religion or belief – including lack of belief
  • Sexual orientation (lesbian, gay, bisexual, heterosexual)
  • Marriage and civil partnership

It is against the law to discriminate against someone because of any of these characteristics.


Social inclusion is about making all groups of people feel included and valued within their society or community. Where individuals or groups of individuals feel they are excluded, there is often a direct impact on their health.  Those who are most vulnerable often have the greatest needs in terms of health care and evidence tells us that in general they may not live as long and have much poorer health outcomes. Improving people’s health is about making sure that health and social care services are inclusive and responsive to everyone in the population.

 There are many reasons why people do not feel  socially included. It can be as a result of one or more complex factors, for example:

  • Financial hardship
  • Unemployment
  • Youth or old age
  • Ill health (physical or mental)
  • Substance abuse or dependency including alcohol and drugs
  • Lower educational skills
  • Relationship problems
  • Poor housing
  • Crime (either as a victim of crime or as an offender rehabilitating into society).

 At NHS Bolton CCG, equality and inclusion is vital in ensuring: 

  • Differences are valued
  • People are treated equally
  • People feel supported to take part in whatever they wish to do.

It is also important  that the services available help in supporting people to look after themselves and prevent issues from becoming worse. Using the local data about what issues could make Bolton people feel excluded is at the heart of everything we do from working with the public to day to day practice and also when working with our partners.

To find out more about the wider health factors for your neighbourhood click here to be taken to Bolton councils Health Matters pages.  Alternatively a simplified version of the health matters information, can be found in this document here.

Interpreting services

If you do not speak English, or are Deaf/hard of hearing and need to book an appointment at your GP practice you will need an interpreter. If you need to book an interpreter you can do this through the practice manager at your GP practice. This is funded by NHS Bolton CCG and is free of charge to GP practices. Your practice manager is more than happy to help you book an interpreter.

Engaging with our communities

NHS Bolton Clinical Commissioning Group (Bolton CCG) recognises the diversity of the population of Bolton and is committed to ensuring we pay due regard to the inclusion needs of all patients, their carer’s and our staff. We are committed to engaging with our Black and Minority Ethnicity (BME) communities to help improve knowledge around health and well-being in Bolton; we are especially keen to explore and to establish new and sustainable engagement networks to better understand the mutual understanding of key issues for all, based on the development of trust. Click here to read a report of recent engagement activities with BME communities in Bolton.


NHS Equality Delivery System (EDS2)

The NHS Equality Delivery System (EDS2)  is a tool kit that can help us

  • improve the services we commission and provide for their local communities
  • consider health inequalities in Bolton
  • create inclusive working environments for our staff

EDS2 involves engaging with patients, carers, voluntary organisations and people who work in the NHS who  grade our equality performance on a series of outcomes and identify where

improvements can be made. We then act on the conclusions. EDS2 is one strand of our engagement processes, and helps us to commission and design services and create workplaces that are personal, fair and diverse, making sure everyone counts.

For more information see    https://www.england.nhs.uk/about/equality/equality-hub/eds/ , and to see our latest EDS2 report click here.

Demographic data monitoring

The data we collect from our public engagements is given to us by individuals and all identifying details are removed. We use the anonymised data that you give to us to inform our communication campaigns and understand who we have engaged with. Data can be considered anonymised when it does not allow identification of the individuals to whom it relates, and it is not possible that any individual could be identified from the data by any further processing of that data or by processing it together with other information which is available or likely to be available. More information can be found in the patient privacy notice.

Related page:

NHS Bolton CCG commissions Bolton CVS to host and run the ETAG meetings which are every 8 weeks in the centre of Bolton (at Bolton Hub, Bold Street). Each meeting has a set agenda which is sent out at least two weeks prior to the meeting. Key speakers are invited to the meeting to cover a range of issues on health, equality and diversity.

The meeting typically lasts 2-hours and starts with a bite to eat and a chance to speak to others who are there. The meeting brings together people that commission your healthcare – Bolton Clinical Commissioning Group, and other local groups that have come to trust and value the contribution that they can make. Click here to be taken to the dedicated page full of information and dates for about the ETAG meetings.

We are also required to make sure our equality, diversity and human rights (EDHR) obligations are met, and we have an internal strategic group which provides assurance to the Governing Body that we are fulfilling our legal obligations under:

  • the Equality Act 2010 
  • the Public Sector Equality Duty (PSED)

 The EDHR steering group ensures that the CCG evidences how it takes ‘due regard’ of each of the protected groups in its decision-making processes. Also, how it recognises and addresses inequalities (and health inequalities) for local protected characteristic groups and any other groups recognised locally as disadvantaged.

The group meets bi-monthly and you can click on the dates below to look at past agendas. However, if you want to know more detail about what is discussed in these meetings you can make a Freedom of Information (FOI) request. Click here to be taken to our dedicated FOI page which details how to make a FOI request.

April 2018

June 2018 meeting cancelled due to multiple members sickness

August 2018 meeting cancelled due to excessive apologies received

October 2018

December 2018

February 2019 

April 2019

The Bolton, Salford and Wigan Partnership (BSWP) enables NHS organisations in the north-west sector of Greater Manchester to work together to make sure that specific areas of hospital care are the best they can be.  Due to increasing pressures on the healthcare system and limited budgets, the Partnership needs to make changes to the way services are currently provided, to make sure that they are suitable for future generations.The EERG has been established to support the work of the Bolton, Salford and Wigan Partnership, to make sure the patient voice is included at the centre of transformation work.

The Equalities and Experience Reference Group (EERG) will support the Partnership to make sure that the people of Bolton, Salford and Wigan are able to contribute their experiences and have their say on transformation proposals, particularly in relation to access and equality.

 The group will meet four times each year in locations that are accessible to the people of Bolton, Salford and Wigan.  Each meeting will last approximately three hours and focus on one or more of the areas for transformation, including general surgery, urgent and emergency care and dermatology.

By joining EERG and sharing your thoughts on proposals, you will be helping to improve health services for the future.

Future EERG meetings

To be announced.

You can find more information here.


For further information, or if you would like to join the EERG, please email bswp@boltonft.nhs.uk or telephone 01204 390473.

Bolton, Salford and Wigan Partnership

A partnership of NHS organisations including, NHS Bolton Clinical Commissioning GroupBolton NHS Foundation TrustNHS Salford Clinical Commissioning GroupSalford Royal NHS Foundation TrustNHS Wigan Borough Clinical Commissioning Group and Wrightington, Wigan and Leigh NHS Foundation Trust.

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