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Promoting equality, diversity and inclusion

We are committed to supporting and promoting equality, diversity and inclusion.

We have an overarching EDI action plan running in tandem with our three-year Strategic Plan 2023-26.


We have set two equality objectives to progress our continued journey to drive forward EDI.

Objective 1: Develop our EDI leadership 

As an independent body overseeing regulation and registration and setting standards for organisations, we recognise we have an important role in championing EDI practice and outcomes. This is why our first equality objective is focused on developing our EDI leadership. We understand that developing our EDI leadership includes promoting EDI in our work and those we oversee. It also includes using our influence and convening powers to be timely, visible and current in responding to emerging and ‘new’ EDI issues, whist maintaining the profile of more longstanding and persistent EDI matters.

Our Strategic Plan sets out our aim to make regulation and registration better and fairer. In doing so it sets out our intention that by 2026 EDI indicators across the regulators and Accredited Registers show significant progress when compared to 2022/23.

Objective 2: Build an inclusive workplace

We recognise that creating and sustaining inclusive workplace practices requires continuous commitment and action. This is why our second equality objective focuses on driving forward EDI within the workplace and more specifically building and improving upon our existing inclusive practices.


PSA first self-assessment on equality, diversity and inclusion and reflections on progress made

We have published our first self-assessment on equality, diversity and inclusion (EDI). The purpose of the self-assessment was to evaluate where and how we can improve EDI outcomes in our own processes and in those we oversee.

To provide us with a structured and objective approach, we used the EDI Standard of Good Regulation. Our self-assessment was carried out between February and May 2024 and used a modified version of the Performance Review Standard 3 to make it more relevant to our work and functions. It reviewed our EDI performance from 1 April 2023 to 31 March 2024.

We committed to assess ourselves robustly and objectively as part of our EDI action plan for 2023-24. Our intention was to demonstrate leadership by holding ourselves to account for the quality of our work on EDI. We also wanted to identify areas for improvement that would be taken forward in our EDI action plan for 2024-25.

Reflecting on progress made on EDI

The PSA Strategic Plan 2019-22 referred to the importance of: regulation protecting the most vulnerable; having a diverse staff team; and further improving organisational culture and upholding the values of the organisation (respect, fairness, integrity, transparency and teamwork). We also introduced our first EDI Standard of Good Regulation in 2019.

In September 2020, we set up our EDI Working Group – a staff-led group to support and promote EDI across the organisation and in those we oversee. In November 2020, we commissioned an independent EDI review that was completed in April 2021. The review findings pointed towards many positive aspects of our work that supported and demonstrated our commitment to EDI.  It also identified areas to work on in terms of strengthening the leadership of EDI; the analysis of EDI issues internally and externally; and a review of our people plans and HR practices. It specifically recommended establishing an EDI action plan. We published our first EDI action plan in spring 2022. We have now completed our 2022/23 and 2023/24 EDI action plans.

In our 2023-26 Strategic Plan, we have a strategic aim ‘to make regulation better and fairer’, which includes an objective ‘to promote and monitor equality, diversity and inclusion in our work and in those we oversee’. Over the past five years we have had a strong focus on EDI, our values, and creating a positive internal culture. In our most recent staff survey (November 2023), 92% of staff agreed with the statement, “I am treated fairly” and 97% agreed with the statement, “I am treated with respect”. We also had very positive responses to an additional survey on psychological safety in March 2024.

Our findings from the self-assessment

There have been many changes since our first EDI action plan was developed and we recognised these as we reviewed our performance over 2023-2024. 

Most notably, we have enhanced our expectations in relation to EDI for those we oversee. A new EDI standard designed to strengthen our approach to EDI within our accreditation programme was introduced to the Standards for Accredited Registers in May 2023. We also amended the requirements for meeting our EDI Standard of Good Regulation, making them more comprehensive, at the same time.

In addition, we now have clear equality objectives providing focus for our annual EDI action plans and there is a strong governance structure to embed EDI across the organisation. Other changes include the introduction of personal EDI objectives for all staff, supported by a wide range of professional development opportunities; annual collection and analysis of staff and Board diversity data; the introduction of an Associate Board Member to increase Board diversity; establishment of a larger senior management team to further improve diversity of thought in decision-making; and wider user of equality impact assessments.

Even with these numerous positive achievements, we have been deliberately self-critical in our approach to the self-assessment in order to drive further improvements. Our overall finding was that we do not yet fully meet all the expected outcomes of the EDI Standard of Good Regulation. We identified several opportunities for improvement. We need to be stronger in collecting and using EDI data across all our functions and we need to examine where there may be potential for bias in our procedures. We also want to be better at hearing public, patient and service user voices..

We believe our self-assessment was a rigorous, fair and candid reflection of where we are now regarding EDI. We publish our findings as part of our commitment to continuing progress on EDI. We will carry out a self-assessment again by April 2025, when we expect to report good performance against the Standard. We will publish the outcome of this in summer 2025.


Read our blogs

Why diversity matters for Regulator Councils

As regulator councils set the strategic direction for the organisation, it is important that the membership of those councils should reflect the wider public, their patients and their registrants. But this has not always been the case, so we and the regulators have been working together to drive more diversity among council members.

A lesser-known role we play at the PSA is advising the Privy Council about the appointment of candidates recommended as council members for the health regulators. Our role is to check the recruitment process used and assess whether it is fair, open and inclusive.

In the past, the potential of many capable individuals to become council members may have been missed; either because they assumed council membership was not for them; or limited advertising for the role meant it was not seen by a wider, more diverse range of possible recruits. Equally, regulators may have held fixed ideas about the seniority and experience required to fulfil a council member role that may have resulted in recruiting from a narrow field of candidates.

While we cannot influence the regulators’ decisions about who to recommend for appointment, we do encourage them to adopt strategies we believe will deliver the widest and fairest competition.

The approach regulators are taking to ensure that they increase the diversity of their councils and recommend candidates from the widest possible field has become increasingly sophisticated, challenging any lingering assumptions about potential candidates and panellists.

Requirements

Good planning is essential to attracting the most competitive field of candidates. 

Regulators’ selection criteria should be broad and avoid unnecessary requirements that may deter a wider field of candidates (such as younger candidates or those with busy careers or businesses).

The approach to EDI

  • As part of planning, an Equality Impact Assessment (EIA) should be undertaken. We want to see an EIA that has:
    • Considered the outcomes of previous processes.
    • Learned from external research and best practice.
    • Assessed barriers to participation and produced an action plan to mitigate those barriers with tangible actions.
  • The methods used to deliver a diverse shortlist, such as the advertising and search for candidates, should be informed by the EIA and action plan. For example, we expect regulators to use a mix of specialist and generic jobsites when advertising roles and to use their stakeholder networks, including representative groups.
  • If the regulator uses search consultants, these should have a track record in delivering diverse longlists and operate with the same commitment to EDI as the regulator.
  • Regulators must be open to reasonable adjustments, asking for these proactively and individually of both long and shortlisted candidates.

The selection process

  • Selections should be made by a diverse and well-prepared panel of three to five individuals.
  • Panel members should receive guidance on the selection process and EDI training. This usually includes training on understanding unconscious bias.
  • We recommend anonymisation of candidate identities at least until the end of the longlisting stage to ensure early decisions are made on merit alone.
  • An effective complaints process for candidates is also important to ensure that any concerns of unfavourable treatment are promptly addressed.
  • An Independent Panel Member (IPM) with a high level of experience in appointments provides the PSA with assurance about the process, specifically:
    • How well EDI matters were managed.
    • How well the process was chaired.
    • If they can recommend the process as demonstrably fair.

Is the regulator approach to EDI in council appointments working?

Recent evidence shows that it is. Regulator councils and the candidates who are applying to become members are more diverse across protected characteristics. However, some regulators are having more success than others and we urge regulators to learn from the successful approaches adopted by their peers.

We are also seeing more regulator initiatives, like council apprentice or associate schemes, to develop candidates and get (usually) younger input into council business. The PSA runs such a scheme and recently welcomed our new Associate Board Member Ruth Ajayi.

One of the Councils whose method has impressed us is the General Pharmaceutical Council (GPhC). We asked its Chief of Staff, Laura McClintock to tell us a little about their approach.


General Pharmaceutical Council case study

As the independent regulator for pharmacy in Great Britain, we want our workforce to reflect the diversity of the public we serve and the professions we regulate. It’s vital that our council members are drawn from the widest possible talent pools, bringing with them a diversity of life experiences, ideas and perspectives, to enhance our decision-making. This is a core part of our EDI strategy and one that frames our work in relation to appointments to our governing council. This is also something that’s promoted through the PSA's Good Practice in Making Council Appointments.

Greater board diversity is about diversity of thought and experience, as well as the legally protected characteristics. While we’ve seen significant progress on gender and ethnicity at the GPhC, we know we have more to do on other characteristics and different types of registrant roles. For example, we know that pharmacy technicians are still under-represented in senior leadership roles in the sector compared to pharmacists and we receive fewer applications from pharmacy technicians for council member roles. We’ve been engaging with stakeholders to identify collaborative ways to break down some of those barriers and promote more participation in future recruitment rounds.

What’s working for us?

Moving the dial on board diversity takes a dedicated and co-ordinated approach, with a genuine commitment from everyone involved in the process. This includes the staff involved in running the appointment processes, any external recruiters, members of selection panels and everyone involved in the oversight and scrutiny process. 

Here are some of the practical steps which have helped us progress in this area:

  • Developing bespoke Diversity Actions Plans for each appointment round, covering all aspects of the process from design, procurement, attraction, application, selection and interview.
  • Mapping the learnings from external insights and research and applying these systematically to our own processes, including reports on specific characteristics for recruitment support and assessing how this would be implemented in the campaign.
  • Strengthening the EDI requirements in our tender documentation for recruitment support and assessing how this would be implemented in the campaign.
  • Conducting a skills audit and reviewing the core competencies and selection criteria, to make sure they don’t create unnecessary barriers, with emphasis on skills, output and lived experience.
  • Designing dedicated communications campaigns, to reach the widest possible talent pools and refreshing this for each round.
  • Improving our candidate packs to make them more accessible and inclusive, and testing them with focus groups prior to the campaign.
  • Adding positive and purposeful messages about adjustments, remuneration and support, to help encourage applications from candidates with caring or childcare responsibilities, disabilities or other needs.
  • Creating videos or other content with existing council members to help demystify the process, including adding selection panel photographs to the candidate packs.
  • Increasing the diversity of the selection panel and briefing them fully on EDI expectations from the outset of the process.
  • Creating learning packs and guides for the selection panel on affinity and confirmation bias, with case studies and examples of what this looks like and what to avoid.
  • Agreeing interview questions that enable candidates to share their broader experiences and create space to share perspectives on inclusion and values.
  • Minimising risk of bias in the process – avoiding artificial or pre-determined limits for shortlists, creating clear scoring methodologies and making sure presentation/unstructured parts of assessments include the rigour of a scoring matrix.
  • Monitoring feedback from candidates and actively using this to shape future recruitment campaigns.


Get in touch

Please let us know if you need our material in other formats. Email info@professionalstandards.org.uk

PSA first self-assessment on equality, diversity and inclusion

We have published our first self-assessment on EDI. The purpose of the self-assessment was to evaluate where and how we can improve EDI outcomes in our own processes and in those we oversee. We've also reflected on the progress we have made to date. See opposite for more details.

No more excuses - tackling inequalities in health and care professional regulation

This is the first chapter in our report - Safer care for all: solutions from professional regulation and beyond we looked at the impact of inequalities on patients, service users and registrants, and on public confidence more widely. We also took a closer look at what professional regulation (and beyond) could do to tackle inequalities in health and care. 

We have held two events linked to this over the last year:

On 14 December 2023 more than 90 participants joined us online to explore whether health and care professionals in the UK should have an explicit responsibility in supporting action to address these disparities as they do in other countries. And, if so, whether regulators need to reinforce such a role through their training, standards and guidance.


We then started the new year off with a joint online seminar on tackling barriers to complaints with the Parliamentary and Health Service Ombudsman (PHSO). The event followed on the heels of an earlier in-person event with patient and service-user organisations held in Edinburgh in September 2023. 

The event brought together over 100 stakeholders from across the health and social care sector to discuss and explore the barriers that currently existing and can prevent patients and service uses from complaining. Along with our PHSO colleagues we wanted to share examples of innovative actions to widen and improve access to complaints services and to encourage and promote further joint work to tackle barriers to complaining. The event gave us much food for thought and we will look to continue this work in 2024/25.


You can find out more about both of these events here.