Equality Delivery System 2

The Equality Delivery System (EDS) has been designed by the NHS as a framework improvement tool to support the Trust in driving up equality performance and embed a clear vision for a personal, fair and diverse health and care service into all areas of WMAS.

The EDS will also support the Trust in meeting the equality aspects of the NHS Constitution, the NHS Outcomes Framework, Care Quality Commission’s Essential Standards, and the Human Resources Transition Framework.

Equality Delivery System 2 Framework

This framework helps NHS organisations review and assess their equality performance against four goals and eighteen objectives. The objectives aim to improve outcomes for patients, communities and employees and ensure legal compliance through applying a consistent framework to identify inequalities and barriers throughout the NHS.

The four EDS2 goals are:

  1. Better health outcomes for all
  2. Improved patient access and experience
  3. Empowered, engaged and well supported staff
  4. Inclusive leadership at all levels

EDS2 is aligned with the Equality Act 2010 and covers the same protected characteristics. It is our intention to develop sustained relationships with other groups such as asylum seekers, people from deprived communities and other seldom heard communities. EDS2 requires us to be graded by a representative panel made up of employees, patients, local interest groups, governors, trust members and any other interested parties. The panel is responsible for rating our performance on evidence we make available against each objective.

2018 – 2019 EDS2 Grading Results

West Midlands Ambulance Service achieved the grade of “Achieving” in ten categories and “Excelling” in eight categories. This was an improvement over the previous years result. This provides scope and actions to progress further in coming years.


2020 – 2021 EDS2 Grading Results

West Midlands Ambulance Service annually holds Equality Delivery System 2 events both internally and externally. Internally we ask staff to grade the Trust against goal 1 which relate directly to them. Externally we ask our communities, partners and other agencies we work with to grade the Trust performance against the other prescribed goals. The Trust has delivered Goal 3 relating to staff only until EDS3 is published later this year. The Staff event covered goal 3 – empowered, engaged and well supported staff, incorporating:

  • Recruitment and Selection
  • Development
  • Equal pay
  • Bullying & Harassment
  • Flexible working.

The current EDS2 rating system is underpinned by a substantial number of factors which need to be evidenced to achieve one of the four ratings. Each prescribed outcome is presented by a facilitator to the audience who then discussed their views prior to making a decision on the grading and make suggestions to enable improvement. The grading headings are as follows:

The Trust has improved or maintained EDS2 gradings for staff outcomes.

The Summary reports can be accessed by using the link below:
EDS2 Summary Report March 2020
EDS2 Summary Report February 2018

The Full reports can be accessed by using the below link:
EDS2 Report 1st JAN 2018

The EDS2 Action Plan 2019 can be accessed here

Involvement and Inclusion

If you would like to be involved in the next Equality Delivery System 2 event please contact Pamela Brown, Diversity and Inclusion Manager at pamela.brown@wmas.nhs.uk. You will be made very welcome and the Trust would value your opinion and expertise.