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    The content on this page is not current guidance and is only for the purposes of the consultation process.

    STAGE 1. Consultation

    1.1

    What approaches have been used to identify potential equality and health inequalities issues during indicator development?

    Review of existing EIA/EHIA on the guideline topic.

    Consultation with IAC committee.

    1.2

    What potential equality and health inequalities issues have been identified during indicator development?

    No potential equality and health inequalities issues have been identified at this stage.

    1.3

    How have the committee's considerations of equality and health inequalities issues identified in 1.2 been reflected in the indicator?

    Not applicable.

    1.4

    Could any indicators potentially increase inequalities?

    No.

    1.5

    Based on the equality and health inequalities issues identified in 1.2 do you have representation from relevant stakeholder groups for the indicator consultation process, including groups who are known to be affected by these issues? If not, what plans are in place to ensure relevant stakeholders are represented and included?

    Not applicable.

    1.6

    Has it been proposed to exclude any population groups from coverage by the indicator? If yes, could these exclusions further impact on people affected by any equality and health inequalities issues identified?

    People aged under 18 years.

    This is a legitimate and proportionate exclusion due to the source guideline not recommending bariatric surgery for children. However we are adding a question in consultation to check that this is the correct approach.

    1.7

    What questions will you ask at the stakeholder consultation about the impact of the indicator on equality and health inequalities?

    The following 3 questions will be asked at stakeholder consultation:

    Do you think there is potential for differential impact (in respect of age, disability, gender and gender reassignment, pregnancy and maternity, race, religion or belief, and sexual orientation)? If so, please state whether this is adverse or positive and for which group.

    If you think any either of these indicators may have an adverse impact in different groups in the community, can you suggest how the indicator might be delivered differently to different groups to reduce health inequalities?

    Should children and young people be included in this indicator?

    Completed by lead analyst: Daniel Smithson

    Date: 26/03/2025

    Approved by NICE quality assurance lead: Mark Minchin

    Date: 02/04/2025

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