Quality and Equality Impact Assessments (QEIA)

NHS Vale of York CCG uses a quality and equality impact assessment (QEIA) tool assess and measure the potential impact of proposed service changes or reviews, as well as the need for patient and public involvement.

The QEIA enables our staff to follow a simple process to carry out a quality and equality impact assessment. 

The tool covers five key areas.

  • Safety – Rating the impact of the proposal on patient safety
  • Effectiveness – Rating the impact of the proposal on the clinical effectiveness of patient care
  • Experience – Rating the impact of the proposal on the patient experience of care delivery
  • Other impacts – Rating the impact of the proposal on other services, patient groups, staff or reputation of the organisation. This includes consideration of if the legal duty to involve patients and the public applies.
  • Equality and diversity – Rating the impact on those in a specific group as outlined in the Equality Act 2010 and also including other hard to reach groups.

Patient and public involvement

The CCG also uses the tool to consider the benefits of, and identify if there is a need for patient and public participation in their commissioning activity and if required help them plan for a level of participation which is ‘fair and proportionate’ to the circumstances.

If it is agreed that public and patient involvement is required, it triggers the need for a patient and public involvement form to be completed.



We provide our staff with a suite of forms to help them in their decision making. For the full patient engagement and involvement toolkit click here.

Tools relating to assessing quality, legal duty to engage and equality: