1. Cashain David
Director of Care Services
Serving our community ?
Does the BME sector provide the best support for BME service users ?
2. When delivering support, being black is
the both most important and most
unimportant thing at the same time
The general discourse around fair access,
diversity and inclusion is a discussion
about cross cultural practice
Starting points
3. to extend the discourse from a
conversation about the other =
difference
to include conversations about sameness
The challenge
4. The current focus on
improving the experience
and quality for people of
colour (and apparently
culture) is incomplete
5. A focus on commi tment to principles of
equality of opportunity
Respecting difference
Involving users
How does this framework recogni se those
who work with sameness
(QAF) C1.5 Fair Access,
diversity and inclusion
6. The BME sector
SACMHS,
Sheffield
Nai Zindago Project,
Nottingham
ACMHS,
Manchester
Abayomi,
Hammersmith, London
Advocacy project,
Liverpool
Sathi
Bolton
Sahara,
Bolton
Black women's MHP,
Brent, London
Black Orchid,
Bristol
Muslim Youth helpline,
London
Qualb centre,
Leytonstone, London
Sahayak Asian
Befriending,
Gravesend, Kent
Asian Health & Social Care Ass.
Bristol
Karma-Nirvana,
Derby
Tamarind centre,
Coventry
Black MH resource centre,
Leeds
Oremi,
Kensington & Chelsea
Mental Health shop,
Leicester
7. These services that have been
described as;
ethnic specific
culturally sensitive ,
culturally appropriate
culturally competent
8. How did we get here ?
Bringing political
pressure to bear
on decision-
makers
12. What make a BME
service ?
Staffed by people from ethnic
community - ACCEPTABLILITY
Language skills ACCESS
Staff have Cultural knowledge -
SENSITIVITY
13. The premise..
Delivered by those who understand the
culture
Higher levels of empathy
Rooted in the local community (local
people)
= Better outcomes !
16. Question ?
If the NHS now looks
like the BME sector,
what is it that the BME
sector still has ?
Is it still needed ?
Can I be incorporated
into the NHS ?
17. BME sector SWOT
Threats
continuation of funding
Opportunities
Share innovation and
skills with mainstream
Weaknesses
Lack of clear models
Poor commissioning
Strengths
Trust of service users
and community
19. What need to be done ?
Clarify and critically analyse the
theoretical underpinnings of your
services
identify the value this approach adds to
health gain or health economy
examine the models of intervention,
and their evidence base
20. Service Model
Be clear about the theoreti cal
underpinnings of your services..
Alternative , enhancement or gateway
Is this the same as the NHS, but wi th
rice and peas or Curr y ?
21. Much of the research and initiatives have
centred on the process or journey through the
system with little emphasis being placed on the
content
22. Training and skills
Select training for your staff which
assists in the development of their skills
in working with those who are the same.
Cultural awareness training is about
difference and not sameness
23. If you don t know
how you are
doing it
how can you do
it better ?
24. Quality assurance
examine your models of intervention,
and their evidence base.
Collect the evidence that there is a
health gain or economic gain
25. Oremi service in K&C conducted Acti on
research with Kings Fund showed that;
following contact with the Oremi
service, the cost to the l ocal services
dropped from an average of £83,000 to
£15,000 per year per service user..
26. Clarify your service model
Collect information to support yo ur
assertion
Be obsessive about outcomes
Pointers for future survival..
27. If you want your eggs hatched, sit on
them yourself.
Haitian proverb
28. Ujima has awarded 3
PHD fellowships in
partnership with the
University of Greenwich,
School of Health &
Social Care.
29. Ujima is the largest black-led
housing association in the
UK and are deeply
committed to strengthening
Ujima s health and social
care services through
education, research and
training through this
pioneering scheme.
