Download as PDF, PPTX
![Cancer Screening (Our Findings)
• Reported increased understanding of process, and intention to
partake in NHS screening programs after attending intervention
• [Intra]Faith and cultural sensitivity crucial (music, fate, segregation)
• Need to understand & engage with health behaviors and beliefs
of mosque population](https://image.slidesharecdn.com/muslimnetworkhajjevent2019-190930091557/85/Muslim-Network-Hajj-Event-2019-69-320.jpg)
![CTEV [ clubfoot] DR ARUN LAL ,DR MOHAMED ASHRAF travancore medical college k...](https://cdn.slidesharecdn.com/ss_thumbnails/ctevclubfootdrarunlaldrmohamedashraftravancoremedicalcollegekollamkeralaindia-260208063247-18fc466c-thumbnail.jpg?width=640&height=640&fit=bounds)
![ONFH[AVN HIP] -TRIPLE REGIME -A NOVAL SURGICAL CONCEPT .pptx](https://cdn.slidesharecdn.com/ss_thumbnails/onfhavnhip2026koaconcalicutdrgokuldevdrmashraf-260210064517-213ec005-thumbnail.jpg?width=640&height=640&fit=bounds)
Muslim Network Hajj Event 2019
- 1.
- 2. HAJJ, EIDAND HEALTH INEQUALITIES AGENDA Introduction tothe network Hajj, Eid and the lessons we can derive from both Hajj Diary The Case For Diversity And Inclusion Across The NHS Health Inequalities And The Long Term Plan Health Engagement With Muslim Community The Long Term Plan And The Organisation's Commitment To Tackle Health Inequalities Networking And Food
- 3. N E TWORK : SUM M AR Y OF W HE RE W E AR E 728 Members 3Organisations 8 Regional Sites Cancer Screening in Muslim communities
- 4. Story of 64year old Maryani "I have always wanted to go for Hajj" Junk collector saves for 26 years to realise her dream Would work every morning from dawn to morning prayer collecting recyclable items such as plastic cups, bottles and bits of cardboard that she could sell on After 19 years she had saved 25 million rupiyahs, the m i n i m u m first payment required for Hajj. She continued working for another 7 years until this year to save the remaining 10 million rupiyahs She admitted that 26 years was a very long time, but never worried about when she would have enough money to finally perform Hajj
- 5. "The reward foran accepted Hajj is nothing but paradise" Prophet Muhammad (Peace Be Upon Him) Bukhari & Muslim
- 6. HAJJ, EID AND KEYLESSONS WE CAN TAKE FROM EACH Ihtishaam Malik Co-chair NHS England and NHS Improvement Muslim
- 7.
- 8. Belief in God Creator Everyorganism & entity Environment & elements Sustainer Every breath & heartbeat Health & provisions All-Knowledgeable Individual & Community What’s best for us
- 9. Belief in theMessage Guidance Direction and principles Insights (health etc.) Prophets From Adam to Muhammad Role models
- 10. Belief in Accountability Rewardand recompense Every person will be judged based on their conduct and intention Responsibility To God, family and one another (even in the workplace and wider community)
- 11.
- 12. Hajj Pilgrimage People from aroundthe world One of the key pillars of Islam Makkah One of the oldest cities Holiest place on Earth Ka’bah Built by Prophet Adam Rebuilt by Prophet Ibrahim (Abraham)
- 13. Key messages fromHajj Unity andequality People from all backgrounds No distinction between race or wealth Collective struggle Physical toll Patience Forgiveness Following the footsteps of the Prophet Seeking forgiveness from God
- 14. What is Eidul Adha?
- 15. Eid ul Adha Celebration EndofHajj Celebrate with family and friends Feeding the poor Sacrifice Meat traditionally given Attending the Eid prayer Morning prayer
- 16. Key Messages fromEid Family ties Maintaining ties of kinship With family, friends,community, colleagues Helping the needy Not forgotten Looking ahead Blessed month of Dhul Hijjah For those that completed Hajj - born again
- 17. The Prophet'sLast sermon Prophet Muhammad(Peace be upon him) O People, listen to me in earnest, worship Allah, perform your five daily prayers (salah), fast during the month of Ramadan, and give your wealth in zakat (almsgiving). Perform Hajj if you can afford it. All mankind is from Adam and Eve, an Arab has no superiority over a non-Arab nor a non-Arab has any superiority over an Arab; also a white has no superiority over black nor does a black have any superiority over a white except by piety and good action. Learn that every Muslim is a brother to every Muslim and that the Muslims constitute one brotherhood. Nothing shall be legitimate to a Muslim which belongs to a fellow Muslim unless it was given freely and willingly. Do not, therefore, do injustice to yourselves. Remember, one day you will appear before Allah and answer for your deeds. So beware, do not stray from the path of righteousness after I am gone.
- 18. Hajj Diary: An NHSE&Istaff's reflections onthe journey Syeda Alam
- 19. MY EXPERIENCE OFUMRAH IN THE MONTH OF RAMADAN Syeda Alam
- 20. What is it? Umrah, the ‘Islamic pilgrimage' undertaken by Muslims when they enter Makkah Umrah is composed of four things namely: 1. Ihraam, (Intention of starting Umrah or Hajj) 2. circumambulation of the Sacred House (tawaaf), 3. saa’i between al-Safa and al-Marwah, and 4. shaving the head or cutting the hair.
- 21. Journey o Physical travellingJourney – As a family o Embarking on the spiritual and emotional journey
- 22. Preparation… o Books o Otherpeoples experience o Hotels o Visa o Transport o Medicines o Google map o And many more Preparation… Preparation…
- 23.
- 24. A few hourslater…
- 36. The case fora diverse and inclusive workforce across the NHS Habib Naqvi Deputy Director for WRES at NHSE&I
- 37. 37 | The NHSprovides a comprehensive service, available to all irrespective of gender, race, disability, age, sexual orientation, religion, belief, gender reassignment, pregnancy and maternity or marital or civil partnership status. The service is designed to diagnose, treat and improve both physical and mental health. It has a duty to each and every individual that it serves and must respect their human rights. At the same time, it has a wider social duty to promote equality through the services it provides and to pay particular attention to groups or sections of society where improvements in health and life expectancy are not keeping pace with the rest of the population. The 1st principle of the NHS Constitution
- 38. www.england.nhs.uk Black and minorityethnic (BME) staff in the NHS, 2018 – the scale of the challenge • 1.4 million people work in the NHS • 20% staff from BME backgrounds • 28% GPs from BME backgrounds • 40% of Hospital Doctors are from BME backgrounds • 21% Nurses and Midwives rising to more than 50% in London But… • 8 BME CEOs (from ~231 Trusts) • 9 Chairs • 11 Executive Directors of Nursing • 37 Medical Directors • Less than 6% very senior managers from BME backgrounds • 7% overall BME board representation
- 39. 39 | In the2018 survey 12.8% of staff reported experiencing discrimination at work (q15a & b). Ethnic background continues to be the most common reason for discrimination. Discrimination by protected characteristic
- 40. www.england.nhs.uk Ethnicity of allNHS staff in London hospital trusts by pay band – March, 2018 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 90.0% Under band 1 Band 1 Band 2 Band 3 Band 4 Band 5 Band 6 Band 7 Band 8a Band 8b Band 8c Band 8d Band 9 VSM White BME
- 41. 41 |41 |Presentation title THE LEGAL CASE • Equality Act 2010 THE MORAL CASE • Right thing to do THE QUALITY CASE • Helps ensure high quality care, patient satisfaction and patient safety • Link between staff satisfaction and patient outcomes THE FINANCIAL CASE • Staff engagement and organisational efficiency • Cost savings Why focus on this agenda?
- 42. 42 |42 |Presentation title Identifying the issue "It can't be right that 10 years after the launch of the NHS race-equality plan, while 41% of NHS staff in London are from black and ethnic minority backgrounds, similar in proportion to the Londoners they serve, only 8% of trust board directors are, with two-fifths of London trust boards having no BME directors at all. Similar patterns apply elsewhere, and have actually been going backwards.” The Guardian, May 2014
- 43. www.england.nhs.uk But, here’s somegood news… 2016-18 WRES data comparison: all NHS trusts in England * NHS Staff Survey data (indicators 5-8) relate to the year of survey data publication ** Initial analyses of 2018 WRES data relating to workforce (indicators 1-4) and the board (indicator 9) Indicator type WRES indicator Metric description 2016 score 2017 score 2018 score** W O R K F O R C E 2 Relative likelihood of White staff being appointed from shortlisting compared to that of BME staff being appointed from shortlisting across all posts 1.57 1.60 1.49 3 Relative likelihood of BME staff entering the formal disciplinary process, compared to that of White staff entering the formal disciplinary process. 1.56 1.37 1.24 4 Relative likelihood of White staff accessing non mandatory training and CPD compared to BME staff 1.10 1.22 0.87 S T A F F S U R V E Y * 5 Percentage of BME staff experiencing harassment, bullying or abuse from patients, relatives or the public in last 12 months. 28.8% 28.7% 28.7% 6 Percentage of BME staff experiencing harassment, bullying or abuse from staff in last 12 months. 26.5% 26.3% 27.8% 7 Percentage of BME staff believing that trust provides equal opportunities for career progression or promotion. 73.8% 75.5% 71.5% 8 Percentage of BME staff personally experienced discrimination at work from a manager / team leader / colleague in the last 12 months 13.6% 13.8% 15.0% BOARD 9 Percentage of BME Board membership 7.1% 7.0% 7.4%
- 44.
- 45. www.england.nhs.uk The NHS LongTerm Plan, NHS People Plan and the WRES • Respect, equality and diversity will be central to changing the culture and will be at the heart of the workforce implementation plan. • Through the WRES, we are making progress in addressing these issues from the perspective of BME staff. • Working with the WRES team, each NHS organisation will set its own target for BME representation across its leadership team and broader workforce. • This will help ensure senior teams and boards more closely represent the diversity of the workforce and the local communities they serve.
- 46. 46 |46 | Recruitmentfor leadership diversity: Portsmouth Hospitals NHS Trust Total headcount Overall % % known ethnicity BME workforce 991 13.4% 13.5% White workforce 6323 85.4% 86.5% Unknown workforce 86 1.2% Total 7400 Proportion of BME workforce (n) Additional BME recruitment over the next 10 years to reach equity1 Total BME staff in AfC band by 2028 to reach equity 1 3.1% (6) 1.7% (1) 2.2% (1) 0.0% (0) 0.0% (0) 0.0% (0) 20 26 1 1 1 1 Band 8a Band 8b Band 8c Band 8d Band 9 VSM 7 8 5 6 3 3
- 47. www.england.nhs.uk Supporting delivery ofthe ambition 47 Leadership and cultural transformation Positive action and practical support Accountability and assurance Monitoring progress and benchmarking Representative workforce at all levels across the NHS
- 48.
- 49. Health inequalities and the NHS LongTerm Plan Iain Hill Assurance and inequalities Lead at NHSE&I
- 50. 50 | Delivering publichealth programmes for everyone What are S7A public health programmes? • 33 national public health programmes spanning screening, immunisations and child health information services (CHIS) • Agreed between the Secretary of State for Health and Social Care and NHS England • Includes all national cancer screening programmes (bowel, breast and cervical) and key immunisations including human papillomavirus (HPV), flu and measles, mumps and rubella (MMR) Why are they important? • National public health programmes are critical to the health of whole populations • Protect communities from preventable diseases • Identify problems early before they turn into bigger problems Addressing health inequalities in public health programmes
- 51. 51 | Delivering publichealth programmes for everyone (cont) How are they delivered? • They are direct commissioned programmes, which means NHS England, through its national and regional teams, has a direct hand in how programmes are delivered • We work hand in glove with Public Health England who provide expert clinical knowledge • The actual delivery method varies programme to programme – it can include home kits, community clinics, primary care, maternity services • Locally applied within a national delivery framework How are we doing? • Not bad. But we can always do better! Addressing health inequalities in public health programmes
- 52. 52 | Addressing inequalitiesin public health programmes Challenges: • Availability of data to better understand access and variation • Capability of existing IT systems to help • Complex commissioning landscape • Workforce and capacity Opportunities: • Technology – screening platforms and electronic personal health records (including NHS app) • Using local knowledge to inform plans • PHE screening inequalities strategy was published in 2018 • PHE immunisation inequalities strategy is being developed • Closer working with Local Authorities • Reviews and reports Addressing health inequalities in public health programmes
- 53. 53 | Inequalities inthe Long Term Plan What does the Long Term Plan say? • Develop a ‘menu of evidence based interventions’ • Ensure commissioners have the right sort of information to understand the needs of their populations • Improve uptake in screening and immunisation (with particular reference to childhood immunisations); and, • Introduce new tests like the faecal immunochemical test (FIT) and cervical primary screen • Developments in electronic Personal Child Health Records (Digital red book) and child health What will the impact of delivering the LTP have on addressing inequalities in public health programmes? • Understanding commissioning/delivery challenges and gaps • Focus on unblocking/enabling delivery • Sharing practice to improve Addressing health inequalities in public health programmes
- 54. Working with faith institutions to improvecancer awareness Sherifat Kamal British Islamic Medical Association
- 55. BIMA British Islamic MedicalAssociation • National, democratic, professional association of British Muslim Healthcare Professionals with 2,000+ members. Volunteer led, funded, and delivered. • Most members are a key part of their local mosques & communities. • Our vision is “to unite and inspire our members in service of our patients and profession” • Health promotion is one of several campaigns and activities
- 56. What have wedone so far? - Health and wellbeing, CVD, Trauma, Asthma, Diabetes
- 57. What have wedone so far?2018 o 2019
- 59. Community Projects for 2019 -Cancer Screening: Feb/March 2019 - Healthy Ramadan: April 2019 - BLS ‘Lifesavers’: Sept 2019 - Organ Donation Project Nov 2019
- 60.
- 62. Bowel screening • Menand women aged 60–74yrs, invited every 2 years • Over 74, can request a kit • FOBt (Faecal Occult Blood test) kit received in the post. FIT will be implemented from April 2019 • One off bowel scope test at 55yrs Screening programmes Cervical screening • Women aged 25-64yrs • Invited every 3 years age 25-49, and every 5 years age 50-64 • Cytology and HPV (Human papillomavirus) Triage. HPV will become the primary test from December 2019 Breast screening • Women aged 50– 70yrs, invited every 3 years • Women over 70 screened on request • Mammography National min standard 70%
- 63. Cancer Screening • Bowel,breast & cervical cancer awareness talks and screening information, in partnership with Cancer Research UK and the Muslim Council of Britain • Aim to dispel myths and false information around screening, particularly around religious reasons • 2018: 35 mosques; 600 attendees • 2019: 39 mosques; 900+ attendees
- 64. Cancer Screening Campaign2019- Participating venues
- 65.
- 66.
- 67. Feedback from attendeesCancer Screening Campaign 2018
- 68. 34% 66% GENDER Male Female 7% 33% 48% 12% ETHNICITY Arabs African/African Caribbean South Asian Other 74% 26% DID YOU KNOW ABOUT NHS CANCER SCREENING BEFORE TODAY? Yes No 13% 30% 20% 37% HAVE YOU EVER ATTENDED YOUR OWN CANCER SCREENING? Yes - Bowel Yes - Cervical Yes - Breast No Feedback from attendees Cancer Screening Campaign 2019
- 69. Cancer Screening (OurFindings) • Reported increased understanding of process, and intention to partake in NHS screening programs after attending intervention • [Intra]Faith and cultural sensitivity crucial (music, fate, segregation) • Need to understand & engage with health behaviors and beliefs of mosque population
- 70. Summary - Challenges •Interest – health topics for all audiences with good attendance • Reactivity – lack of interest until community affected • Women & youth – mixed sessions can M>F. Taboos difficult to tackle • Weak institutions – need lots of support to deliver health promotion. Volunteers struggle to engage despite strong desire. • Hierarchical – Medics/specialists over public health/nurses etc. • Trust – distrust of ‘outsiders’ inc. Muslim organizations and individuals unknown to community. Seen as a ‘problem’ • Beliefs – ‘fatalism’; ‘Hakims’ & healers; socio-cultural
- 71. Summary - Opportunities •Women – Ladies only sessions, will engage whole family • Narrative - capitalise on health issues in media, positive engagement • Sensitivity – Muslim practitioners are seen to understand religious issues better. Intra-faith, racial & class differences remain • Credibility – having national organizations gives more weight • Health checks – good incentive to attending (&food!) • Champions – when one institution ‘gets it’, domino effect in community networks. Chaplains also key. • Potential – it works! Significant untapped resource; energize and engage Muslim community through mosques
- 72. Further research needed… •We are looking to build on our community engagement and undertake quality research into the health of Muslim communities • The impact of cancer screenings programmes in UK populations is untested and we need to collect data • Especially the use of mosques and faith institutions as mechanisms of health promotion; intersectionality of UK Muslim population
- 74. Thank you Contact • healthpromotion@britishima.org •www.bririshima.org • Twitter/FB: @britishima
- 75. North Staffs: Improving screening awareness ata younger age Emma Keeling & Dr Mirium Masaud
- 76.
- 77. Cannock Chase ClinicalCommissioning Group East Staffordshire Clinical Commissioning Group North Staffordshire Clinical Commissioning Group South East Staffordshire and Seisdon Peninsula Clinical Commissioning Group Stafford and Surrounds Clinical Commissioning Group Stoke-on-Trent Clinical Commissioning Group 77 GP’s
- 78. Cannock Chase ClinicalCommissioning Group East Staffordshire Clinical Commissioning Group North Staffordshire Clinical Commissioning Group South East Staffordshire and Seisdon Peninsula Clinical Commissioning Group Stafford and Surrounds Clinical Commissioning Group Stoke-on-Trent Clinical Commissioning Group 78
- 79. Cannock Chase ClinicalCommissioning Group East Staffordshire Clinical Commissioning Group North Staffordshire Clinical Commissioning Group South East Staffordshire and Seisdon Peninsula Clinical Commissioning Group Stafford and Surrounds Clinical Commissioning Group Stoke-on-Trent Clinical Commissioning Group 79 Strategy
- 80.
- 81. Kirklees Council, Eden Foundation andPHE/NHSE Javid Patel Co-Chair of The Muslim Network Health Collaboration
- 82. Breast & Cervicalscreening Barriers: Muslim scholarly input essential Health professionals need to understand religious and cultural sensitivities and role of prayer/faith Community outlook
- 83. Forward Look Changes suggested: Sensitivityto the word 'breast' Treatment setting Build community champions Completeness of ethnicity and religious coding Stating that health professional will be female Accomodating understandings of dignity
- 84. Many of thebarriers toward screening are not exclusive to the Muslim community, and were concurrent across a variety of ethnicities, such as issue of privacy and dignity. The lack of knowledge was cited as the biggestbarrier... Islam encourages preventative medicine, investigating and treating symptons and disease. Prayer, spirituality and phrophetic medicine are highly encouraged during the course of illness and is not a barrier to accessing modern treatments but can be used as a positive adjunct. Conclusion
- 85. Ongoing work withMuslim scholars who have a background working with the healthcare sector is needed to understand cultural and religion sensitivities, as well as educating them on contemporary healthcare issues such as screening... Whilst this conference was local, any findings can be applied to Muslims across a variety of ethnicities in the UK due to the same Muslimidentity. Conclusion
- 86. The LTP &the organisation's commitment to tackling health inequalities Baroness DidoHarding Chair of NHSE&I Amanda Pritchard Chief Operating Officer of NHSE&I
- 87. Closing Remarks Javid Patel Co-Chairof The Muslim Network Health Collaboration
- 88. Networking and Food Please don’tforget to complete feedback forms and to join the network please email us on: NHSI.MuslimNetwork@nhs.net
- 89. Email us at NHSI.MuslimNetwork@nhs.net Becomea member Please don’t forget to complete feedback forms