Engaging with Black Asian and Minority Ethnic (BAME) Community Groups and individuals in Gloucestershire : A community led and NHS supported initiative

Written by on June 9, 2020

Two informal BAME led engagement events were held: 3rd of  Dec 2019 and 6th of Feb 2020 – the funding for these events, with an additional informal gathering BAME event, were totally resourced via a local community donation of less than £1,000.00. A visual evaluation of the comments kindly shared  by the BAME community groups/individuals on the 6th of Feb was undertaken by NHS Gloucestershire  Clinical Commissioning group. The following themes/queries/asks have emerged and below is a summary of recent/ planned activity to the topics raised at the community engagement events. Where there are still gaps below this is because consideration is still to be given to the topic (please bear with the local NHS as the focus naturally for the NHS at the moment is its response to Cornona virus/Covid-19).

Bren McInerney, Community Volunteer brenmcinerney@hotmail.com tel 07940 045 770

 

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Access to interpretation is an issue and BAME communities don’t know what is offered in GP practices and hospitalsGloucestershire Health & Care NHS Foundation Trust (GHC), which provides community physical health, mental health and learning disabilities services, offers interpretation services to all individuals who need this where English is not their first language, or who use/need British Sign Language. In addition, any written correspondence can be provided in their preferred language or Easy read. Currently interpretation and translation services in the organisation are being reviewed to improve interpretation services for people who use our services.

NHS Gloucestershire Hospitals NHS Foundation Trust (GHT) which provide the acute hospitals care is currently procuring a new translation and interpreting provider, and will make sure that communications about the new service are visible to service users as well as colleagues. We can distribute posters out into the community as well to remind people that services are available at our hospitals if that would be useful?

The NHS Gloucestershire Clinical Commissioning Group (CCG) which purchase health services for people in the county, commission translation and interpreting services for all GP practices across the county. Reminders about how to access these services will be circulated shortly. This includes guidance to staff that family members should only act as interpreters at the specific request of the patient.

Gloucestershire County Council (GCC) are working with Adult Education, their education department, to see if we can provide a health literacy type course for people where English is their Second Language. You said:

Recruiting and retaining BAME staff in the NHS is an issue We did / plan to do:

Gloucestershire Hospitals NHS Foundation Trust (GHT) have lots of work ongoing about recruitment and retention of staff, and are looking to develop a focussed equalities role within the organisation which looks at both staff and patient equality issues. They are currently working with their Human Resources and patient experience teams

NHS Gloucestershire Clinical Commissioning Group (CCG) is planning on using the NHS Information Bus to promote opportunities to work in the NHS at local community events this year. The bus will be staffed by representatives from across all of the local health organisations
Recruiting and retaining BAME staff in the NHS is an issueGloucestershire Hospitals NHS Foundation Trust (GHT) have lots of work ongoing about recruitment and retention of staff, and are looking to develop a focussed equalities role within the organisation which looks at both staff and patient equality issues. They are currently working with their Human Resources and patient experience teams

NHS Gloucestershire Clinical Commissioning Group (CCG) is planning on using the NHS Information Bus to promote opportunities to work in the NHS at local community events this year. The bus will be staffed by representatives from across all of the local health organisations
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Dementia friendly communication from GP surgery to the Memory Café would be useful for carers and patients- could there be something written to take away…The CCG will raise this with the Primary Care Team, for discussion with the Primary Care Networks (PCN). PCNs, are groups GP Practices/other organisations who have come together to better deliver local health services They are at different stages of maturity and their focus is currently on the delivery of new national specifications of working.Resources, including funding are needed to support BAME carers (Ebony Carers)NHS budget setting for the new financial year is underway across the NHS and Social Care. However, currently the focus is on Covid-19 response.

Gloucestershire County Council (GCC) provides funding to some voluntary organisations to support carers from BAME communities and held an event last October (2019) to hear experiences and understand more what is needed.
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Better communication needed between patient and consultation (GP practice/hospital clinician) to ensure patients and carers understand medication instructions...GHT currently delivering Health Literacy training developed by NHS Health Education England (HEE) a national NHS organisation responsible for NHS education and training, to clinicians across the Trust about plain English explanations. Will also promote telephone interpreting more widely as part of the new T&I contract role out, and encourage people to use it for quick and easy access when language barriers become apparentTo raise more awareness on how the NHS can Link to BME leaders, pastors, etc.GHT Multi-faith chaplaincy service, Workforce Race Equality Standard (WRES) lead engaging in these sessions, keen to continue this work and develop stronger community links. Something we would be interested to know more about best people and groups we can signpost to or link with
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You want to see improved communication between the NHS and the BME communitiesThese two informal events have already made a start at improved communications. There is more to do, but positive and constructive progress has been made Can the NHS organise BAME Seminars to help diverse communities to understand the NHS organisations…We would all be happy to support a system wide event around this
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Resources, including funding are needed to support BAME engagement and expenses to attend support groups for people and carersConversations with communities are part of our Equality Diversity (System 2 EDS”), a national NHS requirement to look at a number of equality delivery measures and objectives, to meet with people from across Gloucestershire to understand what matters to them and their experiences. In engaging with BAME communities we will try to come to communities to minimise cost and travel difficulties on individuals, and offer expenses where possible and agreed in advance etcCome and see for yourselves e.g.

visit Memory Café, Black Elders Café,
GHC Members of the Community Partnerships Team and the Social Inclusion Team have good links with various organisations and have visited sites some of these community organisations previously. As we are now a new organisation these two teams will be merging and we would welcome the opportunity to visit these community organisations again once we have fully merged.

GHT is planning to do a programme of conversations with communities as part of equalities work, looking at understanding how accessible services are and barriers. Would be really keen to do this with groups who want to share and to give the opportunity to see what works.
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Outreach to diverse people with NHS topics and have feedback on the topics as understood and experienced by people from a BAME community…GHC - Previous health days held at the Friendship Café looking at Cardiac Disease, Diabetes and Cervical Screening in BME communities looking at barriers people face in accessing these services and ways to improve.
Planning to run a series of information events with the Women’s Group at the Friendship Café in conjunction with Aysha.

GHT Conversations with communities are all about us understanding experiences of communities, and an opportunity to understand where we are not conveying messages well or in an accessible format.

Following the very successful awareness event coproduced and co-delivered with the community focussing on Women’s cancers in 2019 – further events focussing on other cancer sites are being planned for 2020.
Working together to communicate and increase engagement with diverse communities in Gloucester City e.g. with Diverse-City…GHC – Email sent to Val at Diverse-City to inform her of NHS event we were having – plans to link in with Diverse-City for Black History Month.

GHT Plans to take a more system approach to engagement – example of carers work with Hannah joining us together.

The CCG is keen to pick up work with Val, in particular in relation to ‘creative’ engagement opportunities. Val invited to make contact us to discuss further.
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More support needed for older patients in hospital i.e. at meal times, especially those who are unable to feed themselves…GHT - This feedback will be shared with teams, and is something monitored on a regular basis with a real-time survey programme across our wards. It is a key question asked and matrons and service leads have access to all the data to understand where this is an issueA service level to advertise and communicate via GFM community link show to continue to develop music, news, information and advice to listeners within the city of Gloucester…Since December 2019, GHC and the CCG entered into an agreement with GFM to support a monthly health advice segment. So far these have focussed on sexual health and dementia. Future features include diabetes awareness and mental health issues among men in the BAME community. We will be looking to extend this approach with more will follow during 2020.
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You want to work with the NHS Leadership team to support the next Diver- City awards evening by being part of the working group, evaluation panel and attending the awards evening…The NHS organisations will be happy to consider any requests. Also, please refer to the responses on supporting Diver-City cited in the previous actionsSupport to maintain/develop BAME capacity building through the Friendship Café is important. In order to take on more activities, projects, programmes that there is a need for resources to increase capacity…NHS budget setting for the new financial year is underway across the NHS and Social Care. However, currently the focus is on Covid-19 response.
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Advocate for BAME information on Haemoglobinopathy awareness needed…GHT - Would be great to share more feedback around this with our clinical teams and patient information team, and we can develop more specific information. Use GFM to share information in a targeted way and find out more about the BAME communities and how they communicate with each other…As above. This initiative is helping to build better links with GFM. We will also be providing a link to our website from the GFM website.

GCC Carers Support Commissioner has contacted Carers Hub, POhWER and Proud to Care asking them to consider utilising GFM for paid advertising, as well as radio interviews.
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It’s important to see an NHS presence at BAME community events e.g. Jamaica Day, Barton and Tredworth Cultural FayreGHC have had a presence at these events over the last few years e.g. Barton & Tredworth Cultural Fair – plan to attend this and Jamaica day again this year amongst others. Going to link in with Diverse City re: black history month this year.

GHT would be very happy to attend if there are particular services or information that people would like us to come along with.

The CCG NHS Information Bus regularly attends this type of event and we are holding a number of dates in the diary for this year. We aim to work in partnership with other NHS and community partners to bring a diverse range of information to these events. This year we are aiming to focus on career opportunities in the NHS (see above).
Your Circle could better involve/inform BAME communities…The CCG has been in touch with Gloucestershire County Council (GCC) to discuss future developments to Your Circle. The GCC YC Project Lead is currently on secondment to a role outside of the county.
A review of current BAME related content will be undertaken to identify gaps.
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Unofficial carers support groups have no contact with Carers Hub e.g. Polish Parent Carer Group…GHC - Information on the Carers Hub and a contact has been sent to the polish parent carers group after the last event at the Friendship Café – awaiting a response.

Agreed would raise this issue at the Carers Partnership Board.
GCC - An event was held in October to introduce Glos Carers Hub to carers from BAME communities and we had 97 carers attend, including from the Polish community. The Carers Support Commissioner has met with a Polish Carers Support Group and fed back the experiences people raised there.
Does the NHS have a BAME Engagement Strategy?Not explicitly. GHT is developing an engagement and involvement strategy soon and this will be part of this work. Equalities also runs as a thread through all of our strategies, with both a staff and patient focus.

The CCG currently has an Engagement and Experience strategy (which identifies communities of interest and relevant legislation which respects due regard). The CCG also has an Equality and Diversity Strategy. During 2020 the intention is to merge these two strategies to create a cohesive Engagement, Experience and Equalities Strategy.

All CCG led engagement and consultation activities are informed by Equality Impact Analysis (published) to identify where protected characteristic groups (e.g. BAME) might require targeted engagement/consultation activities.
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More encouragement needed to increase diversity in NHS workforce…GHC - As part of work with GFM we plan a future feature on job opportunities, return to practice and career options within the NHS.

GHT - Have strong focus on recruitment and retention in organisation, and Coral is our WRES lead working in partnership with recruitment and retention lead to understand BAME colleagues perspective. Held first BAME conference in December to explore this further

As part of the CCG’s work with GFM we plan a future feature on job opportunities, return to practice and career options within the NHS. See above comments re recruitment and use of Info Bus
Want to know more about changes to organ donation in England…The CCG raised this concern immediately after the event in January with NHS England and liaised directly back via GFM contact and event organiser.

GHT – happy to support when this is launched.

 


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