| September 2010 Quarterly Meeting Notes |
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Please click here to download the meeting notes from the September 2010 Quarterly Meeting in Microsoft Word format. Quarterly Meeting Notes September 2010Venue: Paddington Arts, Main Hall
Ziaur Rahman – BME Health Forum Chair, welcomed all to the meeting and introduced the first Item. Item 1: Response to ‘Good Practices for Access and Well-being programme’ report and recommendations
NHS Kensington & ChelseaPatricia Wright – Chief Executive of NHS Kensington & Chelsea
Patricia Wright thanked the BME Health Forum for inviting her and began by stating that she felt that GPAW was a very positive piece of work and that she would respond on behalf of the PCT by giving a flavour of what NHS K&C have been doing and what they intend to do in the future. She then went on to state the fact that at the moment there is of course little surety because of the significant changes to be instigated after the White paper – but that NHS K&C is committed, and have a responsibility to make sure that the work that has been done is not lost/ undermined due to the changes. Also that it will be our responsibility to seek out the relevant people to engage with all the time. Patricia then went on to look at the Recommendations of the report:
Adopting a Community Health Centre model This is happening here and now with Healthcare for London Polyclinics – or what is now referred to as ‘Polysystems’. However instead of specifically bringing services together under one roof, we are sharing resources e.g Diagnostic services alongside Support groups and shared reception. So how do you move towards more of an interaction with the community? In K&C we are well under way with St Charles Urgent Care Centre. St Charles is a focus for urban regeneration. We are putting plans into getting community organisations involved in delivering multi-services. Also in Earls Court we are developing more of a social enterprise model. It will be used not just for Health services but also for other activities. Again, we want you to be involved. We have St Charles User group and an Earls Court User group. We want you to be involved in the development of these services. Community development approach and Cultural Brokerage approachPatricia stressed the importance of being aware of cultural diversity when delivering services. She stated that the health model and the social model has to be compatible. So engagement is key – In K&C they do have quite a lot of engagement in terms of steering you in the right direction for the healthcare you need. Not so much has been done for children and young people but more work is being done on this. BME Access facilitatorsThis is more difficult but as we implement the polysystem approach there is a place for this. PartnershipsHow do we make it easy for BME groups to work in partnership? We have to make the tender process easier and we should encourage groups to form consortia.
NHS WestminsterVee Scott, Director of Inclusion, Communications and Engagement on behalf of Chief Executive Michael Scott who sent his apologies.Vee thanked everyone involved in the GPAW programme stating that it was a great achievement. Good News: since Primary Concern report (precursor to GPAW) NHS Westminster have produced a comprehensive Interpreting guide and sent it out to all GP practices and Dental practices for their frontline staff. She then went on to talk about the recent Health Foundation bid. This was bid in partnership with:
The bid is about adapting the Community Health Centre model from Toronto and piloting it. So far we have been done very well to be short listed and attended an interview and we will find out shortly if we have been successful. However, there is a definite commitment to move this work forward whether we are finally successful in winning the bid or not. There are big changes in the NHS – a lot of cuts The White Paper states that by 2013 the PCTs will be abolished and the commissioning of health services will move to Practice based commissioning. We are now working with GP clusters to get them ready to take on the work. We want to make sure that none of the important work is lost in the transition. Involving People and Equalities is still on the top of the list as priorities in the White Paper. Obviously there are still many unanswered questions but we will try and forward you more information as soon as possible.
Q&A
Natalia (Midaye) Wanted to thank NHS K&C for funding Midaye to do outreach work. They successfully helped 10/12 women who were previously unable to attend a medical centre without help. Lev Pedro (K&C Social Council) Question: There is a lot of uncertainty at the moment in the Voluntary sector – we are aware that we need to develop new relationships with GP consortia who will take over the commissioning of services. What advice could you give to us at this time? Patricia Wright (NHS K&C) Answer: We have a responsibility to let the Consortia know how important the work is that we do with the Voluntary sector. There is work for us to do to educate the GP commissioners that the voluntary sector is important in the pathway to care. We CAN help but YOU need to make sure you are seen and heard as well – in GP plenaries, media presentations. Be proud – use the concept of the Big Society. Vee Scott (NHS Westminster) Answer: This is a new world. It is very important how you position yourselves. We are sowing the seeds for them – helping them to realise how much they need to work with the community- but you will need to be visible. At our AGM there will be GPs present – look for opportunities like this to engage. There will remain outcomes around Equalities and they will need your help to achieve these outcomes. Sylvain Tecoura (New Roots) Question: Vee Scott referenced the Toronto Model – Community Health Centre – Can you explain a bit more about what this is?
Brian Colman (NHS Westminster) Answer: This is a model for promoting access to healthcare for disadvantaged populations – Healthcare services in amongst a broader range of services. These Community Health Centres are Community governed and Community controlled.
Vee Scott (NHS Westminster) – With the Health Foundation bid we are trying to pilot a model based on this. However if we are not successful we will still work on trying to move this project forward. Patricia Wright (NHS K&C) – In K&C we are not working with this model as we are already adopting these principles in the development of Polysystems with St Charles and Earls Court.
Item 2: Film Screening: OPEN SECRETS (a short film documenting a family coping with severe and enduring mental ill health) Vee Scott introduced this film made at the North East Foundation Trust. ‘Very moving and thought provoking’. Item 3: BME focused Mental Health projects in Westminster and Kensington & Chelsea Nadra Gadeed (BME Mental Health Promotion specialist –Westminster CLCH), Laetisia Staniforth (Mental Health Project Manager/ Commissioner NHS Westminster). Jill Watson (4 Minds Kensington & Chelsea) Nadra spoke about the background to the current initiative to tackle stigma and discrimination around Mental Health. This work is around the National programme - Delivering Race Equality (DRE) and was largely triggered by the death of Rocky Bennet in 1998 who died due to staff restraining him in a ward – putting Mental Health (BME) into the spotlight. It is on the National Agenda to have 500 Community Development workers in place to make sure services are delivered in a culturally appropriate way. CDW’s aims are:
What are the issues in Westminster around mental Health for Black men and women?
Laetisia went on to talk about the future – how best to build on the work that is already taking place as the National focus – Delivery of Race Equality Agenda comes to an end. She stressed that we need to raise the profile of Mental Health and make sure that Community Development workers remain in place. Events/ Activities for the Diary!
4 Minds Project – Jill Watson 4 Minds is a partnership project with Chelsea Theatre, Dalgarno Neighbourhood Trust, My Generation and K&C Social Council. It is funded by NHS Kensington and Chelsea and will run until March 2011. It is project that has come about in response to the Delivering Race Equality Agenda and New Horizons. 4 Minds is one of the 500 teams of Community development workers called upon on the National Agenda. The aim is to take positive steps for Mental health and well being within BME communities in K&C (approx 22% of population in K&C are BME).
We offer Training opportunities in:
We make the training specific to the BME communities we work with. Bespoke Training: We can make up a training programme according to specific needs and in an appropriate format. Race Equality and Cultural Capability (RECC) TrainingOne off projectsMental Health leaflets at the Mosque: We are currently running a Mental Health project with Al Manaar. We have come up with a leaflet that aims to de-stigmatise Mental Health issues amongst North African communities. There can be the supposition in some Muslim communities that if you are a ‘good Muslim’ you ought not to have Mental Health problems. Our leaflet will be handed out at the Mosque on Friday. Interactive map and Tube map of servicesWe have created an Interactive map - making services more visible. You could help us by showing it to your service users and letting us know what is and what is not useful. On Saturday 9th October it is World Mental Health Day and there will be an event at the Science Museum that we will take part by having our own stall – Information will be sent out shortly. The Future – What will be focussing on?One of the areas we want to focus on is to improve the uptake of IAPT services in BME Communities.
Item 4: Social Inclusion and Recovery Ali Wragg (Westminster Borough Lead for Occupational Therapy & Social Inclusion CNWL) and Lucy Cook (Kensington & Chelsea OT Lead/ Willow Team Manager CNWL) Principles of recovery:
Overview of where we have come on in Statutory services Late 1980’s – very much a ‘prison culture’ 1990’s – advent of Community care – however still a climate of services being ‘done to you’. Present - What we are moving towards now is a recovery orientated service with more self directed support and a more social approach to recovery. With the advent of Disability rights and Equal Opportunities there has been a move forward in this direction. We are moving forwards in the direction of partnership working and giving people with lived in experiences equal value to textbook experiences. Options for delivering support:
- sanctuary or promotion of exclusion?
- geographical integration but minimal social integration
Case Study
Mr M within his first meeting with his care coordinator and OT from the day services identified a Recovery plan this included the following:
Steps forwardWe need to link statutory services much more with voluntary sector services. We are starting to do this.
Item 5: ‘Count Me In’: Mental Well Being among African women in K&C Gladys Jusu-Sheriff – Women’s association for African Networking and Development (WAND) ‘Count Me In – Mental Well being among African Women’ is a research report that was commissioned by NHS Kensington & Chelsea. WAND is a London wide charity committed to empower African women. Why was the report conducted?We want to further emphasise prevention – not to let African women reach crisis point. We want providers to respond to the needs of African women by:
What we did:
Literature ResearchWe identified that most research studies are on black men – not women. Interviews:
2 Focus groups (Sewing groups) We are a grassroots organisation and we want commissioners to understand this. Findings:
Recommendations Three main Well-being messages were identified:
How? Deliver activities:
Framework for Improved Well-being
The Way Forward
This is the 2nd report on African women. The first one was on HIV and women. To end Gladys thanked Lev Pedro (K&C Social Council), Caroline Leveaux, Jemma Curry and Patricia Griffiths of NHS Kensington & Chelsea and all who supported this project. The report can be found at www.wanduk.org and also on the 4 Minds website.
Q&A Question (Sue Vahid -CNWL) – Can you give us any information on involvement with Faith organisations? Answer: We did approach a Mosque but they were reluctant to be involved in talking about the issues. Finally though – women wanted safe places – women only places – women GPs. Question (Vee Scott -NHS Westminster) – For the women that you interviewed was it a cross section of age groups? Answer: On the whole there was not a great deal of difference. In the sewing groups we tended to have older women. We used a cultural language to speak to them – we spoke in indirect ways. Question (Isis Amlak -BME Health Forum) – When you talk about African women, do you mean from all countries? Carribean as well? Answer: Yes, all black women.
AOB
IAPT (Improving Access Psychological Therapies) To help people to have an assessment at the GP we have launched a single point of access phone number and email. We are also recruiting Arabic speaking therapists and in talks with Arabic community groups to organise support groups for Arabic women. Employment support advisors are available to work with people who have lost jobs We will try and set up a link on the Forum website.
We now have a new Somali speaking advocate – Amun Osman.
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