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Sue Waterhouse & H á ri Sewell HS Consultancy

Health and social care leaders’ views about obstacles to improving outcomes for Black and Minority Ethnic Groups in Mental Heath. Sue Waterhouse & H á ri Sewell HS Consultancy. We will cover. Background to the project Purpose Methodology Challenges in delivery Emerging themes

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Sue Waterhouse & H á ri Sewell HS Consultancy

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  1. Health and social care leaders’ views about obstacles to improving outcomes for Black and Minority Ethnic Groups in Mental Heath Sue Waterhouse & Hári Sewell HS Consultancy

  2. We will cover • Background to the project • Purpose • Methodology • Challenges in delivery • Emerging themes • Timescale for completion

  3. Background • End of ‘Delivering Race Equality in Mental Healthcare’ in Jan 2010 • Equality Act 2010 • Financial constraints • Equality Delivery System (EDS) in the NHS

  4. Background Cont’d • Limited progress in Count Me In Census 2010 • Concerns highlighted in Mental Health Act report by Care Quality Commission October 2010

  5. Purpose of the Research • Focus on improving outcomes for people from BME backgrounds • Develop better understanding of challenges and obstacles faced leaders in mental health • Assess the impact of the financial challenges

  6. Methodology • Telephone interviews with chief executives / chief officers • Spread of sectors • NHS mental health trusts • Voluntary • Commissioners • Local authority directors of adult social services • Independent sector

  7. Methodology Cont’d • Standardised interview schedule • Max 40 min pre booked interviews • Fair geographical coverage • Commenced in September 2011 with introductory email from NHS Confederation

  8. Challenges in Delivery • Significant effort to achieve responses from potential subjects • Particular problems with take up from commissioners • Leaders preoccupied with financial picture and system re-organisation

  9. Challenges in Delivery Cont’d • Difficulty in engaging mental health trusts in two regions • Local authority suspicions due to crossing of this project with a FOI Request about similar issues • 26 interviews completed, mainly with CEOs. Four more booked

  10. Emerging Themes • Few have awareness of the detail • Significant variability in progress • Concern regarding commissioning • Gap around expertise, support and national direction

  11. Emerging Themes Cont’d • Merger of Mental Health Trusts with Community Trusts – CTs have often made less progress than MHT • Little impact of National strategy ‘No Health without Mental Health’ • EDS is seen as positive in NHS • Some positive practice examples

  12. Emerging Recommendations • Positive practice to be shared in a dynamic way • More drive behind the EDS • Encourage the development and preservation of expertise in equalities • Offer some national support on implementation • Priority for the implementation framework

  13. HS Consultancy www.hsconsultancy.org.uk Creating solutions with you

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