Responding to Dementia Inclusion for All

1. Responding to DementiaInclusion for All CNHLC Dementia Awareness & Support Project Eddie Chan 18 July 2014

2. Can anyone tell me the name of the first Chinese migrant in the UK?

3. Mr Shen Fu Tsong In 1686 a young Jesuit convert from Nanking called Shen Fu Tsong arrived at the court of James II and became the first recorded instance of a Chinese person in Britain. The King was so taken with him he had his portrait painted and hung in his bed chamber.

4. History of Chinese Arrivals • Chinese in the UK are a heterogeneous group • Late 19th century Seamen employed on British merchant ships in the late 1860s, settled in ports such as Limehouse in London and Liverpool. • 1950s – 1960s Agricultural workers from Hong Kong and people from the former British colonies, such as Malaysia and Singapore, with specialist skills, such as nursing and accountancy. • 1970s – 1980s Ethnic Chinese formed nearly 80% of the Vietnamese refugee community. • 1990s – present Mainland Chinese seeking economic freedom in Britain.

5. Chinese SeamanLeft: Tea getting ready for shipment (1908) / Right: West India Docks (1892)

6. Lodging TypesLeft: Strangers Home for Asiatic (1911) / Right: Chinese Boarding House Ah Tack (1911)

7. Limehouse CausewayLeft: Limehouse Causeway (1920‘s) / Right: Owner in front of Chinese Shop (1920‘s)

8. PennyfieldsLeft: Pennyfields (1910‘s) / Right: Pennyfields & Turner Buildings (1927)

9. Chinese ShopsLeft: Chinese Grocery (1920‘s) / Right: Chong Shung & Ching Yeu Kee (1920‘s)

10. Hand LaundryLeft: Lee Chinese Laundry (1920‘s) / Right: Dung Chong Chinese Laundry (1920‘s)

11. Chinese RestaurantLeft: Chinese Restaurant & English Grill (1932) / Right: owner to pick live chickens (1932)

12. London Chinatown

13. Chinese Population Changes • 1991 National Population Census – 160,000 • 2001 National Population Census – 245,000 with over 80,000 in London • 2011 National Population Census – 394,000 with over 125,000 in London • Figures excluding refugees, asylum seekers and irregular migrants (estimated 100,000) • Overseas Chinese students in UK now – 100,000+ • Estimated Chinese population is at 600,000+ (including irregular migrants)

14. CNHLC • Established in 1987 as London Health Resource Centre • Big Lottery funding in 2000 to become a national organisation • Aims to promote healthy living and facilitate access to health care for Chinese in the UK

15. Core services of CNHLC • Sunday bilingual doctor’s surgery • TCM clinic • Chinese Mental Health • Disability & Carers Support • Counselling • Needs assessments / Researches • Cancer awareness • Drop-in services • Healthy eating and exercise • Hep B clinic

16. Chinese community in the UK • The most dispersed BME community • Barriers – language & cultural • Quiet & passive/Invisible/Silent minority • Service providers stress that it is difficult to offer suitable services to the Chinese community because they are so unreachable • Reluctant to accept help of others outside the immediate family

17. Emerging Issues • An ageing population – people live longer • In 2010 – 820,000 with dementia in UK • Costing £23 billion per year • 1/3 of elderly people will get dementia before death • For Chinese - Long periods of working living in catering  limited social circle • Poor language skill- access to mainstream service hampered • Generation gap – loss of traditional family support • Cultural issues – misunderstanding/stigma • More than 8000 London Chinese are 65+

18. CNHLC London Dementia Awareness & Support Project • Aims: Removing stigma & promoting awareness • Pan-London: work in partnership with local community centres • Promotion: workshops/Chinese language booklets/Tea House • Support the early diagnosed/carers • Home visits/referral/benefit advice/telephone line • Involve volunteers/recruit dementia friends

19. Thank You Eddie Chan eddie.chan@cnhlc.org.uk