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Balraj Singh Rai Management Consultant

‘Here To Stay’ Consensus Building Event Birmingham, 26 September 2013. Balraj Singh Rai Management Consultant. If your clothes were on fire what would you do?. ???. Breast Cancer Screening. Context Women with LD – lower uptake rates (18%) Problems/ Issues Apprehension/ fear

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Balraj Singh Rai Management Consultant

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  1. ‘Here To Stay’ Consensus Building Event Birmingham, 26 September 2013 Balraj Singh Rai Management Consultant

  2. If your clothes were on fire what would you do? ???

  3. Breast Cancer Screening Context • Women with LD – lower uptake rates (18%) Problems/ Issues • Apprehension/ fear • Lack of knowledge/understanding • Access & speed • Poor Communication

  4. Breast Cancer Screening Action • Health Promotion Groups/ Activity • Easy read information/ visual aids, plus easy read invitations • Pre-familiarisation visits with nursing support • Length of appointment times • Increase in capacity for the service

  5. Measurement and ImpactService User feedbackStatistics & Stories Increased uptake rate to 100% (by women who were able & wanted to be screened)

  6. BUT • 1 BME Woman with LD identified! What we did: • ‘Manually’ targeted 7 GP practices • Trained front line staff & raised awareness • 113 women consulted via existing networks – almost all attended a BME-LD Health Fair

  7. BME and LD What we found • Different attitudes to LD amongst BME Community • Education & myth busting is key • ‘Hidden’ Communities not being targeted by services • Signposting to support services v. important

  8. The Acculturation Gradient A Theory about Patterns of Family Development Traditional Family Transitional Family Transcultural Family

  9. The Acculturation Gradient Pattern of Family Development Traditional families - often from rural backgrounds - tend to group together in industrial areas. Multiple problems; housing, unemployment, racial harassment Transitional families - established economic foothold. Children influenced by host culture. Hierarchy reversal and identity problems Transcultural families - urban to urban. Have a secure profession or business. Tend to deny racism. Tend to become ‘Black Britons’ or ‘Dualists’

  10. The Acculturation Gradient A Theory about Patterns of Family Development Transcultural Family Transitional Family Traditional Family

  11. Formula for Success • Evidence Base leading & underpinning the work • ‘Tailored’ user involvement & engagement from the design stage • Creative/ Innovative Interventions that test approaches • Application of service improvement methodologies (P-D-S-A) • Built-in, participatory, evaluation • Sharing the good, the bad & the ugly

  12. Building Consensus • Participatory Evaluation: objectivity and innovation; Quantity and Quality • Leadership: Champions…at 3 levels • Extended networks: local, regional, national & international • Publicity & Marketing: project posters, narratives, events, www. • Strategic links: existing & emerging • What didn’t work: there’s nowt ‘bad’...

  13. If your clothes were on fire what would you do? I wouldn’t put them on!

  14. A Final Thought... If you always do what you’ve always done, you will always get what you’ve always got... To getdifferent, do different... To do different, thinkdifferent!

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