‘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?

???
Context
 Women with LD – lower uptake
rates (18%)
Problems/ Issues
 Apprehension/ fear
 Lack of knowledge/understanding
 Access & speed
 Poor Communication
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
Measurement and Impact
Service User feedback
Statistics & Stories
Increased uptake rate to 100% (by women
who were able & wanted to be screened)
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
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
A Theory about Patterns of Family Development
Traditional Family
Transitional Family
Transcultural Family
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’
A Theory about Patterns of Family Development
Transcultural Family
Transitional Family
Traditional Family
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

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’...

If your clothes
were on fire what
would you do?
I wouldn’t
put them
on!
If you always do what you’ve
always done, you will always
get what you’ve always got...
To get different, do different...
To do different, think
different!