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

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

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

4. 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

6. Increased uptake rate to 100% (by women who were able & wanted to be screened)

7.  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

8. 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

9. Traditional Family Transitional Family Transcultural Family A Theory about Patterns of Family Development

10. 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’

11. Transcultural Family Transitional Family Traditional Family A Theory about Patterns of Family Development

12.  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

13.  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’...

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

15. 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!