Equality in Healthcare

UKNFS Equality in Health and Social Care UK Nepali Community Project [EHSCP]

The UKNFS-Health-Wellbeing- Nepalese-Report-Short Version

Report launch: Group photo

Report Launch group photo

On the 9th July, the project’s ground-breaking report has its formal launch at the Non Resisential Nepali Association [NRNA UK] head office in Woolwich. The UKNFS wishes to thank the NRNA President Mr Mahendra Kandel (who will also provide a keynote speech in support of the report on behalf of the NRNA) and the Executive Committee of the NRNA for kindly hosting the launch.

The Chief Guest of Honour at the Report launch is Mr Sushil Thapa from the Embassy of Nepal, representing His Excellency Mr Tej Bahadur Chhetri, Acting Ambassador of Nepal to the UK. The chief guest speaker will be Dr Habib Naqvi, NHS England Head of Equality, who will provide a keynote speech and presentation concerning the significance of the Report and its recommendations.

Group photo 2

Group photo at the Report launch

Dr Habib Naqvi at the UKNFS UK Nepali equality in healthcare report launch

Dr Habib Naqvi at the UKNFS UK Nepali equality in healthcare report launch

Report Executive Summary:

Executive Summary

बहुसंख्यक नेपाली एनएचएसको सेवाससत असन्तुष्ट

Some sample media coverage & publication through the Britain Nepal Medical Trust [Nepal]:

An interview with project PI, Dr Bibha Simkhada also featured on BBC World Service Nepal and BBC Asian Network

Britain Nepal Medical Trust:

The Britain Nepal Medical Trust [Nepal] has also published the report on its Healthlink website (Healthlink is a joint initiative of the BNMT [Nepal] and the British Embassy.  We are very pleased that our report has been published with the BNMT and that this will assist in exciting developments of the Healthlink initiatives in Nepal, yet linking to the UK Nepali community health & wellbeing context.  The UKNFS is also listed under the Healthlink ‘Nepalese organisations in the UK.’

Supportive quotes (included in the Report Press Release):

Ruth Passman from NHS England (Head of Equality & Health Inequalities) commented:

‘This report and its findings indicate the scale of the need for the NHS to have a better understanding of the needs of the Nepali community accessing in an effective and equitable way, and through its profile of health and wellbeing seeking behaviour of the community for the NHS to have the opportunity to better address in partnership with the Nepali community, its particular needs.’

Mr Tej Bahadur Chhetri, His Excellency the Acting Ambassador of Nepal to the UK added:

‘This report is a most helpful contribution, to promote much needed change in healthcare provision for the Nepali community, especially with the fast approaching 200 years of special friendship and diplomatic relations between Nepal and the UK. The link between the two countries started with the Gurkha’s becoming part of the British Army, and having been so to this day. The UK Nepali community will clearly benefit from the report and its recommendations.’

Alan Mercel-Sanca, Chairperson, UK Nepal Friendship Society commented:

‘We particularly appreciate Dr Bibha Simkhada and Dr Rajeeb Kumar Sah’s dedication and high quality research in the Nepali community. We would also like to thank the Big Lottery Fund for making this ground-breaking piece of work possible, and the NHS England Equality and Health Inequalities team for their great interest in the value of the research. The Report offers a unique opportunity for our evolving NHS and the Ministry of Health to better understand and more effectively meet the needs and hear the Voice of the Nepali community – it clearly has direct relevance to other South Asian and broader Black & Minority Ethnic communities using and seeking to access an NHS that is equitable and effective.’

Bournemouth University launch of UKNFS Equality in Health & Social Care Report (22nd July):

 BU UK Nepali healthcare report launch group image

On the 22nd July the report was launched at the Bournemouth University Executive Business Centre. After a formal welcome by Professor Vanora Hundley, a keynote speech and presentation was provided by Professor Edwin Van Teijlingen (the project’s senior UK advisor) of the university’s Health & Social Care Faculty regarding the report’s findings and recommendations.  Alan Mercel-Sanca also provided an overview of the opportunities the report recommendations provide for pan-Dorset better equality and NHS services access provision for the Nepali and broader South Asian communities.

                                Professor Edwin Van Teijlingen Report launch group discussions image

Attending the meeting were from the Bournemouth University Nepali community, UKNFS officers and members, including UKNFS founder member Jib Acharya, and Ms Preeti Mahato. External VIP’s attending included the equality leads of Dorset CCG and Dorset Healthcare University Foundation Trust [DHUFT] — Ebi Sosseh and David Corbin — as well as a senior officer of HealthWatch Dorset: Cllr Christopher Wakefield.   The event concluded with a Q&A session that lead on to valuable discussions with the NHS and HealthWatch representatives about the exciting prospect of a pan-Dorset initiative by the UKNFS healthcare team, on working with the NHS, and HealthWatch (in conjunction with Dorset Race Equality Council, due to broader relevance to BME communities) to progressively seek the implementation of the report’s main recommendations.

The opportunities for further research by BU in to areas of the findings was also highlighted, and it was noted that the UKNFS report itself had on the same day been released through and published on the Britain Nepal Medical Trust’s ‘Healthlink’ website (Healthlink is a joint initiative of the British Embassy and the BNMT [the UKNFS is listed on the website).

You can read more about the report and its launch at Bournemouth University, on the BU Blog

Background to the project:

In the autumn of 2012, a formal meeting of lead officers of the UKNFS was held with His Excellency Dr Suresh Chandra Chalise, Nepal’s Ambassador to the UK at the Embassy of Nepal. At that meeting the EHSCP was proposed, with His Excellency Dr Chalise requesting that the UKNFS undertake this unique initiative; this due to its being focused on not only research on needs that could support the UK Nepali community in terms of engagement with the NHS, but in particular proposing the means that the community’s Voice could be heard and effectively represented at the highest level with the National Health Service, and how it could provide the practical means through this to address issues and needs that would enhance access to and experience of NHS services for our UK Nepali community.

In the summer of 2013 the project received Big Lottery funding, and after a period of careful preparation, the EHSCP began in earnest in the late Spring – Summer of 2014. Our team decided to use a more in depth qualitative approach to the research aspect of the EHSCP [Greenwich / Plumsted Nepali community. London] and pursue a national and regional, rather than local area, approach to its NHS and social care directorates engagement dimension.  A report and executive summary of findings and recommendations for UK Nepali community – NHS engagement will be issued in the late autumn of 2014, to the Minister of Health, Chief Executive Officer of NHS England, the head of HealthWatch England, to the All Party Parliamentary Group for Nepal, and to the Ambassador of Nepal [London] and British Ambassador [Kathmandu], with a view to transforming — through work on implementing the findings in the project’s executive summary — the relationship between the NHS and UK Nepali community.

The project has four core purposes:

a) To, after initial feasibility and pilot project work had been undertaken, to in partnership with other Nepali organisations with an interest in this area of UK Nepali quality of life support, work towards development of a centralised communications network, that will provide UK Nepali community self-empowerment in terms of providing an effective Voice for representation to NHS, social service directorates and other related local and national level bodies that provide health, medical and healthcare services to the UK’s Nepali community

b) To provide, through the medical, health and well-being survey and related forms of engagement [in depth interviews, etc.] component, valuable data/facts about a given UK ethnic minority community, that will enable a national level profile to be developed, building on and advancing further the many given local area forms of project work that exist through the longstanding work of Nepali community groups, supporting their work by seeking to provide a unified national profile of the needs revealed, at national as well as local levels

c) To identify internal/perceived obstacles [cultural, etc] to all sections/components of the given community being able to enjoy prejudice and discrimination-free medical and healthcare services

d) To profile to the NHS, social service directorates and other related local and national level bodies that provide health, medical and healthcare services to the UK’s Nepali community, issues of limited access to their services (in comparison to the general [non-BME] community) and the sources of any perceived poor confidence in the latter on a range of grounds; the highlighting of potential identified equality, diversity and anti-discrimination issues/factors

UKNFS project team (Steering Group):

Project Initiator and Lead for NHS engagement: Alan Mercel-Sanca
Role and Work: To liaise with the leads of the components of the project, and to in particular be the national coordinator with the government ministries, NHS England and HealthWatch England on implementation aspects of the project at national level. In addition to lead on the equality and inclusion dimensions of the project in terms of engagement with the NHS and HealthWatch England regarding implementations of the equality and anti-discrimination related findings of the project

Principal Investigator: Dr Bibha Simkhada
Role and Work: To be the project PI to undertake the medical and related research component of the project and produce a final report on data collection analysis findings. Dr Simkhada will design the medical, health and wellbeing survey component of the project and directly undertake the data collection from a substantial and representative range of UK Nepali communities

Project Lead / National Coordinator for engagement with Nepali Communities: Dr Rajeeb Kumar Sah
Role and work: To initiate the establishment of the project’s national network of communities, and to liaise with and support concerning this, the PI, and to also work with the Project Lead in regard to leading the establishment of network, and ensuring the profiling of the medium to long-term purposes for given local community self-empowerment, and internal [community] and external facing equality, diversity and anti-discrimination in medical services and healthcare aspects of the project are explained.
Advisors: Dr Bhimsen Devkota, Prof. Edwin Van Teijlingen