Health Information and Resources

This page includes a wide range of information and links to support and inform staff. 

Explaining levels of wellbeing in BME populations in England (July 2014) – report attached

Self-reported wellbeing, i.e., feeling good and functioning well, varies between different ethnic groups in the UK. Even controlling for the social and economic factors known to influence wellbeing, there appears to be a residual, non-random difference – with people from Black and Minority Ethnic (BME) communities reporting lower levels of wellbeing than their White counterparts. This report describes the findings of a review conducted to investigate the issue of ethnic disparities in wellbeing and possible drivers for this. To view the report please click here

NEED - the National Equality Evidence Database http://needlibrary.info/
This website is designed to assist anyone working in the public, private or third sectors to carry out research on protected groups so as to produce effective evidence based strategies, policies, plans or activities; find qualitative or quantitative research to assess the potential impacts of changes; and share best practice widely to avoid 'reinventing the wheel'.

Health Information
This link takes you to a range of health information which is already available in alternative languages.

Mental Health Services for black and ethnic minority communities
The Joint Commissioning Panel for Mental Health has published Guidance for Commissioners of Mental Health Services for people from black and minority ethnic communities. This guide describes what ‘good’ mental health services for people from Black and Minority Ethnic communities look like. This guide focuses on services for working age adults. However, it could also be interpreted for commissioning specialist mental health services, such as CAMHS, secure psychiatric care, and services for older adults.

National Cancer Intelligence Network - Cancer and equality groups: key metrics 2014 report
This follow up report [June 2014] brings together updated cancer information and intelligence, and highlights where differences by equality groups exist so that we can work to reduce inequalities. It also shows what improved data quality will allow us to do in the future to improve our understanding further.

Sexual health of gay, bisexual and other men who have sex with men
Public Health England has published Promoting the health and wellbeing of gay, bisexual and other men who have sex with men summary document. It sets out Public Health England’s initial findings on the health and wellbeing of gay, bisexual and other men who have sex with men, and commits Public Health England to a range of actions. To guide this work to date, Public Health England has held two listening events for stakeholders and has established an advisory working group, made up of subject matter experts and academics. Public Health England will extend this work further in a strategic framework, to be published later this year.
Additional link: Public Health England press release

Commissioning home care for older people
The Social Care Institute for Excellence has published SCIE guide 54: Commissioning home care for older people. This guide captures the latest research findings on this important and emerging area of social care. It also provides some practice examples of good work in this area. The guide is aimed at health and social care commissioners of home care services for older people with complex needs. Providers of these care services may also find it useful.
Additional link: Social Care Institute for Excellence press release

Learning disability services
The Care Quality Commission and the Challenging Behaviour Foundation have jointly published 3 Lives: What have we learned, what we need to do report.  It highlights the stories of how three young people with learning disabilities and their families were let down by the learning disability services that should have been caring for them. The report concludes that the quality of provision of care for people with learning disabilities and their families is too variable across England. Services should be community based and person centred, close to family and local contacts, and families should not be excluded from decisions about care. The report outlines actions that Care Quality Commission and others have committed to take in order help people in the same situation. Progress against these actions will be reviewed in the autumn.

Ramadan
Fasting in the month of Ramadan is obligatory on all adult Muslims.  Many patients and staff will be fasting or wanting to fast in Ramadan.  It helps if NHS frontline staff are aware of and respect this important religious obligation and how such beliefs may affect the different elements of care.

Click here to view a Ramadan health factsheet [July 2012]
Click here to view an informative presentation that has been provided courtesy of Kirklees Council
Click here for information on healthy fasting
Click here to view a guide to healthy fasting

Gay in Britain
This report from Stonewall provides some highlights based on the outcomes of poor experiences from the LGBT community when accessing health care.

Guidance on wearing face veils in the workplace [3 October 2013]
There has been growing discussion on wearing the burqa and niqab by Muslim women. NHS organisations have a duty to determine appropriate dress for staff, depending on their role and the tasks they perform. A summary of the latest guidance, from the Equality and Human Rights Commission (EHRC) including examples of current NHS trusts policies and practices are available on NHS Employers equality and diversity pages.

Healthcare Commissioning – Race Equality
This paper draws on findings from the Evidence and Ethnicity in Commissioning (EEiC) project, together with practice experience and other research, to highlight obstacles and opportunities for healthcare commissioning to enhance access, experiences and outcomes for minority ethnic people. The aim of the paper is to describe typical elements of commissioning work and to point out a range of actions that clinical commissioners, commissioning managers and other stakeholders can and should take to improve healthcare commissioning for multi-ethnic populations, to view please click here.

The uncomfortable reality of prostate cancer in black African-Caribbean men [February 2013]
But there is an uncomfortable reality in prostate cancer - black African-Caribbean men are 30 per cent more likely to die from prostate cancer than white men. Black men have a three-fold greater risk of prostate cancer than white men and are more likely to encounter prostate cancer at a younger age.

The report highlights some of the barriers to treatment, with first generation black men less likely to proactively ask healthcare professional questions about their condition or treatment, and with myths and misinformation in the black community also potentially inhibiting understanding of cancer.

Women on Boards – Davis Report [February 2011]
Corporate boards perform better when they include the best people who come from a range of perspectives and backgrounds.  The boardroom is where strategic decisions are made, governance applied and risk overseen. It is therefore imperative that boards are made up of competent high calibre individuals who together offer a mix of skills, experiences and backgrounds. This report presents practical recommendations to address the imbalance of poor representation of women on Boards.

Top Tips for Working with Trans People [2013]
This guide is designed to give you a basic understanding of trans people and their needs, as well as tips on how you can best support them in your role and in the workplace. It will also point you to sources of further reading and information.

Lesbian, Gay & Bisexual Women in the North West: A Multi-Method Study of Cervical Screening Attitudes, Experiences and Uptake [2011]
The NHS Cervical Screening Programme is committed to reducing health inequalities for lesbian, gay and bisexual (LGB) women within cervical screening programmes and funded this project and research study in response to changes in NHS guidance regarding cervical screening in 2009. This demonstration  project, delivered by The Lesbian & Gay Foundation (LGF) in partnership with the University of Salford, builds on the findings of a comprehensive systematic review (Fish 2009), which exposed the gaps in the current evidence base regarding cervical screening uptake and accessibility for LGB women, and evaluates methods to increase awareness and enhance participation in cervical screening programmes. to view please click here

Lesbian, Gay, Bisexual and Trans Public Health Outcomes Framework Companion Document
The Public Health Outcomes Framework (PHOF) published by Public Health England is based on national data collected through NHS monitoring and national surveys. Because sexual orientation and gender identity are not routinely monitored, the PHOF does not contain data related to LGB&T communities and so their health needs are not recognised in the document.

However, there is a substantial body of evidence demonstrating that LGB&T people experience significant health inequalities, which impact both on their health outcomes and their experiences of the healthcare system.

The LGB&T PHOF Companion Document click here has been developed by a group of volunteer experts from across the LGB&T community working with the Department of Health, to increase understanding of LGB&T health and make sure that the public health system tackles inequality related to sexual orientation and gender identity and promotes equality for everybody.