R>College)
- N Y
Knighton,
Powys
0 N -
Ludlow 25 Y Y
Market
Drayton
About 25-30 N Y
Pontesbury 8 Y
Available
through PCT
N
Shifnal 40 N Y
Shrewsbury 8 N Y
Shrewsbury We have not been notified of this by Shropshire
County PCT and therefore will not be participating.
Whitchurch 0 - -
Cultural awareness training is particularly important for providers of secondary care. As the
population ages, this will become important for long term and palliative care. However, this
study has also highlighted the importance of awareness of ethnic differences in risk factors,
genetic susceptibility and epidemiology. Ethnic awareness should be promoted among
primary care providers. They should also be aware that Chinese have a tendency to
combine Chinese and Western medical systems.
Cultural awareness in mental health care is also essential. Culturally- and linguisticallyappropriate
services should be made available. These services can be delivered by outside
organisations but promotion and referral systems need to be established so that they can be
accessed.
Given the high proportion of Chinese students in Colleges, cultural awareness needs to be
promoted among College authorities so that guidelines and policies can be put in place to
accommodate culturally different health needs and behaviours.
Students should also be made aware of the availability of and have access to interpreters
should they require them.
Ethnic monitoring must be introduced across the board so that equity of service provision in
relation to needs and population dynamics is ensured.
Department of Health policy and guidance:
A Practical Guide to Ethnic Monitoring in the NHS and Social Care, DH; Health and Social
Care Information Centre; NHS Employers, 29 July 2005
27
7. Summary of recommendations
• The Interpretation Services provided by Shropshire County PCT and the Borough of
Telford & Wrekin Council need to be more widely publicised, both within the Chinese
community and among service providers. Interpretation must be available in both
Cantonese and Mandarin.
Information must be available in both Chinese and English and the Interpretation
Services must be accessible. It is now common practice for healthcare providers to
enquire if ethnic minority patients require an interpreter at the time of booking an
appointment.
• Information must be available in Chinese and widely accessible. Effective information
distribution channels need to be identified. This information must explain how the NHS
works, who is eligible to use the service, what services are available, when to use
services and how to access services.
Specific information in Chinese, e.g. relating to diseases, must be available upon request.
The existing Translation and Interpretation Services could provide this, but awareness of
this service must be promoted and put in place for it to be of any value.
Flexible GP opening hours or Out-of-Hours services should be considered so that certain
groups within the Chinese community are not excluded.
• The PCT needs to develop a long-standing dialogue with the Chinese community as
needs assessment is only useful if continually updated. Mechanisms must be developed
to reach and engage with the community so that their needs are taken into account when
planning and delivering services.
A
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