Primary Healthcare and South Asian Populations: Meeting the Challenges PDF
Preview Primary Healthcare and South Asian Populations: Meeting the Challenges
Primary healthcare and South Asian populations: meeting the challenges Edited by Shahid Ali Director of Research and Development and Senior Clinical Research Fellow Research and Development Unit Bradford South and West Primary Care Trust and Karl Atkin Director of Primary Care Research and Senior Lecturer Centre for Research in Primary Care University of Leeds Boca Raton London New York CRC Press is an imprint of the Taylor & Francis Group, an informa business First published 2004 by Radcliffe Publishing Published 2018 by CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2004 Shahid Ali and Karl Atkin CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works ISBN-13: 978-1-85775-820-7 (pbk) This book contains information obtained from authentic and highly regarded sources. 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Typeset by Aarontype Ltd, Easton, Bristol For Faraaz and Shiraaz (SA) For Florence and Kris (KA) Contents Foreword vii List of contributors viii Acknowledgements ix Part 1 Ethnicity and primary care 1 1 Meeting the challenges 3 Karl Atkin and Shahid Ali 2 Institutional racism, policy and practice 9 Karl Atkin 3 Issues in the organisation and delivery of primary care 21 Philip Heywood Part 2 Meeting the needs of the service user 31 4 Equity, clinical governance and primary care 33 Stephen Harrison 5 User involvement in primary healthcare: problems, paradigms 41 and prospects Timothy Milewa and Rukshana Kapasi 6 Better partnerships, better services 51 Dee Kyle Part 3 Modernising primary care and improving 57 clinical outcomes 7 Heart disease: an assessment of the importance of 59 socio-economic position James Nazroo 8 Mental health: disadvantage, discrimination and distress 71 Sashi Sashidharan and Martin Commander 9 Diabetes: a challenge for health professionals and 89 policy makers Dinesh Nagi vi Contents PART 4 Implications for policy and practice 101 10 Better knowledge, better care and better outcomes: 103 implications for primary care policy and practice Shahid Ali Index 111 Foreword This is a book that challenges any existing complacency about the quality of healthcare offered to South Asian populations. It goes much further by questioning the quality of the care actually provided to this often very under-served popula tion whose health problems are frequently exacerbated by their degree of social and economic deprivation. Like any stimulating and well-written book, the authors inform, challenge and occasionally irritate the reader: I experienced all three! The book is written for a broad audience who have an interest or direct involve ment in this important subject area and in my opinion will appeal to leaders, clinicians, nursing staff, managers, and the wider primary care community. Research, analysis and commentary are essential, but if South Asian people are to benefit from better services and improved care, then research in particular must be integrated with dissemination and development. This is a responsibility of all those working in the area, particularly since the book is presented at a time when radical changes in the NHS are in progress. This provides an excellent oppor tunity, as the authors argue, to improve healthcare to the South Asian Population, through Primary Care Trusts (locally based and with virtually the whole local NHS budget and the involvement of community-based clinicians), National Service Frameworks (addressing all aspects of anticipatory care, which of course includes prevention), Local Strategic Partnerships (that focus on both partnership work ing and community development) and not least a large increase in NHS funding (a considerable part of which is for general practice-based teams to deliver probably the largest quality-based contract attempted anywhere in the world). These repre sent a real commitment to promoting equality. The NHS Plan, for example, is a ten-year programme and not a short-term approach. And many of the targets established by Department of Health priorities are relevant to addressing the inequity of opportunity and service that the book articulates so well. The National Service Frameworks establish key priorities as do government policies to address health inequalities. At the time of going to print there is also a Department of Health push to explore how to improve choice, responsiveness and equity in health and social care — a national and local consul tation which includes very specifically the black and minority ethnic population. Similarly, the DoH has launched a consultation on mental health services for black and minority ethnic communities: Delivering Racial Equality. You see the book did engage me, which is the hallmark of a good read. I most certainly recommend it, as I am sure it will engage you too. Inequity and inequal ity must be rigorously challenged and addressed. This book does that. David Colin-Thome National Clinical Director of Primary Care Department of Health General Practitioner, Runcorn November 2004 List of contributors Martin Commander, Consultant Psychiatrist, Birmingham and Solihull Mental Health NHS Trust, Birmingham Stephen Harrison, Professor of Social Policy, Department of Applied Social Science, University of Manchester, Manchester Philip Heywood, Professor of Primary Care Development, Academic Unit of Primary Care, University of Leeds, Leeds Rukshana Kapasi, Management Consultant, SILKAP Consultants, Wembley Dee Kyle, Director of Public Health, Bradford South and West Primary Care Trust, Bradford Timothy Milewa, Lecturer in Sociology, Brunei Health Services Research Collaboration, Centre for the Study of Health, Department of Human Sciences, Brunei University, Uxbridge Dinesh Nagi, Consultant Physician in Diabetes/Endocrinology, Pinderfields General Hospital, Wakefield James Nazroo, Senior Lecturer in Sociology, Department of Epidemiology and Public Health, University College London, London Sashi Sashidharan, Professor of Community Psychiatry and Medical Director, Birmingham and Solihull Mental Health NHS Trust, Birmingham Acknowledgements Professor Waqar IU Ahmad provided encouragement and guidance during the initial discussions about the content of the book. We would also like to thank individuals from Bradford primary care trusts, who have provided valuable advice during the preparation of this manuscript, as well as our colleagues at the Centre for Research in Primary Care for their ongoing support and advice. Hazel Black burn provided considerable help in preparing the final manuscript. Finally, we would like to thank Paula Moran at Radcliffe Medical Press for her support and patience.
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