Patient Carer Race Equality Framework (PCREF) at SLaM
Why are we developing PCREF in SLaM?
As an organisation, we know that we need to significantly improve the trust and confidence of Black communities in our services and look to eliminate the unacceptable racial disparity we (in common with most Mental Health Trusts) see in Access, Experience and Outcomes (AEO).
PCREF was a recommendation from the national Mental Health Act Review to help achieve this, and once developed, will be rolled out by NHS England across all Mental Health Trusts by 2022. Once in place it is likely to form part of the Care Quality Commission (CQC) Well Led assessment.
Led by our Chief Executive, David Bradley, SLaM is one of four national pilot sites, which are working on developing PCREF to inform the national rollout. As such, PCREF is our long-term commitment to reducing and over time eliminating the unacceptable racial disparity in our AEO as an organisation. We are bringing together staff, service users, carers and communities to jointly develop the PCREF – please join us!
What is the PCREF approach?
PCREF is a way of bringing together local Black communities, Black service users and their carers with staff to work together in partnership to look at how we implement the national PCREF competencies within SLaM and develop local competencies as needed, with the aim of identifying the priority actions that will help eliminate disparity in AEO. The competency framework will be signed off by the Trust Board and then implemented within the Trust, supported by an outcomes framework so we will know over time if PCREF is leading to the change that is so greatly needed.
What are the core areas of work that are the foundation of our PCREF approach?
As one of four national pilot sites, we will work alongside NHS England to:
Improve our implementation of Statutory and regulatory duties, which impact racial disparity, as a minimum baseline requirement
Implement nationally identified organisational competencies, in a way that reflects our local communities
Identify and implement Trust-level determined organisational competencies
Implement the national patient and carer rated experience tool
Why do we need PCREF?
Our data and experience shows that Black African, Black Caribbean, and Black Other, including Mixed ethnic groups, are most disadvantaged in terms of AEO. We will firstly focus on addressing the imbalance for these groups.
Who should be involved in developing our PCREF approach?
Black community members, people who use our services and their carers, and staff are key to making this important work a success. We are building on existing community relationships and ensuring there is joint representation at key PCREF decision-making meetings with SLaM staff. We are also linking into the existing service user and carer groups across the Trust and securing representation in decision-making. There is an open invitation to join this journey, particularly community members, service users and their carers who identify as Black African, Black Caribbean, Black Other and Mixed ethnic backgrounds. Equally, the invitation is for staff with frontline work experience to join this journey bringing their valuable knowledge and ideas to improve services to better meet the needs of the diverse communities we support.
What is happening now?
We are currently gathering data to help us understand the context for Black people using our services and perspectives on what improved AEO looks like for the local Black community. We are also co-designing engagement activities to use this data in targeted conversations with our three main groups in the New Year. Operational Directorate PCREF leads are being identified to support staff PCREF Activists wanting to join this journey.
How you can get involved!
Between November 2020 and January 2021, a phase of pre-engagement our three groups – Black community members, people who use our services and their carers, and staff. This involves going out to meet people where they are and initiating conversations about PCREF. This is followed by a specific event for each group called ‘Fit for Partnership’ to explore how we can work together as staff, members of the Black community, service users and carers.
In February 2021, we will deliver four borough-based events in Lambeth, Southwark, Croydon and Lewisham. These are co-hosted by SLaM borough Service Directors and each borough Independent Advisory Group. Here we will discuss quantitative and qualitative information gathered on AEO of the ethnic groups identified and discuss what areas we should focus on next.
In February 2021, there will be a Trust-wide event to bring together all perspectives and identify an overarching approach to focus on in the next phase of developing our PCREF approach and key areas that the Trust needs to improve, to better meet the needs of the local Black community.