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About us

Patient and Carer Race Equality
Framework (PCREF)

About us

Patient and Carer Race Equality
Framework (PCREF)

About us

Patient and Carer Race Equality
Framework (PCREF)

About us

Patient and Carer Race Equality
Framework (PCREF)

Patient Carer Race Equality Framework (PCREF) at SLaM

Click Here to view the latest PCREF Monthly Newsletter 

What is PCREF (Patient and Carer Race Equality Framework)?
PCREF was a recommendation from the national Mental Health Act Review to eliminate the unacceptable racial disparity this Trust (in common with most Mental Health Trusts) see in Access, Experience and Outcomes (AEO) and to significantly improve the trust and confidence of Black communities in our services. Once developed, it will be rolled out by NHS England across all Mental Health Trusts by 2022 and is likely to form part of the Care Quality Commission (CQC) Well Led assessment.

Dr Jacqui Dyer from the Community and Zoe Reed from the Trust are the joint strategic leads of the PCREF programme. Within the Trust, the programme of change is led by the Chief Executive, David Bradley. The Trust is one of four national pilot sites, which are working on developing PCREF to inform the national rollout. As such, PCREF is the Trust’s long-term commitment to reducing and over time eliminating the unacceptable racial disparity in its AEO as an organisation.

The aim of the PCREF Approach is that it becomes an iterative process, the regular way we do things in the Trust on our journey to anti-racism and equity. This first iteration is focusing on people who use our services and their carers from Black African, Black Caribbean, Black Mixed and Black Other census categories. This is because our data shows that they are more likely to suffer poorer Access, Experience and Outcomes from the Trust’s services. We use the term Black to cover these 4 census categories throughout our PCREF material.

Our PCREF Programme is a partnership between the Trust and host organisations Lambeth Black Thrive and Croydon BME Forum. Our Partnership brings together Trust staff and Black service users, their carers and communities to jointly develop the PCREF – please join us!

What is happening now?
We are currently rolling out phase two of programme, focussing on the ten national Organisational Competencies identified by NHS England in addition to two local organisational competencies that were identified during the first phase. These are the skills and practices the Trust needs to focus on, to improve the way we offer and deliver services so that equity is achieved.
As part of defining the activities to deliver phase two, we are developing a social movement within where we will launch the PCREF Activists and Allies programme for service users, carers and their networks, staff and members of the community.
This second phase will involve several engagement events and other activities across all groups working at a borough level (Croydon, Lambeth, Lewisham, Southwark) and culminating in a Trust-wide event in January 2022.

How you can get involved!
Have Your Say – PCREF questionnaire

We really want to base our PCREF work on the experiences of Black people when using our mental health services, their carers and networks, local Black community members and Black staff, and to get their views and suggestions on how these services can be improved.
Please give us your feedback by completing the NHS England questionnaire HERE
It should take about 15 mins to complete. Your feedback will inform the changes we make to our services and help shape the framework that will be adopted locally and in every mental health trust in the country.

If you have any questions about the questionnaire, please contact us at

Workshops and events
We are excited to be collaborating with the Recovery College with whom we will be developing a series of PCREF workshops in partnership with service users, carers and communities around a range of themes. The Recovery College have a series of free online workshops that are launch soon and are open to all to attend. To register please contact

Unit 1: Racism as trauma – an introduction - Monday 19 July, 1–3pm
Unit 2: Inherited distress – transgenerational trauma - Friday 23 July, 9–11am
Unit 3: Encoded exclusion – institutional re-enactments - Monday 26 July, 1 – 3pm
Unit 4: Daily disregard – interpersonal racism - Friday 30 July, 9–11am
Unit 5: Unshareable experiences – internalised racism - Monday 2 August, 1 – 3pm
Unit 6: Towards healing – deserving care - Friday 6 August, 9–11am

Get Involved - Activists and Allies Programme

We know there are lots of people who are passionate about PCREF and are keen to get involved and be part of the movement to redesign mental health care for black people. That is why we are developing the PCREF Activists and Allies programme for anyone who wants to learn more, share their experiences and ideas, contribute to the work on organisational competencies, and help us spread the word so more people can get involved.

To find out more:

*If you a member of the community in Croydon, Lambeth, Lewisham or Southwark and would like to find out more click HERE

*If you are service user or carer get in touch with the PCREF team by emailing for more information.

*If you are a staff member please visit our PCREF page on Maud HERE

Email us at to be added to our mailing list.