Patient Carer Race Equality Framework (PCREF)
What is the PCREF approach?
COVID-19 has disproportionately affected BAME communities, many of whom experienced inequalities before the pandemic. The Patient Carer Race Equality Framework has been designed to bring together local Black communities, Black service users and their carers with staff to share views and experiences on NHS mental health services. Previous data have highlighted that Black African, Black Caribbean and other Mixed ethnic groups are most disadvantaged in terms of Access, Experience and Outcomes (AEO). Thus, PCREF will focus on addressing the imbalance for these groups to eliminate racial disparity in AEO.
PCREF was a recommendation from the national Mental Health Act Review to help achieve this, once developed, it will be rolled out by NHS England across all Mental Health Trusts.
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
What have we done so far?
In partnership with Black Thrive and SLam, 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 involved going out to meet people where they are and initiating conversations about PCREF. This was 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 delivered four borough-based events in Lambeth, Southwark, Croydon and Lewisham. These were co-hosted by SLaM borough Service Directors and each borough Independent Advisory Group. Here we discussed quantitative and qualitative information gathered on AEO of the ethnic groups identified and discuss what areas we should focus on next.
In February 2021, we held 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.
How you can get involved?
Over the next six weeks we are asking people to complete this questionnaire. The feedback questionnaire is divided into two parts:
- The first part asks about your views and experiences in mental health services.
- The second part seeks to understand what your protected characteristics are, for example which age bracket you identify yourself as.
This information will help us make sure we are hearing from all communities.
We will process your data in accordance with the GDPR and Data Protection Act 2018.
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Support this work by sharing through your networks:
Staff: 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.
Activists: Become a PCREF activist and help transform access, experience and outcomes for Black community members, Black service users and their carers. This will involve taking part in several engagement events and other activities. There will also be opportunities to learn and contribute together on the themes of anti-racism and decolonising mental health services. If you are interested in joining the partnership on this journey towards anti-racism and equity, please consider becoming a PCREF Activist.
Carers: We are inviting Black Service Users and their Carers and Trust staff to complete an online questionnaire for NHS England, where you will be able to share experiences and views on NHS mental health services. Your views and opinions will help to inform the development of the PCREF programme and contribute to the change that is so greatly needed.