Jonic Kwanza Outline the evidence that some ethnic minorities are disadvantage in the contemporary UK In contemporary UK ethnic inequality is seen throughout the country and it can take form in different ways. Research shows that ethnic minorities tend to be disadvantaged in the UK in terms of the workplace, education and through the stereotypical presentation they gain from the media. This causes racism, racial discrimination and prejudice.
These differences affect access to services and act as barriers to good healthcare. Differences in service uptake There is evidence of inequality of access to hospital care for ethnic minority groups - eg, South Asians have lower access to care for coronary heart disease.
Rates of smoking cessation have been lower in Black and ethnic minority groups than in White groups. Rates of dissatisfaction with NHS services are higher among some Black and ethnic minority groups than in the White British population. There are some positive findings, such as reported equality of access in Primary Care.
A study of the use of NHS Direct confirmed that whilst all Mixed ethnic groups had a higher than expected uptake of NHS Direct, a lower than expected uptake was seen in Black and Asian ethnic groups. In the UK the vast majority of healthcare is delivered in the English language; amongst ethnic minority groups this may not be the first language or even a language of fluency.
It is sometimes necessary to use interpreters. This can challenge the provision of the best care: Patient confidentiality can be compromised. The patient may be unwilling to speak on intimate matters. Engagement and empathy may be harder for health professionals to communicate and for patients to recognise.
Translation takes time and this may lead to superficial consulting. Translation using a telephone interpreter has a higher potential to be awkward and dysfunctional. Translation may cause embarrassment for example, between parent and child.
There can be additional cost involved. Additional problems of communication include: Lack of interpreters and uncertainty over what language the patient speaks. Lack of a shared understanding of health issues and healthcare systems. Difference in understanding of health, disease and treatment.
Patients unwilling to talk freely eg, due to interpreter, due to fears of persecution. Lack of time for complex problems in the normal time frame of GP appointments.
Extra time needed to consult with an interpreter. It is the responsibility of healthcare professionals to ensure that consultations are understood, and we should do our best to use effective, professional translation services.
It is good practice to compile a resource pack listing interpreter services which may be available locally. Interpreter issues When interpretation is required, a double appointment at least should be made to allow sufficient time for the consultation.
Ideally a professional interpreter is booked in advance, arrives early and may, if the patient wishes, meet the patient briefly first. The length of time an interpreter needs to be booked ahead will depend in part on how common the language is and where, geographically, your surgery is placed.
A language identification card allows patients who can read to point to their language, enabling you to call an interpreter. They can arrange a three-way call either to your telephone or to that of the patient if the contact is a telephone consultation.
There is usually a delay of about 60 seconds before connection but, again, if the language is rare it may be wise to book in advance. If the patient is present, using hands-free speaker mode will enable a telephone-translated consultation to proceed more easily.
If a patient calls NHS Direct and is able to state in English the name of the language they wish to use, a consultation in that language is available. Depending on the ethnic mix of your patient population there may be services provided by the council, local hospitals, refugee support groups and other bodies.
These services are often free if arranged by the patient themselves. Patient advocates, rather than interpreters, are provided by some Primary Care organisations and refugee organisations.
They support the patient although they may add their own views and suggestions to the consultation. Many patients wishing to consult in a language other than English will bring a family member, friend or advocate.
Family members and friends may act as interpreters, which may be a practical solution and the preference of the patient. There are many disadvantages with this approach, including confidentiality issues, embarrassment, potential conflicts and lack of good translating skills.
You should avoid using children to interpret - this may embarrass the adults and give the child inappropriate responsibilities. When working with an interpreter:PS: Some of you have asked about the RSS feed for this blog.
It is now working. Click on the icon under "Stay Updated" to the right of this column near the top. Some school proactively bring in professional multicultural artists, such as RSVP Bhangra, to run school music workshops.'Outside' school explanationsCultureGenerally, these type of explanations have adopted the 'deficit' approach towards ethnic minorities, and, in effect, 'blame the victim' (Massey, ).
Apr 24, · 9) Ethnic groups differences in achievement in education Posted by Sam Cook ⋅ April 24, ⋅ 2 Comments Achievement within education is very varied across cultures, with some such as Chinese and Indian students performing above the average, and African-Caribbean and Pakistani students performing well below average.
The evidence from research strongly and consistently demonstrates that some racial and ethnic minorities are involved in violent crime far beyond their numbers in the population.
This section presents data that describe disparities in violent victimization. “Outline the evidence that some ethnic groups are disadvantaged in contemporary UK” Ethnic identity as difference can be related to the qualities we carry that makes us different For example the different clothes we wear the different cultures we adopt or the different languages we speak.
“Outline the evidence that some ethnic groups are disadvantaged in contemporary UK” Ethnic identity as difference can be related to the qualities we carry that makes us different For example the different clothes we wear the different cultures we adopt or the different languages we speak.