Work Programme for the Ethnic Minority Resource Centre

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National Resource Centre for Ethnic Minorities
(NRCEM) (Public Health Institute of Scotland)
Joan Jamieson Information Project Manager
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Public Health Everyone's Job

• To give some definitions of health
• To give an overview of Public Health Institute
• To give an overview of Ethnic Minority Resource
  Centre
• To challenge practice

Objectives
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Health is a state of complete physical,mental
and social well-being, not merely the absence of
disease or infirmity (WHO 1946)
Some Definitions of Health
Health is a condition of well being free of
disease or infirmity and a basic human right
(Saracci R. BMJ. 19973141409)
All people in all countries should have such A
level of health that they are capable of working
productively and participating actively in the
social life of the community in which they live
WHO policy in 1981
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Evans and Stoddard Model of Health
Physical Environment
Genetic Endowment
Social Environment

• Individual response
• behaviour
• biology

Health and Function
Disease
Health care
Prosperity
Well being
Stoddard GL, Model of health in Principles of
Health Promotion. Department of Public Health,
Glasgow University. 1999.
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Public Health Institute of Scotland
Rigorous, Multi-levelled, Population
health orientated, Reflective
Evidence
Wider public health
workforce Practitioner
level Specialist level

Skills
Public health database
examples of health profiles advice on where
to access a wide range of data relevant to
public health 
Information
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Energising the Organisation Leadership/Action
Plan Positive and Proactive
Demographic Profile Populations at risk Needs
Assessment Intelligence for planning
Race Relations Amendment Act(2000)
NRCEM
Commission Racial Equality
Fair For All HDL2002(51)
Access to Services Personal/gender issues
spiritual/food/ bereavement/ advocacy/interpretat
ion/ Overcoming barriers
Many Voices, Single Message
Human Resources Equal Opportunities Recruitment/Se
lection Career Development
Community Development Listening to
Communities Capacity Building Involving People
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Inequalities in health are differences that are
avoidable, unfair and systematic
Inequality
Working Together for a Healthier Scotland
housing, a clean environment, employment, access
to leisure activities and a good education
confer health benefits
The Inverse Care Law emphasis's the phenomenon
whereby those in greater need receive poorer
services whereas the middle classes, where need
is less, receive better care (Julian Tudor Hart )
Typically, socially marginal and economically
deprived groups have the greatest need
for Health care but are least able to obtain it
e.g. poverty, cannot speak the dominant language,
age, Sex, ethnic minority and geography
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Entitled to the same fundamental freedoms as
with others in society without discrimination
What are the human rights of ethnic minorities?
Freedom from any distinction,exclusion, restricti
on based on colour, race, religion etc
Participate in shaping decisions and
policies concerning their group and community at
all levels
Enjoy rights to maintain and enjoy their culture,
religion,and language free from discrimination
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National Resource Centre for Ethnic Minorities
NRCEM is funded by the NHS Executive of Scotland
and is located within the Public Health Institute
of Scotland.
Three key areas of work include
The primary aim of the NRCEM
To support NHS Boards and Trusts through Scotland
in the development of culturally competent
services so that service delivery is
sensitive,integrated into mainstream responsive
to the needs of disadvantaged communities
1. Policy
2. Training Development
3. Information
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Are you effectively reaching out to minority
communities? What access barriers exist?
Your job speciality?
What is the research base for nursing with
minority children in the speciality you
practice?
What are the institutional barriers that may
affect the quality of care you are providing all
families, and minority families in particular?
What do you know about the environment in which
minority children in your community live?
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How can you respond?
Cultural Sensitivity recognising existing
traditions, resources and knowledge
Accountability honesty transparency
within a framework trust stewardship
Respect for all those in need e.g whatever
religious belief
Empowerment enabling people to make
choices, to have a voice and become agents of
change
Justice acting as an advocate and with, the
disadvantaged and powerless