Early findings from qualitative research October 2013 Early findings from qualitative research Collaboration between: NatCen Social Research University of Leeds University of Stirling Funded by the National Institute for Health Research School for Social Care research This presentation presents independent research. The views expressed are those of the authors and not necessarily those of the NIHR SSCR or the DH, NIHR or NHS.’ 1 Why have we done this research? Social care surveys consistently find lower levels of satisfaction amongst black and minority ethnic (BME) groups. 2 This research aims to find out why . Qualitative approach Depth interviews about people’s experiences Purposive sampling approach, to capture range and diversity of views and experiences. Not representative of the population. 61 depth interviews with service users and relative About people and their stories 3 What we did Service user and relative interviews: Are there any differences in how users of social care experience services across groups? 4 Provider interviews: Are there any differences in how service providers work with BME groups? Access to Care Knowledg e Expectations Additional barriers among BME groups Stigma Third parties Knowing help is available Negotiating the care system Making contact with LA Social workers Additional barriers among BME groups Language + poor education Crisis point Skill ‘We remain last in the queue for everything because we don't even get to know about our rights, what we are entitled to’ Relative of female service user, Pakistani origin, London Improving access to care How can local authorities raise awareness of social care services among BME groups? What can be done to reduce reluctance in accessing formal social support? How can local authorities help BME groups navigate the care system? Social Workers Satisfaction Lack of continuity Knowledgeable about the care system Unreliable Keeping in touch Additional factors among BME groups Lack of cultural sensitivity Additional factors among BME groups Being sensitive to the needs of the family, as well as service user Language interpreters Dissatisfaction ‘All I can say is his [social worker’s] attitude was different and he seemed more knowledgeable, and he was willing to push the levers.’ Relative of female service user, Bangladeshi origin, London Improving satisfaction with social workers What would help social workers to work effectively with BME groups? 10 How can local authorities help BME groups navigate the care system? Care Workers Satisfaction Lack of continuity Professional + Friendly Poor quality care, unfriendly, being late, rushing Going over and beyond Unmet care needs Person centred approach Ethnic matching Contact with care provider organisation Additional factors among BME groups Lack of cultural sensitivity Language Expectations Role of the family Dissatisfaction ‘So the ones [care workers] who really care and the ones who are going through the motions, so it all boils down to the attitude“ Relative of male service user, 18-60, Bengali London Improving satisfaction with care workers What can care workers do to overcome cultural differences between themselves and service users? How can care workers be supported in working with Bangladeshi and Pakistani service users? Should care workers be from the same community as service users? What can local authorities and provider organisations do to make ethnic matching possible? Receiving Care Control and consistency in care Expectations of Care workers Carer - service user relationship Time ‘I mean that's [carer’s visit] probably the highlight of your day’ Male, service user, 60+, white British, Leeds Relationships + Communication Provider Organisations LA Commissionin g Care worker Social Workers Health professional s SU Family Culture How can local authorities and provider organisations communicate in ways that benefit service users? 17 Thank you If you want further information or would like to contact the author, Senior Researcher T. 020 7549 7170 E. Valdeep.gill@natcen.ac.uk Visit us online, natcen.ac.uk