Models of collaboration –
promoting engagement between
medical diaspora and professional
medical organisations
Monday 25 November 2013
Royal College of Physicians
PROGRAMME
Welcome and opening remarks
Prof David Warrell, RCP International
Director
What is the diaspora?
Dr Ike Anya, Public Health Foundation of Nigeria
Making a career in the NHS: professional mentoring and support Dr
Lola Banjoko, NENE Clinical Commissioning Group
Developing multi-country specialist networks to improve standards:
the experience of World Child Cancer
Dr Tim Eden, World Child Cancer
Keynote – Connected communities: health partnerships,
volunteering and co- development
Lord Nigel Crisp, Co-chair of All-Party Parliamentary Group on Global
Health
Fostering links with governments through the diaspora
Visits from overseas MoH officials: linking the diaspora back to
opportunities at home. What role for the Colleges?
Dr John Howard, Chair of International Forum, AoMRC
NOTES FROM CONFERENCE
LORD NIGEL CRISPGLOBAL HEALTH PARTNERSHIPS
-local solutions
-education and training
- Learning
Turning the world upside down - http://www.ttwud.org/
learning from LMIC .-doing things differently
-One of key areas can be empowering women eg Bangladesh Project BRAC
- Importance of multi-sectoral connections
-Health and education
-human resources
TTWUD – examples of education, employment, health
“Improving health at home and abroad”
http://www.rcpsych.ac.uk/pdf/Improving%20Health%20at%20Home%20and%20Abroad
%20-%20Final%20Report.pdf
All party parliamentary group on mental health
Volunteering is a way of improving back in UK
-more innovative solutions
- scale up
-professional
-local, regional and national to create an energy
Also sharing benefits to countries
-Sharing innovations
- leadership development
- international relationships
Local
-
training from partnerships
national applications
UK
-sharing experience
- innovation
-eg community mental health workers in Lambeth
Uganda
“tree of life” Butabike
Sierra leone –approach to TB-KINGS COLLEGE London
Volunteering -
should be encouraged
NHS partnerships
All talents involved
Supply, mobilise and develop
Supportive employers
Less fragmentation
Global health expertise valued
More volunteers eg schools
Better trained volunteers
Volunteering in UK policy framework needed
Volunteering must be professional not amateur.
Need to develop themselves and improve standard
Code of conduct needed
Human resources policy
Follow up afterwards
HEALTH EDUCATION ENGLAND –can be focus of volunteering and LETBs
DFID grants
Health partnerships Scheme
Second phase may be 2015
Government – continue pension contributions –eg 2 years
Promote through GMC, Colleges, NHS, voluntary sector
Lot of opportunities
Principles of Co-development
Patchy support for volunteers in UK
Some strong supporters eg Frimley and Addenbrookes –good environment to promote
volunteering
Embassy/High Commissions might have role
AOMRC- International forum of the Academy of medical royal colleges
John Howard
Incorporates royal collages
Nursing and paramedical colleges
Affiliates THET
GMC
VSO
BMA
Dept of health
Health care UK - https://www.gov.uk/government/organisations/healthcare-uk
RSM
Function is
- education
- training
- quality standards and quality assurance
-
accreditation of local exams
MTI programme for 2 years for specialist UK training
Need for mentoring for MTI programme doctors
6 challenges of volunteering
-
time –out
formal recognition of volunteers and volunteering
Fragmented environment of volunteering
Monitoring, evaluation, research
-information, training, support for volunteers
additional expenditure
employment and return to posts
Can build a business platform for volunteering
Collaborative work with DoH Global Health Health Care UK and FCO
Need to scope international activities of all colleges
Activity should be auditable especially as colleges subject to charities commission
2014 large scoping exercise of all colleges
Mention of Iraq work as example of good practice
Exams –colleges can support validation of local exams
Lot of good work is now intercollegiate
Diaspora groups can ensure sustainability
ZAMBIA PROJECT
ZUKHWA –Healthworkforce alliance
All organisations from UK working in Zambia join in terms of dealing with Zambian
government
University’s, NGOs,professional groups, not for profit, diaspora group
Alliance to facilitate work in Zambia . Energises process
Alligns activities to needs of Zambian government , workforce planning, service delivery
Encourages cooperation between UK and international partners
High standard
Co-development included
Reduce impact of multiple UK partners in country
Similar project in Uganda
-annual conference
-website
-blog-HIFAZambia
-mentoring ,encouragement
-Zambians come to Uk for conference
Conference –about quality assurance, diaspora ,maternal health
Importance of personal connections
Lessons –good will, teaching and expertise valued
Challenges
-duplication of activity
-standard
-not government needs
-tendancy to say to things
-perverse incentives eg salary support
-workshops and backfill
Zambia alliance in place for 4 years
Uganda Alliance
Similar to Zambia model.
-HR
-Health sytems
-MDG
Opportunities for learning , development and research
Members agree to share their experience , expertise, conferences.
Activities –coordinated with M.O.H. , Uganda led
Develop expertise and strengthen systems
Importance to have exit strategy from beginning
Development map can be modeled to poorest communities
Quality assured
Evaluation
Some challenges- regulation, registration
Benefits
-
focal point
-projects requested by Uganda Govt
Better coordination
Diversity of international support
Efficiency and sustainability
DIASPORA
Advantages and disadvantages
Patchy knowledge and may be out of date, risk of being resented
Talk by Steve Allen RCPCH International officer
Projects in Gambia and Papua New Guinea
Junior doctors Intercollegiate group
Case study example given – issues of interpreter, fgm, advocate, human rights, child
protection
Global Health
Global Health agenda
Need to understand whole world
Paper – Hall et al GLOBAL HEALTH in UK Postgraduate medical training Lancet 2012
Surge in interest in Global Health
Enables issues such as non acceptance of FGM
Global health agenda for UK –panel being established to look at development of a body
of knowledge needed in Uk on global health
Dr Lola Banjoko
Talk on NHS volunteering and he activities back in Nigeria
Has invested in some services there which allow her to have a say in services Nigeria.
POSTER PRESENTATIONS
These were presented as 5 minute presentations
-
-
-
-
-
-
Uganda Diaspora Foundation –mental and physical well being. Capacity building,
expert reference group for Uganda mental health.
HEARTSOUNDS –peer support Programme
Supervision on line and peer to peer
Training acceptance and commitment therapy-nurses at frontline
Violence management project
Wellbeing with NCD alliance
UK Pakistan Public Health not mental health but interesting HEP C huge issue in
Pakistan. 3% of UK population vs 0.67% rest of population. One of largest groups
in UK. 10 % rate in Pakistan. Highest rate of injections per person in world -13
injections per person per year
Public Health Foundation of Nigeria –not mental health
Zimbabwe Health Training support –training and education in Zimbabwe ,
TOTs.FRIENDSHIP BENCH project. In Mbare project for community workers to
screen for depression and refer on
Hands in hand for Syria –not mental health- Middle income country now has
collapsed health system. 15,000 doctors have left Syria. 30% of hospitals are
destroyed. 27% damaged. Large number of IDPs
Royal Society of Medicine – Head of global health RSM –awareness raising,
facilitate engagement, convener, alerts, GH activities and events . Volunteers
support –need more structured and programme with Save the children, ethics,
student partnerships
Royal College of OBS and gynaecology -not mental health
SUMMARY PLAN AT END
-volunteering –absorbed into mainstream ministry policy
-this conference will feedback into another conference
Limitations of this conference is not a widespread diaspora representation
Organisations represented










ARC Health – Promoting clinical and educational development in Sri Lanka
through the formation of sustainable collaborative healthcare related
projects –includes mental health. www.achieverealchange.org e-mail
info@achieverealchange.org
Doctors for Africa DFA – NGO in Rwanda, Uganda and Zimbabwe
East African Healthcare Forum- peer to peer, institutional links
Iraq Mental Health Forum UK (IMHF-UK) –mental health –not present. email sdhumad@nhs.net
Wessex Deanery – South Sudan, Ghana, Nepal –mental health.
www.wessex.hee.nhs.uk e-mail John.acres@wessex.hee.nhs.uk
Nigeria Health Care Project –mental health www.nhcp.org.uk e-mail
nhcp@btinternet.com
Hand in hand for Syria
The Zambia UK Health Workforce Alliance-mental health. www.zuhwa.com
e-mail zambiaukalliance@gmail.com
Uganda UK Health Alliance –mental health e-mail
Maura.buchanan@ntlworld.com
Department of Community Health & Primary Care –Nigeria
www.cmul.edu.ng








Royal College of Paediatrics and Child Health (RCPCH)- child West Africa,
Ghana, Myanmar, South Sudan, Palestine
Healthy Nations Foundation- Eastern Africa focus
Zimbabwe Health and Training Sector (ZHTS) med student led
Global Health (GH) at the RSM
Sudanese Medical Association SMA-mental health www.smaukandireland.org
Uganda Diaspora Health Foundation
www.ugandadiasporahealthfoundation.org e-mail
moses.mulimira@hotmail.co.uk
World Child Cancer
SUD World Project –South America –Mental health .