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Quarterly Meeting Notes

28th September 2011

Venue: Abbey Community Centre, 34 Great Smith Street, Westminster, London, SW1P 3BU

Theme: Maternity Services

Mingzi Shi (Chinese National Healthy Centre) welcomed all to the meeting and introduced the first Item.

Item 1:

Domestic Violence: Health & Maternity Project

Jessica Donnellan, Standing Together

There are two main aims:

1.      To look at violence against women during pregnancy.

2.      To consult, train and build capacity with BME community organisations.

What is domestic violence?

Any incidence of physical or non-physical threatening behaviour in intimate (partner or family) contexts.

Who is affected?

1 in 4 women in their lifetime.

1 in 10 over the last year.

1 in 6 pregnant women.

The impacts of domestic violence are massive.

Health impacts – miscarriage/ foetal injury or death/ maternal injury or death.

We want there to be better opportunities to help –

  • Women experiencing abuse in A&E
  • Women presenting themselves to their GP with stress and depression
  • Mothers being called into school because of children’s behaviour.

We want there to be a better understanding in services of what the signs of domestic violence are so we recognise the cases.

We know –

Firstly that women are most likely to tell family and friends.

And secondly women will approach someone in their community.

This is why it is crucial for us to talk to community organisations. We want to raise awareness. We want to support organisations to enable disclosure. The main tactic that perpetrators use is to isolate victims. It is often dangerous for victims to disclose and especially at the point of separation if that is actually achieved. This is a highly dangerous time as many homicides happen at this time.

We want to work with organisations to create good information leaflets/ posters. Simple resources in different languages to subtly show women what help is available if they may be at risk.

Training – we will be providing free training in awareness skills, knowing how to respond, knowing what services are available and making sure the right messages are being given about what support can be given.

Aims of the first steps – to consult BME groups; to build capacity in BME organisations; to train volunteers and generalist workers; to provide basic information to BME organisations.

Q&A

Question: Can you tell us a little about the project you are doing with Imperial?

Answer: We are trying to train up midwives to be able to recognise and address domestic violence if they come up. Midwives are still part of a statutory organisation (large system) so disclosure may be more limited. It is likely that disclosure would rather happen in a community setting in their own language etc. However it is still important as the more opportunities we can create to address these issues the better.

Question: What kind of training will you be offering community organisations?

Answer: At the moment it is really open. We are trying to identify needs and will consult with organisations and identify individual needs of each organisation. Also NO organisation is too small.

Question: What is the timescale for this project and how far are you into it?

Answer: We are 9 months into a 5 year project. The consultation period will go on until the end of the year.

Question: What boroughs will you be working with?

Answer: All  West London boroughs: Ealing, Brent and K&C, Hammersmith and Fulham, Westminster.

Question: Domestic violence can be intrinsic and hard to pin point. A part of the training will you also be taking into account diverse cultural backgrounds to address the different issues that can come up?

Answer: Training is not fixed at this point. Part of the consultation is exactly to find out what is needed. We are also hoping to reach the much smaller voluntary/ community groups. There is also the possibility that women can be trained to become trainers in their community.

 

Item 2:

Vision for Midwifery Services at Imperial

Pippa Nightingale, Head of Midwifery, Imperial

 

Imperial is the biggest provider of Maternity services in the borough.

We are doing a big project to do with  changing the way we deliver care.

In 2007 there was the Confidential enquiry of Maternity and Child health (CEMACH) This reviewed maternal deaths in the UK and makes recommendations to improve care.

BME groups were pin pointed as 7 times more likely to die than white ethnic groups.

How can we change this statistic?

Access into Care:

Women were not coming to services early enough (seeing very few women before 12 weeks)  and do not have good enough health records.

How can we make the service more accessible?

What we changed?

There are 4 different ways women access maternity services:

  1. Maternity helpline – midwife answers enquiries.
  2. Drop in Midwifery clinic
  3. Online – electronic
  4. GP – biggest proportion come from GP

 

However we need to make sure there are other options.

A significant number of women who died were Health tourists who had other complications.

We are missing the opportunity to reach women who are not being reached.

Language barrier

This is a real barrier. In the new system you can now get leaflets translated into your language.

Often in domestic violence cases the women used their partners to translate so how can you then identify the problems?

Another asylum seeker woman used her child.

A significant number who died had little or no English.

So how is it best to communicate?

This is a big challenge. Language line is used but for every woman during her first booking appointment, a face to face interpreter is always used.

It is stressed that women should never use a family member, particularly a child for translating.

FGM was also highlighted in the report as not being identified at the booking appointment – Now, at Imperial we have an FGM Midwifery clinic.

Every 3 years we have a report that looks at numbers of women accessing services before 12 weeks 6 days into their pregnancy. The latest report is just being put together but it shows that now 96% of women are accessing services before the 12 weeks, 6 days as opposed to before where were looking at 50% - 60% accessing services before this time.

This has made a big difference to ante-natal screening but there is still a high number of women missing ante-natal appointments.

Plan at Imperial

We’re going to move ante-natal care from the hospital setting to children’s centres. Women are more likely to go to an appointment near where they live. Women will also see the same midwife.

This will roll out in November: Ante-natal care and post-natal care accessed from Children’s centres.

Vitamin D supplementation

NICE guidelines state that women from BME groups are at a high risk of vitamin D deficiency. Now ALL women will be advised to take vitamin D. It will cost £1 for a 3 months supply or free if you are receiving benefits.

Work with Maternity Services Liaison Committee (MSLC)

This is how users of our service can help design the future of the service. We want representation from all communities. People who have used or are using the services. We want everyone’s ideas inputted.

Q&A

Question: Regarding FGM – are all your midwives specifically trained in FGM?

Answer:Yes – and we are the only service that is midwifery led. At Imperial all the midwives are trained to identify FGM and to then to refer them to the FGM midwives led clinic.

Question: Is there a pathway into Mental Health services and a link with criminal services regarding FGM?

Answer: Yes – a risk assessment is made at 32 weeks. Clear channels are made through to Mental Health services and also to Domestic Violence services. However we are somewhat cautious as we don’t want women to feel threatened and scared and to end up alienating women from using the service.

Question: The BME Health Forum have done some research on the need for increased use of interpreters. What’s happening regarding this issue in your services?

Answer: This is still an issue that we have to work around. The problem is that it is very expensive.

Question: Does translation have to be verbal? Can we not use technology a bit more?

Answer: Yes – but its still mainly a financial issue. We need to work on commissioning.

Question: When identifying domestic violence cases – how are you helping these women?

Answer: We work on building relationships and trust with midwives and working with Domestic violence organisations like Standing Together.

Question: With the use of interpreters, especially with women from African countries, there is the problem of not translating to them in their first language. There is also a time issue – a lot of these women will need more time than is allocated.

Answer: We are now looking at splitting their hour appointment into 2 shorter, easier absorbable appointments.

We also hope that it will be an easier, nicer setting when we move booking appointments to Children’s centres.

 

Item 3:

Feedback form BME Maternity Service Users

Nafsika Thalassis, BME Health Forum Manager

[to download the presentation lcick on this link]

This project is looking at BME women’s experiences of using Maternity services at St Mary’s hospital in Paddington and Queen Charlotte’s hospital in Hammersmith.

The aim is to empower BME women, enable them to join the MSLC and champion the findings of the report and feedback to the community.

Before continuing Nafsika stressed that despite some of the information that follows there is no doubt that having your baby at either of these hospitals is safe.

Initial Findings:

Some positive feedback –

  • 1 woman who doesn’t speak English and had hepatitis had a very good experience. When her condition was identified an interpreter was booked and she received a lot of information. She was very happy with this service.

Some less positive feedback –

  • ‘Are you happy to be pregnant?’

If pregnancy is not planned it is not appropriate to congratulate the woman – it       can be insensitive.

  • Even thought there are 4 options for booking your 1st appointment it is not known to all professionals. The Gynaecological department at St Mary’s referred one woman back to her GP even though it was already quite late.
  • History Taking

There are discrepancies between what has actually been discussed and what is noted down. Also the misspelling of one woman’s name led to her having to have to have all the information resubmitted.

  • Customer care

Lack of adequate communication, records being lost and women not always being treated politely and being told off.

  • Other concerns

Ramadan – one woman was fasting when she was 8 ½ months pregnant. Midwives could be made aware that some women could be choosing to fast and relevant advice should be on hand.

  • Interpreting services

Where as this worked very well when there a specific problem was identified early on, once one of the women was in the hospital due to complications after giving birth she was often alone and when the doctor came round to her no interpreter was offered and language line was not used.

Recruitment

We are still looking for BME women who are in the early stages of pregnancy to take part in the project.

 

Q&A

 

Question: This is a good study with very up to date information. Will Imperial take into account the findings and make the relevant changes?

Answer: An important part of the work is listening to people who use the service. This is why we sit on the Steering group of this project .

Question: With many of the issues that have come up I wonder if you have tried to make links with PALS to address some of them.

Answer: We are trying to steer clear of retrospective questioning. A lot of women have forgotten the details. There is more impact in recording issues as they come up.

Question: How long is the project?

Answer: It is 18 months and we are already 6 months in.

Question: Regarding pre-natal sessions, what do we do about women who are more isolated and perhaps having their first baby?

Answer: We are hoping that with moving services to Children’s centres we can have a closer connection with communities.

Comment: Also could you maybe link in with BME employers?

Answer: Yes absolutely, there are some specially commissioned programmes and outreach projects – first mum partnerships  - working with young families encouraging people to access services. We also have a one to one service for women who are identified as vulnerable.

Question: What are tests done at the first appointment?

Answer: They are all fairly standard tests and then some are on demand such as HIV or Thallasemia.

 

Item 4:

Commissioning Maternity Services

Julia Mason, Senior Children’s Commissioning Manager, INWL

 

What is Commissioning?

Purchasing or procurement of services is just one element of commissioning. Commissioning is a cyclical planning and review process designed to achieve the best possible outcome for patients.

Procurement is the process of obtaining a contract to provide a service for an agreed price. Designing the service is done in conjunction with everyone who is involved.

Evaluation looks at what the impact of services are.

How are services funded?

Payment is by result – per patient that comes through.

For Maternity services there is a set price per care e.g Ante-natal, post-natal. Also for use of specialist services such as caesarean births.

There is also Maternity Matters money that is allocated in trying to reduce caesareans, reduce foetal deaths and fund additional midwives + additional short term grant funding for extra beds and improving hospital conditions.

How are maternity services commissioned?

With the radical changes being made to theNHS, new ways of NHS commissioning are being developed.

GP consortia will be in charge of commissioning much of services currently being commissioned by PCTs and Public Health is moving to the Local Authority.

All GPs will have to belong to Clinical Commissioning Groups (CCGs). Maternity services will then be commissioned by CCGs as PCTs and Health authorities will be abolished.

There will be Commissioning Support organisations  in place and Local Authorities will have a duty to set up Health and Wellbeing boards.

 

Q&A

Question: Will the relevant CCG taking over the commissioning of services from Imperial support all the initiatives that are currently taking place regarding Maternity services? There might also be a conflict of interest because GPs offer some ante-natal and post-natal care.

Answer: It is our responsibility and we are working closely with them but there is still a lot of work to do.

Question: What is the size of these CCGs? How is it going to work if you have lots of smaller groups approaching big trusts?

Answer: In INWL we have 5 CCGs and one is actually very small and will clearly have trouble actually commissioning services. However they are already talking of joining together as a Consortium.

Question: Will current targets around health inequalities remain in place?

Answer: Yes – there are still key performance targets which are good thing particularly in relation to health inequalities.

Question: Regarding Health and Wellbeing boards – will there be one per cluster?

Answer: There will be one per borough.

 

Item 5:

The Imperial Maternity Services Liaison Committee & Feedback from Service Users

Jane Suppiah, Chair of Imperial Maternity Services Liaison Committee

[to download the presentation lcick on this link]

Jane is the lay co chair. She is not a health professional. It is a completely voluntary role. She has a great interest that women have a good experience.

The MSLC covers both Queen Charlotte’s and St Mary’s hospitals and has done since the 5 hospitals joined to form Imperial. It has been quite a challenge to bring the MSLC together as the two hospitals are quite different.

The existence of the MSLC is not a statutory requirement but there is a guidance that hospitals support their existence.

It runs because of the enthusiasm and support of parents.

We have a simple vision: to improve women’s experience.

We are made up of parent members, Commissioners, service user representatives, those who have used the service but also have a professional involvement e.g breast feeding specialists, supervisors of midwives, midwives.

What we do?

We gather feedback and present them at committee meetings. We raise issues that are of concern to women and discuss and agree on what action can be taken.

Challenge

We often have very specific individual cases presented to us and its very difficult to take these to the table. We try to look at more over all changes that can be made to make sure the overall experience is better.

Our committee today 

We have about 20 involved. We have contributed to projects run by the hospital and we have seen practical changes taking place.

We’ve been working on:

  • How we bring issues to the MSLC
  • Service user involvement – breadth and diversity – we need to be more diverse in our representation.
  • How we capture wide range of service user views

We have got in touch with an organisation called Brain Juice who set up a free 5 minute online survey covering 4 simple questions.

The survey has given more weight to what was brought to the MSLC.

Next steps

  • Getting more women involved. We are taking part in the BME Health Forum’s project and hope to gather women from the project to the committee.
  • Walking the patch – get more service users involved in this task.
  • Raising awareness about what to expect from maternity services. We are considering creating a video around this.

Item 5:

Information Sharing

  • Healthworks – This is a project that involves 10 BME organisations wprking with service users to address problems to accessing health services.
  • 12th December KCSC are running 2 sessions around the Role of the Voluntary Sector in the New NHS. These sessions aim to help small organisations to get funding for their work – to help engage and prepare documents etc. when commissioning happens.
  • MRCF have a Mental Health mentoring project for those who need extra help with starting a new life here in the UK. They offer group activities and one to one help. They currently have refugees and asylum seekers accessing the service but would also like to engage other migrants e.g those recently arrived on Spouse visas.

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DVIP’s Al-aman service has continued to receive funding from London Councils to support women from Arabic speaking communities who have been affected by gender based violence, forced marriage, female genital mutilation and honour based violence...

» Different Voices’ Directory of Services in Westminster and Kensington & Chelsea

A directory of services was produced by the Different Voices Group at The Advocacy Project. It is a user involvement group that focuses on improving inpatient services and tackling the stigma attached to mental health. All the recommendations in the booklet are based on the service users’ own experiences of having used those services...

» Westminster Time Credits - off to a strong start!

Westminster Time Credits Newsletter (October 2015).Since our update announcing that organisations can now sign up to the Westminster Time Credits network we have been super busy here at Westminster Time Credits. Our main focus has been to get out and about to spread the news...

» Flu Vaccination information letter from Public Health (Three boroughs)

Flu season is here again. For most people flu is an unpleasant illness from which they recover in two to seven days. However for children under 6 months, those over 65 years, those with underlying medical conditions and pregnant women, the risk of serious complications is higher. These complications...

» Royal Trinity Hospice launches new dementia service in Kensington and Chelsea

Royal Trinity Hospice has launched a new service to support people with dementia and their carers living in Kensington and Chelsea, tackling recognised inequalities in access to palliative and end of life care.Funded by West London CCG, Trinity’s specialist Community Dementia Nurse will support people...

» Conversational English for beginners (for over 50s)

Brush up on your spoken, written and grammatical English to become a more confident speaker! For people aged 50 and over. TUESDAYs - 10.00am – 12.00pm. £3.00 per class @ New Horizons, Guinness Trust Estate, Cadogan Street, London, SW3 2PF...

» Healthier Homes Project

The Healthier Homes Project is a Public Health funded project to assist in reducing hospital admissions, GP visits and winter deaths caused by residents living in homes that are too cold, damp or are in dangerous conditions that put their health at risk.The project works as a referral service...

» MEWSO Monthly Newsletter-September 2015

The Middle Eastern Women & Society Organisation (MEWSO) is pleased to bring you our second monthly newsletter. MEWSO is a women's run organisation dedicated to providing mental and emotional support to Middle Eastern and North African women who have faced/witnessed domestic violence...

» ANGELOU Referrals

On the 1st July ADVANCE in conjunction with eight other organisations launched a shared service across Hammersmith & Fulham, Kensington & Chelsea and Westminster supporting women and girls who are experiencing or have experienced violence and abuse this partnership is called Angelou...

» MEND Healthy Lifestyle Programmes for Children and Parents

Mytime Active has been commissioned by the London Borough of Hammersmith and Fulham, the Royal Borough of Kensington and Chelsea and Westminster City Council to offer a range of free healthy lifestyle services across the three boroughs. Our Mind, Exercise, Nutrition…Do It! (MEND)...

» Westminster Time Credits

Spice, the social enterprise that has developed Time Credits -a way of recognising and celebrating the time people give to their community and to encourage more new people to get involved in volunteering – are setting up a local network in Westminster, with a specific focus on South Westminster…

» Medical Justice Press Release: HM Inspector of Prisons 2015 report on Yarl’s Wood - 12/08/15

HM Inspector Prisons 2015 insection of Yarl's Wood Immigration Removal Centre -12th August 2015. “The severe decline in healthcare documented by HM Inspector of Prisons demonstrates that the Home Office and its private contractors have been incapable of learning lessons. The endemic harmful...

» African and African-Caribbean Cancer Support Group (at The Lake Foundation)

The Lake Foundation is a Croydon-based charity that aims to improve the health and well-being of the African and African-Caribbean Community. We run a monthly African and African-Caribbean Cancer Support Group and the aim of the group is to provide anyone who has been touched by cancer with support...

» Victoria Medical Centre in Westminster Rated 'Outstanding' by CQC

The Victoria Medical Centre – the oldest practice in Westminster - was rated ‘outstanding’ in the Care Quality Commission (CQC)’s latest round of reports. The Victoria Medical Centre offers General Practices (GP) services, and specialises in diagnostic and screening procedure, family planning services...

» IRANIAN ASSOCIATION - Advice and Education Centre Services and Classes

General Information and Advice; English Language Classes; English Language Exam; Information Technology Course; Counselling and Group Therapy; Exercise and Health Awareness Workshops; Tests For Citizenship and Settlement; Immigration and Citizenship Advice & Arts and Cultural Activities... ;

» June 2015 Quarterly Meeting notes

THEME: SUPPORTING PEOPLE APPROACHING THE END OF THEIR LIVES. This meeting was about how to best support people who are approaching the end of their lives. Public health are conducting a Joint Strategic Needs Assessment (JSNA) about end of life care and would like to hear from you about how you feel services work currently and any gaps that there might be...

» EWEG's Mental Wellbeing Project (support in Amharic, French, Arabic languages)

EWEG (Ethiopian Women’s Empowerment Group) will provide a safe space for the clients to talk with a trained volunteers on one to one basis. The safe space will give the clients privacy to express their feelings in their own languages.If you are working with BME Groups this might be for you...

» March 2015 Quarterly Meeting notes

THEME: WOMEN AND CHILDREN'S HEALTH & WELLBEING

» Solace Women’s Aid Ascent Counselling Service (also in other languages)

Solace Women’s aid is an accomplished charitable organisation providing a range of support services to women and children. Our specialist domestic and sexual violence counselling service provides 16 free counselling sessions which includes an assessment, for women and girls from 14 year old...

» IAPT Courses and Workshops

IAPT (Improving Access to Psychological Therapies) are running one off workshops and 6 weeks courses on a variety of subjects from confidence building, Improving sleep, procrastination, assertiveness and much more. People can refer themselves and organisations can also arrange for sessions to be delivered at their site...

» Health Trainer Service: Hammersmith & Fulham

Health Trainers provide support designed to improve wellbeing and combat the causes of chronic lifestyle-related diseases. Health Trainers are local individuals trained to identify and make contact with others to help improve lifestyle choices such as healthy eating, weight loss, increasing physical activity...

» Be FIT For Work - Dalgarno Community Champions can help

Are you looking to upskill yourself back into work or looking for experience to start work? Dalgarno Community Champions can help you! Here’s how - Supporting Opportunities: Maths and English classes; IT support; CV help; References for future employment; Work placement opportunities in Health...

» Access to Health New Project: Information and Referral form

‘Access to Health’ is a new project which aims to support homeless and vulnerably housed pregnant women and families with a child/children under 5 years old in Westminster or temporarily housed outside the borough...

» Services

» Activities/Courses

» COFFEE MORNINGS with SW1 Community Organisers every Friday 10.30 - 12.00

Share your ideas, chat and catch up on local issues. Open to all SW1 residents. VENUE: The Hinsley Room, Morpeth Terrace. London SW1P 1EW. Time: Every Friday 10.30am - 12pm...

» Exercise for Health and Wellbeing in 2015 with SW1CO (Fridays am)

EXERCISE FOR HEALTH, WELLBEING to increase mobility, balance and sense of well-being. Open to all SW1 residents. VENUE: Hinsley Room, Morpeth Terrace, SW1 TIME: 9.30 – 10.30 AM. Every Friday - £2 donation...

» December 2014 Quarterly Meeting notes

THEME: WHOLE SYSTEMS INTEGRATED CARE

» September 2014 Quarterly Meeting notes

THEME: FGM

» New Young Women's Domestic Violence project for Arabic speakers

Al-Hasaniya Moroccan's Women's Centre have a new project for young women of Arabic backgrounds who have or are experiencing domestic violence. The service is aimed at young women aged between 16 and 25 years old who live in London...

» June 2014 Quarterly Meeting notes

THEME: MENTAL WELLBEING

» Counselling Services for female survivors of domestic and sexual abuse (Westminster and K&C)

Please be aware of the free Therapeutic Services provided by Solace Women’s Aid in Kensington & Chelsea and Westminster. These include:1to1 counselling for female survivors of domestic violence age 14 + (Ascent). 1to1 counselling for female survivors of sexual violence including child sexual abuse (aged 14+)...

» New Domestic Abuse service for Arabic speaking Women

Al-Hasaniya Moroccan Women’s Centre has recently been successful in securing funding for a new project to support young, vulnerable women of Arabic speaking backgrounds who are or have experienced domestic abuse. Our service is aimed at young women aged between 16 and 25 years old...

» Kick-It FREE Stop Smoking Support service for local communities

The Free Stop Smoking Support sessions include specialist behavioural support by certified Stop Smoking Practitioners, which will improve the client’s motivation as well as help building up capacities and strategies to stay smoke-free...

» Westminster Connect - Peer support group

The peer support is for people aged 18 to 60 who have a physical disability, hearing or sight impairments and those with long term health conditions. Westminster Connect also co-ordinates peer support for Deaf people...

» April 2014 Quarterly Meeting notes

THEME: Unscheduled care - the utilisation of A and E and Urgent care services by BME communities

» Housing and resettlement, Welfare benefits and debt advice (Westminster)

The Bayswater Families Centre, in conjunction with CAB, Homestart and Z2K are holding Drop-in Advice sessions covering: Housing Advice and Assistance; Resettlement Advice and Assistance; Welfare benefits Advice and Assistance; Debt Advice and Assistance...

» Free counselling sessions in Spanish & English at the Migrants Resource Centre

WHY COUNSELLING? There are times in our lives when we experience distressing events and times; when we can find ourselves overwhelmed with feelings that seem to have no obvious explanation.When this happens, counselling can be very helpful...

» Zumba at Portobello Green Fitness Club

Fridays 2 - 3pm, Portobello Green Fitness Club. Price £2.10. It's fun, It's fitness, It's ZUMBA!...

» IKWRO - Self Confidence Support Group for Women

Iranian and Kurdish Women’s Rights Organisation (IKWRO) is registered charity that provides confidential support, advice and advocacy and outreach to women and girls of Middle Eastern origin. We work to help women and girls who are facing gender based violence...

» November 2013 Quarterly Meeting notes

THEME: URGENT CARE – ‘IS THE NHS MEETING THE NEEDS OF BME COMMUNITIES?’

» Employability Services in Westminster (as of 20/01/2014)

In light of all the changes in services in Westminster, I have recently completed a piece of work which is a document listing current employability services available at present for families...

» A Moveable Creche service from the Abbey Centre (South Westminster)

A Moveable Crèche provides an excellent value and flexible childcare service for clients. Sessions are delivered in a venue of your choice, for as many children as the size of the venue permits...

» Drinkwatchers Group EVERY Wednesday

The Horn of Africa Health and Wellbeing Project runs a WEEKLY Drinkwatchers support group on Wednesdays - sessions are free and cover the physical, social and psychological effects of alcohol and support available...

» September 2013 Quarterly Meeting notes

Theme: 'HAVE YOUR SAY ON IMPROVING THE QUALITY OF SERVICES AND THE PATIENT EXPERIENCE'

» K&C Mind HARP Group (Hoarding, Acquiring Recovery Planning)

The HARP Support Group is a new, monthly, facilitated self-help programme, for people who are motivated to develop strategies and actions to manage and modify compulsive hoarding behaviour...

» British Red Cross Refugees and Befriending Project

The British Red Cross runs four 'Refugees and Befriending Projects' (R'n'B) for young unaccompanied refugees and asylum seekers aged 14-21. Our peer-led befriending projects are facilitated by peer-befrienders and adult volunteers...

» December 2012 Quarterly Meeting notes

THEME: IMPROVING OUR MENTAL WELLBEING

» September 2012 Quarterly Meeting notes

THEME: IMPROVING NHS COMMUNITY SERVICES – KEEPING PEOPLE OUT OF HOSPITAL

» June 2012 Quarterly Meeting notes

» Community Champions Coffee Mornings - Diabetes (starting Wednesday 4th September)

Are you worried about diabetes? Or want to know more about it. Come to our health themed coffee morning. Where alongside your tea or coffee you can engage in health issues which affect you or others around you...

» Active for Life - Opportunities to Keep Fit In the Royal Borough of Kensington and Chelsea

The Royal Borough of Kensington and Chelsea (RBKC) Leisure Services’ Sports Development Team provides a wide variety of sport and physical activity opportunities for RBKC residents at venues across the borough including targeted sessions for specific groups...

» July 2013 Quarterly Meeting notes

» Free Days Out for Carers in Kensington and Chelsea

We also offer free training courses, complimentary therapies, other free events, talks and social meet-ups - booking essential...

» Storytelling Women’s Group at the Refugee Therapy Centre.(every Wednesday)

Come along and join our friendly Storytelling Women’s Group at the Refugee Therapy Centre.We welcome women with all levels of English. It’s a great way to get to know new people and practise your language skills.We meet every Wednesday from 11:00am—14:00pm...

» March 2011 Quarterly Meeting notes

» June 2011 Quarterly Meeting notes

» September 2011 Quarterly Meeting notes

» December 2011 Quarterly Meeting notes

» March 2012 Quarterly Meeting notes

Date & Time: 7th March 12, 10am – 1pm, Venue: The Abbey Centre, 34 Great Smith Street, SW1P 3BU, Theme: Men’s Health & Wellbeing

» March 2013 Quarterly Meeting notes

Theme: Women’s Health & Wellbeing Date: 6th March 2013 Venue: Lighthouse West Lodon

» Domestic abuse and Sexual violence Information about Helpline services in your area

Please see below some information about domestic and sexual violence helplines that are funded by London Councils and available in your area...

» Psychological Therapies in languages other than English

Please note that all NHS psychological therapy services are obliged to provide an interpreter for people who are not fluent English speakers. This includes counselling services offered by GP practices as well as IAPT or other mental health services offered by CNWL or CLCH...

» Personalisation Project at the Chinese Mental Health Association

The Befriending Service at the Chinese Mental Health Association is running a pilot Personalisation project for ethnic Chinese sufferers of mental health. Personalisation is about giving people with needs, choice and control over their care, with support and resources provided by their local authority...

» HELP Counselling - low cost short & long term counselling service

Based in Portobello Road, Notting Hill Gate, London, HELP Counselling Centre provides short & long-term counselling based on an affordable, sliding scale for people who need support in negotiating a crisis as well as for those who wish to consider their life patterns and choices...

» Rape Crisis London

Rape Crisis London has four centres that offer help, information and support to women and girls who have experienced sexual violence of any kind, at any time of their lives...

» Fit-for-Life - Free 8 week weight loss programme

This FREE eight week group behaviour change programme is designed to help the patients to lose weight, get fitter and make more informed choices about your diet and lifestyle...

» Deaf Hope Services

Deaf Hope is a new specialist domestic abuse service for Deaf women and children, and the first service of its kind in the UK. We have been established around 18 months and our current funding is...

» Healthier Life for You blog

Healthier LIfe 4 You is a community organisation not for profit with charitable aims. We aim to promote Health and Wellbeing to local people in the community (Families, Children & Young people). As well as running Health workshops, we use Dance, Art & Craft and Leisure activities to enable service users to achieve emotional and Physical wellbeing...

» Public Health Training Service - RBKC

The Royal Borough can help your business. We offer award-winning training on Food Safety and Health and Safety. We also offer Environmental Principles training, Personal Licence Holders training and Customer Service Training...

» FGM (Female Genital Mutilation) Service

West London African Women's service - Community support and information...

» Independent Domestic Violence Advisory Service at ADVANCE

ADVANCE is a specialist domestic violence crisis intervention service. We support women who are assessed as being high or very high risk of continued domestic and sexual abuse and those at risk of being killed...

» Counselling Directory - search for a counsellor or psychotherapist near you

Counselling Directory was set up as a free, confidential service to encourage those in distress to seek help. Visitors can read about different areas of distress, view useful articles written by counsellors and refine their...

» GO4mental health

A website/ directory for mental health service users in Westminster...

» North London Rape Crisis Service

North London Rape Crisis offers free, confidential counselling, advocacy and holistic therapies to women aged 14 and over who live, work or study in Islington, Camden, Westminster, Barnet, Enfield, Kensington and Chelsea and Haringey...

» Health Trainers

Health Trainers provide free one-to-one support, motivation and advice to borough residents (from Westminster, Kensington & Chelsea or Hammersmith & Fulham) over 18 who want to improve their health and wellbeing...

» Women's Wellbeing, Patient Empowerment and Mental Health & Wellbeing projects at Mosaic Community Trust

The Mosaic Community Trust’s Women’s Well-Being Project seeks to empower women who are socially disadvantaged. The Patient Empowerment and Engagement project aims to raise awareness in the local community on the availability and effective use primary care health services...

» Befriending for Asian Women at Henna

Henna’s befriender-workers will pay regular weekly or monthly visits to some of the most vulnerable ladies in the community. These visits could be to those who were members of Henna in the past and have been restricted...

» Substance misuse services - NEW three borough service

Turning Point and Blenheim have been commissioned to provide the new substance misuse service in Westminser, RBKC, and Hammersmith & Fulham. This service is named the Recovery & Wellbeing network and will transform the way that drug and alcohol services are provided locally...

» Help for your Family with Home-Start (Westminster)

We support ANY family in Westminster who needs us, providing there is at least 1 child under 5. Rich or poor, settled or transient.Our trained volunteers help to give encouragement and support to change the pattern of troubled lives...

» NHS videos aimed at newly arrived migrants in various languages

Here are a series of short films on how to use the NHS aimed at newly arrived migrants produced by the Black Health Agency. The film is available in English, Arabic, Cantonese, Farsi/Dari, French, Kurdish, Mandarin, Polish, Somali, Sylheti and Urdu...

» Foot and Toenail Care Service in Westminster

Having Problems Managing your Nail Care??? Apply for Westminster’s new Basic Foot Care Service now!...

» LIVING WELL - Wellbeing services

Living Well offers a wide range of high-quality health related services aimed at providing people with the skills they need to get the most out of life. Services include HIV service, Youth service and Community support service...

» Dementia Adviser Service in Westminster

The Westminster Dementia Adviser service provides advice, information and guidance to those who have received a diagnosis of dementia, as well as their families and supporters. As well as working in partnership with NHS...

» Healthworks

HEALTHWORKS√ offers a range of services to help the residents of Kensington and Chelsea, Hammersmith and Fulham, Westminster and surrounding boroughs

» South Westminster Centre for Health

Provides community and specialist dental services, district nursing, nutrition and dietetics, diabetes and podiatry (foot health) services, Speech and language therapy for children...

» Fit for Work Service in Kensington & Chelsea now expanding to Westminster and Hammermith & Fulham

Fit for Work Service in Kensington & Chelsea now expanding to Westminster and Hammermith & Fulham

» Jobs in Mind

Jobs in Mind, a mental health charity whose varied services provide specialist support and advice around problems at work, training and education. Our mission is to understand, support and enable the recovery of those affected by mental health problems...

» Health Centre for walk-in (unregistered) patients

The Halfpenny Steps Health Centre provides health services for registered and walk-in patients. It is staffed with a team of GPs, nurses and other healthcare professionals to deliver a high quality, continuous service...

» Improving Access to Psychological Therapies (IAPT) - Westminster service

STRESSED, ANXIOUS, DEPRESSED? If you are finding it difficult to cope with feelings of anxiety or depression, we can offer quick and easy access to help and support...

» Employers: Fit for Work Service Leaflet

If you have employees off work sick or struggling with health problems you can refer them to Fit for Work Service at no cost to your business...

» Housing Factsheet Library

Some housing factsheets on key housing issues. The fact sheets provide a very basic summary of the issue, the possible actions you can take, and who to contact for further information...

» Women's Therapy Centre

The Women's Therapy Centre has been offering individual and group psychotherapy to women since 1976. Its access policy ensures that psychotherapy is available to all women, regardless of sexual orientation, disability, cultural or social...

» Arabic Women’s Project at Al-Hasaniya, North Kensington

Based in North Kensington we offer advice and support in health and welfare of Arabic speaking women. We have a Domestic Violence project and also a children and families mental health project as well as many other...

» Get Active! - Affordable activities for all abilities and ages at the Beethoven Centre

See details below for affordable activities for all abilities and ages available at the Beethoven Centre...

» Breathe Easy Support Group

DO YOU LIVE IN PIMLICO AND SUFFER FROM A BREATHING PROBLEM? BREATHE EASY PADDINGTON is your Westminster patient support group, for anyone affected by a lung condition. We offer mutual support, information...

» Dual Diagnosis User Involvement Project [Westminster]

Who? The project is for adults with dual diagnosis mental health and learning disabilities living in Westminster. These are the only criteria for taking part; we aim for the project to be inclusive. It is run by The Advocacy...

» Helpline for Maternity Services

The maternity helpline provides direct access to clinical support and advice to women and their families, irrespective of whether you are a patient of Imperial College Healthcare NHS Trust, a visitor to the area or simply require information and support.

» Westminster Wellbeing - Free NHS service promoting Health and Wellbeing

Westminster Wellbeing is a free NHS service promoting health and wellbeing within communities and organisations in Westminster. We provide a range of services which include training and workshops for community organisations...

» Maternity Action Advice Line

Maternity Action’s Advice Line offers free confidential telephone support. We will listen to you and try to understand all the issues you are facing. We will then provide you with information that is relevant to you and your situation...

» Jobs/Volunteering