News Letter of British Association of Physicians of Indian Origin JUNE 2016

Dr Ramesh Mehta, President, and Mr Buddhdev Pandya MBE, Director of Policy and Promotion of BAPIO, meet the new High Commissioner of India HE Mr Navtej Sarna at India House, London. Dr Mehta welcomed Mr Sarna and briefed him about BAPIO’s activities. The High Commissioner expressed his appreciation of the work being done by BAPIO in the UK, as well as in India. Dr Mehta invited the High Commissioner to be guest of honour at the next BAPIO Annual Conference on 19-20 November in London. Mr Sarna was pleased to accept the invitation.

The British Association of Physicians of Indian Origin (BAPIO) and the British International Doctors Association (BIDA) met the NHS Employers on 10th June to discuss issues affecting the Black and Minority Ethnic (BME) workforce.

Dr Ramesh Mehta, President of BAPIO, stressed the importance of informal conflict resolution between the employer and employee in the early stages. He described a successful model of partnership between University Hospitals of Morecambe Bay and BAPIO, and the support BAPIO is providing to the management. Mr Mortimer, CEO of NHS Employers, showed keen interest and agreed to both learn more and promote the model.

Professor Mala Rao expressed concern about the reality at the grassroots level for those who are unfortunate enough to be caught in a dispute. She explained the disastrous impact on many BME professionals and stressed the importance of a fair approach.

The Director of Policy for BAPIO said, “It is crucial to form closer alliance with the Employers organisation and engage them in influencing the NHS Trusts to promote equality and recognition of diversity”. “It is important we have forward from the standard ‘tick-box’ exercises”, he added.

Mr Narendra Kapur, Visiting Professor of Neuropsychology, expressed the need to initiate an inquiry similar to the Francis Report in order to manage the practice of the disciplinary process. He elaborated that the management approach often goes unchallenged, while victims face isolation and serious consequences that affect their careers and personal lives.

Dr Mehta observed that the meeting was productive and most helpful. He said, “BAPIO is keen to partner with the NHS Employers to assist the local Trusts in taking positive steps for improving practices. At the heart of our commitment is the patient safety that must come first”. He also explained the BAPIO’s Mentoring Scheme and International Fellowship Programme.

Mr Mortimer promised to take these issues to his team and look for an amicable way forward. The meeting was also attended on the NHS Employers’ behalf by the Programme Manager for Diversity & Inclusion, Mr Mohamed Jogi, who will keep in touch and inform of the progress

Delegates from BAPIO (R- Mr Buddhdev Pandya MBE, Director of Policy and Dr Ramesh Mehta, President of BAPIO) and BIDA (R -2nd, Prof Mala Rao) met the Chief Executive of NHS Employers, Mr Danny Mortimer (Centre) and the Programme Manager for Diversity & Inclusion, Mr Mohamed Jogi, on 10th June 2016 in London. Also present was Mr Narinder Kapur, Visiting Professor of Neuropsychology, University Collage, London.

BAPIO NEWSLETTER

Prof. Monica Lakhanpaul

Prof. Neena Modi

The BAPIO Paediatr ic Forum organised a successful Symposium at the RCPCH Annual Conference on 26th Apri l 2016 at the ACC Liverpool. The theme of ‘Hot topics in developmental and behavioural paediatr ics ’ attracted a ful l house.

T he BAPIO Paediatric Forum organised a successful Symposium at the RCPCH Annual Conference on 26th April 2016 at the ACC Liverpool. The theme of ‘Hot topics

in developmental and behavioural paediatrics’ attracted a full house.

Dr Ramesh Mehta, President of BAPIO, said that this was a historical movement for BAPIO whereby in the year of its 20th anniversary, the Association was facilitated by the College to have special session during the RCPCH Conference.

The speakers included Prof Monica Lakhanpaul from University College London’s Institute of Child Health, who spoke on ‘Down syndrome - from antenatal screening to Alzheimer’s disease’.

Dr Trevor Brown, Consultant Paediatrician from Ulster Hospital, Belfast, is a specialist allergist and explained ‘Active allergy management’.

Prof. Mitch Blair, Consultant and Reader in Paediatrics and Child Public Health at Imperial College London, discussed ‘The prevention of neurodisability - a child public health approach”.

The delegates filled the symposium room to hear the two most prominent keynote speakers. Prof. Neena Modi, President of the Royal College of Paediatrics and Child Health spoke on ‘Evidence from recent research in neurodisability’, while Prof. Terence Stephenson, Chairman of the General Medical Council, presented a keynote lecture on the ‘Ethical approach to a severely disabled child’.

After the event Dr Satheesh Mathew, BAPIO Vice President, said that many delegates had found the interaction very helpful and the feedback excellent.

Dr Ramesh Mehta

BAPIO NEWSLETTER

Dr Mr Andrew Foster

Dr JS Bamrah

In Collaboration with CCGs, NHS England, WRES and CQC

Reflections on the future of health and care Sir David Nicholson KBE Former chief executive of NHS England

The Quadruple Aim of Health Care Prof. Mayur Lakhani CBE CCG Chair and past chairman of the RCGP; Chair of the Conference Coordinating Committee

CQC—Challenges and Opportunities Prof. Steve Field CBE Chief Inspector of General Practice at England's Care Quality Commission. Chair of the Department of Health's National Inclusion Health Board

Devolution—Is this the future model? Ms Jackie Daniel, Chief Executive of University Hospitals of Morecambe Bay

How to set up a GP super-partnership? Dr Naresh Rati A GP with interest in dermatology; an Executive Partner at the Modality Partnership responsible for business strategy and growth

Towards Race Equality Yvonne Coghill OBE Director of Workforce Race Equality Standard Implementation

How can GPs and consultants work together to provide excellent patient care? How can we have happy staff? The Conference will explore how health care needs to evolve in order to meet the legitimate needs of citizens. Medicine is an unhappy place right now. Solutions will be explored with reference to new models of care that allow generalists and specialists to work together to provide high quality and safe integrated care. Critical to this is an engaged and confident workforce that can lead and shape the future of health and care.

Delegate fee:

Day Delegate Rate: £75 BAPIO Members: £50 Trainees: £35

Non-Medical Staff: £35 Medical Students: Free (only if Pre-Registered) Payment: Bank transfer : BAPIO, Account No: 00066608 Sort Code: 309066

Holiday Inn St Nicholas Circle Leicester

CPD POINTS APPLIED Poster Presentations on New Models of Care and Happy Workforce

- Supervised by Dr Sunil Daga

BAPIO NEWSLETTER

NHS: Bristol’s Indian doctors lead the innovation debate Bristol’s doctors of Indian origin representing the South West Division of BAPIO hosted a conference to discuss innovative ways to reduce wastage in the NHS.

O n 6th May 2016, delegates at Bristol Golf Club heard from high profile speakers. Among them were Sir

Malcolm Grant, Chair of NHS England and Mark Cooke, Director of Commissioning for the South West.

The Hon Secretary of BAPIO, Dr Parag Singhal, who is also Chair of the South West region, spoke of the contribution of Indian doctors to the NHS. “We are the NHS, and with our natural inclination to avoid wastage, we want the clinicians and management to promote debate for an ‘innovative path’ that could help reduce overspending along with improving quality of care”, commented Dr Singhal in his opening remarks.

Lord Ajay Kakkar, Prof. of Surgery at University College London spoke at the event, highlighting the experience of UCLP and emphasised the importance of a collaborative approach towards research that can add value to the survives.

Sir Malcolm Grant, Chair of NHS England addressing conference

In his inaugural keynote address Sir Malcolm Grant, Chair of NHS England, spoke on the 5-year strategic plan with a forward view to addressing the challenges.

Sir Malcolm explained, “One of the key areas in the forward view is to create an integrated model, Devolution Manchester and the Yeovil Vanguard project being the examples”. To facilitate this, NHS England is investing £8 billion in the next 4 years until such time that the programmes start delivering the desired efficiencies.

He also talked about how costs need to come down, and that India offers a great learning opportunity. He impressed upon the clinicians to continue to be patient-focused, and that while the NHS provides excellent care most of the time, more can be done.

The conference welcomed the Deputy High Commissioner of India, Dr Virander Paul, who said that the NHS is the soul of the British public and that

Dr Parag Singhal, Chair of BAPIO South West Region welcoming

delegates at the conference.

The Deputy High Commissioner of India Dr Virander Paul addressing guests at the Conference dinner. The Hon John Penrose MP, Parliamentary Secretary in the Cabinet Office, and Dr Ramesh Mehta, President of BAPIO, can be seen in the audience.

Indian doctors are the backbone of the NHS. He encouraged BAPIO to collaborate more with the Indian High Commission, which would offer full support to facilitate the discussions. Dr Paul himself has been involved in the discussions around a paediatric research fellowship in collaboration with India.

The delegates heard from Mark Cooke, Director of Commissioning, on how the South West is putting forward a plan, especially around Vanguard projects, to improve care and realise efficiencies.

This being the 20th anniversary of the Association, Dr Singhal congratulated the President of BAPIO, Dr Ramesh Mehta, and its Director Mr Buddhdev Pandya MBE, for founding BAPIO and for their contribution in bringing it to where it is today.

In his address, Dr Mehta highlighted the achievements made by BAPIO and praised the South West division for its wonderful work. He also congratulated the organising committee.

Mr Mohan Mundasad, Hon. Memberships Secretary of South West Division was presented with an award of ‘Life time

achievement’ at the conference Dinner

BAPIO NEWSLETTER

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experience as follows: “There was much to learn in understanding the nature and dynamics that surround various management structures”. He feels that senior clinical managers should take more responsibility to avoid a ‘blame culture’.

Dr Suresh Rao, who is preparing the details of the BAPIO project for ‘Early Intervention’, feels that despite the findings of the Francis Report, whistle blowers are being treated by management as some form of infectious disease that the NHS needs to be rid of.

There is a huge pool of sensible and experienced senior clinicians and management personnel within the BME staff available to the NHS. With suitable training and support they could prove an asset to the NHS in preventing the loss of skilled resource.

BAPIO is establishing local units within its regional divisions which can be a link to their local NHS trusts. Dr Parag Singhal, BAPIO’s Hon Secretary, feels that the units can build very useful alliances to support human resources in the Trusts.

When a staff member is suspended pending inquiry, the NHS needs to find a temporary replacement. These come largely from locum agencies, with the NHS currently spending around £2.5 billion employing temporary staff each year.

After an absence from practice the professional risks becoming de-skilled, let alone the impact on their state of mind. This means that early intervention would not only help save the careers of many doctors, but would also expose numerous issues related to policy implementation and the effectiveness of human resource management.

B APIO President Dr Ramesh Mehta noted, “Our experience suggests that an early intervention with commitment of resolving conflict could prevent

situations escalating to formal stages”. “Once a doctor enters into a formal process, even at an early stage of an inquiry, it could lead to a disaster for the individual and a long drawn-out and expensive process for the Trust”, he added.

Dr Mehta said that the BAPIO is committed to patient safety and that this should not be compromised. However, most of the disciplinary cases can be resolved by informal discussions and by providing support, mentoring or further training.

Referring to the disproportional representation of BME staff in the disciplinary system Mr Buddhdev Pandya, Director of Policy, felt that in many cases the human resources department and senior managers have a tendency to engage with the disciplinary process too quickly.

“There is less sensitivity towards recognising cultural diversity, which is compounded by the presence of discriminatory attitudes, often lacking in clarity concerning disciplinary policies and with a failure to appropriately train staff”, added Mr Pandya.

BAPIO has recently trained a team of volunteers with ACAS to help local NHS Trusts with ‘intervention support’. Mr Shyam Kumar, Chair of BAPIO’s University Hospitals of Morecambe Bay Trust Unit and leading this initiative along with Dr Suresh Rao, described the

The NHS is facing a huge crisis due to staff shortages. Adding ‘fuel to the fire’ is the deteriorating environment of staff moral and confidence in management. One of the important factors in this situation is trust in the disciplinary process. A BAPIO initiative is due to be announced shortly which hopes to be a role model for the NHS.BAPIO Vice President Dr Satheesh Mathew said, “When a professional is put under suspension by the management, it is devastating for the individual concerned. The BME staff in particular face isolation in the workplace and often suffer in silence”.

BAPIO NEWSLETTER

Published for the members of

BRITISH ASSOCIATION OF PHYSICIANS OF INDIAN ORIGIN 281-285 Bedford Road, Kempston MK42 8QB

Tel: +44 (0)1234 212 879, Fax: +44 (0)1234 480025 www.bapio.co.uk

Editorial Advisory Team: Dr Sajayan

Mr Sanchit Mehendale Vice-Chairs: Communication

Mr Buddhdev Pandya MBE Managing Editor

office@bapio.co.uk Proofreading: info@proofscience.com

BP

Medical Defence Shield (MDS) is happy to announce that it is able to offer one hour of initial advice and guidance on a complimentary basis to BAPIO members who are not already members of MDS. BAPIO established the unique initiative in 2010 to provide access to professional advice and support that is sensitive to the needs of doctors. MDS provides a comprehensive support package to UK-based doctors on Employment, the GMC, Regulatory and Medico-Legal matters – all accessible with a single phone call! For further information please see www.mdsuk.org, email membership@mdsuk.org or call 0300 303 2442.

BAPIO

ANNUAL CONFERENCE

19-20 November 2016 Park Inn at Heathrow

London

BAPIO - Brighton team at a meeting on 1st March 2016 to plan the establishment of the Kent & Sussex Division.

Varada Sethu, daughter of our Hon Asst Secretary Dr Sethu Madhavan has featured in her first role in a Hollywood film (Now You See Me 2) with Michael Caine. Congratulations! All of us at BAPIO are very proud of you.