A mixed-method investigation of the challenges and opportunities for commissioning culturally competent mental health (dementia) services

A mixed method approach was used to investigate the challenges and opportunities for commissioning culturally competent Mental Health (dementia) services whilst using thematically analysis to gain an understanding of the experiences, and practice levels of cultural competence amongst participants.
The NHS sited study found that cultural competence was an unfamiliar term though pockets of good practice exist in some parts of the system though based on a limited understanding, this status makes it essential to increase its knowledge, skills and practice. This is possible only if based on a consensus definition, relevant principles, training and research to develop an associated mental health commissioning framework. The aim is to transform the NHS into a culturally competent organisation capable of delivering mental healthcare that complements diversity and Human Rights standards.
This study concluded that dementia services grounded in culturally competent principles can improve healthcare experiences by improving inclusivity, diversity in leadership and service user engagement. It also argues that the empirical findings have ramifications in other public sector arenas and recommends sectors such as housing, employment, education etc embrace cultural competence also.
Other recommendations are that the NHS establishes mandatory training within a culturally competent framework and embeds it within CPD to ensure professionals can meet the needs of a diverse UK population.
Finally, the study contributes a first working definition of culturally competent commissioning based on the literature and participants contributions of
... a vehicle for increasing accessibility to quality services designed for populations of varying values, ages and vulnerabilities, using culturally competent processes that include tailoring service delivery to meet social, cultural and linguistically assessed needs...