Select Committee on Health Appendices to the Minutes of Evidence


APPENDIX 33

Memorandum by Simon Albury, Board Member, Nafsiyat Inter-Cultural Therapy Centre (MH 84)

On behalf of the Nafsiyat board I would like to say it is a great pleasure to welcome you here today. Your request to visit us was well timed. Last year the organisation went through a management crisis. A new board took over in late December and it has taken over four months to restructure the organisation, introduce effective financial controls, and develop a viable business plan for maintaining the service on a reduced revenue—£165,280 for the current year.

  I know your time is scarce—so I just want to give you a couple of headline thoughts—which might be helpful before you hear the detail from the people at the sharp end.

  Nafsiyat provides various forms of psychotherapy tailored to the needs of ethnic and cultural minorities and refugees—and it also provides training in intercultural therapy.

  The good news is that Nafsiyat undoubtedly saves the state a lot of money—and you will be in a better position than we are—to calculate how much. It saves the state money by enabling people to stay in work who might otherwise be unable to work—by enabling people to remain in the community who might otherwise have to be hospitalised—by enabling families to stay together—who might otherwise split up and be unable to help care for each other or for their children—and, arguably, it saves the state money by providing a talking treatment that may be less costly than drug treatment.

  Nafsiyat could do much more. When you have heard the detail of Nafsiyat's work we hope you will conclude that it is something that should be sustained, encouraged and made more widely available.

  Now the bad news—which illustrates a wider problem. Nafsiyat may not survive for more than another two years. The condition of these premises speaks for itself. The lease runs out in two years. If we cannot find affordable premises the organisation is likely to disintegrate—and the truth is we are unlikely to find affordable premises—for reasons that I shall come on to in a moment.

  But first, you might find it useful to know that—in 1996 Nafsiyat had found a suitable building for its work and applied to the National Lottery Charities Board for £700,000 from the Health, Disability and Care Fund. The building would have given Nafsiyat a firm foundation and would have enabled many more people to be seen—in part by expanding the space available for voluntary work by qualified psychotherapists. We didn't get the lottery funding—a decision, communicated without explanation, and one which sapped staff morale. We later heard we'd made a first class application—the only problem had been that we'd asked for too much money. Those who sign Early Day Motions protesting about the lottery funds pouring into the millenium dome should know their actions do provide some small comfort to staff here who know what might have been if Nafsiyat had received its Lottery grant.

  Now—why are we unlikely to find premises? Well—when you have a problem you often think you are alone—Nafsiyat is not alone in the difficulties it faces—as we discovered earlier this year—when we read these two important sentences in a document from the Ethnic Minority Foundation:

    "Whilst the ethnic minority communities make up 6 per cent of the population, they receive only two per cent of voluntary sector funding from all sources. As a result, those ethnic minority voluntary sector organisations that provide support for ethnic minority communities are at risk of disintegration through lack of funding, professional support, training and resources."

  That precisely describes the situation in which Nafsiyat finds itself. Nafsiyat is at risk of disintegration because we don't have the resources we need—to get the resources we need—whether in terms of increasing funding or finding premises. With £160,000 a year—Nafsiyat is severely over stretched—and—over dependent on a level of resource commitment from staff, members of the board and friends which cannot be sustained indefinitely.

  Sharon Moorehouse, the Acting Service Director, is currently unpaid. Some of the therapists are underpaid in relation to their qualifications and experience. The truth is—that this area of the voluntary sector is underpaid, under funded and over reliant on volunteer work. Nafsiyat provides a first class service but to paraphrase the Ethnic Minority Foundation—groups serving ethnic minorities are funded as if they were second-class services for second-class citizens.

  We are all professionals in this room—we know what needs to be done—but we don't have the resources to do it. I was Director of Public Affairs for a major media company. I know that as a parliamentary committee—you should have been sent biographies of the people you're meeting and some background notes in advance. Now—we didn't have much notice and the school half term intervened—but if we'd had some basic secretarial support and a photo-copier that worked—we could have provided you with some useful advance information. In practice you haven't received any—because we haven't got the means to do it—and you may perceive us as less professional as a result.

  Our business plan has to put clients first—they get a proper professional service—they are not short-changed. But for organisations like Nafsiyat with a low revenue base—the resource costs of meeting the compliance requirements and the information requests of funding organisations are disproportionately high—as are the costs of legal advice. This means that funders may confuse the results of underfunding with unprofessionalism. As you can see Nafsiyat is caught in a vicious circle that may prove to be inescapable.

  I think—all this needed to be said—but it means your visit has started from the lowest point. From now on I hope you will experience an upward curve as you learn about all the positive work that is being carried out here—despite all the difficulties. We hope you will value the approach which Nafsiyat has pioneered over the last 17 years and that after reflection you will be able to recommend ways in which this kind of work should be sustained, developed and made more widely available to the potential clients across the country.

7 June 2000


 
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