Survey Launched for BSL Users on Access to Healthcare

Following on from the back of hard work done by ASLI‘s Professional & Consumers Working Group, more organisations have joined in to create a campaign: BSMHD, BDA, Action on Hearing Loss, Sign Health and Signature.
There is a survey for BSL users on their access to health care (deadline 20th April): http://www.surveymonkey.com/BSLHealthcareSurvey
Please do let any Deaf people in the UK know about the survey. Deaf people have felt the effects of the government’s mission to outsource interpreting services over the last few years. Many Deaf people have never had adequate access to health care for years which outsourcing has certainly not helped.
This survey aims to collate the experiences of Deaf people on the ground, those who are really effected by the drive for profit, the deterioration of standards, the loss of work for registered interpreters and ultimately the reduction in access for Deaf people.
Whilst this blog reports on issues generally from an interpreter’s perspective of the effects of outsourcing, what the organisations involved need is hard evidence of what the reality is for Deaf people in the UK trying to access health care. If you have good feedback about your local service please fill out the survey too. In the post code lottery of outsourcing and who your local interpreting contract ends up with, it is more likely you have experienced less than adequate services.
Please fill out the survey today. Have your say and pass it on.

Using a Professional is the Only Safeguard – Part 2

This blog is part 2 of 2. Following on from part 1, where the term profession was discussed, let’s go back to why interpreting is being outsourced in the first place.
Services are being outsourced to save money. Services that are deemed as being a ‘Back Office Function’.
This phrase is being repeated by the Ministry of Justice, by commissioners nationwide, by Ministers and by David Cameron.
Back Office Function. What is a Back Office function? Logic dictates it is a function that exists back of house probably in an office. This would include administration, IT, facilities management, ordering of equipment say.
Any intelligent being would surely not class interpreting as a Back Office Function. No. Surely it is a specialism. To be done by people who know how to do so. People. Wait… professionals who have been trained and have experience before being let loose in a courtroom.
Interpreting as a Back Office Function? It’s illogical.  Outsourcing is now going way beyond what would normally be termed Back Office Functions.
Strange given the track record of disasters whenever the British government attempt to outsource. Capita got the name Crapita for good reason after disasters such as people nearly getting evicted when systems failed and did not pay out housing benefit claims in time. And bear in mind this is the company that has bought ALS and where the buck currently stops for interpreting services for the MoJ. As one publication has pointed out Capita should stick to back office business functions.
So why is the government taking the risk of outsourcing for areas others than more traditional business functions?
1) Crony capitalism.
This is endemic and epitomised in the coalition government’s support of big business over small or medium enterprises. This is despite what is touted in its reports. None of the framework agreements or procurement hubs now favoured by statutory organisations make it easy for the smaller enterprise to win contracts. Where the small enterprise is the specialist sign language agency, they lose out.
Sign Language interpreting services are becoming sub-contractors to the bigger spoken language agencies. Assignments are regularly being sub-sub-sub-contracted. By the time the interpreter is paid there is little left. Everyone up the food chain needs to make their buck. The result of which, at the other end, is that the statutory organisation comes away with little savings and interpreters travel the breadth of the country when there was a registered interpreter next door to the hospital sat at home unpaid.
2) Back door privatisation.
We have the Conservatives in government. They wish to privatise everything.
3) Ministers and senior civil servants need answers.
Outsourcing is an easy answer to coming up with savings rather than appropriately conducted research and consultation, with the caveat that information gleaned from consultation should be heeded. The word consultation has become a misnomer in the UK. It has come to mean you will speak up then be ignored.
Ministers have often said they lack skills in running large departments. One author suggests this is indicative of an eroded civil service with an overreliance on expensive consultants or specialist advisors rather than looking inward to creating those skills and utilising them.
As Peter Handcock CBE, Chief Executive, Her Majesty’s Courts and Tribunals Service (HMCTS) before the Justice Select Committee said so eloquently:
“So it is partly the process of letting a new contract and putting it in place, but, but we need to do, frankly we need to do much much better understanding the potential risks before we roll these things out.”
An admission of the lack of understanding. Has the government taken any advice on the subject of interpreting services? It seems they have ignored much of what interpreters have been telling them through the various consultations.
Therein lies the explanation of why interpreting is now being seen as a Back Office Function. And what of the effect of this policy, why does it go so horribly wrong, especially where professions are concerned?
Unit costs get ever cheaper in the bidding war for a contract. Unless there are safeguards and standards in place enforced upon the contract provider the temptation is to employ the cheapest personnel and disregard quality.
Sign Language interpreters have seen it happen already in most NHS trusts around the country. Chaos caused by large scale employment of untrained interpreters by sub-standard agencies (usually spoken language ones, though some sign language specialist agencies are also to blame). Yet the NHS and the MoJ are paying for these services.
A colleague did some mystery shopping amongst some new agencies that had won NHS contracts in and around London. Scarily, they wanted to accept her on their books without checking any qualifications, any registration. They did not even ask for insurance or a police check. Some didn’t even care if she actually knew any sign language.
When contracts are awarded to these agencies, the provision of interpreters then becomes tokenism, paying lipservice to the Equality Act 2010. These are specialist services that are commissioned, monitored and evaluated by non-specialists without the necessary in built safeguards, which you would have if professionals were employed. Services commissioned from those that call themselves specialists but are not. Of course outsourcing interpreting services was bound to fail. And fail it has.
The government, local and national, has made a categoric error in outsourcing interpreting services across the public sector. With regard to the MoJ, when this is the kind of service you are paying for you are not saving £18 million. You are losing £300 million.