Breaking barriers together

Widening participation and increasing equity in south east London's health and care workforce

An image of a family pushing pieces together representing collaborative work.
Close-up of hands and documents on a table detailed co=created solutions

Discover how the South East London Voluntary Community Social Enterprise (VCSE) Strategic Alliance is working with partners to create a more inclusive health and care workforce in south east London. Learn about our collaboration with By and For organisations and Experts by Experience to break down barriers for under-represented groups and how you can get involved in making a positive impact.

2023

Phase One:
Co-identifying barriers to jobs in health and care

Phase one of the Widening Participation project was all about bringing on board organisations run by and for the community, making sure the right voices were heard. Together, they identified the main barriers getting in the way of fair access to jobs in health and care in south east London, setting the stage for change.

Two experts-by-experience explaining their lived experience
Early 2024

Phase Two: Co-created solutions

Specialist VCSEs and communities co-created tailored solutions to address identified barriers, organised into five key I.D.E.A.S: Information, Develop, Encourage, Awareness, and Support. Explore these solutions below.

A circle of connecting cog shapes in different colours, representing the IDEAS framework to break down barriers to employment in the health and care workforce in south east London.
Late 2024

Phase Three: Working together to implement solutions

In the current phase of the project we're implementing solutions recommended by specialist VCSE organisations to start dismantling employment barriers in the health and care sector for under-represented groups. Building upon our I.D.E.A.S. framework, we're working with leaders from the South East London Integrated Care System (ICS) to create a more inclusive and diverse workforce.

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2025 - 2026

Phase Four: Review and Assess

We will collaborate with all system partners to advance the implementation of co-created solutions. In 2026, we will review our impact on the health and care workforce to ensure meaningful progress.

A photograph of two people talking animatedly with people seated at discussion tables in the background.

Phase One:
Co-identifying barriers

Creating a partnership

A diverse workforce is essential for delivering fair and effective healthcare. Unfortunately, certain groups remain underrepresented in south east London's health and care sector. The overall aim of our project was to co-identify key barriers to job access in healthcare for specific groups and communities, and co-create solutions to overcome identified barriers and enhance diverse representation in our workforce.

Most under-represented groups:

- People with Caring Responsibilities (including young carers)
- Individuals from Black, Caribbean, or African Heritage
- Migrants, Refugees, and Asylum Seekers
- Deaf and Hard of Hearing Individuals
- Neurodivergent People

A colourful illustration of a group of work colleagues pointing to different parts of a vertical project planner with a number of key milestones represented by large icons.

By and For organisations who lead the work

The project is funded by Health Education England (HEE), coordinated by South East London Voluntary, Community, and Social Enterprise (VCSE) Strategic Alliance and SEL Integrated Care Board (ICB), and developed and delivered with seven specialist ‘By and For’ VCSEs who are embedded in our target groups to co-create the project’s approach and implementation.

Bromley Well logo
Bromley Well

Bromley Well is a partnership between four large local charities, aimed at helping residents to improve their health, wellbeing and independence. Among our services we run Bromley Well Young Carers, delivered by our Partners Bromley Mencap.

Bexley Deaf Centre logo
Bexley Deaf Centre

Founded in 1994, Bexley Deaf Centre provides support and services for deaf and hard of hearing people in the borough of Bexley, including maintaining hearing aids, teaching British Sign Language (BSL) and campaigning for equal access to services & activities.

deafPLUS logo
deafPLUS

deafPLUS works to improve the lives of deaf and hardof hearing people in the UK by offering deaf friendlyadvice where needed. They provide a range ofservices to ensure that deaf & hard of hearingpeople have access to the support & resources theyneed to live a full and independent life; being part ofa wider society.

Logo of Lewisham and Refugee and Migrant Network
Lewisham Refugee and Migrant Network

Lewisham Refugee and Migrant Network exists to empower refugees and other migrants living in south east London to bring about systemic change to remove the challenges they face. LMRN advises on critical immigration cases, and works to prevent homelessness, improve wellbeing, meet basic needs and campaigns for change.

Logo of Ladies of Virtue Outreach
Ladies of Virtue Outreach

Ladies of Virtue Outreach is a not-for-profit organisation working to improve the employability and wellbeing of marginalised women and their families, who mostly come from minoritised communities. They aim to foster a secure and stimulating environment that equips women with professional and personal skills, and engages them in self-care activities to inspire them to live healthy and fulfilling lives.

Logo of Lewisham Speaking Up
Lewisham Speaking Up

Lewisham Speaking Up supports people with learning disabilities to speak up, be heard and have a stronger voice to get better and fairer treatment. This includes services for Self-Advocacy; 1-2-1 Advocacy; Training and Health Advocacy.

Logo of PCAP, with accompanying text 'Improving lives through education, leadership and engagement
Policy Centre for African Peoples

The Policy Centre for African Peoples works to enable African individuals and disadvantaged people of all ethnic origins to improve their lives through education, leadership training and social engagement, using a unique training model inspired by African philosophy.

A unique collaboration

The seven specialist VCSEs and their communities took a wide range of approaches to the co-creation process and have spent a period of six months jointly designing and delivering unique collaboration with target communities. All experts taking part in this project have been paid fairly for their time and expertise, and several people have taken on further paid strategic influencing opportunities.

241

focus groups

26

focus groups

96

interviews

8

community conversations

3

school outreach sessions

Co-identified barriers to health and care jobs in south east London

Led by Experts by Experience from our target communities, and in collaboration with the selected specialist By and For VCSEs, our communities co-identified key barriers preventing them from considering and accessing healthcare jobs in south east London. Whilst each group spoke to their own unique experiences, many of the barriers identified were experienced by people across all the communities and groups who were part of the project.

A wordcloud of barriers to employment to health and care jobs identified by underrepresented groups. Words and phrases include discrimination, lack of awareness, burnout, caring responsibilties and communication barriers

Phase Two:
Co-creating solutions

The I.D.E.A.S. framework

Our communities and specialist VCSEs then went on to co-create a wide range of tailored solutions to address the barriers they have identified during the first phase of the project. The solutions fall into five key I.D.E.A.S:

- I - Information
Targeted & easily accessible information on roles & training
- D - Develop
Ongoing careers advice & progression pathways
- E - Encourage
Champion different skillsets & increase confidence
- A - Awareness
Foster an inclusive & supportive work environment for all
- S - Support

Explore all the co-created solutions in the slides below:

Colorful circular infographic highlighting the key pillars of the I.D.E.A.S inclusion framework. Sections include: 'Inform' with targeted resources on roles and training, 'Develop' with career advice and progression pathways, 'Encourage' to champion diverse skillsets and build confidence, 'Awareness' to foster inclusivity, and 'Support' with tailored application and employment resources.
This image provides a set of "quick notes" for context. It includes a mix of text and icons to explain key points about the content. Here's the description:  1. Title  - Text: "Some quick notes before we dive in.."  2. Symbols and Explanations:      - A purple square icon with a globe-like symbol:        - Explanation: "This symbol means the proposed solution is overarching for all groups."    - Bold text for subheadings:        - Explanation: "When a solution is specific to one of the underrepresented groups, we have highlighted it with bold subheadings."    - A red play button icon:        - Explanation: When you see this icon, click to hear directly from our Experts by Experience.  3. Note on Intersectionality:      - Text: "We have worked on the basis that people from the five underrepresented groups who led this project are likely to have intersecting experiences which span across the five groups & beyond. It is therefore likely that multiple solutions will be relevant for a number of the groups despite being labeled as being for one specific group.  4. Illustration:      - On the left, there is a cartoon illustration of a person with medium skin tone, curly hair, wearing a purple shirt with blue stars. The person holds a circular sign with the text "I Love South East London."  5. Design Elements:      - A small, colorful cluster of shapes (circles and lines) is in the top-right corner, adding visual interest. Dotted lines connect text boxes for flow.
This image outlines solutions to address the barrier of "where to find jobs," focusing on the theme of **"Inform"**. The layout consists of numbered sections with detailed points and supporting visuals:  1. **Title Section**:      - Header: "Barrier: where to find jobs."      - Subheading: "Solution: Inform" (highlighted in pink).    2. **Solution Points (Numbered 1 to 4)**:      - **1.**        - Text: "a) Collaborate with specialised ‘By and For’ charities and local volunteer centres to ensure all healthcare job opportunities are advertised by them directly to underrepresented communities.          b) Have HR reps/employees with recruitment responsibilities attend community hubs to provide information about healthcare job opportunities."    - **2.**        - Text: "Collaborate with local charities to provide personalised 'health job coaching' support for underrepresented communities. This should include:          - Understanding health job requirements.          - Supporting with job search and interview preparation."    - **3. (Migrants/refugees/asylum seekers)**        - Text: "Support asylum seekers to access the job shortage list: asylum seekers waiting over six months for a decision can apply to the shortage job list. This means helping applicants manage the consequences arising from transition to work for those still in the asylum system, which include losing their asylum accommodation."    - **4. (Migrants/refugees/asylum seekers)**        - Text: "Provide information in a clear way that addresses the knowledge gaps sanctuary seekers may have about health & social care roles including:          - Skills, tasks & risks, progression routes & their pay.          - Key attitudes & aptitudes.          - Hierarchies, team structures & standards.          - Culture & the working environment."  3. **Visual Elements**:      - At the bottom center, there is an illustration of a smiling healthcare professional with medium skin tone, wearing a white coat and holding two documents.      - A small, colorful cluster of shapes (circles and lines) in the top-right corner complements the design.    4. **Background**:      - The background is a dark purple, providing contrast to the text boxes, which are light pink. The use of bold text and bullet points makes the information clear and easy to read.
Alt text: An infographic showing solutions for communication barriers and Job Centre support issues. On a purple background, there are six white boxes numbered 5-10, each containing different initiatives. Box 5 covers easy-read job adverts. Box 6 addresses deaf/hard of hearing individuals with BSL video proposals. Box 7 focuses on neurodivergent people's recruitment checklists. Box 8 discusses collaboration with specialist charities. Box 9 covers financial help awareness. Box 10 addresses migrant/refugee recruitment practices. Each box includes specific action items and some have globe icons indicating they are universal solutions for all  under-represented groups.
Infographic titled 'Barrier: Inaccessible Recruitment Practices – Solution: Develop' on a purple background. It lists five numbered solutions: 1) Advertise roles in diverse places beyond NHS and Local Authority platforms. 2) Support for migrants, refugees, and asylum seekers, including immigration case work, flexible payment models, and a 'dress-to-work' scheme. 3) Develop in-job growth pathways for underrepresented communities with clear HR policies. 4) Collaborate with charities to review recruitment documents for simplicity and accessibility. 5) Develop packages for job security and retention for underrepresented groups in low-pay healthcare roles. Each section includes a globe icon to symbolize inclusivity and global awareness. Designed to promote equitable hiring practices for South East London's VCSE sector.
Blue infographic titled 'Barrier: Poor Career Advice and Lack of Confidence - Solution: Encourage,' highlighting seven strategies to improve career pathways in health and care sectors: 1) Raise awareness by attending careers fairs and giving talks in schools; 2) Organize skill-enhancing workshops for diverse groups; 3) Use job carving to create roles tailored to neurodivergent individuals; 4) Provide in-job coaches to support underrepresented employees; 5) Champion workforce role models to inspire others; 6) Offer Access to Work training for migrants, refugees, and asylum seekers; 7) Collaborate with youth programs like NHS Cadets to engage young carers and young people. The design features white text boxes and supporting icons on a blue background.
Blue infographic titled 'Barrier: Qualifications & Work Experience - Solution: Encourage,' presenting six solutions for improving employment pathways in health and care sectors: 8) Train staff on Access to Work schemes and offer free training for essential roles; 9) Support reform of Right to Work policies to address long-term exclusion impacts on the sector; 10) Help sanctuary seekers validate and transfer overseas qualifications; 11) Develop bespoke apprenticeships for individuals with additional needs, co-designed with VCSE organizations and colleges; 12) Facilitate pre-status volunteering and work experience for sanctuary seekers to secure employment post-regularization; 13) Provide flexible, adaptable training for people with caring responsibilities, including online and in-person options. Features white text boxes and icons on a blue background.
Blue infographic titled 'Barrier: Poor Career Advice and Lack of Confidence - Solution: Encourage,' highlighting seven strategies to improve career pathways in health and care sectors: 1) Raise awareness by attending careers fairs and giving talks in schools; 2) Organize skill-enhancing workshops for diverse groups; 3) Use job carving to create roles tailored to neurodivergent individuals; 4) Provide in-job coaches to support underrepresented employees; 5) Champion workforce role models to inspire others; 6) Offer Access to Work training for migrants, refugees, and asylum seekers; 7) Collaborate with youth programs like NHS Cadets to engage young carers and young people. The design features white text boxes and supporting icons on a blue background.
Teal infographic with white text boxes and black text titled 'Barrier: Inaccessible Recruitment Practices - Solution: Support,' presenting six solutions to improve accessibility in recruitment processes for health and care sectors:

Deaf & hard of hearing individuals: Ensure access to appropriate interpreting services, train staff on their use, and provide BSL interpreting support throughout recruitment and onboarding processes.
Deaf & hard of hearing individuals: Meet individual needs through note-takers, Communication Support Workers (CSWs), or interpreters, including in exams and assessments.
Collaborate with supported employment agencies and local charities to make recruitment processes flexible and accessible.
Deaf & hard of hearing individuals: Share interview room details in advance, ensure a well-lit setup, and provide space for interpreters. For virtual interviews, use accessible platforms and video interpreting services.
Review recruitment processes with specialist VCSEs and underrepresented groups to ensure accessibility and user-friendly application materials.
Neurodivergent people: Offer interview questions in advance, allow extra time, and consider informal or trial-based hiring processes with job coach support.
Teal infographic with white text boxes and black text titled 'Barrier: Lack of Specialist In-Job Support & Working Hours - Solution: Support,' presenting six solutions to improve support for diverse groups in health and care sectors:

Deaf & hard of hearing individuals: Ensure newly recruited D/deaf staff receive support during onboarding and probation while Access to Work applications are processed. This builds confidence in being fully supported in their role.
Neurodivergent people: Collaborate with neurodivergent employees to identify preferred communication methods with managers, ensuring issues are discussed and resolved accessibly.
a) Provide accessible training for policy and process changes.
b) Train all staff on the Access to Work scheme, addressing gaps in support for individuals with additional needs.
People with caring responsibilities (including young carers): Co-develop policies for flexible working hours around school schedules, caring breaks, and emergency flexibility for caregivers.
People with caring responsibilities (including young carers): Advocate for childcare investment, including free or subsidized facilities at hospitals for workers.
Black, Caribbean, or African heritage: Embrace childcare models rooted in African and Caribbean traditions, leveraging intergenerational support and community spaces like churches.

Phase Three:
working together to implement solutions

Co-designing meaningful change: a groundbreaking collaborative seminar

On September 26th 2024, SEL VCSE Strategic Alliance hosted an in-person workshop at St Andrew’s Church in Waterloo, bringing together our By and For organisations and Experts by Experience with leaders and changemakers from South East London's Integrated Care System (ICS). The session focused on how our proposed solutions can be practically implemented and the barriers that need to be addressed before participation and equity can be expanded in our health and care workforce. Working together, attendees shared a wealth of insights into the work already being done, and the gaps that need to be addressed on both regional and organisational level. The collaborative seminar concluded with key commitments that we can collaboratively take forward with our statutory partners to immediately begin breaking down the barriers experienced by our five under-represented groups and begin the journey to true inclusivity in south east London's health and care workforce.

Video thumbnail featuring a diverse group illustration and the text 'Breaking barriers together: A collaborative seminar to expand participation and equity in south east London’s healthcare workforce.' Play button overlay on a purple background.

"It's been a fantastic morning - we've all learnt an awful lot today, but most importantly we've all made commitments we'll take forward."

Portrait photograph of Jattinder Rai, Chief Executive Officer of Bexley Voluntary Service Council
Sir Richard Douglas
Chair, South East London Integrated Care Board

"What was really exciting is that we had people from those communities taking control, clearly telling us the barriers they experience getting into work and the things that would make a real difference. For those of us in statutory organisations, it's sobering but it's also exciting because we can see where we can really make a difference."

Portrait photograph of Andrew Bland, Chief Executive Officer of South East London Integrated Care Board, accompanied by a quote emphasising the value of collaboration with the VCSE sector
Mike Bell
Chair, South East London Anchor Alliance
Chair, Lewisham and Greenwich NHS Trust
Chair, South West London Integrated Care Board

Coming Soon: the action plan

An action plan from the September 26th workshop, hosted by the SEL VCSE Strategic Alliance, will be available soon. At this event, By and For organisations, Experts by Experience, and leaders from South East London's ICS came together to discuss practical steps and key barriers to expanding equity and participation in the health and care workforce. The session concluded with shared commitments to begin breaking down barriers faced by under-represented groups in south east London.

A photograph of colleagues reading the project executive summary together and writing notes on post-its. There is sense of collaboration and shared purpose.

Phase Four:
review and assess

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2025 - 2026

We are committed to collaborating with all system partners to facilitate and drive forward the implementation of co-created solutions. Our efforts will focus on fostering an inclusive approach that ensures these solutions are effectively integrated across the health and care system. In 2026, we will conduct a comprehensive review to assess the impact of these initiatives on the health and care workforce, ensuring that our progress aligns with the intended outcomes and contributes to a sustainable and supportive working environment.

Explore our work

The title page from the South East London VCSE Charter, with the logos of South East London Integrated Care Board, the SEL VCSE Strategic Alliance and an illustration of different characters from diverse backgrounds grouped together around a sign that reads 'I heart south east London'

South East London VCSE Charter

The South East London VCSE Charter sets out our shared commitments to partnership and innovation between the Voluntary Community and Social Enterprise (VCSE) sector and the South East London's Integrated Care System (ICS). The charter is a framework to guide and achieve our vision of a collaborative and healthy South East London.

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2024- 2026 VCSE Alliance Strategic Priorities

Discover how the SEL VCSE Alliance is working with partners to create a more inclusive health and care workforce in South East London. Learn about our collaboration with By + For organisations + Experts by Experience to break down barriers for under-represented groups and how you can get involved in making a positive impact.