Last update 8th. July 2004


Challenging Behaviour, Challenging Social Exclusion

Within any corporate structure, and the communities it comprises and serves, bullying occurs... it will focus on difference; difference defined by vulnerability on grounds of disability, BME (Black or Minority Ethnic) origin, gender, LGBT (lesbian, gay, bisexual and transgendered) choice, age and/or faith. Individual bullying left unchecked becomes institutionalised and rears its ugly head in racism, disablism, genderism etc. It is unacceptable and unprincipled but it is capable of being removed, and for that removal to be implemented, monitored and delivered.

It is through positive revolution, a revolution positively based on celebrating diversity and outing difference.

Let me explain, within the NSFs (National Service Frameworks) of NHS services that we have responsibility for overseeing, scrutinising and developing there is the need for total community inclusion. We need to ensure that all members of our community are equally served; and we can do that in two ways that are both community and PPIF empowering:

  1. Taking ownership of ensuring that the NHS, and its service providers, are equal opportunity employers and that they have set procedures for hearing complaint procedures relating to bullying... however, and at whatever level, that bullying occurs.
  2. Using the Health and Social Care Partnerships as entry points for PPIF membership/participation and extending our oversight, scrutiny and development responsibilities in the Local Authority/NHS arena... once again seeking to influence equal opportunity employment policy within Social Services Directorates, with attendant complaint procedures.

We also need to look at bullying and how it impacts on service users, we are after all Patient and Public Fora and it is by taking ownership of challenging behaviour that we exercise true change in challenging social exclusion; because the one common factor to excluded communities is bullying, bullying through denial, bullying through inappropriate treatment, bullying through denial of access.

Marc Jeffery Ph.D.

The joinedupwriting Partnership