My Interpretation of Language

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Skip to main content. There were 10 maternal deaths at, or following, delivery at Northwick Park Hospital between and Of these cases, summarised in the Northwick Park report Healthcare Commission, , it was judged that nine had care and treatment deficiencies. In five of these, there was no interpreter present. One of the comments in the notes stated: I propose that interpreting, translation and language support services are as fundamental to safe health care as clean sheets, albeit a great deal more complex.

I further propose that they should be subject to the same degree of rigorous governance as any clinical discipline in NHS institutions. Professional qualifications for interpreters in health care do exist, and registered interpreters are subject to a code of conduct and disciplinary procedures. Clinical personnel in maternity care are highly trained, but they are not linguists.

Diagnoses, insights, treatment and care plans are based on what you hear through the interpreter, who should be unobtrusive and facilitating the development of a trusting patient-clinician relationship. Decisions taken on whether or not an interpreter is necessary seem, from the Northwick Park report, to have been influenced only by considerations of cost and availability. I think there are two aspects to improving the multidisciplinary team when it comes to working with interpreters. Firstly, jointly developed national guidelines are needed on identifying the need for a practitioner and how to plan and support the interpreted session.

Joint training is often very helpful, especially when specialist clinicians visit interpreter training sessions, and clinicians often learn as much in these sessions as the trainee interpreters do. In order to hold interpreters to account — just as midwives are held to account — it is necessary to know who interpreted for the mother, when, where and in which language. Without this we cannot hope to plan for local training needs, nor challenge the qualifications or performance of an interpreter when it turns out there was a serious misunderstanding. Audit trails of this sort should show more than simply how much the department spent on interpreters.

This auditing would provide the information needed to plan interpreter selection, recruitment and training in the future. There are chilling examples of linguistically unsupported mothers in the Northwick Park report, and failures resulting from inadequate or no interpreter support being provided.

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I hope I have provoked readers into wanting more information about interpreting. She is happy to discuss and elaborate on her thoughts about interpreting and can be contacted at: Journal of Advanced Nursing 36 2: The European Parliament and the Council of Europe. The European Parliament and the Council of Europe: Quan K, Lynch J. School of Public Health, University of California: NHS secures tighter EU rules.

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Very impressive customer service and billing is quite easy. I will personally still be using Speak Your Language for our phone interpreting and onsite interpreting due to personalize and professional services provide by the staff. Staff from Speak Your Language and interpreters have been friendly and easy to deal with. One of the interprets I have used often Vietnamese interpreter is fantastic I only use him for my clients. Thank you so much for the express services you have provided in translating my document.

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