Direct Payments and the power of culturally competent care

Isaac Samuels and Jacqui Darlington

For many of us from the global majority, traditional support services don’t always meet our needs. They often come with assumptions, rigid structures, or a lack of understanding of our cultural background, leaving us feeling unseen or unheard. That’s where direct payments can make all the difference.

Direct payments are more than just a way to pay for care. They are a tool that gives people real choice, control, and independence. They allow us to shape our own support, choose who provides it, and decide how it happens. This might sound simple, but for many, it’s revolutionary. It means that support isn’t just about ticking boxes; it’s about enabling a good life on your own terms.

For us, receiving direct payments has meant being able to access care that is culturally competent and nuanced. It’s about having support from people who understand our lives, our identities, and our communities. When the people providing our care share similar backgrounds or have cultural understanding, it changes everything. We feel seen, respected, safe, and cared for. It allows us to feel confident in our homes and in our daily lives, knowing that our support truly fits us – not the other way around.

Direct payments don’t just make life more convenient – they make life better. They help us feel comfortable asking for what we need, they create an environment where we can thrive, and they give us the confidence to live our lives fully. For those of us who might be hesitant to ask for support or who need care that is culturally aware, direct payments open the door to receiving help in a way that actually works.

This isn’t just about money – it’s about dignity. It’s about choice. It’s about building a support system that values us, our backgrounds, and our experiences. Direct payments are powerful because they recognise that everyone deserves support that works for them, not a one-size-fits-all approach.

For us, having support delivered by people who understand our cultures and our needs has been transformative. We feel respected, comfortable, and truly cared for. And that’s the essence of culturally competent care: feeling seen, safe, and supported, while being able to live life on our terms.

Direct payments are a way to make that possible for more people from the global majority. They are a tool for independence, choice, and real-life support that works. They show the power of understanding people’s unique needs and of promoting support that actually fits.

When support works like this, it doesn’t just help with daily tasks – it helps people live good lives. That’s why we advocate for direct payments, and why we know they can be life-changing for those who need care that truly respects who they are.

To learn more about unlocking the power of Direct Payments for the global majority, watch our recorded webinar.

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