Table 7 Reasons why health services did not seek inclusion from minority groups

Not appropriate /relevant

- Minimal relevance to our services.

- Not really relevant at the moment but if demand indicated we would look at it.

Limited diversity

- Limited diversity amongst patient group.

- People from diverse backgrounds form a very small part of our patient population. Their needs are considered in different ways and on an individual basis.

All welcome

- We do not have a very culturally diverse demographic so while no one is excluded we haven’t focused on including any specific groups.

- Because everyone is welcomed regardless.

Planned in future

- Very difficult in our geographical area and the work that we undertake. However there is plan to undertake in the next 12 months.

- Beginning to consider a strategy for this. No funding at this stage - challenges to identify a feasible approach to targeted consultation.

Current methods unsuccessful

- Difficulty recruiting members for the committee. Have looked at cultural and ethnic clusters within our region and have been unable to recruit anyone to date that is not white Caucasian Australian.

- Difficulties in a small community but keep trying.

Committee self nominates

- Committee members (consumers or carers) are self-nominating.

Lack of resources

- Lack the resources to specifically involve particular members of the community.

- Although we do have engagement with Indigenous communities, there is limited engagement with other communities due to lack of an engagement framework and resources.

Identification challenge^a

- No process for identifying or communicating with the LGBTI community.

- Not on purpose, we don’t ask the sexual orientation of our patients.

Lack of community interest

- No interest from consumers to participate other than on the day of their appointment.

- Limited number of people interested in roles in small rural health service & ageing population.