… as long as you speak English that is.
I’ve just realised that the NHS Direct website isn’t a multilingual site. I began to wonder if this was because it would be too expensive or whether catering to the mulitiple languages spoken in the UK would somehow weaken the binding power of English. Well here’s a 2020health.org report on the amount spent on translation and interpreting by the NHS and, shock horror, it was found that a lot of money is being spent, it’s being inefficiently spent, and that savings could be made …
Our research shows that the NHS spends an incredible £60,000 every single day on translation services. That is over £20,000,000 a year.
much too much, so:
Urgent action must be taken by Trusts to stem the flow of translation costs and our report sets out a number of recommendations that would do exactly that without altering the level of care given.
Rather than making websites multilingual and enabling interpreters to work at a distance, the main innovative way that this think tank can come up with to save money is to replace medical jargon with simple English. In that way, the argument goes, people who don’t speak English will understand what’s going on.
The NHS has been told by its own patient feedback that documents in simple English – instead of medical jargon – would be acceptable to most people currently using the translation services. It wouldn’t take much effort to drastically cut the £23million of taxpayers’ money that is spent each year on bureaucratic and often duplicated translation fees, and free the money up for treating patients.
I think there’s a danger here. I’m all for jargon-free, simple and direct language use. But there is context and context. There are contexts in which precise, exact, expression – both bio-medical and human – is absolutely essential. ‘Plain English’ is no substitute. It might even be dangerous leading to imprecise understanding and/or translation back to a mother tongue. Sometimes only a language in which a person is absolutely secure will suffice to aid understanding, communicate empathy and enable decision-making.
When the opportunities for providing multilingual services have never been greater it is more than churlish to deny millions of people the option and claim that ‘levels of care’ can remain unchanged.
