Migrant Health

Needs Assessment

22 November 2012

Michael Bainbridge, Commissioning Manager

Context of the needs assessment

• This arose from a long-standing understanding that the NHS in Bristol has struggled to meet the needs of all Bristol residents

• The needs assessment was suggested by the Equality Strategy Group of NHS Bristol, who suggested a focus on primary care

• The needs assessment forms part of the Joint Strategic Needs Assessment

What does the needs assessment say?

Needs NumbersHigh Low

Low High

What we know

Vulnerable Migrants, ~200, High needs, Asylum Seekers, Victims of Torture: Some Kurds, Some Sudanese, Some Arabic speakers, Some SomalisFamily and Workers, 20,000, Medium needs, Somalis, Indians, Polish

Other, ~1,000, Medium needs, Returning British residentsStudents, 6,000, Medium needs, Chinese, Asians

Visitors, up to 200,000, low in duration of stay, low health needs, Americans, Australians, Asians. Temporary stay (<= 6 months).

Dr Martin JonesChairBristol CCG

“Migrant Health is a high priority for GPs in Bristol and Bristol CCG welcomes the Migrant Health Needs Assessment for Bristol.  We are keen to see the recommendations translated into action, and this work is being taken forward by the Migrant Health Implementation Group. The first priorities will be to ensure that existing specialist services are properly resourced and to strengthen migrant health expertise within primary care.”

Implementation plan

Recognising that the broader strategy needs to be developed and led by the CCG, we already have a list of actions that everyone agrees on;

An implementation group has been set up and will meet for the first time before Christmas

Membership includes Public Health, CCG and Primary Care Commissioning (PCT/ NHS Commissioning Board)

Migrant Health –Implementation Plan

Map of existing services and accountabilties

TB

BCH – Ceridwen Massey

Haven Health LinksTelephone interpreting

UHB

CHEC Sickle cellMEWAG

GPs and Primary

Care

PH (CA)

Neighbourhood HealthTeam

CDWs

Health Trainers

CCGLizanne Harland

Eithne BurtNHS CB

PHChristina Gray

CSS – equality lead

Core health pathway

PHM

DRE

GenericBME health pathways

Implementation planActions already agreed:

• Help migrants to understand how NHS works- through the ‘First Steps in Using the NHS’ project

• Help all migrants to register with a GP- through ‘best practice’ guide

• Ensure that the Bristol mental health service redesign programme takes account of migrants mental and emotional health needs

• All Health and Social Care staff to have access to training on meeting the needs of migrants- action plan to be discussed at Implementation Group

• All migrants supported to achieve competence in English- working closely with Bristol City Council and partners on ESOL for health

• Ensure that all Health and Social Care services are language accessible- ensure that staff are aware of interpreting services