Development of a <br />migrant health toolkit <br />for the East Midlands<br />Stakeholder Workshop, Leicester<br />30th J...
Introduction<br />Project Aim<br />Bring together a comprehensive knowledge bank of the main issues around migrant health ...
Project Objectives<br /><ul><li> Improving understanding of the demography, health needs and impact of migrants across the...
 Informing commissioning and provision of health services
 Strengthening engagement and links between stakeholders
 Identifying gaps in information, service provision and resources
 Develop an agreed approach to future knowledge sharing that is sustainable and responsive to changing populations</li></l...
What the Project Consisted of<br /> Review of academic research<br /> Stakeholder engagement<br /> -	Workshops<br />-	In-d...
Who we spoke to<br /> Professionals across the East Midlands<br /> Representatives from:<br />- Nottingham City Council		 ...
What we learned <br /> Asylum Seekers<br /> Prevalent Countries of Origin<br />- Middle East: Iraq, Iran, Afghanistan<br /...
What we learned <br /> Asylum Seekers<br /> Influences on health<br />- Individual characteristics<br />	- age, gender, et...
What we learned <br /> Asylum Seekers<br /> Influences on health<br />- Post-migratory factors<br />- destitution<br />- h...
What we learned <br /> Asylum Seekers<br /> Prevalent health issues<br />- Mental Health<br />	- post-trauma stress<br />	...
What we learned <br /> Asylum Seekers<br /> Prevalent health issues<br />- Maternal health<br />	- rape & sexual violence<...
What we learned <br /> Asylum Seekers<br /> Prevalent health issues<br />- Communicable diseases<br />	- Tuberculosis<br /...
What we learned <br /> Asylum Seekers<br /> Prevalent health issues<br />- Sexual Health<br /><ul><li>Rape & sexual violen...
What we learned <br /> Asylum Seekers<br /> Other significant issues<br />- High Mobility<br />- Health registration<br />...
What we learned <br /> Economic Migrants<br /> Countries of origin<br />- EU 		- Eastern Europe A10 (c. 75% Poland)<br />-...
What we learned <br /> Economic Migrants (EU)<br /> Prevalent health issues<br />- Vaccine preventable diseases<br />- TB<...
What we learned <br /> Economic Migrants (EU)<br /> Prevalent health issues<br />- Work-related injury<br />- high employm...
What we learned <br /> Economic Migrants (EU)<br /> Prevalent health issues<br />- Mental Health<br />- discrimination<br ...
What we learned <br /> Economic Migrants (EU)<br /> Prevalent health issues<br />- Lifestyle factors<br />- many young mal...
What we learned <br /> Economic Migrants (EU)<br /> Prevalent health issues<br />- Lifestyle factors<br />- many young mal...
What we learned <br /> Economic Migrants (Non-EU)<br /> Prevalent health issues – South Asian<br />- Diabetes<br />- genet...
What we learned <br /> Economic Migrants (Non-EU)<br /> Prevalent health issues – South Asian<br />- Cardio-vascular disea...
What we learned <br /> Economic Migrants (Non-EU)<br /> Prevalent health issues – South Asian<br />- Mental health<br />- ...
What we learned <br /> Economic Migrants (Non-EU)<br /> Prevalent health issues – African & East Asian<br />- Mental Healt...
What we learned <br /> Accessing health services<br />- language <br />- expectations of service<br />- NRPF<br />- entitl...
What we learned <br /> Toolkit development<br />- Drawing together existing and new research<br />- Continually updated<br...
Conclusions<br /><ul><li>  Holistic Working Practices
Language Barriers
Cultural expectations
Mental Health
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East mids stakeholder event 30 jun 2010

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East mids stakeholder event 30 jun 2010

  1. 1. Development of a <br />migrant health toolkit <br />for the East Midlands<br />Stakeholder Workshop, Leicester<br />30th June 2010<br />
  2. 2. Introduction<br />Project Aim<br />Bring together a comprehensive knowledge bank of the main issues around migrant health in the East Midlands, working with regional service providers to develop a toolkit to inform future service commissioning.<br />
  3. 3. Project Objectives<br /><ul><li> Improving understanding of the demography, health needs and impact of migrants across the East Midlands
  4. 4. Informing commissioning and provision of health services
  5. 5. Strengthening engagement and links between stakeholders
  6. 6. Identifying gaps in information, service provision and resources
  7. 7. Develop an agreed approach to future knowledge sharing that is sustainable and responsive to changing populations</li></li></ul><li>Project Overview<br />What the project consisted of<br />Who we spoke to<br />What we learned<br />Conclusions<br />Recommendations<br />
  8. 8. What the Project Consisted of<br /> Review of academic research<br /> Stakeholder engagement<br /> - Workshops<br />- In-depth interviews x20<br /> Final report<br />
  9. 9. Who we spoke to<br /> Professionals across the East Midlands<br /> Representatives from:<br />- Nottingham City Council - Nottingham Fire & Rescue<br />- Leicester City Council - Health Protection Agency<br />- Northamptonshire County Council - One East Midlands<br />- Boston Borough Council - Refugee Action<br />- NHS Nottingham City - EMAC Derby<br />- NHS Leicester City - BEGIN<br />- NHS Derby City<br />
  10. 10. What we learned <br /> Asylum Seekers<br /> Prevalent Countries of Origin<br />- Middle East: Iraq, Iran, Afghanistan<br />- Africa: Zimbabwe, Eritrea, Somalia, Sudan, DR Congo<br />- South Asia: Sri Lanka<br />- East Asia: China<br />
  11. 11. What we learned <br /> Asylum Seekers<br /> Influences on health<br />- Individual characteristics<br /> - age, gender, ethnicity<br />- Pre-migratory factors<br /> - circumstances of migration<br /> - cultural practices<br /> - prevalence of infectious diseases<br />
  12. 12. What we learned <br /> Asylum Seekers<br /> Influences on health<br />- Post-migratory factors<br />- destitution<br />- housing conditions<br />- language<br />- entitlement<br />- stage of legal process<br />
  13. 13. What we learned <br /> Asylum Seekers<br /> Prevalent health issues<br />- Mental Health<br /> - post-trauma stress<br /> - stage in legal process<br />- destitution & housing conditions<br />
  14. 14. What we learned <br /> Asylum Seekers<br /> Prevalent health issues<br />- Maternal health<br /> - rape & sexual violence<br /> - FGM<br />- low uptake of breast and cervical screening<br />
  15. 15. What we learned <br /> Asylum Seekers<br /> Prevalent health issues<br />- Communicable diseases<br /> - Tuberculosis<br /> - HIV<br /> - Malaria<br />
  16. 16. What we learned <br /> Asylum Seekers<br /> Prevalent health issues<br />- Sexual Health<br /><ul><li>Rape & sexual violence</li></ul>- FGM<br />- undiagnosed STIs<br />- reluctance to use contraceptives<br />
  17. 17. What we learned <br /> Asylum Seekers<br /> Other significant issues<br />- High Mobility<br />- Health registration<br />- Cultural expectations of services<br />- Language<br />- Nutrition<br />
  18. 18. What we learned <br /> Economic Migrants<br /> Countries of origin<br />- EU - Eastern Europe A10 (c. 75% Poland)<br />- Non EU - India & Pakistan the most prevalent<br />- also significant African and East Asian populations<br />
  19. 19. What we learned <br /> Economic Migrants (EU)<br /> Prevalent health issues<br />- Vaccine preventable diseases<br />- TB<br /> - MMR<br />- Sexual health<br />- Variable STI rates<br />
  20. 20. What we learned <br /> Economic Migrants (EU)<br /> Prevalent health issues<br />- Work-related injury<br />- high employment in “3D” jobs<br /> - sensory / musculoskeletal injuries<br /> - different perceptions of “risk”<br /> - confusion over responsibility<br />
  21. 21. What we learned <br /> Economic Migrants (EU)<br /> Prevalent health issues<br />- Mental Health<br />- discrimination<br /> - work-related stress<br /> - social isolation<br />
  22. 22. What we learned <br /> Economic Migrants (EU)<br /> Prevalent health issues<br />- Lifestyle factors<br />- many young male<br /> - high rates of smoking<br /> - heavy drinking<br /> - high fat diet <br />
  23. 23. What we learned <br /> Economic Migrants (EU)<br /> Prevalent health issues<br />- Lifestyle factors<br />- many young male<br /> - high rates of smoking<br /> - heavy drinking<br /> - high fat diet <br />
  24. 24. What we learned <br /> Economic Migrants (Non-EU)<br /> Prevalent health issues – South Asian<br />- Diabetes<br />- genetic predisposition<br /> - deprived living conditions<br />
  25. 25. What we learned <br /> Economic Migrants (Non-EU)<br /> Prevalent health issues – South Asian<br />- Cardio-vascular disease (CVD)<br />- high rates of smoking<br /> - low physical activity rates<br />- Blood diseases<br /> - sickle cell anaemia<br /> - Thalassaemia<br />
  26. 26. What we learned <br /> Economic Migrants (Non-EU)<br /> Prevalent health issues – South Asian<br />- Mental health<br />- discrimination<br />- deprived living conditions<br /> - family / cultural pressures<br />
  27. 27. What we learned <br /> Economic Migrants (Non-EU)<br /> Prevalent health issues – African & East Asian<br />- Mental Health<br />- Communicable diseases<br />- Blood diseases<br />
  28. 28. What we learned <br /> Accessing health services<br />- language <br />- expectations of service<br />- NRPF<br />- entitlement<br />- third sector<br />- Key role of Refugee Action and Refugee forum<br />- tailored & mainstream services<br />
  29. 29. What we learned <br /> Toolkit development<br />- Drawing together existing and new research<br />- Continually updated<br />- Centrally held and moderated<br />- Best practice sharing<br />- Online<br />
  30. 30. Conclusions<br /><ul><li> Holistic Working Practices
  31. 31. Language Barriers
  32. 32. Cultural expectations
  33. 33. Mental Health
  34. 34. Coordinated Information Resource
  35. 35. Monitoring and research
  36. 36. GP Education</li></li></ul><li>Recommendations<br /><ul><li> Target Audience: Professionals (i.e. YOU!)
  37. 37. Access to toolkit: pre-approval by moderator / System Manager
  38. 38. Toolkit structure: Resources
  39. 39. Academic research
  40. 40. Best practice case studies
  41. 41. Statistical information
  42. 42. Health needs assessments</li></ul> Service Directory<br /><ul><li> Mapped services</li></ul> Professional forums<br />- Informal knowledge sharing<br />
  43. 43. Break-out <br />30 minutes<br />What do you think?<br />Stakeholder Workshop, Leicester<br />30th June 2010<br />
  44. 44. Introduction<br />In groups, consider:<br />Do our findings reflect your experience?<br />Do you agree with our recommendations for the toolkit?<br />How might the toolkit work for you?<br />Recommendations for further research<br />
  45. 45. Next steps<br /><ul><li> Report published and shared
  46. 46. Consideration of recommendations
  47. 47. Development of toolkit:
  48. 48. scoping
  49. 49. developing
  50. 50. testing
  51. 51. updating</li></li></ul><li>Next steps<br /><ul><li>Any comments, feed back to:</li></ul>Kirsty Lowe <br />East Midlands Councils<br />kirsty.lowe@emcouncils.gov.uk<br />Sarah Short<br />East Midlands Councils<br />sarah.short@emcouncils.gov.uk<br />
  52. 52. Thank You!<br />North<br />Clear View, 3 Abbots Quay<br />Monks Ferry, Wirral CH41 5LH<br />t +44(0)151 647 4700<br />f +44(0)0151 647 4710<br />E nwteam@icecreates.com<br />South West<br />Suit 44, 42 Triangle West,<br />Park Street, Bristol BS8 1 ES<br />t +44(0)7826 515 164<br />f +44(0) 7826 515 164<br />E swteam@icecreates.com<br />South East<br />27 Old Gloucester street<br />London, WC1N 3AX<br />t +44(0)207 419 5690<br />f +44(0) 207 419 5690<br />E seteam@icecreates.com<br />Restrictions do NOT apply<br />www.icecreates.com<br />

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