Dr Samantha Smith delivered this presentation at an ESRI conference tilted ‘Health and social care supply and resource allocation planning in Ireland' on 24 September 2019.
There were two reports launched at the event. They can be read here:
‘An analysis of the effects on Irish hospital care of the supply of care inside and outside the hospital’
https://www.esri.ie/publications/an-analysis-of-the-effects-on-irish-hospital-care-of-the-supply-of-care-inside-and
‘Geographic profile of healthcare needs and non-acute healthcare supply in Ireland’
https://www.esri.ie/publications/geographic-profile-of-healthcare-needs-and-non-acute-healthcare-supply-in-ireland
Photos from the conference are available to view on the ESRI website here: https://www.esri.ie/events/health-and-social-care-supply-and-resource-allocation-planning-in-ireland
Dr Samantha Smith delivered this presentation at an ESRI conference tilted ‘Health and social care supply and resource allocation planning in Ireland' on 24 September 2019.
There were two reports launched at the event. They can be read here:
‘An analysis of the effects on Irish hospital care of the supply of care inside and outside the hospital’
https://www.esri.ie/publications/an-analysis-of-the-effects-on-irish-hospital-care-of-the-supply-of-care-inside-and
‘Geographic profile of healthcare needs and non-acute healthcare supply in Ireland’
https://www.esri.ie/publications/geographic-profile-of-healthcare-needs-and-non-acute-healthcare-supply-in-ireland
Photos from the conference are available to view on the ESRI website here: https://www.esri.ie/events/health-and-social-care-supply-and-resource-allocation-planning-in-ireland
The latest figures show that men are 50% more likely to die from COVID-19.
Why is this and what can be done about it?
Professor Alan White, Peter Baker, Martin Tod & Jim Pollard will be discussing the biological and behavioural factors that appear to underlie these problems and the action that needs to be taken to address them.
Find the latest men's health information and resources about COVID-19 at https://www.menshealthforum.org.uk/covid-19-and-men
Dr Magure investigates the role of health delivery systems and looks at how health can be delivered in the future.
Presented at 'Moving Forward with Pro-poor Reconstruction in Zimbabwe' International Conference, Harare, Zimbabwe, (25 and 26 August 2009)
Preventing Illness 2015 Commissioning a Sustainable Health System4 All of Us
Preventing Illness 2015 was held at The Wellcome Trust on Tuesday November 24th the conference looked at how we can create a preventative health system which focuses on reducing illness, improves sustainability, improves public health whilst joining health and social care together and reducing pressure on our NHS.
Getting to grips with Population Health - 28th Feb 2018James Carter
A set of slides produced by Thames Valley Strategic Clinical Network to support the familiarisation event on Population Health held in Maidenhead on Wednesday 28th February 2018.
With thanks to all colleagues, attendees, chairs and speakers for their involvement on the day.
James Carter - Senior Network Manager TVSCN
james.carter1@nhs.net
All the major religions and belief systems in the UK support the principles of organ donation and transplantation and accept that organ donation is an individual choice.
We understand that you may have questions about whether your faith or beliefs affect your ability to become an organ donor. We're here to help support your decision, and have provided a selection of resources to help make sure you get the information you need.
Find out more about different attitudes to organ donation by selecting a faith or belief system below, or alternatively please consult the adviser from your religion or belief group.
The latest figures show that men are 50% more likely to die from COVID-19.
Why is this and what can be done about it?
Professor Alan White, Peter Baker, Martin Tod & Jim Pollard will be discussing the biological and behavioural factors that appear to underlie these problems and the action that needs to be taken to address them.
Find the latest men's health information and resources about COVID-19 at https://www.menshealthforum.org.uk/covid-19-and-men
Dr Magure investigates the role of health delivery systems and looks at how health can be delivered in the future.
Presented at 'Moving Forward with Pro-poor Reconstruction in Zimbabwe' International Conference, Harare, Zimbabwe, (25 and 26 August 2009)
Preventing Illness 2015 Commissioning a Sustainable Health System4 All of Us
Preventing Illness 2015 was held at The Wellcome Trust on Tuesday November 24th the conference looked at how we can create a preventative health system which focuses on reducing illness, improves sustainability, improves public health whilst joining health and social care together and reducing pressure on our NHS.
Getting to grips with Population Health - 28th Feb 2018James Carter
A set of slides produced by Thames Valley Strategic Clinical Network to support the familiarisation event on Population Health held in Maidenhead on Wednesday 28th February 2018.
With thanks to all colleagues, attendees, chairs and speakers for their involvement on the day.
James Carter - Senior Network Manager TVSCN
james.carter1@nhs.net
All the major religions and belief systems in the UK support the principles of organ donation and transplantation and accept that organ donation is an individual choice.
We understand that you may have questions about whether your faith or beliefs affect your ability to become an organ donor. We're here to help support your decision, and have provided a selection of resources to help make sure you get the information you need.
Find out more about different attitudes to organ donation by selecting a faith or belief system below, or alternatively please consult the adviser from your religion or belief group.
Cambridgeshire County Council's Research Group are celebrating LARIA's Local Area Research Fortnight by hosting a series of lunchtime seminars on their work.
This is Seminar 2: Demography and Pupil Forecasting
Findings from the consultation that ran between May and July 2014 to seek feedback from members of the public about their low level care and support needs now and in the future.
Presentation on user journeys, culture change and how technology affects lives. Presented by Helen Bedford Olsen, Head of Communications for the Local Digital Campaign, at the Data-sharing Discovery Day on 26 January in London.
A presentation from Birmingham Director of Public Health, Dr Adrian Phillips, to UK Public Health Register event on 25 April 2014 looking at major public health issues in Birmingham.
Looking Forward, Looking Back - presentation on Older Lesbian, Gay, Bisexual ...Dr Justin Varney
A presentation in June 2018 at the Opening Doors Conference. The presentation covers some of the issues and challenges for older LGBT people and some of the opportunities looking to the future.
A Picture of Leeds - A presentation delivered by Bill Dennis of Migration Yorkshire, which gives an excellent overview of Migration & Leeds. His details are on the final slide
Similar to PCC Eastern European Economic Migrants JSNA and CCC Migrant Populations JSNA Stakeholder Scoping Workshop - 14 October 2015 (20)
Cambridgeshire atlases-Data visualisation of local socio-demographic dataCambridgeshireInsight
The Cambridgeshire Atlas is a display tool that allows users to view interactive atlases, dashboards, profiles or key indicator reports. It is easy to use and helps users to understand complicated socio-economic datasets quickly.
It combines maps, charts and graphs to allow viewing of data trends for different geographies in Cambridgeshire.
Cambridgeshire Atlases cover a number of themes including Census 2011, Deprivation, Community Safety, Housing, People and Population and Social Classification. See more at: http://cambridgeshireinsight.org.uk/interactive-maps
This is presentation outline the main local insights, data and intelligence produced by the Cambridge Sub Regional Housing Board. It includes web pages, data visualisations, open data and reports.
A study of ‘who are the victims of crime in Cambridgeshire & Peterborough now?’ Highlighting the shape and nature of victimisation in Cambridgeshire and Peterborough.
Policy Compass Workshop, 1st of June 2015
The main goal of Policy Compass is to develop a research prototype of an easy-to-use, highly visual and intuitive tool for social networks and eParticipation platforms, enabling citizens and public officials to easily create, apply, share, embed, annotate and discuss causal models, charts and graphs of historical data from trusted open data sources. The aim is to develop methods and tools that facilitate more factual, evidence-based, transparent and accountable policy evaluation and analysis.
http://policycompass.eu/
Greater Cambridge Greater Peterborough Economic Assessment Data Atlas IntroCambridgeshireInsight
The Greater Cambridge Greater Peterborough Economic Assessment provides a wealth of economic evidence for the Greater Cambridge Greater Peterborough Local Enterprise Partnership (GCGP LEP) area and its constituent districts.
The GCGP Economic Assessment is divided into three sections: People, Business and Place. The Assessment presents a variety of data from different sources. The main geographies used in this Atlas are districts and 2011 wards, although others are used where necessary. The Atlas sits alongside analysis of the evidence and the raw data (Excel spreadsheets).
More data will be available as further datasets are added to the Assessment over the coming months. All available data can be explored from the Data Index.
This slideshow provides tips on how to use the GCGP Economic Assessment Atlas.
Policy compass - Cambridgeshire County Council Pilot status (Berlin presentat...CambridgeshireInsight
Policy Compass-Project presentation: Cambridgeshire County Council Pilot status 10 March 2015
Policy Compass tested in the Adult Learning & Skills policy making process
First round of testing with colleagues in the CCC completed and feedback given
Everyone struggled but those with open data/IT background struggled less
It was not intuitive – real world communities will struggle
Manual/help pages need to be more visual with worked examples
Terminology will be alien to community user groups
We can see the potential and there is a desire amongst user test group to be able to interrogate policy making
Open Data & Local Authorities, Paul Maltby-Director of Open Data and Government Innovation.
Presented on the 27th of November 2014 to the "Why is open data important for Cambridgeshire" workshop.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
PCC Eastern European Economic Migrants JSNA and CCC Migrant Populations JSNA Stakeholder Scoping Workshop - 14 October 2015
1. Migrant Health Joint Strategic Needs Assessment -
The Migrant Population Across Cambridgeshire & Peterborough:
Data, views and issues
Dr Fay Haffenden, Consultant in Public Health
Ryan O’Neill, Advanced Public Health Analyst, PCC
Sara Dunling-Hall, Specialist Registrar in Public Health
2. The Migrant Population Across Cambridgeshire & Peterborough:
• Data: what data do we have and what does the data tell us?
• What do we know about the views of migrants?
• What issues are we aware of from migrants, local populations,
service providers and other stakeholders?
• Particular issues for Refugees and Asylum seekers?
3. 26.3
11.8
10.0
9.8
7.0
7.0
6.8
6.2
6.0
3.4
3.2
2.4
0.0 5.0 10.0 15.0 20.0 25.0 30.0
London
South East
East of England
North West
Yorkshire and The Humber
East Midlands
Scotland
South West
West Midlands
North East
Wales
Northern Ireland
Proportion of total UK Immigration (%)
Proportion of long-term international immigrants to UK, 2012
Source: Office for National Statistics, 2012
4. England East of England Cambridgeshire Cambridge City
East
Cambridgeshire
Fenland Huntingdonshire Peterborough
South
Cambridgeshire
2010 128.1 97.5 105.6 247.9 96.4 42.6 72.3 188.9 82.2
2011 134.6 107.1 133.6 300.0 120.5 117.0 59.9 202.2 108.1
2012 135.7 107.8 141.9 300.8 71.4 94.7 89.3 178.4 140.0
2013 137.0 106.7 135.8 264.0 70.6 115.8 88.8 204.3 139.1
2014 141.8 109.9 129.7 307.1 81.4 62.5 93.6 206.3 85.0
0.0
50.0
100.0
150.0
200.0
250.0
300.0
350.0
Rateper1,000TotalPopulation
2010 2011 2012 2013 2014
Non-UK Born Population, 2010-2014, Crude Rate per 1,000 Total Population
Source: Office for National Statistics, 2014
5. England East of England Cambridgeshire Cambridge City
East
Cambridgeshire
Fenland Huntingdonshire Peterborough
South
Cambridgeshire
2010 17.7 13.2 21.9 44.0 20.8 31.7 8.7 39.7 11.0
2011 17.7 13.1 21.1 42.4 18.1 31.2 8.8 36.8 10.7
2012 13.5 10.5 18.6 38.8 15.8 28.3 6.6 30.4 8.6
2013 16.1 12.8 23.5 51.4 19.0 30.1 8.9 35.4 11.6
2014 20.2 15.6 24.3 53.0 17.5 27.5 11.2 36.0 13.0
0.0
10.0
20.0
30.0
40.0
50.0
60.0
Rateper1,0000TotalPopulation
2010 2011 2012 2013 2014
Non-UK Born NINO (National Insurance) Registrations, 2010 – 2014, Crude Rate Per 1,000 Total Population
Source: Office for National Statistics, 2014
6. England East of England Cambridgeshire Cambridge City
East
Cambridgeshire
Fenland Huntingdonshire Peterborough
South
Cambridgeshire
2009-2010 9.8 7.7 15.1 44.1 11.0 11.1 5.1 17.2 7.5
2010-2011 10.1 7.4 12.6 37.3 7.9 9.3 4.7 14.0 6.1
2011-2012 8.5 6.3 12.3 37.9 7.0 9.9 3.7 12.7 5.5
2012-2013 8.3 6.0 10.8 31.5 6.8 9.4 3.7 12.6 4.8
2013-2014 9.6 6.9 11.6 32.8 7.6 8.2 4.6 13.4 6.2
0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
40.0
45.0
50.0
Inflowrateper1,0000population
2009-2010 2010-2011 2011-2012 2012-2013 2013-2014
Long-Term International Migration Inflow Rate, 2009-10 – 2013-14, Crude Rate per 1,000 Total Population
Source: Office for National Statistics, 2014
7. England East of England Cambridgeshire Cambridge City
East
Cambridgeshire
Fenland Huntingdonshire Peterborough
South
Cambridgeshire
2010 259.1 211.9 256.1 454.3 194.3 208.5 180.4 370.7 236.7
2011 262.5 218.7 255.8 452.9 200.0 228.4 189.3 384.4 230.0
2012 266.8 222.4 266.5 490.4 207.2 213.8 193.2 414.7 237.3
2013 272.7 231.3 271.4 475.4 212.5 253.0 206.5 427.3 232.3
2014 278.0 239.3 285.2 528.5 201.0 253.1 206.0 435.5 246.4
0.0
100.0
200.0
300.0
400.0
500.0
600.0
Rateper1,000births
2010 2011 2012 2013 2014
Births to Non-UK Born Mothers, 2010-2014, Crude Rate per 1,000 Births
Source: Office for National Statistics, 2014
8. Economic Status of Non-UK Born Residents, 2011
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
100.0%
England East of England Cambridgeshire Cambridge City East
Cambridgeshire
Fenland Huntingdonshire Peterborough South
Cambridgeshire
Employed Unemployed Long Term Sick, Disabled or Economically Inactive Due To Caring Responibilities In Education Other
Source: Census, 2011
9. Quintile
Cambridge City East Cambs Fenland Huntingdonshire Peterborough South Cambs
1 = 20% of Schools with Highest % of EAL Students 15 2 6 3 36 3
2 16 4 3 9 19 13
3 2 10 6 13 9 24
4 0 11 15 18 5 15
5 = 20% of Schools with Lowest % of EAL Students 1 8 9 26 6 15
Area
Cambridgeshire & Peterborough Schools – Quintiles Assigned by % of Children who Speak English as an
Additional Language
Source: Cambridgeshire City Council/Peterborough City Council Schools Data
10. Cambridgeshire & Peterborough Schools – Ranked by % of Children who Speak English as an Additional
Language
Blue = Cambridge City Yellow = East Cambs
Purple = Fenland Red = Huntingdon
Green = Peterborough Magenta = South Cambs
Source: Cambridgeshire City Council/Peterborough City Council Schools Data
11. Qualitative Data: What Issues and views are
we aware of?
• Demography
• Local Health Status and Health Service Usage
• Education
• Housing
• Employment
• Wellbeing, Lifestyle & Social Cohesion
• Crime
• Key Documents/resources
12. Qualitative Data: Cambridgeshire & Peterborough
Migrant Survey 2015 – 116 Responses
6.0%
17.2%
47.4%
29.3%
Age of Respondents
<18 18-30 31-45 46-67
33.6%
66.4%
Gender of Respondent
Male Female
13. Qualitative Data: Cambridgeshire & Peterborough
Migrant Survey 2015 – 116 Responses
14.7%
24.1%
31.9%
7.8%
0.9%
18.1%
Respondent Country of Origin
Czech Republic Latvia Lithuania Poland Portugal Slovakia
2.6%
6.9%
37.9%
52.6%
Respondent Tenure in UK
<3 Months 3-12 Months >1 Year - < 5 Years >5 Years
14. Qualitative Data: Cambridgeshire & Peterborough
Migrant Survey 2015 – 116 Responses
30.2%
36.2%
20.7%
2.6%
6.0%
4.3%
Respondent Living Arrangements
Living with partner
Living with other family members
Living in a shared house/flat
Living in a shared room
Living with 3 or more other people who are not family
Living in other accommodation
93.1%
6.9%
Respondent GP Registration Status
Registered with a local doctor/GP Not registered with a local doctor/GP
15. Qualitative Data: Cambridgeshire & Peterborough
Migrant Survey 2015 – 116 Responses
What are some of the best things about living in
the UK?
• 45% of respondents mentioned employment
opportunities, regular/fair pay and economic
security.
• 16% mentioned people’s attitudes towards
community cohesion, civic pride etc.
• 11% mentioned education and opportunities
for children and young people.
What are some of the worst things about living
in the UK?
• 29% of respondents mentioned healthcare,
including difficulties obtaining GP
appointments outside of their working hours.
• 21% mentioned difficulty engaging with
public services providers, bureaucratic
processes and a lack of interpreters.
• 13% mentioned pollution/unclean
environment.
16. Demography: What Issues and views are we aware of?
• Very diverse groups and needs:
• Change in demographics in Fenland: Increased number of Lithuania,
Hungarian and Portuguese, previously Polish and Latvian - now being
recruited from more rural areas (decreased literacy etc)
• Majority of migrants come for shorter periods, but intentions change:
More migrants now settling – less high needs - bringing families over
• Churn: In Wisbech thought to be around 10,000 migrants with an
annual churn of 4,000 (new people coming in constantly)
• EU populations – generally quite resourceful – want to improve things
– some learn English very quickly - small number of support agencies
available– suggests resilient and self-sufficient populations
17. Local Health Status and Health Service Usage:
What Issues and views are we aware of?
• Understanding of NHS system
• Access to health services
• Language
• Cultural Issues
• Trust
• General Issues/Services
• Impact of employment, housing and lifestyles
18. Children and Education: What Issues and
views are we aware of?
• Understanding of UK educational system: access and expectations
• Proportions of EAL in certain schools
• Special needs
• Children in Need
• Bullying and Safeguarding
• Achievement levels?
• Impact on local populations
19. Housing: What Issues and views are we aware
of?
• Houses of Multiple-Occupancy
• Links to employment -Shared beds
• Homelessness
• Entitlement to benefits
• Social housing
• General housing shortage
• Barracks / privately owned migrant camps
20. Employment: What Issues and views are we
aware of?
• Worker Exploitation – See Crime chapter notes as well
• Language
• Work ethic strong – become workers of choice for local employers
• Gang-masters now run ‘gangs’ from one country – has implications for
social cohesion. Many gangmasters reputable (approx. 70%) but some
which are far from it. Gang-masters tend to be recruiting more vulnerable
people who can’t read/write in their own languages let alone English.
• Tend to get migrants working below skill levels
• Zero hours contracts increasingly being used – stops access to benefits
• Health care workers shortage
21. Wellbeing, Lifestyle & Social Cohesion: What
Issues and views are we aware of?
• Lifestyle Behaviours
• Alcohol
• Smoking
• Mental Health
• Other: More normal to breastfeed in Eastern European culture; Drugs do
not seem to be an issue with migrant populations across Wisbech
• Social Cohesion/integration with UK born population - ‘fairness issues’ -
Migrant population not involved in decision making – no local
representation - English levels - discrimination and negative attitudes -
spousal visas - lack of family networks - Alcohol issues create angst with
local populations
22. Crime: What Issues and views are we aware
of?
• Exploitation: Operation Pheasant
• Shared beds – linked to shift patterns – can result in alcoholism on
streets (no where to go and need to keep warm) + gangs ‘hanging
around’ on streets
• Domestic Violence: Results in increase in numbers of children going
into care - spousal visas
• Safeguarding
• As a result of last JSNA a specialist post was created to support
Eastern Europeans suffering from DV
23. Refugees & Asylum Seekers: What Issues and
views are we aware of?
• Asylum seekers: forced to leave v migrants: choose to leave
• 4% of migrants
• Can’t work while asylum claim assessed
• Traumatic background - Post Traumatic Stress and mental health -
Loss and injury of family and friends - Loss of possessions and control
of lives
• Unaccompanied minors
24. Key Documents/resources
• Migrant Workers – Accessing Healthcare in Norfolk (Commissioned
by Healthwatch Norfolk and Norfolk Community Relations and
Equality Board) – Work carried out with KLARS clients but their issues
likely to be across the board
• KLARs – A Self Evaluation of New Communities Initiative, Phase 2 –
A Service review for KLARs services
• http://migrationobservatory.ox.ac.uk
Editor's Notes
Just like to thank Ryan O’Neill for all the data analysis and Sara for most of the qualitative information which she gained from speaking to some of you in the room. She would have been giving this talk but is unfortunately not well at present.
So I will be covering an analysis of the data available – it comes with a word of warning in that it is not always easy to identify migrant populations and we have to use proxies such as ‘not born in UK’
The definition of migrant is short term intending to stay 3-12 months and long term 12 months +
I will then look at some data we have from a recent qualitative questionnaire of migrants in Peterborough done by the ‘community connectors’ and in fenland by the Rosmini Centre – with thanks to Shakila, Anita and those involved.
I will then look at some of the issues Sara has picked up from talking to anumber of stakeholders – some of whom are in the room today and from the literature.
Finally I will just mention refugees as a specific group much in the news at present.
Migration data show that 10% of all long term international immigrations to the UK in 2012 (defined as immigrants intending to stay within the UK for 12 months or longer) emigrated from their original country of residence to the East of England.
Indicators assessed suggest migrant populations are particularly high in Cambridge City and Peterborough. In 2014, Cambridge City had the highest non-UK born population, expressed as crude rate per 1,000 of total population, at 307.1/1,000. Peterborough has the second highest crude rate, 206.3/1,000. The Non-UK born population appears surprisingly smallest in Fenland (62.5/1,000) and South Cambridgeshire (85.0/1,000).
Cambridge City and Peterborough have the highest rates of NINO registrations by migrants. However Fenland, which has relatively low rates of migrant population as defined by other indicators assessed as part of this initial analysis, also has a high rate of registrations. Rates of registration have, however, fallen in Fenland and Peterborough over the five years 2010-2014, whereas in Cambridge City they have increased from 44.0/1,000 in 2010 to 53.0/1,000 in 2014.
Both Cambridgeshire and Peterborough have higher rates of long-term international migration than England, with rates approximately three times that of England observed in Cambridge City.
Rates of births to non-uk born mothers are generally rising and highest in again in Cambridge City and Peterborough which is consistent with other data relating to migration patterns and non-uk born populations.
When we look at the economic status the student population of Cambridge is very obvious but there are high proportions in employment in other areas In Cambridgeshire levels of unemployment are low.
Peterborough has 36 of the 65 schools in the top 20% with regards to highest number of EAL students across Cambridgeshire & Peterborough. The area with the most schools in the lowest 20% is Huntingdonshire, with 26 of 65.
Orange line – Cambridgeshire & Peterborough schools average, 20.1%
These are the probable chapter headings for the JSNA and some of the data I have shown will fit into these and I will go over issues within each theme. This is not hard evidence based data rather subjective views from stakeholders, mainly gathered by Sara in discussions with some of you in the room and others and what she has found in reviewing the literature. Some of the themes triangulate with quantitative data or other sources .
I do want to repeat that migrant populations are very diverse and constantly changing: from students, academics, health care and high tech industry workers predominating in Cambridge city to agricultural workers in the Fens and factory workers in Peterborough, with skilled workers such as plumbers scattered throughout – but a real mix.
Thanks to Shakila and her community connectors for collecting this data in a short space of time
This is really interesting – unsurprisingly with most working, almost half valued the employment they had, with much smaller numbers mentioning attitudes and opportunities for CYP.
In terms of what they didn’t like – access to health services was mentioned by almost 1 in 3 and bureaucracy and lack of interpreters by 1 in 5.