“A first step to understanding local need must be a basic understanding of the demography of the local population. As such, some understanding of migration and how it might be changing the local population is essential. “[It] … is also important is assessing equity of provision as migrants are in all areas, even when not visible or seldom heard.”

Including migrants in JSNA Commissioned by the Health Inequalities and Local Improvement Team, Department of Health. Produced by the Migrant Health Leads of Yorkshire and the Humber, the North West and North East. Authors: Nigel Rose, Susy Stirling, Alison Ricketts, David Chappel.

Including migrants in JSNA: Contents Who are migrants Why include migrants How to include migrants Notable examples Appendices

Who are migrants? 2009: approx 567,000 to UK for 1 year + 17% British nationals 34% for work related reasons 13 % accompanying or joining others 38% for formal study 5% seeking asylum Dynamism and diversity: of migrant groups and UK areas

Why include migrants? Social justice – addressing health inequalities Key to generating community cohesion Integral to economic wellbeing of society Addressing the most vulnerable and enabling their participation Benefits: early diagnosis, screening (physical and mental health)

How to include migrants: co-production Key principles: All community members are resources and assets Broad range of partners and sources Participative, community development approach Use of qualitative tools Knowledge-sharing (assists service development/capacity building) Long term participation (secures sustainability and flexibility) Process is iterative and non-linear

How to include migrants: focusing

How to include migrants: information collection Sources: People’s lives (case studies and personal accounts) Written information (research, surveys, grey lit, websites etc) (see Appendix 5) Statistical information (see Appendix 3) Building trust and credibility key from outset Talking to range of local groups/organisations/experts (see Appendix 4)

How to include migrants: information collection Issues: Definitions (eg length of stay) Groupings (eg legal status, country of origin) Diverse measures (one off or over time) Churn (turnover) Local data sources that are not part of routine national systems (see Appendix 4) Prioritisation

Including migrants in JSNA: mapping and interviewing Map out the network of people, partnerships and organisations Include major networking methods (eg newsletter or lists) Interview individuals and/or groups Take interpreting/translation issues into account Case studies of organisations and individuals have impact

Including migrants in JSNA: storing and disseminating Record in a form that future assessors can use and build on. Include dates, participants, content of interviews, meetings, consultations, questionnaires and visits. Inform people of who you are, why, what doing, and keep them informed. Build in active dissemination in appropriate forms. Demonstrate impact and change.

Including migrants in JSNA: building momentum for change Conclusions are only as useful as the change they bring about Make conclusions clear, evidence-based and effective Bear in mind that circumstances change (populations/policy/law) JSNA is an iterative process – revision will be needed

Including migrants in JSNA: building momentum for change “The value of co-producing JSNA is that much of the social capital required to effect change will be generated during the process.”