1. Migrant Health Needs Assessment 22 November 2012 Michael Bainbridge, Commissioning Manager

2. 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

3. What does the needs assessment say? Needs Numbers High Low Low High What we know Vulnerable Migrants, ~200, High needs, Asylum Seekers, Victims of Torture: Some Kurds, Some Sudanese, Some Arabic speakers, Some Somalis Family and Workers, 20,000, Medium needs, Somalis, Indians, Polish Other, ~1,000, Medium needs, Returning British residents Students, 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).

4. Dr Martin Jones Chair Bristol 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.”

5. 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)

6. Migrant Health – Implementation Plan Map of existing services and accountabilties TB BCH – Ceridwen Massey Haven Health Links Telephone interpreting UHB CHEC Sickle cell MEWAG GPs and Primary Care PH (CA) Neighbourhood Health Team CDWs Health Trainers CCG Lizanne Harland Eithne Burt NHS CB PH Christina Gray CSS – equality lead Core health pathway PHM DRE Generic BME health pathways

7. Implementation plan Actions 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