Access to Primary Care and Social Care Services in Islington for Latin American over 50s

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Summary of report content

The Latin American Women’s Rights Service (LAWRS) and the Coalition of Latin Americans in the UK (CLAUK) wanted to work with Healthwatch Islington to gather evidence from the underrepresented, over 50 Latin American community residing in Islington, while focusing on their to access to Primary Care and Social Care Services. This community in Islington is generally older and came in the initial waves of refugees from Chile, Argentina and Colombia in the 70s and 80s. For this report (LAWRS) carried out 2 focus groups and one to-one interviews with Latin American women residing in Islington, while CLAUK carried out phone surveys with Latin American men residing in Islington. Healthwatch Islington analysed the results and drafted a report to be agreed by both organisations. HW Islington’s findings revealed that the Latin American community’s awareness of the Primary Care services was overall good especially when accessing GP, dentistry and pharmacy but most did not know about sexual health services, psychotherapy, optometry services or the walk-in centre. It was reported that although all respondents were registered with a GP there were several barriers to accessing some services such as; Language, availability and length of appointments, lack of referrals and reliance on online booking and information for patients who were not comfortable using technology. Several respondents reported a good relationship with their GP but several reported finding a lack of understanding around mental health and holistic support. There were several respondents who had unresolved medical problems and not many were aware of the routine health checks on offer. The report goes on to show findings on access to social services. HW made the recommendations below: Written information in Spanish and Portuguese should be available for patients about GP practice as should face to face interpreters in these languages. Where possible, GPs could try and accommodate longer appointments when interpreters are needed to give patients time to ask the GP about their treatment, via the interpreter. Medical and administrative staff should be trained about how to work with non-English speakers, migrants and people from other cultures in general. Training should focus on the particular challenges these service users face. It is important for doctors, nurses, and administrative staff to make services more inclusive to residents, especially older ones, who have limited or no access to a computer. A leaflet or publication should be produced in Spanish and Portuguese highlighting different social care services from the NHS in Islington and how to access them.

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General details

Report title 
Access to Primary Care and Social Care Services in Islington for Latin American over 50s
Local Healthwatch 
Healthwatch Islington
Date of publication 
Tuesday, 15 March, 2016
Date evidence capture began 
Tuesday, 15 March, 2016
Date evidence capture finished 
Tuesday, 15 March, 2016
Type of report 
Report
Key themes 
Booking appointments
Communication between staff and patients
Complaints procedure
Holistic support
Quality of treatment
Waiting time to be seen once arrived at appointment
Waiting times and lists for treatment
Healthwatch reference number 
Rep-0951

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
If this work has been done in partnership, who is the partner? 
Latin American Women’s Rights Service (LAWRS) Coalition of Latin Americans in the UK (CLAUK)
Primary research method used 
Focus group
Survey
How was the information collected? 
Telephone

Details of health and care services included in the report

Primary care services 
GP practice
Social care services 
Adult social care

Details of people who shared their views

Number of people who shared their views 
22
Age group 
All
Gender 
All
Ethnicity 
Other ethnic group
Specific ethnicity if known 
Any other ethnic group
Sexual orientation 
Not known
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
No
Does the information include staff's views? 
No
Does the information include other people's views? 
No
What was the main sentiment of the people who shared their views? 
Mixed

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
No
Is there evidence of impact in the report? 
No
Is there evidence of impact external to the report? 
No

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.