Refugees Emerging-Communities, Kirklees

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Summary of report content

The term “emerging community” is defined as people who come to the UK for social, political, cultural or economic reasons, who may potentially change the dynamics of a neighbourhood. 2,523 new migrants came to Kirklees in 2016 and 623 people were being supported as asylum seekers. Kirklees Council agreed to resettle 131 Syrian refugees as part of the resettlement programme. Points listed below relay the information collated between Jan to Oct 2017 from a number of organisations that help migrants or deal with migrant health and wellbeing, in addition to attending meetings regarding asylum seekers or migrant-related issues. The following issues raised: • Mental health and the lack of information relating to children who have experienced severe trauma. • People understanding how systems work in the UK. • Women and children most vulnerable and voiceless migrants. • How demographic information is collected, a missed opportunity to understand the views of people from emerging communities. • Barriers in communication for non-English speaking communities accessing services. • Lack of cultural awareness - beliefs and expectations contribute to feelings of mistrust, stigma, taboos and myths. • Differences in the healthcare system from country of origin. Conclusion: • Good communication should be encouraged to prevent barriers to healthcare eg access to interpreters • Staff/service provider cultural awareness training to reduce negative preconceptions and better understand service user behaviours • Available and accessible information to understand the UK’s healthcare system • Measures to tackle extreme financial hardship • Targeted courses aimed at the rights of women • Categories used to determine ethnicity • Educate the wider British population to benefit claimant statistics to tackle negative attitudes towards migrants • Services to employ greater diversity of people by employing different techniques to encourage people to apply for jobs and opportunities for development • Health literacy addressed to improve health outcomes, reduce stigma and prevent the spread of disease • Education and signposting undertaken to tackle negative health behaviours including poor nutrition, smoking, alcohol and substance abuse in migrant populations from various ethnicities and cultures • Good communication/improved information sharing vital between agencies for both the wellbeing of the individual and health of the wider community.

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General details

Report title 
Refugees Emerging-Communities, Kirklees
Local Healthwatch 
Healthwatch Kirklees
Date of publication 
Saturday, 11 November, 2017
Date evidence capture began 
Sunday, 1 January, 2017
Date evidence capture finished 
Tuesday, 10 October, 2017
Type of report 
Report
Service evaluation
Key themes 
Access
Administration
Booking appointments
Continuity of care
Medication
Quality of care
Service delivery organisation and staffing
Staff attitudes
Staff levels
Staff training
Support
Waiting time to be seen once arrived at appointment
Waiting times and lists for treatment
Healthwatch reference number 
Rep-6635

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
What type of organisation requested the work 
N/A
Primary research method used 
Consultation
Focus group
Observation
Structured interview
How was the information collected? 
Not known
If an Enter and View methodology was applied, was the visit announced or unannounced? 
Not Known

Details of health and care services included in the report

Primary care services 
GP practice
Health visitor
Urgent care services
Secondary care services 
Appointments
Child and adolescent mental health services (CAMHS)
Psychiatry/mental health (hospital services)
Mental health services 
Child and adolescent mental health services (CAMHS)
Community mental health team (CMHT)
Depression and anxiety service
Mental health recovery service
Psychiatry / mental health (other services)
Community services 
Other

Details about conditions and diseases

Types of disabilities 
Mental health

Details of people who shared their views

Age group 
All
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Other population characteristics 
Homeless people
People in stigmatised occupations (such as sex workers)
People who are geographically isolated
People with limited family or social networks
Refugees or asylum seekers
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
Yes
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
All care professionals
Does the information include other people's views? 
Yes
What was the main sentiment of the people who shared their views? 
Positive

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? 
Yes
Is there evidence of impact external to the report? 
Not known
What type of impact was determined? 
Implied Impact

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.