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Primary Care for Hyndburn’s BME Population

Primary Care for Hyndburn’s BME Population. Dr Fiona Ford MBE FRCGP. Respect Communication Helping patients to understand. Burden of Ill Health. More common Younger age Worse control Improves in Ramadan.

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Primary Care for Hyndburn’s BME Population

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  1. Primary Care for Hyndburn’s BME Population Dr Fiona Ford MBE FRCGP

  2. RespectCommunication Helping patients to understand

  3. Burden of Ill Health

  4. More common Younger ageWorse control Improves in Ramadan

  5. TuberculosisImmigrationPoverty OvercrowdingNon-compliance with treatment

  6. Genetic Disabilities • 72% married to a close relative • 30 families with severe/life threatening conditions • Awareness & understanding growing

  7.  adverse life events • ↓help seeking • ↓ access to MH services • ↓ GP follow up • Prescribed less antidepressants • Sicker on referral • Require more complex help • ↓ completion of treatment •  self harm, violence & injury Mental Health

  8. Cultural Alienation

  9. Disempowerment & Despair Virgin Shroud Dorothy Cross

  10. Domestic Violence Injury: physical, mental/emotional Depression & self harm Social isolation Self neglect Childrens’ Problems Behavioural problems Absence from school Under achievement Nutritional problems: iron deficiencyanaemia Dental caries Frequent illness/injury Safeguarding issues

  11. Substance Misuse

  12. Protective Factors Community Cohesion Extended Family Faith

  13. Vitamin D: a Success Story • Appropriate treatment: • Effective • Vegetarian • Patient education: • Causation • Prevention

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