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The Haven Healthcare for new asylum seekers & refugees in Bristol

The Haven Healthcare for new asylum seekers & refugees in Bristol. Ginny Burdis Specialist Health Visitor. An overview of the service. NHS Bristol funded health service, established in 2004

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The Haven Healthcare for new asylum seekers & refugees in Bristol

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  1. The HavenHealthcare for new asylum seekers & refugees in Bristol Ginny Burdis Specialist Health Visitor

  2. An overview of the service • NHS Bristol funded health service, established in 2004 • Specialist service set up to address complex, initial needs of asylum seekers, and now includes ‘family re-union’ new arrivals • Provided in a primary care setting, in a central city location • Employs an ‘extended gateway’ service model • Staffed by 3 practitioners – GP, nurse, health visitor • Clinics held 3 mornings per week • Outreach service by health visitor • Liaison & partnership working with other agencies is key to the way we work.

  3. Service delivery Aims • To reduce health inequalities by facilitating access to health care • To relieve pressure from other services e.g. A&E depts • To identify and address areas of unmet need Clients In 2010/11 188 new patients; 31% 16yrs or under 44% female Top 6 countries of origin: Somalia (50%), Iran, Iraq, Sudan, Afghanistan, Gambia

  4. What influences health and makes some women vulnerable? Pre flight experiences In flight experiences Living in exile including: • the effect of the asylum seeking process • re-uniting with family / partner • social factors in host community

  5. Health issues • Sexual health - Pregnancy - Female Genital Mutilation (FGM) - Rape / sexual violence • Depression - different connotations within some cultures. - often distressed about leaving family behind - stress of taking on new role and being sole provider for children • PTSD - often witnessed or been involved in traumatic events

  6. Health issues (cont) • Communicable disease - uptake of all screening tends to be low. • Injuries sustained through trauma /war • Isolation, separated from support networks • Need for dentistry, opticians, family planning • Lack of understanding about UK health care systems

  7. What does the Haven provide? • Holistic health assessment • Listen to experiences and prioritise actions according to individual’s needs • Offer screening for communicable diseases, give immunisation update and general health advice • Sexual health history, discuss FGM, contraception • Mental health assessment • Complex issues referred to Haven Drfor treatment

  8. Enabling women to move on • Registration with a GP local to her home address • Health records and action plans sent to GP • Information about eligibility and access to services such as dentist, optician, family planning • Help with application for free prescriptions • Linking into voluntary sector for befriending, ESOL, family tracing, way-finding, social activities • Introduction to next practitioner – e.g midwife • On going support provided via social centre, home visits and telephone calls.

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