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Roma Project. Bridget Gallagher Service Improvement Co-ordinator – Equally Well. Glasgow City CHP – South Sector. What we know about Mortality and Morbidity rates. Average Scottish life expectancy for male is 74.5yrs (54yrs) and female is 79.3yrs (66yrs).
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Roma Project. Bridget Gallagher Service Improvement Co-ordinator – Equally Well. Glasgow City CHP – South Sector
What we know about Mortality and Morbidity rates. • Average Scottish life expectancy for male is 74.5yrs (54yrs) and female is 79.3yrs (66yrs). • 13 – 20yr difference for average Roma. • Main cause of Roma premature death is cardio vascular or respiratory disease. • Social determinants and lifestyle impact significantly on mortality and morbidity.
What interventions are currently available to support diagnosis and management of disease. • GP registration to access full range of Primary Care services. • Primary prevention of cardio vascular disease through Keep Well anticipatory care programme. • Secondary prevention of long term conditions through GP local enhanced service (LES).
New intervention model - outreach to enable Roma to access Primary Care services. • Bi-lingual HI support adopting outreach role based part time within GP surgery • Registration with GP practice is key to bridging gap between Roma community, full NHS services and other partners. • Partnership approach with a range of community organisations.
Aim of new intervention model. • To engage targeted individuals their wider families and their social networks in Primary & Secondary care and health improvement. • Test out acceptable ways of delivering services to ethnically diverse community. • Gathering of information that will inform a locally relevant model of anticipatory care.
Role of Bi-lingual HI Support. • Facillitate uptake of Keep Well/anticipatory care health check. • Advocacy role following health check • Encourage uptake of relevant services • Bi-lingual health improvement support to span organisational boundaries. • Conduit for communication across agencies.
Equally Well Next Steps • Adopt learning from Roma project to ensure mainstream Keep Well/anticipatory care programmes are inequalities sensitive. • Maintain focus on supporting Roma to access culturally sensitive health services. • Inform and include local GP practices in wider partnership approach. .