Afghan refugees at risk in the UK: enhancing healthcare access and integration

Saxionis, Ioannis, Fredericks, Hannah, Pritchard, Lucy, Barclay, Dave, White, Rebecca, Pickering, Janine, Sealey, Sara, O’Driscoll, Louise, Wells, Rachel and Aggarwal, Pritti (2024) Afghan refugees at risk in the UK: enhancing healthcare access and integration. British Journal of General Practice, 74 (Suppl. 1), [114]. (doi:10.3399/bjgp24X737457).

Abstract

Background: following Kabul’s fall in August 2021, there was influx of Afghan refugees in the UK. Southampton’s Bridging Hotel provided temporary shelter to 22 families, totaling 116 individuals. The Living Well Partnership (LWP); assumed primary care provision for these vulnerable residents facing health inequalities.

Aim: enhancing refugee healthcare access and integration into the NHS system. Improving healthcare education, boosting confidence in appropriate healthcare use, and utilisation of electronic consultations effectively.

Method: working with the local authorities, primary care services were brought to the hotel. Regular 3-hour drop-in sessions with a health and wellbeing coach were established and attended by residents. Non-identifiable data was recorded in individual patient care records and summarised quantitatively.  Qualitative data was collected via a pre-established questionnaire during the sessions.  

Results: identified issues included language barriers, mental health problems, infectious diseases, contraception, and healthcare access. Language barriers were addressed with interpreters. Fifty-nine patients accessed support services, with 13 benefiting from e-consultations, and nine requiring on-site medical consultations in a 3-month period. Mental health support and infectious disease referrals were facilitated. Access challenges were mitigated by transitioning to e-consultations or face-to-face appointments. Outcomes included improved patient independence, awareness of healthcare processes, familiarity with LWP services, and confidence in navigating the NHS.

Conclusion: a multifaceted approach is vital for addressing language and access barriers for refugees. Providing educational resources through facilitated groups empowered refugees and improved healthcare access. This initiative highlights the importance of organised support for vulnerable populations during crises and can be applied more widely.

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Contributors

Author: Pritti Aggarwal

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