Primary Care for Hyndburn’s BME Population

Primary Care for Hyndburn’s BME Population

Dr Fiona Ford MBE FRCGP

RespectCommunication

Helping patients to understand

Burden of Ill Health

More common Younger age

Worse control Improves in Ramadan

TuberculosisImmigration

Poverty OvercrowdingNon-compliance with treatment

Genetic Disabilities

• 72% married to a close relative

• 30 families with severe/life threatening conditions

• Awareness & understanding growing

• 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 & injuryMental Health

Cultural Alienation

Virgin Shroud Dorothy Cross

Disempowerment & Despair

Domestic ViolenceInjury: physical,

mental/emotionalDepression & self harm

Social isolationSelf neglect

Childrens’ ProblemsBehavioural problemsAbsence from school Under achievement

Nutritional problems: iron deficiency anaemia

Dental cariesFrequent illness/injury

Safeguarding issues

Substance Misuse

Community Cohesion Extended Family

Faith

Protective Factors

Vitamin D: a Success Story

Appropriate treatment:- Effective- Vegetarian

Patient education:- Causation - Prevention