Adapting primary care for new migrants: a formative assessment

Area of Science:

• Public Health
• Healthcare Management
• Sociology of Health

Background:

• Rising immigration in the UK presents unique challenges for primary care.
• Existing primary care services may not adequately address the specific needs of migrant patients.
• Local adaptations in primary care are emerging due to the absence of national guidance for migrant health.

Purpose of the Study:

• To formatively assess primary care services for new migrants.
• To understand how practitioners and practices are adapting to meet migrant patient needs.
• To evaluate the effectiveness of these adaptations through the lens of equitable care principles.

Main Methods:

• An online survey of primary care practitioners (n=70) was conducted.
• Qualitative case studies (n=8) explored adaptations in mainstream, specialist general practice, and third-sector primary care.
• Analysis focused on organizational and practitioner adaptations, guided by principles of equitable care.

Main Results:

• Practitioners reported adapting screening, vaccination, and health check processes.
• Lack of funding was the most significant barrier (73%) to service development.
• Case studies revealed a strong emphasis on partnership working, addressing social determinants, trauma, and delivering culturally competent care.

Conclusions:

• Primary care services are demonstrating adaptability to new migrant needs, even with limited resources.
• Many of these adaptive strategies are characterized by an equity-oriented approach.
• Further support and resources are likely needed to sustain and expand these vital adaptations.