1. West Midlands Strategic Migration Partnership Catherine O’Byrne and Dr Ruth Lockley

2. Holistic Health and Social Care charity Over 22 year track record of delivery City-wide delivery and community presence Experience of working with all communities Over 9,000 registered clients last year. 60,000 one off and community level advice.

3. We provide a wrap around service including: Community health champions Tenancy support Employment work Children’s centre work Welfare and debt advice Integrated medicine for adults and children Substance misuse support Immigration support Crisis support Employment training

4. Leading member of the third sector assembly and well known in the city for our health and social care pragmatic activism. Our Founder President and CEO is Co- Chair of the Birmingham HIV Partnership, Community Support Network and the local TB Partnership Operational Group. We have quality and management marks including matrix. We deliver services in partnership with a huge variety of organisations including local third sector organisations, faith groups, community groups and the statutory sector.

5. Trained over 100 members of community to gain Accredited Royal Society of Public Health training Working across cultural and gender boundaries – including faith centres. Islamic Conferences, Taxi drivers etc Asset based model gives rise to empowerment and self identification of community problems. We recently won an Award from RSPH in recognition of this work.

6. Focusing on economic, social, cultural deprived communities. Based across Birmingham’s Priority Needs Neighbourhoods. CHCs identify local health and wellbeing issues and we train them to address them and sign post peers into services. Self reported health and wellbeing improvements as measured on the WEMWEBS scale. Recently started a food growing scheme.

7. Recruit the right staff and volunteers Compliment existing community assets Build a reputation for quality, non- judgement and support Be able to offer what people need holistically Empower individuals and communities Share and receive knowledge Work in Partnership with communities

8. Commissioned by Public Health England Delivered in Partnership with Birmingham Chest Clinic, COCOA and South and City College Aim: To test under 35s from high TB prevalence countries who have been in the UK less than 5 years for Latent TB infection. Method: Partnership approach including third sector involvement.

9. Train volunteers to become TB champions to support the project and to become community assets Priority to engage CHCs, Students from College and volunteers with language skills Trained 20 people - 95% from BAME communities and new migrants and under 35 Helped us to further identify and any issues or sensitivities within their communities TB champions supported project delivery and engagement

10. Worked with trained volunteers who had language skills– Community Health Champions Introduced the topic of TB in home languages Introduced messages (consistent through the pilot) Introduced literature (consistent through the pilot) Introduced key staff and volunteers (consistent through the pilot)

11. TB, screening and testing vocabulary discussed in classes Students attended 1 hour workshops according to tutor groups (650 students over 56 classes) Eligible and Ineligible students New unaccompanied minors to Older settled migrants Addressed active TB, LTBI testing, Keeping Healthy and access to and quality of Primary Care

12. Mixture of learning styles easily adaptable for different language and education levels. Practical exercises in hand washing and GP registration and checking Introducing wider public health messages and screening programmes. Emphasis on reasoning behind messages and UK context.

13. 9.00 – 5.00 Monday and Tuesday Students invited from lessons and from common room areas Most eligible students engaged with testing Supported to ask questions – even ineligible students Questionnaire given to students who did not test to gauge the reasons why Students encouraging and supporting each other based on knowledge acquired in workshops and from a shared common goal of keeping healthy c. 275 students tested over 2 days

14. Number of students screened - 464 Number with positive IGRA - 78 (17%) (indeterminate 3) Preliminary Results with permission from PHE GenderNumberNumber with positive IGRA Female24836 (15%) Male20441 (21%)

15. EthnicityNumber of studentsNumber with positive IGRA African18954 (29%) Bangladeshi312 (7%) Indian82 (25%) Pakistani477 (15%) Other Asian435 (12%) White664 (6%) Caribbean10 Other807 (9%)

16. Incidence of TB in country of birthNumber of positive IGRA's <90 / 100,00012/161 (8%) 90 – 150 / 100,00029/119 (24%) >150 / 100,00036/180 (20%)

17. Number of people who had the opportunity to learn about TB and other key health messages. Number empowered to test. Number enrolled with an excellent Primary Care provider. Enjoyed and Valued. Signposting to wider services Next steps for information Limits for participation