1. South West Public Health Observatory Migrant Workers and Health

2. South West Public Health Observatory WHO definition Well being - not just absence of disease –Physical –Psychological –Social

3. South West Public Health Observatory Outline Refugee/migrant – EU expansion Adults Health Children’s Health Actions needed Health Sector Workers

4. South West Public Health Observatory Refugee/Workers from expanded EU Language Culture Previous Health Status/Socioeconomic position Previous experience of Health systems Maltreatment Housing Work conditions Initial poverty Access to benefits

5. South West Public Health Observatory Accommodation Balanced diet Sleep Exercise Moderate alcohol/Stop smoking Safety at work Stress Social network for support

6. South West Public Health Observatory Accomodation Severe overcrowding –Bed sharing Limited access to kitchen/washing facilities Not secure Completely unfit accommodation –Stables, garages, tents, lorries

7. South West Public Health Observatory Life-style Very low income Nutrition Stress Poor sleep Poor opportunities for exercise Alcohol/smoking

8. South West Public Health Observatory Health and Safety at work Significant issues

9. South West Public Health Observatory Personal Safety Gang Masters Muggings Severe stress Insecure accommodation Road traffic accidents ‘Karolina’

10. South West Public Health Observatory Women Family planning Obstetrics

11. South West Public Health Observatory Mental Health Stress Prevalence of mental illness

12. South West Public Health Observatory Children Adaptation Overcrowding Nutrition – Free school meals ? Not entitled Free time Culture and access to free (additional) education in their own language. Children with disability Benefit system ??????

13. South West Public Health Observatory Actions needed English Language Advice –register with GP –Who is eligible for NHS Health phrase book Advice on personal/Health at work safety Support for children

14. South West Public Health Observatory Health Sector Workers NHS recruitment –Dentists ++, Doctors+/- Lots of highly qualified individuals –Nurses –Midwives –Ambulance Paramedics –Physiotherapists –Disability support staff/Education –Psychologists

15. South West Public Health Observatory Health Sector Workers Language Bureaucracy Discrimination ?? Currently work in care homes or other non-skilled work