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
Community Cohesion Extended Family
Faith
Protective Factors
Vitamin D: a Success Story
Appropriate treatment:- Effective- Vegetarian
Patient education:- Causation - Prevention
