E N D
Some BackgroundThe life expectancy gap for Gypsies and Travellers may be as high as 25 years with an average life expectancy of about 50 years.A Gypsy or Traveller mother is nearly 20 times more likely to lose her child before their 18th birthday than the rest of the population
Barriers to Healthcare • Centuries of discrimination • Constantly moving on • Fatalistic attitudes to health • Missed appointments due to eviction, lack of ability to read • Lack of awareness of services [if you can’t read how do you know?]
Barriers to Healthcare • Inappropriate for female Gypsy or Traveller to see a male GP • ‘Gatekeepers’ make accessing GP’s difficult • Lack of awareness of Gypsy and Traveller behaviour. [Often arrive in threes and women need to be chaperoned]. • Use of 0844/0870 numbers very expensive for mobile phones
What Helps • Tackling discrimination • Encouraging cultural awareness in Primary Care • Building relationships with communities • Using children’s centres as a starting point [in Warwickshire]
What Helps • Using texting to communicate /remind about appointments • Patient held records • Developing partnerships with people/organisations Gypsies and Travellers already trust
Entitlement to NHS Care Primary Care service Framework states: Many Gypsies and Travellers have lived in the UK for centuries and therefore have a right to NHS services. PCT’s are reminded that entitlement to NHS care in the UK is based on residency rather than having a postal address. As such Gypsies and Travellers have the same rights of access to NHS services as any other citizen.
One Shocking Finding • In a ‘mystery shopper’ exercise 20 GP practices in Warwickshire were asked if they were taking new patients from a] an ordinary member of public And b]a Gypsy or Traveller
100% would accept the ordinary member of the public • 100% declined the Gypsy or Traveller
Contact Details Deb Saunders Link Manager – Warwickshire 4-6 Clemens Street Leamington Spa CV31 2DL linkmanager@wcava.org.uk 01926 833907 0787381171