West Midlands Strategic Migration Partnership

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• West Midlands Strategic Migration Partnership
• Catherine OByrne and Dr Ruth Lockley

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About Us...

• 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.

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About Us

• We provide a wrap around service including
• Community health champions
• Tenancy support
• Employment work
• Childrens centre work
• Welfare and debt advice
• Integrated medicine for adults and children
• Substance misuse support
• Immigration support
• Crisis support
• Employment training

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• 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.

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Community Health Champions

• 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.

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• Focusing on economic, social, cultural deprived
  communities.
• Based across Birminghams 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.

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Our Approach

• 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

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Latent TB ESOL Pilot

• 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.

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Increase Knowledge

• 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

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Staying Safe week

• 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)

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Workshops

• 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

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• 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.

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Testing Days

• 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

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Preliminary Results

• Number of students screened - 464
• Number with positive IGRA - 78 (17)
  (indeterminate 3)
• Preliminary Results with permission from PHE

Gender Number Number with positive IGRA
Female 248 36 (15)
Male 204 41 (21)
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Results by Ethnicity
Ethnicity Number of students Number with positive IGRA
African 189 54 (29)
Bangladeshi 31 2 (7)
Indian 8 2 (25)
Pakistani 47 7 (15)
Other Asian 43 5 (12)
White 66 4 (6)
Caribbean 1 0
Other 80 7 (9)
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Results by incidence of TB
Incidence of TB in country of birth Number of positive IGRA's
lt90 / 100,000 12/161 (8)
90 150 / 100,000 29/119 (24)
gt150 / 100,000 36/180 (20)
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Conclusions

• 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

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