Refugees and Asylum Seekers
Refugees and Asylum Seekers registering at your practice
- Please click here to view some helpful tips from our PM Supporter Sue Scott
- CQC http://www.cqc.org.uk/content/nigels-surgery-36-registration-and-treatment-asylum-seekers-and-refugees
- BMA Refugees, Overseas Visitors & Vulnerable Migrants Health Toolkit
- Wessex LMCs : FAQs on treating overseas patients
These patients should be routinely vaccinated as per the incomplete immunisation schedule using the age appropriate algorithm (which includes adults). https://www.gov.uk/government/publications/vaccination-of-individuals-with-uncertain-or-incomplete-immunisation-status
Vaccines to consider:
- measles (using MMR vaccine and prioritising children up to 15 years)
- poliomyelitis (for children and adults coming from countries currently exporting poliovirus such as Afghanistan and Pakistan, infected countries such as Somalia, or countries which remain vulnerable to international spread, including Cameroon, Equatorial Guinea, Ethiopia, Iraq, Israel, and the Syrian Arab Republic)
- meningococcal disease (preferably with vaccines against meningococcal serogroups A, C, W-135 and Y
- diphtheria (using diphtheria-tetanus-pertussis vaccine in accordance with national guidelines)
- influenza, according to the season.
Consider screening for infestation with lice. Screening for tuberculosis can be considered in accordance with national guidelines. http://ecdc.europa.eu/en/publications/Publications/refugee-migrant-health-in-european-winter-rapid-risk-assessment.pdf
Consider Vitamin D deficiency https://www.gov.uk/government/news/phe-publishes-new-advice-on-vitamin-d
June 2022 - NHSE published a letter and two service specifications setting out expectations and support around GP registration and the management of the initial health needs for individuals and families coming to England fleeing the conflict in Ukraine.
To ensure there is a robust approach to identifying individual’s initial health needs (both for all current and future arrivals) MHSE are asking all systems to locally commission additional capacity for delivering robust initial health assessments. Assessment of any safeguarding concerns will be a key priority alongside assessment of health needs, keeping people safe and taking appropriate actions to prevent harm. NHSE have also produced bilingual versions of the GMS1 form which are now available on the DHSC website.
- UKHSA Arrivals from the Ukriane - Advice for Primary Care https://www.gov.uk/government/publications/arrivals-from-ukraine-advice-for-primary-care/arrivals-from-ukraine-advice-for-primary-care
Accessing Healthcare translated resources
Here is a summary of the current resources in Ukrainian and Russian
- Please note the:
- Please note – new resources are added all the time, so we advise that you routinely check the website below: https://www.gov.uk/government/publications/immunisation-information-for-migrants
- This information is for anyone who has moved to the UK and advises them on the need to register with a GP to get up to date with their routine vaccinations. It explains the vaccines that at risk people with health conditions, pregnant women, infants, children and older adults need and the diseases this will help protect them from. It also signposts to the health services and where to get assistance and how to use the services.
- Paper copies of this leaflet in English are available to order for free.
- Translated versions are available to download or print locally in the following languages: Albanian , Arabic , Bengali , Chinese (simplified) , Chinese (traditional) , Farsi , Kurdish , Panjabi , Pashto , Portuguese , Romanian , Romany , Russian , Somali , Spanish , Tigrinya , Turkish , Ukrainian and Urdu .
Vaccination schedule for Ukraine (who.int)
- Birth Hep B, BCG
- 2 months Polio
- 4 months Diphtheria, tetanus, pertussis, Polio and HIB
- 6 months Diphtheria, tetanus, pertussis, hepatitis B, and Polio
- 12 months HIB, MMR
- 18 months Diphtheria, tetanus, pertussis and Polio
- 6 Years Diphtheria, Tetanus, MMR, Polio
- 14 years Polio
- 16 years Tetanus, Diphtheria (this is then given as a booster every 10 years throughout adulthood)
|Vaccination of individuals with uncertain or incomplete immunisation status|
|UK and international immunisation schedules comparison tool - GOV.UK (www.gov.uk)|
|Vaccines and Immunisations - Guidance for Practices|