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Improving healthcare access for difficult-to-reach groups.

AT BRADFORD Royal Infirmary, once staff find out that a child is not registered with a GP or a school the process is clear. Colleagues in social work and education are informed and steps taken to help the family register with a GP. Bradford has a high number of migrants, and staff noticed that many children attending the hospital were not registered on any system. This highlighted child protection issues and a moral responsibility to help families access health and education, resulting in an initiative to report such cases to the local authority. This work has now scooped the Bradford District Care Trust’s Working Together team award at the NHS trust’s You’re a Star awards. There are at least 120,000 people living in the UK without legal status, which was highlighted last year in a University of Oxford report, No Way Out, No Way In. The study found that contradictory rules surrounding access to health care, education and other public services place this group of children at risk of exploitation and destitution. Some of the children are not registered on any NHS system, so the next step is to work with the child health department to ensure there is some evidence at least that the child has been living in Bradford. They are then registered under their Bradford address, with a note stating they have attended the emergency department (ED). The children often then disappear, and are confirmed to have returned to their home country. Others move around Britain and, should there be a follow up from another area, staff can identify that they have been seen by Bradford Infirmary.