Angel Lodge service to be provided
Effective service and team management
Overall management of the induction health team and the service
Health Check:
Every Asylum seeker arriving in Wakefield will be offered a health assessment, and appropriate referrals are made.
This will include an initial assessment of current health status, following the assessment framework in the personal health record for asylum seekers and refugees (Adult/child version) and addressing of any immediate concerns; Asylum seekers who default a first appointment will be offered a second.
Flu vaccination to be given to all asylum seekers who fit the criteria arriving at Angel Lodge between 1st October and 28 February each year.
The health screening offered in the induction services includes the following, which is in line with recommendations by the British Medical Association (BMA):
Recording of the patient's history of immunisations and vaccinations.
Recording of maternity history. NB Contraception and sexual health advice is offered to both men and women;
Any sexual health problems are discussed on assessment and appropriate action taken;
Identification of special needs and liaison with the UKBA, or whoever is sub-contracted to oversee dispersal, to ensure the provision of appropriate accommodation and support where needed on dispersal;
Substance misusing patients will be referred to drug treatment services.
Every asylum seeker residing at Angel Lodge is offered screening for TB as per national protocol and local arrangements and follow up as appropriate
A minimum of 1 weekly open access clinic for administering mantoux test.
A minimum of 1 weekly open access clinic for reading of mantoux test & any immunisations
Full clerical and clinical administration of service
Direct referral to chest clinic/ chest x-ray
Testing for TB (tests for other conditions such as Hepatitis A,B or C and HIV may be carried out if there is reason for concern).
Minor Illness:
Appropriate assessment, triage and care are provided to asylum seekers presenting with minor illness and more complex health issues arising from the health assessment.
Access to a minor illness service on site (Love Lane) every working week day (i.e. Monday to Friday)
Access to a GP appointment (as minimum GP clinic must be available minimum 2 sessions per week a total of 6 hours)
Access to emergency/urgent GP services through a ‘home visit' from a GP during the normal opening times of the GP-led Health Centre
Appropriate pathway for triage of clients
Normally expect arrangements to cover nursing during the period Mon-Fri 8.30am-6pm.
Appropriate pathways for referral for out of hours care.
Provider of out of hours care is currently Local Care Direct.
Prescribing as appropriate
Asylum seeker children
Asylum seeker children are assessed for their nutritional needs, key mile stone development, and immunisation status.
All children (0-18yrs) will receive an individual health assessment
Any safeguarding concerns including children's' mental health are reported through the correct channels and liaison with Social Services takes place. Staff will follow agreed policies regarding safeguarding.
Immunisation and Vaccination:
Current DH guidance on immunisation and vaccination will be followed.
At present high-risk under-35 years are screened and TB vaccinations are offered as appropriate,
Interpreting Support
All client contact will be facilitated with appropriate interpreting support as required
All costs for interpreting associated with provision of health services at Angel Lodge will be directly re-charged to the DH by the CCG. The provider will use the translation services specified by the CCG
Mental Health:
Asylum seekers with symptoms of anxiety and stress are referred on appropriately
Staff attend training and education sessions to recognise critical symptoms
Referral pathways are in place
Mental health needs are assessed
Those with a history of physical or psychological maltreatment will be referred on as appropriate.
Asylum seekers with acute mental health problems will be seen by a health care professional working with the mental health team and are referred for further assessment to local mental health units as quickly as is clinically indicated.
Clinical supervision
Staff working with asylum seekers have access to the support they require and adequate de-briefing
Clinical supervision sessions (at a minimum level of one hour per month) must be provided for all clinical staff, including GPs. (The provider will demonstrate if requested how these staff access clinical supervision).
Administration and co-ordination of the service provided to asylum seekers in Wakefield.
Records are stored according to an agreed information governance policy.
Appropriate records of all consultations and incidents are kept.
Systems are in place for the smooth and effective running of any necessary clinics;
Weekly data collected re: HNA & service provision
IT systems are in place and used appropriately
Provide Training development and Audit
The provider will (in each twelve month period) participate in any two service related audits or evaluations as defined by the commissioner (NHS Wakefield CCG). These can be agreed in advance.
All members of the Induction Health Team are facilitated to access training and or development that is appropriate to their roles and individual training needs. The service must maintain a record of CPD for all clinical staff. These records will be made available to NHS Wakefield CCG upon written request.