MORRA Study V1

  • Research type

    Research Study

  • Full title

    Health care moments of opportunity: a review of evidence and community dialogue to explore responsive health care for refugees and people seeking asylum in the UK

  • IRAS ID

    305827

  • Contact name

    Andrew F Smith

  • Contact email

    andrew.smith@mbht.nhs.uk

  • Sponsor organisation

    University Hospitals of Morecambe Bay NHS Trust

  • Clinicaltrials.gov Identifier

    NIHR132961, NIHR Journals Library ; CRD42021271464, PROSPERO (systematic review only)

  • Duration of Study in the UK

    1 years, 5 months, 31 days

  • Research summary

    Refugees and people seeking asylum often have diverse and additional health care needs, experience substantial barriers accessing health care, and report poor health care experiences. Barriers are often interconnected, can relate to attitudes in receiving countries, fear, and low levels of trust as well as knowledge about healthcare entitlements or local provision, problems communicating, or inappropriate interpretation.

    Bringing together national and international evidence and local knowledge on practices that support health care and good health for refugees and people seeking asylum we are following four lines of enquiry:

    Workshops/discussions with local individuals who are refugees or seeking asylum in the UK and stakeholders (statutory, private and voluntary) within and beyond traditional health care settings, to help identify opportunities for good health and health care.

    A systematic review to identify and assess existing evidence on interventions and practices that support responsive health care, reduce barriers and improve health for refugees and people seeking asylum.

    Identification of great services and practices (in the UK and internationally). We will talk to people who use or deliver these services (online or in person, individually or in small groups) about what makes these good and possible. We will visit services where possible and observe practices where this is deemed appropriate by the service. These visits and discussions will be co-facilitated by individuals with lived experience already involved in the project and will include translators.

    Deliver a series of group discussions to share the evidence we have gathered, exchange ideas and consider what is possible or would be necessary to implement good practices or new interventions into local services. To these discussions we will invite individuals with lived experience of seeking asylum, practitioners, managers, academics and commissioners. From these events we hope to develop a practical framework for local adoption and of national and international relevance.

  • REC name

    London - South East Research Ethics Committee

  • REC reference

    22/LO/0026

  • Date of REC Opinion

    17 Feb 2022

  • REC opinion

    Unfavourable Opinion