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improving government service delivery to minority ethnic ... - NCCRI

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<strong>improving</strong><br />

<strong>government</strong><br />

<strong>service</strong><br />

<strong>delivery</strong><br />

<strong>to</strong> <strong>minority</strong><br />

<strong>ethnic</strong> groups<br />

Chapter 2: Northern Ireland Research Findings 72_73<br />

Views from <strong>ethnic</strong> minorities<br />

A series of focus groups were conducted with <strong>ethnic</strong> minorities <strong>to</strong> ascertain their views on the <strong>delivery</strong> of<br />

<strong>service</strong>s from public authorities in Northern Ireland. In addition key NGOs were consulted. The previous<br />

section highlighted some case examples and the <strong>service</strong> provider perspective this section will now assess the<br />

perspective of <strong>service</strong> users.<br />

The NGOs consulted for this research highlighted many issues that they felt posed problems for <strong>minority</strong> <strong>ethnic</strong><br />

communities, especially migrant workers when accessing public authority <strong>service</strong> provision. These included:<br />

-<br />

-<br />

-<br />

-<br />

-<br />

-<br />

-<br />

-<br />

-<br />

Racism<br />

Lack of public sec<strong>to</strong>r infrastructure <strong>to</strong> keep pace with the changes<br />

Rights and entitlements<br />

Exploitation<br />

Statistics and moni<strong>to</strong>ring<br />

Poverty<br />

Existing <strong>government</strong> policies<br />

Workforce issues and community engagement<br />

Lack of visibility.<br />

The discussions highlighted the following issues.<br />

Health<br />

Treatment in hospitals and GP (General Practitioner) registration<br />

Some NGOs interviewed stated that they were aware of people from <strong>ethnic</strong> <strong>minority</strong> backgrounds being<br />

refused treatment in hospitals and/or GP registration. This raised concerns regarding unequal treatment, and<br />

was especially noted in the case of migrant workers. Some of the migrant workers spoken with praised the<br />

<strong>service</strong> and had very positive experiences but recognised that this may not be that case for everyone. Two<br />

participants who <strong>to</strong>ok part in one of the discussion groups felt that their GP did not always take them seriously<br />

but stated that they had never been refused care or registration:<br />

“ I have been <strong>to</strong> the GP but I didn’t have a good experience…I don’t believe much<br />

doc<strong>to</strong>rs say here.”<br />

One representative of the Chinese community also stated that many people are caught out by GPs deregistering<br />

them after two years even if they have their visas renewed. The GP practice does not approach the<br />

patient and check their status they just remove them from their list. The interviewee said she only became aware<br />

of this when she went <strong>to</strong> make an appointment and was <strong>to</strong>ld that she did not exist on the records.<br />

Health tests on new migrant workers<br />

Again this issue was raised by some NGOs who were concerned that migrant workers were forced <strong>to</strong> undergo<br />

tests for diseases such as TB and HIV. This adds <strong>to</strong> the myth that many migrant workers bring disease in<strong>to</strong> the<br />

country and are a ‘health risk’. Previous work conducted by ICR (unpublished data in Armagh) found that this<br />

was a prevalent attitude among some members of the public.

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