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Discussion: newness and novelty Novelty– Novel language, culture and systems for migrants– Novel languages, cultures, immigration rules androles, and entitlements for pr<strong>of</strong>essionals– Novel encounters with diversity in rural (& urban)areas– Novel combinations <strong>of</strong> problems with no clear solution Newness– Lack <strong>of</strong> established community with collectiveknowledge to support or guide migrants– Patients always new when high levels <strong>of</strong> transiency:require extra time and admin costs– No opportunity to develop knowledge orexpertise

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