Exploring healthcare priorities, barriers, access and experiences of a family-centred approach among families seeking asylum in North London

Background Children and families seeking asylum have significant unmet health needs. The Respond service was established in response to high numbers of families seeking asylum arriving in Camden (London, UK) in August 2021 and delivers hospital and community-based holistic assessment and infectious disease screening for this population. Families are seen in a joint appointment by a multidisciplinary team of adult and paediatric health professionals. We explored the priorities, barriers and experiences around healthcare access among families using the service and the acceptability and perceived effectiveness of a family-centred approach from the perspective of service users, service providers and key stakeholders. Methods We employed qualitative and quantitative approaches. Questionnaires and semistructured interviews were completed between July and September 2022. Questionnaires were built on Google Forms and Envoy Messenger (Healthcare Communications). Thematic analysis was performed and structured by key themes. Data were analysed with the assistance of NVivo. Results Access to dental care, primary care and immunisations were identified as key priorities for families. Significant barriers of access to care included understanding (language), situation (temporary accommodation) and awareness (unfamiliarity with systems, digital poverty, signposting). The Respond family-centred model was positively received by service users, service providers and stakeholders. Benefits included the provision of holistic family-centred care and support, efficiency and value-for-money for the health service. Areas needing ongoing input were language barriers, educational support for staff and service users and continued collaboration and co-creation between service providers and service users. Conclusion Recognising the priorities and barriers identified in this study is crucial for enhancing access to and utilisation of services within this underserved community. The Respond family-centred model was well received and perceived as effective by service users, providers and stakeholders. It serves as a foundational framework for developing tailored services for children and families seeking asylum across the UK and internationally.