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e two participants were
students in Telford and their reasons for not registering were ‘do not know how to register’
(Questionnaires, Chinese school, male, female). Some of the sample expressed difficulty in
finding a dentist and most found the cost of dental care too expensive.
In general, there was overall satisfaction with Accident & Emergency and ambulance
services, although waiting times could be improved. However, one participant of the focus
group cited having to pay for the use of an ambulance, 5 or 6 years ago.
Six people in the sample had stayed in hospital. Two of these expressed dissatisfaction with
their experiences – there was lack of communication and understanding between
themselves and the medical professionals and they had no confidence in the medical
professionals providing their care (Questionnaires, Chinese school, females).
None of the sample had used mental health services. Under-representation of Chinese
psychiatric patients in the NHS has been reported before, with lower rates of admission for
less severe disorders compared to the host population4. Low uptake of mental health
services has been attributed to 1) high stigmatisation of mental illness among Chinese
causing many families to conceal the problem; 2) language difficulties and different cultural
perceptions of mental illness. For example, symptoms recognised by Western professionals
as potentially indicative of psychiatric malaise (e.g. sleeplessness, lack of energy,
depression) are less likely to be medicalised by Chinese5. This was also found in this study
sample (see 5.1). This has led to Chinese patients with mental health disorders to present
with physical complaints rather than psychological complaints. Again, there was evidence of
this in this study (see 6. GP Survey).
Women’s screening services, health visitors and midwifes all evoked positive feelings from
the sample, with the care provided being informative, sensitive and caring. There was no
apparent problem with uptake of screening services in the sample.
Childhood immunisations were much appreciated among the sample. Among the interview
sample, users were satisfied that these were taken care of by the health authorities.
‘They tell you when they’re going to come again so you don’t have to worry about when the
next vaccination is due, we don’t really know these things. ‘
Takeaway, male
In the focus group, there was demand for better information so that parents could have more
control over the process.
‘This is good, it should be done but there is not enough follow-up. After 5 years, nothing. You
need to know when to ask for a booster. After such a long time, you forget. You need a
record. They should tell you when you need the next booster. They should send letters. They
need the same standards as Germany’.
Overall, there was no correlation between ability to speak English and the level of
satisfaction with services.
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5.5.3. Social services
There were 4 Chinese people in receipt of social care services (Table 5).
Table 5. Current service agreements open for Chinese people in Shropshire County (Source:
Shropshire County Council)
Type of service Number of people
Daycare 2
Equipment/Adaptation 1
Residential care 1
5.6. Attitudes, expectations and felt needs
Although most people were satisfied with health service provision and there was praise for