PT - JOURNAL ARTICLE AU - Elizabeth Such AU - Elizabeth Walton AU - Brigitte Delaney AU - Janet Harris AU - Sarah Salway TI - Adapting primary care for new migrants: a formative assessment AID - 10.3399/bjgpopen17X100701 DP - 2017 Jan 16 TA - BJGP Open PG - BJGP-2016-0620 4099 - http://bjgpopen.org/content/early/2016/11/16/bjgpopen17X100701.short 4100 - http://bjgpopen.org/content/early/2016/11/16/bjgpopen17X100701.full AB - Background Immigration rates have increased recently in the UK. Migrant patients may have particular needs that are inadequately met by existing primary care provision. In the absence of national guidance, local adaptations are emerging in response to these new demands.Aim To formatively assess the primary care services offered to new migrants and the ways in which practitioners and practices are adapting to meet need.Design & setting Online survey and case studies of current practice across primary care in the UK. Case studies were selected from mainstream and specialist general practice as well as primary care provision in the third sector.Method Non-probability sample survey of primary care practitioners (n = 70) with descriptive statistical analysis. Qualitative case studies (n = 8) selected purposively; in-depth exploration of organisational and practitioner adaptations to services. Analysis is structured around the principles of equitable care.Results Survey results indicated that practitioners focused on working with communities and external agencies and adapting processes of, for example, screening, vaccination, and health checks. Lack of funding was cited most frequently as a barrier to service development (n = 51; 73%). Case studies highlighted the prominence partnership working and of an organisational and practitioner focus on equitable care. Adaptations centred on addressing wider social determinants, trauma, and violence, and additional individual needs; and on delivering culturally-competent care.Conclusion Despite significant resource constraints, some primary care services are adapting to the needs of new migrants. Many adapted approaches can be characterised as equity-oriented.