Improving the Quality of Interpretation and Translation Services for Primary Care. Demographics

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1 Improving the Quality of Interpretation and Translation Services for Primary Care Demographics

2 Demand Analysis sign language interpreting services Methodology There was a need to estimate the potential service demand for BSL uses both at a national and regional level. The BSL demand was calculated using the known prevalence of deaf people in the general population and the national and regional population data. The community language estimates were made using data from the ONS: Census The data uses two census tables: DC2210EWr and QS204EW and based on the top 40 English local authorities. The first table gives the percentage of people who do not speak English well by main language. The second table gives the main language breakdown of the population in each LA and the % who do not speak English well overall in the LA. These data were then constrained to produce the overall reported percentages who do not speak well in the LA.

3 Demand Analysis sign language interpreting services There are approximately 54,600,000 people living in England in 2015 (Source: Office of National Statistics ) There are approximately 64,000 deaf signers living in England in 2015 (based on UK level data- British Sign Language at Ethnologue (18th ed., 2015) This equates to 1 in every 850 of the general population potentially requiring the services of a sign language interpreter when accessing NHS Primary Care services

4 3000 Number of Deaf Signers by NHS England Sub-regions - North of England No of deaf signers aged Cumbria, Northumberland, Tyne and Wear North Yorkshire and Humber South Yorkshire and Bassetlaw Merseyside Cheshire, Warrington and Wirral Source: Office of National Statistics subnational population projections for CCGs in England May 2014 and British Sign Language at Ethnologue (18th ed., 2015)

5 Number of Deaf Signers by NHSE Sub-regions - Midlands & East of England 2500 No of deaf signers aged Leicestershire and Lincolnshire East Anglia Essex Hertfordshire and the South Midlands Arden, Herefordshire and Worcestershire Birmingham and the Black Country Shropshire and Staffordshire Source: Office of National Statistics subnational population projections for CCGs in England May 2014 and British Sign Language at Ethnologue (18th ed., 2015) Derbyshire and Nottinghamshire

6 Number of Deaf Signers by NHSE Sub-regions - South of England 2500 No of deaf signers aged Thames Valley Kent and Medway Surrey and Sussex Wessex Bristol, North Somerset, Somerset and South Gloucestershire Bath, Gloucestershire, Swindon and Wiltshire Devon, Cornwall and Isles of Scilly Source: Office of National Statistics subnational population projections for CCGs in England May 2014 and British Sign Language at Ethnologue (18th ed., 2015)

7 350 Number of Deaf Signers by NHSE Sub-regions - London CCGs No of deaf signers aged Source: Office of National Statistics subnational population projections for CCGs in England May 2014 and British Sign Language at Ethnologue (18th ed., 2015)

8 Census 2011: Proportion of population who say their main language is not English, by Local Authority 0.2 to 1% (21) 0.15 to 0.2% (14) 0.1 to 0.15% (20) 0.05 to 0.1% (70) 0 to 0.05% (201)

9 Census 2011: Proportion of population who say their main language is not English AND do not speak English well or at all, by Local Authority 0.05 to 1% (13) 0.03 to 0.05% (21) 0.02 to 0.03% (26) 0.01 to 0.02% (58) 0 to 0.01% (208)

10 Census 2011: Main language amongst people who say their main language is not English AND do not speak English well or at all, by Local Authority

11 Number of people who do not speak English well or at all: (Census: 2011) DC2210EWr - Main language by proficiency in English (regional) ONS Crown Copyright Reserved [from Nomis on 30 June 2015] Region Main language is not English: Cannot speak English or cannot speak English well North East 14,324 North West 83,442 Yorkshire and The Humber 81,773 East Midlands 68,011 West Midlands 107,032 East 62,794 London 319,610 South East 77,238 South West 29,621 Total 843,845

12 Census 2011: Mix of languages amongst people who say their main language is not English AND do not speak English well or at all, by Local Authority (top 20) Local Authority Total number who % who do not do not speak English speak English well well Languages spoken by more than 0.5% of people amongst those who do not speak English well or at all Bengali(with Sylheti and Chatgaya)(2.2%) Urdu(1.0%) Gujarati(0.8%) Lithuanian(0.7%) Panjabi(0.6%) 25, % Newham Polish(1.3%) Brent 23, % Gujarati(2.1%) Polish(0.6%) Somali(0.5%) Arabic(0.5%) Tower Hamlets 19, % Bengali(with Sylheti and Chatgaya)(5.3%) Leicester 23, % Gujarati(3.2%) Panjabi(0.9%) Polish(0.6%) Ealing 23, % Polish(1.7%) Panjabi(1.6%) Haringey 17, % Turkish(1.8%) Polish(1.4%) Slough 8, % Panjabi(2.0%) Polish(1.7%) Urdu(1.1%) Hackney 14, % Turkish(1.6%) Polish(0.6%) Enfield 17, % Turkish(2.2%) Polish(0.6%) Waltham Forest 14, % Polish(0.9%) Urdu(0.8%) Luton 10, % Polish(1.3%) Urdu(1.2%) Bengali(with Sylheti and Chatgaya)(1.1%) Harrow 11, % Gujarati(1.9%) Tamil(0.6%) Boston 3, % Polish(2.0%) Lithuanian(1.2%) Latvian(0.8%) Peterborough 8, % Polish(1.3%) Lithuanian(0.7%) Panjabi(0.6%) Bradford 23, % Panjabi(1.6%) Urdu(1.0%) Urdu(0.8%) Panjabi(0.8%) Pakistani Pahari (with Mirpuri and Potwari( (0.6%) Bengali(with Sylheti and 47, % Birmingham Chatgaya)(0.5%) Redbridge 12, % Panjabi(0.8%) Urdu(0.7%) Bengali(with Sylheti and Chatgaya)(0.6%) Westminster 9, % Arabic (0.9%) Sandwell 12, % Panjabi(1.8%) Polish(0.7%) Blackburn & Darwen 5, % Gujarati(1.3%) Panjabi(1.1%) Urdu(0.6%)

13 Census 2011: Mix of languages amongst people who say their main language is not English AND do not speak English well or at all, by Local Authority (top 21-40) Local Authority Total number who do not speak English well % who do not speak English well Languages spoken by more than 0.5% of people amongst those who do not speak English well or at all Barnet 13, % Polish(0.6%) Lambeth 10, % Portuguese (0.7%) Polish(0.7%) Oldham 7, % Bengali(with Sylheti and Chatgaya)(1.5%) Panjabi(0.8%) Urdu(0.6%) Barking & Dagenham 6, % Lithuanian(0.6%) Bengali(with Sylheti and Chatgaya)(0.6%) Merton 6, % Polish(0.8%) Manchester 16, % Urdu(0.6%) Wolverhampton 8, % Panjabi(1.8%) Islington 6, % Turkish(0.6%) Camden 6, % Bengali(with Sylheti and Chatgaya)(0.8%) Hillingdon 8, % Panjabi(0.8%) Bedford 4, % Polish(0.9%) Panjabi(0.6%) Coventry 9, % Panjabi(0.7%) Polish(0.5%) Pendle 2, % Panjabi(1.8%) Derby 6, % Panjabi(0.7%) Gravesham 2, % Panjabi(1.2%) Nottingham 8, % Polish(0.6%) Kirklees 10, % Panjabi(0.9%) Rochdale 5, % Urdu(0.7%) South Holland 2, % Polish(1.3%) Lithuanian(0.6%)

14 Number of people who do not speak English well or at all: Top 40 Local Authorities (Census: 2011) Local Authority Bengali Urdu Gujarati Lithuanian Panjabi Polish Somali Arabic Turkish Latvian Pakistani Pahari Portuguese Tamil TOTAL London Midlands North South Totals 24,031 16,583 21,464 6,937 27,439 37,321 1,481 3,415 14,790 1,676 1, , ,313 10,640 4,344 4,077 6,131 10,412 4, , , , ,980 3, , , ,853 34,671 22,333 25,541 13,653 54,831 46,306 1,481 3,415 16,639 1,676 1, , ,519

15 National demand for BSL interpreter services Area Name Number of deaf signers aged 15+ Number of interpreter sessions if Primary Care contact is 1x annually Number of interpreter sessions if Primary Care contact is 5x annually North of England 14,047 14,047 70,235 Midlands and East of England 15,096 15,096 75,480 South of England 12,959 12,959 64,795 London 7,549 7,549 37,745 TOTAL 4,965 4, ,255

16 National demand for Community Language interpreter services Area Name Number of people who do not speak English well or at all Number of interpreter sessions if Primary Care contact is 1x annually Number of interpreter sessions if Primary Care contact is 5x annually North of England 21,395 21, ,975 Midlands and East of England 31,958 31, ,790 South of England 1,853 1,853 9,265 London 135, , ,565 TOTAL 190, , ,595

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