Breaking down language barriersBMJ 1998; 316 doi: http://dx.doi.org/10.1136/bmj.316.7143.1476 (Published 16 May 1998) Cite this as: BMJ 1998;316:1476
The NHS needs to provide accessible interpreting services for all
- David Jones, Lecturer,
- Paramjit Gill, Senior lecturer
- Department of Primary Care and Population Sciences, Royal Free and University College Medical Schools, Whittington Hospital, London N19 5NF
- Department of General Practice, Medical School, Birmingham B15 2TT
The movement of human populations over vast distances in the search for a better or safer life is not new,1 but the 20th century has been distinguished by migration on a unprecedented scale: 90 million people may now live outside their country of birth, over 13 million of them refugees.2 Their countless individual journeys have transformed the demographic characteristics of large Western cities, which are now home to many different minority ethnic communities.
The NHS was established before the period of greatest immigration into the United Kingdom, and doctors could once have expected to share the same culture and language as their patients. This expectation has changed— minority ethnic groups comprise 6% of the UK population3—but it is far from clear that the NHS as a whole has changed rapidly enough, especially in the inner cities, to meet the challenge posed by patients whose …