CuLturally Adapting pRimary care mENtal health for the UK Central and eastern European community.

CLARENCE is a Wellcome Trust funded PhD research project led by Dr Aaron Poppleton, a General Practitioner and Clinical Academic in School of Medicine (Mental Health and Wellbeing) and the Institute for Global Health.

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Over 2 million Central and Eastern Europe nationals live in the UK (Polish, Romanian, Lithuanian, Latvian, Hungarian, Czech, Slovak, Slovene, Bulgarian, Estonian, Moldovan, Ukrainian, Russian and others). Compared with UK nationals, Central and Eastern Europeans have relatively low levels of general practice registration and use. This is particularly true for some conditions, including mental health.

The overall aim of the CLARENCE project is to improve the experience of General Practice for people from Central and Eastern Europe who live in the UK.

CLARENCE commenced in October 2020 and is taking place over four stages:

Stage 1 will explore Central and Eastern Europeans’ experiences of living and wellbeing in the UK, including what it is like to use general practice services and the impact of Brexit and the COVID-19 pandemic.

Stage 2 will ask General Practice staff about their experiences of providing care and wellbeing support for Central and Eastern Europeans in the UK.

Stage 3 will work closely with Central and Eastern Europeans in the UK, findings from stages 1 and 2 will be used to co-design guidance and resources to improve their experience of using General Practice.

Stage 4 will test and refine resources and guidance from stage 3 within General Practice.

Taking part

For further information about CLARENCE including how to take part please contact researcher Dr Aaron Poppleton -


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