This document was once written via Medact Bristol in collaboration with ACORN the Group Union, and citizens at Barton Area.

“We do not feel safe here”: An urgent call for safety, dignity and justice for Bristol’s Barton House Residents

Contents

Foreword by ACORNIntroductionMethodsThe evacuationReturning to Barton HouseOngoing trauma and chronic anxiety Long-standing issuesSilencing, dehumanisation and mistrustConclusionRecommendationsReferences

Within the shadow of Barton Area, underneath watchful skies, Pricey John Smith, pay attention those heartfelt cries. Don’t drive us again to a spot we worry,  The place the partitions echo sorrows, too painful to undergo.  You’ve noticed the scars, the ache self inflicted,  A determined plea, in a global constricted.  Two solicitors stood via your aspect,  Signing experiences, during which truths conceal.  If one thing occurs, if the worst involves be,  Have in mind those phrases, a solemn decree:  The quilt up, the signatures in ink,  Received’t silence the reality, nor the hyperlink.  This isn’t only a development, now not simply stone and mortar,  It’s about lives, hopes, and seeking to order  A greater long term, the place protection’s now not a present,  However a proper, for all, to uplift.  John Smith, rethink, take heed of this plea,  We’re greater than numbers, let our worries be loose.  For finally, it’s now not about who’s responsible,  However how we act, in humanity’s identify.

Aalliyah Absiye12 12 months outdated resident of Barton Area, 2024

Foreword via ACORN

We, the ACORN contributors residing in Barton Area, were combating since November 14th 2023 for justice.

We now have been via a nightmare since our surprise evacuation on November 14th. Verbal exchange from Bristol Town Council leaders was once insufficient, transient lodging undignified and hazardous, and we’ve many questions on why our block’s structural problems weren’t addressed previous. 

Our calls for of council leaders, written via us and constant since November 2023, are easy and transparent:

Band 1 pressing prioritisation for the rehousing of Barton Area citizens who don’t really feel protected within the block

All citizens will have to be compensated for the misery and prices incurred from the evacuation

An unbiased investigation into what has took place at Barton Area particularly and extra extensively the protection of council blocks around the town.

There were energetic ACORN contributors in Barton Area for over 5 years, and greater than a 3rd of Barton Area families are contributors of the union. Our union club supposed we have been in a position to do so and combat for the simply remedy of the citizens of our block. We now have been combating for our households and our neighbours to be handled with dignity and appreciate because the night time of the evacuation. We wrote to council leaders, and after being neglected, have been compelled to take public motion keeping council leaders to account on many events. We held a public duty assembly, made our voices heard in council conferences, and occupied the entrances to council constructions to ensure our message was once heard.

Forward of native elections in 2024, many Inexperienced Birthday celebration councillors, at that time in opposition, signed an open letter asking the council to fulfill our calls for. The Inexperienced Birthday celebration now leads the council. One of the most signatories have transform leaders of the council and chairs of coverage committees, and in a single case an area MP. However unfortunately, virtually a 12 months because the Inexperienced Birthday celebration was once elected at the promise of a brand new and advanced strategy to main our town, those calls for have nonetheless now not been met. The ones folks that voted for those councillors are actually asking whether or not they’ve modified since they were given elected. What took place to main Bristol otherwise?

As you are going to learn within the pages that practice, we’ve been via a deeply traumatising revel in. We are saying to council leaders: it’s time to do proper via us.

Creation 

In August 2024, contributors of Bristol Medact have been approached via citizens of Barton Area who felt that the scientific problems they have been experiencing because of residing in unsafe and undignified housing have been being neglected via decision-makers. As healthcare pros, we’re acutely aware of the significance put on our judgement in making choices about folks’s lives and well being. 

Inside the Nationwide Well being Provider, obtaining a qualified opinion from a physician to enhance housing wishes is turning into an increasing number of inaccessible for many of us because of systemic limitations. We now have heard from Barton Area citizens that they have got been not able to get those letters from docs who’ve been not able to or practices that experience required an prematurely cost. In spite of this, many citizens have collated scientific proof from their healthcare pros, social staff and lecturers to enhance their requests for rehousing. Those folks and their tales have to this point been neglected. 

With this document it’s our purpose to enlarge the voices of Barton Area citizens and the calls they’ve been making for protected and dignified housing over the last 12 months. We provide testimonies and findings from interviews and discussions with citizens and stakeholders, synthesising them along our personal skilled judgement as healthcare staff to name for motion.

Although the structural problems with the tower block were reported as resolved, many nonetheless really feel afraid and hazardous. Recollections of a poorly-coordinated evacuation and long displacement are relived in on a regular basis lifestyles. This has intersected with the consequences of residing in overcrowded, mouldy and chilly housing, bodily inaccessibility, and systemic racism. The outcome has been a collective trauma affecting generations of citizens which must were fully avoidable.

Given the quantity, severity and persistent nature of those overlapping hectic reviews, we argue that the cases of Barton Area citizens are certainly outstanding and that those outstanding cases require an pressing reaction. This document does now not constitute all citizens residing in Barton Area nor do we propose that the answer would be the similar for everybody. Some citizens must be rehoused, whilst others might make a choice to stick. We urge resolution makers to heart the honor and humanity of citizens via in the end being attentive to them and giving them what they want to really feel protected. 

Strategies 

In August 2024, Medact Bristol began to paintings in collaboration with ACORN Bristol and Barton Area citizens. The purpose was once to know and collate the reviews of citizens surrounding the Barton Area evacuation and its ongoing affects.

We started via attending group conferences organised via ACORN and Barton Area citizens at Barton Area. We heard about citizens’ reviews of lifestyles within the tower block and the evacuation in November 2023. 

We then invited all citizens for particular person interviews with us. Those have been performed on eighth and November twenty third 2024 in citizens’ houses. In overall we interviewed 9 families, starting from 3 to 6 population in each and every. In February 2025 we held two additional “drop in” classes for citizens in Barton Area, as a possibility to offer comments at the document and to present additional testimonies.

A “consent and ethics” written settlement was once shared with citizens previous to interviews. Verbal consent was once got previous to the interview date and checked once more earlier than beginning the interviews. We used semi-structured questions and similtaneously recorded written testimonies. 

This document has been co-written via Medact Bristol, ACORN and Barton Area citizens to synthesise our findings. We provide testimonies from interviews {and professional} judgement in response to Medact Bristol’s collective reflections over the process our paintings with citizens. 

We provide the series of occasions earlier than, all the way through and after the evacuation, highlighting the well being affects of the hurt brought about via the evacuation and next remedy of citizens. We finish with our skilled suggestions as healthcare staff and enlarge the calls for of citizens.

The evacuation

At the night of November 14th 2023, citizens residing in Barton Area got surprising and alarming warnings concerning the development’s protection. Bristol Town Council knowledgeable the citizens that they needed to evacuate straight away because the development was once vulnerable to collapsing. Round 400 adults and youngsters have been evacuated in a single day to common practices and puts of worship. Citizens have been then moved onwards to accommodations around the town the place they spent months residing in limbo, and not using a transparent timeline for after they would have the ability to safely go back house.

Recalling the occasions of the evacuation, many described the worry and panic they skilled. Citizens spoke concerning the surprising nature of the evacuation and the loss of communique from the council. A number of folks shared that they first realized that they had to evacuate from resources instead of the council – together with on-line information retailers, reporters who had accumulated out of doors of the development, and in a single case the headteacher in their kid’s college. 

“I used to be within the flat, cooking… I won a choice from my son’s college. They have been observing the scoop concerning the evacuation and sought after to be sure that I used to be k… that was once the primary I heard concerning the evacuation… once I went out of doors there was once numerous confusion, panic… some folks idea it was once a hearth.”[Interview 6]

“We heard it via a information article earlier than the council. BBC out of doors our flat, everybody was once puzzled, then council folks chaotically operating about telling folks to attend their flip but additionally knocking on doorways announcing folks needed to depart.”[Interview 1]

“How have been reporters stepping into earlier than we have been evacuated? How did they in finding out earlier than the citizens knew…we came upon from the reporters! Just a few hours after status out within the chilly was once when the council became as much as supply clarification.”[Interview 12]

Those that didn’t talk English have been particularly prone, suffering to know what was once occurring and what they must do. Many citizens felt that little attention was once made via the council referring to protected and efficient communique with the citizens, together with the will for translators. The accountability to translate incessantly fell to kids and younger folks. The loss of coherent communique from the council led citizens to be puzzled, misinformed and distressed.

“We were given house from the park at 4. We went into the raise and a lady stated you want to depart, it’s now not protected. My English was once restricted however I understood. Other folks have been announcing various things – any individual was once seeking to set the homes on hearth, any individual was once burgling the flat, that it was once about to collapse. I didn’t know what to imagine so I locked myself in the home with the kids whilst everybody else left the development.”[Interview 8]

The urgency of the evacuation and the state of the development’s protection was once now not made transparent to the citizens, such a lot of left hastily with out taking any property. There have been experiences of accidents sustained within the rush to evacuate. Some citizens ventured again in to assemble very important pieces, leaving their family ready out of doors in worry that they are going to die within a collapsing development.

“A person from the council stated ‘get out straight away, the development is collapsing now, from the ground’. He stated he had come instantly from town council assembly. I picked up my three-year-old and left. I had simply had a leg operation so I fell down a couple of instances.” “When my husband went again into the development to fetch our garments, my daughter was once crying ‘no please no please no please’.”[Interview 4]

Something that was once transparent and common to all citizens we interviewed was once the sense of panic and worry they felt that night. Many citizens discovered it tough to speak about the evacuation because of the distressing recollections it introduced again. Some citizens would transform visibly disenchanted, while others looked as if it would transform moderately emotionally shut-down and vacant. Some have been ready to remember explicit occasions, while others struggled to bear in mind huge chunks of time. All of those are feature indicators and signs of people that have skilled a hectic match.

Motels and transient lodging

Loss of hygiene

Citizens of Barton Area spent the wintry weather of 2024 residing in disused, unclean and overcrowded resort rooms. They have been not able to get admission to their property and weren’t supplied most of the issues they had to keep wholesome. Many households have been compelled to are living in a single room shared between two adults and a couple of kids. This incessantly supposed sharing a double mattress between 3 folks, with others drowsing in makeshift camp beds or at the flooring. Those rooms have been typically very small, with little to no air flow or room for kids to play or transfer round. Some rooms have been windowless. Households have been incessantly not able to get admission to outside house, with some spaces of the accommodations reserved for visitors most effective. 

“We have been moved into grimy, dusty rooms which was once to start with most effective supposed to be for 3 to seven days, however we ended up there for 6 months.”[Interview 1]

Virtually all citizens who went to accommodations spoke about how grimy their rooms have been after they moved in. Without a cleansing provides of their very own (equivalent to vacuum cleaners), households have been compelled to are living in unclean and unhygienic prerequisites that worsened over the years. For lots of this now not most effective felt dehumanising, however it additionally began to have noticeable results on their bodily and psychological well being. The ones with pre-existing prerequisites equivalent to bronchial asthma reported worsening signs, particularly among kids.

“The entire time we have been there [the hotel], the carpets have been by no means hoovered as soon as.”[Interview 6] 

Outbreaks of infectious sicknesses

Various infectious illness outbreaks and infestations have been reported, together with norovirus, chickenpox and bedbugs. Citizens being housed within the Vacation Inn skilled a couple of norovirus outbreaks. Norovirus is a extremely contagious virus which incessantly results in profuse diarrhoea and vomiting. Norovirus outbreaks are much more likely to happen in unsanitary prerequisites. More than one households discussed having to take their kids to A&E to be handled for dehydration because of the severity of the illness. 

One mom described how each her small children had recurrent diarrhoea and vomiting, leading to dehydration and 3 A&E attendances in a single week. At one level, the dehydration become so serious that her 18-month-old daughter needed to be admitted to health facility. Her circle of relatives have been given letters of enhance for rehousing from their paediatrician, GP and well being customer, all of whom had issues concerning the have an effect on the lifestyles on the resort was once having in this kid’s well being. 

Previous to turning into unwell within the Vacation Inn, there have been no issues about her well being and building. She was once ready to mention a couple of phrases, in step with the predicted milestones for her age. Following hospitalisation, she become non-verbal and her behaviour modified, along with her mom describing her as “a special kid”. She is now 3 years outdated and he or she stays non-verbal. She is at the ready listing to be assessed for autism. A nursery has became her down because of the excessive wishes that they didn’t really feel ready to deal with. Consequently, her father needed to drop his paintings hours from six to 3 days a week to be able to enhance the mummy at house. This supposed they went from being financially unbiased to having to assert advantages. The mummy spoke about how her psychological well being has been considerably suffering from all of this, and described Barton Area as “cursed” [Interview 9]. The daddy reported a relentless state of fear that his well being too might become worse leaving his circle of relatives much more prone. 

“I fear an excessive amount of… I fear about my spouse, then comes my daughter… an excessive amount of drawback… ask Allah please don’t come for our well being as a result of we undergo.”[Interview 9]

Deterioration of present well being issues

We heard distressing tales from citizens who have been not able to maintain themselves or their family members’ wellbeing. The transient lodging was once undeserving for lots of citizens who both become sick or have been disabled. Loss of get admission to to refrigerators to retailer medicine or areas to heal incessantly ended up making folks’s hard-to-manage prerequisites even worse. We spotlight two tales underneath from citizens who we imagine had vital deterioration in their well being because of the transient lodging. 

At first, a unmarried mom and resident of Barton Area had serious bodily well being issues associated with rheumatoid arthritis. Previous to the evacuation her flares of arthritis had every now and then been so serious that she become bed-bound and required carers visiting a couple of instances an afternoon. After the evacuation she and her kids have been moved to a resort. Right here that they had no refrigerator to retailer her medicine, and he or she subsequently had to make use of the refrigerator within the eating place downstairs. If the eating place closed then she may now not get admission to her medicine. This might purpose agony, each for the mummy and her kids who watched her struggling however may do little to lend a hand. In any case, as no answers have been coming near near from the council, fellow citizens ended up fundraising between themselves to shop for her a refrigerator in order that she didn’t must proceed with such ache and indignity. 

Secondly, a mom had lately given beginning to her youngest kid 4 days previous to the evacuation. The beginning itself have been sophisticated via issues concerning the child’s slowing center charge, which resulted in shipping by means of an emergency C-section. After the shipping, the C-section wound become inflamed and required extensive remedy with antibiotics. Virtually once she returned house, she and her circle of relatives have been compelled to evacuate their house. She had already began to fight with low temper post-delivery, and this worsened considerably following the evacuation and the prerequisites on the Vacation Inn resort. She was once slightly drowsing, become extraordinarily forgetful and different citizens would incessantly in finding her strolling aimlessly across the resort showing misplaced. She additionally began to showcase being worried indicators of paranoia, one thing that most probably worsened via being in such an unfamiliar and restrictive surroundings. 

Within the context of such excessive ranges of rigidity, she stopped generating breast milk. On the other hand when she attempted to heat up method milk, body of workers on the resort would incessantly refuse to lend a hand. Her well being customer become so involved that they asked the council supply emergency lodging clear of the resort, however this request was once denied. Her two different small children (elderly 3 and 5) additionally began to transform extraordinarily frightened and ultimately refused to consume. In any case the circle of relatives made the verdict to go back to Barton Area after simply 3 weeks, risking the unknown since the state of affairs had transform this kind of risk to their collective bodily and psychological well being. 

Loss of suitable meals and diet

Meals and diet have been primary problems within the accommodations. Maximum households we spoke to described the equipped meals as poor-quality and incessantly inedible, particularly for kids. There was once no get admission to to cooking amenities, and plenty of rooms didn’t have refrigerators to retailer food and drinks. One mom described turning into so anxious about her kids’s loss of meals consumption that she began going again to her flat to arrange foods. On the other hand when she then introduced those foods again to the resort they have been confiscated via body of workers. 

“After we have been residing within the resort my kid incessantly went to sleep hungry.”[Interview 6]

Issues have been raised via citizens about each the sanitation and dietary worth of the foods. The foods have been connected to the continuing episodes of gastroenteritis. Those compounding issues ended in many households spending a big portion in their revenue or financial savings on ordering meals into the resort. One circle of relatives reported having most effective £26 left in their £5,000 financial savings because of those meals prices [Interview 12]. 

One circle of relatives described being moved to a resort at the fringe of Bristol all the way through Ramadan. The adventure to their mosque took two hours via bus, and the native house had no halal retail outlets or eating places. The malls have been incessantly closed within the evenings when the circle of relatives had to consume. Paying attention to those tales, it has transform transparent to us that citizens weren’t rehoused “in ways in which meet their private, non secular and cultural necessities” as really useful via the Grenfell Tower Inquiry Segment 2 Record (2024). 

Have an effect on on kids’s well being and schooling

Many households described the continuing results on their kids’s well being and their emotional, social and behavioural building, with kids suffering to regain wholesome weight and enlargement being limited in comparison to earlier than the evacuation. The affects of malnutrition, along repeated outbreaks of infectious sicknesses, has put avoidable bodily and mental rigidity on kids and adults. Including to this was once the disruption brought about via inaccessible transient housing which failed to meet instructional and social wishes of kids and households in a time of disaster. We heard many households provide an explanation for that they nonetheless really feel their kids have not begun to get well .

Many households reported vital disruption to their kids’s schooling. Youngsters and younger folks discovered it tricky to focal point in class and entire homework after college. For youths and younger folks, many reported the adverse affects of this on their examination arrangements and next effects. Folks of kids who began to fight in class have been incessantly compelled to scale back their running hours to adopt additional childcare obligations.

For no less than one circle of relatives, the adventure to college took one and a part hours door to door [Interview 1]; some other circle of relatives who have been positioned in the similar resort reported having to depart each and every morning at 5:30am to be able to get their kids to college on time [Interview 3].

“The day after the evacuation, I used to be known as via my daughter’s trainer, asking if I used to be k. My daughter have been crying concerning the development collapsing.”“The headteacher of 1 kid’s college additionally got here to the Vacation Inn to seek advice from the circle of relatives.”[Interview 4]

The consequences on kids with disabilities and neurodevelopmental prerequisites have been much more profound. One mom advised us about her autistic kid who already had a seriously limited nutrition and was once not able to make his same old meals while within the resort. The consequences on her son have been drastic. While on the resort he misplaced a vital quantity of weight, and was once ultimately prescribed Fortisip (a high-calorie complement drink) via his GP because of malnourishment. He additionally refused to make use of the bathroom within the resort, which resulted in the usage of diapers which continues to at the moment. In class he have been glad, however issues deteriorated briefly. His mom described how he began crying and his behaviour become tougher to regulate. She was once incessantly having to pick out him up early, most effective to carry him house to a spot that distressed him much more. In the end the college stated they may now not cope and he was once compelled to transport college. After some weeks, the circle of relatives have been presented choice lodging at the fringe of Bristol, then again this most effective made their lives even more difficult because of difficulties with delivery, particularly when it got here to getting the 2 kids to 2 other colleges. The mummy described looking forward to hours out of doors within the chilly of wintry weather for taxis ordered via the council that now and again by no means arrived [Interview 6].

Returning to Barton Area

By means of the tip of February 2024, Bristol Town Council declared Barton Area protected for go back following surveys and structural restore works. The have an effect on of the occasions on citizens’ bodily and psychological well being, schooling, paintings, sense of safety and financial balance have been abundantly transparent. 

After residing via a number of hectic months, citizens have been sceptical concerning the remark from the council that Barton Area was once now protected. Many citizens had misplaced agree with within the council and its talent to offer them with protected housing. Maximum adults we spoke to fight to imagine {that a} development that was once supposedly vulnerable to cave in will have now been made protected with some additional reinforcement. 

“I by no means sought after to return again. They didn’t display us why it was once now protected. They advised us 85% of the development was once protected. It made me so disenchanted. I don’t know why they handled us like this. They want to take a look at us and spot that we’re human.”[Interview 7]

“They retain checking out the wall with a gadget. I requested why, and he stated ‘I’m now not allowed to let you know’. The council haven’t advised somebody what’s occurring with the development. They’re hiding one thing.”[Interview 4] 

Maximum households we spoke to described having some type of grasp bag via their entrance doorways, in preparation for some other emergency. Some households reported even drowsing in tracksuits to ensure they may well be in a position to depart at any time. They are living in consistent worry for his or her protection, anxious concerning the prospect of fires and of the development collapsing. The sounds of common hearth alarms most effective serve to fortify the sense that doable tragedy is solely across the nook. Youngsters and adults document disturbed sleep, mendacity in mattress being worried about when they could have to depart once more in the course of the night time. 

“If you’ll’t calm down in a development, it’s now not your house… Once I get up, I thank God that the development didn’t cave in within the night time.”[Interview 7]

Threats and police involvement

Citizens spoke about their company and autonomy being denied. They described threats from the council of being made homeless or referred to social products and services in the event that they refused to transport again to Barton Area. The coercive nature of this has been highlighted via native and nationwide information resources (Using 2024).

One unmarried mom described how she and her kids have been so determined now not to go back to Barton Area because of their fears about protection that she ended up locking herself within the resort room. The police have been then known as to take away her, which was once completed with out somebody from the council provide. We now have heard a number of tales of escalation via the council to the police, both according to protest or to offer protection to contributors of body of workers as they visited Barton Area. We can not overstate the impact of this heightened police presence in re-traumatising citizens, particularly amongst Black and racialised communities who’re subjected to day-to-day systemic violence from overpolicing (Dodd 2025). 

“Should you don’t depart the resort via ‘x’ day, then your house goes to visit any individual else and also you’ll be homeless.”[Interview 1]

Fireplace alarms

Following the go back to Barton Area many hearth alarms have been put in via the council in particular person properties and corridors. All through a hearth alarm the lifts quit working and a noisy, deafening sound is heard right through all of the rooms of the development. Fireplace alarms incessantly take many hours to prevent as the corporate liable for the alarms is positioned in Swindon. 

A in particular egregious incident surrounding hearth alarms took place on December 1st 2024 supplied a transparent instance of why citizens proceed to are living in close to consistent worry for his or her lives. The hearth alarm went on early within the morning forcing aged folks and the ones with disabilities to be “dragged down from the 14th ground”. In step with some of the citizens we spoke to, they needed to wait for lots of hours within the chilly early December climate whilst the alarm was once stopped. Those incidents depart citizens feeling scared and reminded of the harrowing occasions just a 12 months prior. 

“At night time you don’t really feel at ease drowsing, adore it feels adore it may simply cave in… We don’t really feel protected right here, we don’t agree with the fireplace alarms, they’re in each and every room.”[Interview 1]

“That is unacceptable and doesn’t really feel like house for my circle of relatives. It’s frightening and reminds us of closing November’s evacuation.”[Interview 3]

All through one in all our interviews mentioned within the earlier part, we met the mummy of 2 autistic kids – son elderly six and daughter elderly seven. After returning to Barton Area, the son remained non-verbal and required nappies for over a 12 months. His mom describes how delicate he’s to noises, and the way tricky it may be to regulate his behaviour as soon as he turns into emotionally heightened. The daughter may be particularly delicate to noises, and can run when feeling crushed. The mummy described how each and every time a hearth alarm is going off her daughter straight away tries to expire of the flat. Chasing her is difficult sufficient, then again what this mom worries about much more is that the brother will practice her: “If I’m now not there he may simply climb over the balcony wall (and fall)” [Interview 3]. Some other mom who additionally has an autistic son described equivalent fears, how her son has “no sense of threat” [Interview 6] and may simply climb over the wall out of doors in their eleventh ground flat. 

Ongoing trauma and persistent nervousness

A mass-traumatising match

The have an effect on of the evacuation and lifestyles in Barton Area has had profoundly unintended effects at the adults and youngsters, and for lots of returning to Barton Area continues to price them their well being and wellbeing. Via our paintings it has transform abundantly transparent that the evacuation was once a mass-traumatising match. In our interviews, citizens often reported nervousness, low temper and hypervigilance, a distressing and disabling symptom often noticed following hectic occasions. The bodily well being of citizens has additionally suffered from the consequences of persistent psychological rigidity in addition to the appalling prerequisites of the transient lodging. Maximum particularly, we discovered proof of worsening respiration illness, pores and skin prerequisites, and debilitating affects on sleep and consuming.

A large number of experiences in nationwide and native information have detailed post-traumatic rigidity disorder-like signs of citizens (Heath et al. 2023; Boobyer 2023; Jones 2024; Raval 2024; Wall 2023). There’s no scarcity of reminders of the loss of protection within the tower block that the citizens now are living with day-to-day, together with inaccurate alarms, overcrowded apartments, damaged lifts, mold, damp and ongoing structural problems. This has supposed that many have now not been ready to transport past the sense of worry and panic that began over a 12 months in the past.

“I don’t sleep effectively. I’m interested by how I will be able to evacuate my youngsters if the rest occurs. I don’t sleep till 5 within the morning. Each and every little noise, if I pay attention sirens, I stand up to test what’s occurring. The loss of sleep impacts my process.”[Interview 4]

Citizens document emotions of tension that purpose panic assaults at what was once commonplace lifestyles occasions. This might come with knocking on the door, whispers out of doors and even seeing any individual you don’t recognise within the development. Any of those may well be interpreted as indicators of an imminent emergency evacuation. Some citizens needed to search psychological well being enhance for those difficulties together with GP visits, counselling and play treatment. For some citizens this rigidity and nervousness has resulted in bodily well being problems and exacerbating sickness for the ones with pre-existing well being prerequisites. 

“The tension has impacted my well being… I’ve had fibromyalgia for 8 months. I evolved it after the evacuation. I am getting ache and tiredness. It makes it tough to transport… My blood force is excessive. I’m scared of strokes as it will get so excessive.”[Interview 7]

“My kids are nonetheless fearful of the development collapsing. They’re all the time asking me ‘do you pay attention one thing?’”“My fourteen-year-old daughter feels unsafe and he or she incessantly cries. She says ‘my center is telling me one thing dangerous goes to occur quickly’. My more youthful daughter is identical. They each inform me it’s now not protected. Each day at dinner they ask whether or not we’re going again to the Vacation Inn.”[Interview 4]

Those statements from kids are a surprising indication of ways unsettled and hazardous they really feel of their houses. The human rights of kids residing in the United Kingdom are outlined in more than a few items of regulation. The United Countries Conference at the Rights of the Kid (UNICEF 1989) states obviously the rights to well being, schooling and a protected house. When a kid feels unsafe of their house, this affects get admission to to different rights together with well being and schooling.

Monetary rigidity

Extended displacement in transient lodging has ended in vital monetary prices for many of us, particularly households with small children. We heard a couple of tales of folks being driven additional into poverty because of the evacuation and persistent disrepair within the development. As an example, one mom recounted how she was once charged disproportionate sums of cash via the emergency lodging following damages made via her toddler son interacting inside of an beside the point residing surroundings and elementary child proofing measures she needed to take to lend a hand give protection to him equivalent to putting in protection locks on kitchen drawers containing knives [Interview 12]. 

With little get admission to to cooking amenities, many households have been compelled to pay massive surprising prices for meals (as mentioned within the part above on accommodations and transient lodging). Moreover, when households have been positioned some distance from their communities and colleges, in spaces that weren’t hooked up via public delivery, they discovered themselves depending on taxis. Despite the fact that the council supplied some taxis they have been restricted and unreliable and didn’t meet maximum citizens’ wishes. 

“All folks spent some huge cash, when there weren’t taxis to be had. They gave bus passes for one month just for college run – the remainder of us have been caught or there was once a taxi carrier most effective to paintings and again, however couldn’t e book all the way through the week, now and again ready one to at least one and a part hours for a taxi.”[Interview 12]

Many households were spending vital quantities of cash to wash the mold of their apartments and to deal with flooding that resulted from structural problems within the development. One circle of relatives recalled how they have been supplied most effective with a one-week condominium of a dehumidifier for flooding of their flat, and when this unsurprisingly didn’t unravel the damages they got just a £20 voucher to place against redecoration prices which incorporated the want to set up new carpets [Interview 12]. 

It’s extensively established that residing in poverty has a profound have an effect on on folks’s well being and their get admission to to healthcare products and services (Mallorie 2024). As healthcare pros, we’re deeply involved that the failure to account for those prices and compensate citizens reasonably continues to result in hurt via pushing folks additional into precarity and inflicting further rigidity on their psychological and bodily well being.

Lengthy-standing problems

You will need to rigidity that the consequences of the evacuation are inextricably connected to and compounded via long-standing poor-quality and hazardous housing prerequisites in Barton Area. This coupled with long-term forget and undignified remedy, has already price the citizens some distance an excessive amount of.

Paying attention to the citizens, it’s transparent to us that the well being affects of the evacuation are rooted in a fancy internet of persistent problems. Overcrowding, chilly, mold and bodily inaccessibility have intersected with the worry, nervousness and trauma of the evacuation. For lots of citizens this has ended in them feeling just like the position they are living in is a continuing risk to their well being and lifestyles.

Overcrowding

Barton Home is a council block comprising 98 apartments – 84 of that are two-bedroom and 14 are one-bedroom. There are an estimated 400 folks residing in Barton Area, of which round 100 are kids. One of the crucial not unusual topics we heard about and noticed as we visited households residing in Barton Area was once overcrowding and the impact this has on each and every side of citizens’ lives.

“My two kids can’t sleep in combination in a single room. One in every of them is extremely delicate to noise and can not have somebody in his house, and the opposite makes very loud noises when she sleeps. They each incessantly wake within the night time… This has supposed that me and my husband will typically finally end up drowsing at the settee in the lounge. I finally end up seeking to sleep all the way through the day when they’re in class, however I’m all the time drained, I by no means sleep effectively.”[Interview 3 – a mother of two autistic children who have significant support needs]

“How can an 11, 14, and 15-year-old are living in the similar room? My 2d daughter, she has her duration now. And he or she is in the similar room as my son.”[Interview 4]

It isn’t atypical to listen to about households with 3 or extra kids residing in cramped two-bedroom apartments. Combined gender siblings over ten years of age have been having to proportion rooms which raises issues round protection. This housing state of affairs is going without delay towards the Bristol Town Council Housing Allocations Scheme (Bristol Town Council 2024).

The bedrooms are typically large enough for one double or two unmarried beds. On the other hand in lots of apartments households have needed to adapt. This may occasionally imply 3 kids sharing one room, with house just for beds and no different furnishings or garage. For some it has supposed folks desiring to sleep in the lounge. Those environments don’t seem to be have compatibility for a couple of kids to play, find out about and thrive as effectively.

Continual overcrowding in housing environments has far-reaching implications for each bodily and psychological well being, affecting kids and adults in distinct however overlapping tactics. Overcrowding additionally facilitates the fast unfold of infectious sicknesses, equivalent to tuberculosis and influenza, as bodily proximity reduces the effectiveness of private and environmental hygiene measures (Baker et al. 2013). The tension of residing in confined, noisy, and incessantly chaotic areas exacerbates psychological well being issues, main to raised charges of tension, despair and sleep disturbances (Evans et al. 2000). For kids, overcrowded residing environments impair cognitive building, prohibit alternatives for find out about and play, and building up behavioral problems because of the loss of private house and privateness (Solari & Mare 2012). Adults in such prerequisites document increased rigidity ranges, strained interpersonal relationships, and greater circle of relatives war, all of which will give a contribution to long-term mental misery (Gove et al. 1979).

The compounding results of overcrowding are in particular serious in low-income families, the place insufficient housing high quality is extra prevalent, additional perpetuating well being disparities and social inequities.

Chilly, damp and mold 

Virtually all citizens we spoke to have skilled issues of chilly, damp and mold. That is unsurprising for the reason that overcrowding incessantly results in deficient indoor air high quality, damp prerequisites, and mold enlargement because of inadequate air flow and over the top moisture from overcrowded utilization of amenities (Fisk et al. 2007). 

A up to date documentary made in collaboration with tenants and healthcare staff highlights the well being affects mold may have on folks’s well being (Medact 2024). Barton Area citizens in a similar way raised issues concerning the long-term have an effect on of this on their well being, and particularly the well being in their kids. 

“There may be damp and mold in mine and my kids’s room. It smells. My son is affected the worst. It’s continuous – he has itchy eyes and is sneezing always. His eczema is actually dangerous. He now has marks on his legs and arms, now and again even bleeding. He’s embarrassed to visit soccer apply. He can’t sleep at night time as a result of he’s itching.”[Interview 4]

“I’ve 3 small children. All have serious eczema. The GP prescribes them steroid lotions, however it isn’t sufficient. We now have attempted the whole lot – converting their nutrition, ensuring they get contemporary air. However my spouse was once advised that the development is inflicting the kids’s eczema. After the evacuation, we have been briefly rehoused in Redcliffe for 2 months. The youngsters’s pores and skin were given significantly better all the way through this time. Then, we got here again to Barton Area and it were given worse once more. We’ve spent such a lot time speaking to the council, however nobody helped.”[Interview 11]

Many younger folks residing in Barton Area be afflicted by poorly-controlled respiration sicknesses, incessantly bronchial asthma. The risk to well being from mold and damp can’t be understated. Nationally, this was once highlighted after the dying of 2 12 months outdated Awaab Ishak, whose inquest concluded that the reason for dying incorporated extended publicity to mold and damp (Kearsley 2022). Continual publicity to chilly, damp and mouldy residing prerequisites poses severe dangers to the bodily and psychological well being of each kids and adults, exacerbating present well being disparities (Shiue 2016; Mendell et al. 2011; WHO 2009). 

“In 2020 the council modified the home windows however the brand new glass didn’t moderately have compatibility the outdated frames, and the entire development become chilly since the warmth escapes and chilly is available in. The chilly makes my aches even worse.”[Interview 7]

“We’ve had 12 years of terrible mold. Two of my 3 kids now have serious bronchial asthma… there will have to be a hyperlink.”[Interview 1]

“The ambulance is right here each and every two to 4 weeks on account of my six-year-old daughter’s bronchial asthma assaults… we strive and blank the mold within the flat however it’s in every single place.”[Interview 18]

Past the bodily results, chilly, damp and mouldy residing environments are strongly related to greater mental misery, together with nervousness and despair, incessantly pushed via the tension of insufficient housing and its perceived stigma (Clair & Hughes 2019). For kids those environments can impair cognitive building and academic results, as deficient well being and discomfort disrupt finding out and focus (Taylor et al. 2011). Adults, in the meantime, might revel in heightened rigidity and fiscal pressure from the continuing prices of managing well being issues and making an attempt to mitigate housing inadequacies. Inclined populations, together with low-income households and the aged, are disproportionately affected because of restricted get admission to to assets for making improvements to housing prerequisites (Krieger and Higgins 2002).

Addressing those well being affects calls for coordinated efforts to toughen housing requirements, prioritise energy-efficient heating programs, and cut back damp and mold, via efficient development upkeep and coverage interventions.

Bodily inaccessibility

Some other relating to theme from interviews was once concerning the lifts in Barton Area, which were a subject matter for a few years. There are two lifts that carrier the citizens – one smaller (max 4 individuals) and one better (max ten individuals). Citizens let us know that virtually no day is going via with out one or either one of those lifts breaking sooner or later.

For unmarried folks who continue to exist the upper flooring, it will imply having to climb as much as 15 tales with no matter they’ve with them (buying groceries, babies, prams and so forth), incessantly having to do a couple of journeys. For aged and/or disabled citizens, the consequences of now not with the ability to depart their apartments come with social isolation, overlooked appointments, and deteriorating bodily and psychological well being. The Care Act 2024 states that it’s the responsibility of an area authority to give a contribution to combating the advance of care and enhance wishes for its citizens, which unquestionably seems related in terms of those suffering aged and/or disabled citizens. 

We have been advised of citizens who had now not left their flat for weeks because of their fears across the lifts. We have been advised that it’s not unusual to be trapped within such a lifts for over an hour. Much more worryingly, there was once one query that was once raised over and over – what occurs in an emergency and the lifts aren’t running? 

As established within the The Grenfell Tower Inquiry Segment 2 Record (2024), it’s the accountability of the council to put into effect private evacuation plans for citizens with disabilities. On the other hand, we heard from a number of citizens who stated that even supposing they have been disabled they weren’t acutely aware of any private evacuation plan in position for them. 

“Every now and then folks get caught within the raise for an hour. The emergency bell within the raise doesn’t lend a hand – you talk to any individual however they don’t ship somebody to lend a hand. In the end the caretaker typically calls the firefighters to get you out.”[Interview 7]

Systemic racism

So far as we’re mindful, there’s no entire knowledge that outlines the ethnic composition of Barton Area citizens. Citizens have performed a development survey that implies as many as 80% of citizens are from ethnic minorities. The sense from many citizens is that the deficient remedy they’ve won has now not been an coincidence and that it displays the systemic racism entrenched within the nationwide housing gadget. 

“As a result of we’re all ethnic minorities, they suspect it’s k for them to regard us like this. We’re all Somali, African descent, or Sudanese, and so they’ve handled us so badly. They believe they may be able to break out with it as a result of folks don’t talk English effectively. They aren’t coping with psychological or bodily well being problems. They’re drowsing k, purpose it’s now not affecting them, it’s affecting us… The United Kingdom is a racist position, they don’t care about ethnic minorities and dealing elegance folks.”[Interview 1]

We have been heartbroken to listen to from two sisters who have been each born in the United Kingdom, grew up in Barton Area and are lately thriving at College. They spoke to us about how their reviews of the evacuation have been the catalyst for an entire lack of religion in the United Kingdom govt, a deep sense of now not feeling protected of their house nation and an irreversible dissonance with their British identities. Unfortunately, this had all culminated in them planning to to migrate and search citizenship somewhere else. 

“I’m now not staying in the United Kingdom. Once I graduate, I’m operating from this position.”“I need to be a physician, get my {qualifications} and depart this position.” “The gadget failed us however we’re making an attempt to triumph over and be higher. We now have the schooling, we’ve the language, we don’t seem to be struggling up to folks again house, however we’re nonetheless struggling.”[Interview 1] 

At a council assembly on 14th December 2024, a courageous younger 12-year-old resident with Somali Heritage, from Barton Area stood as much as talk. She began to speak about her reviews of the evacuation, how unsafe she nonetheless felt in her flat and the way demoralising it’s to really feel like nobody from the council is listening. As though to end up her level, councillor Richard Eddy minimize her off earlier than she had completed and refused to let her proceed. This is identical councillor who in 2001 was once compelled to renounce as deputy chief of the council’s Conservative staff after he insisted on having a golliwog doll displayed in his council place of job as a political mascot (BBC Information 2001). 

“We really feel that our kids are being handled like adults. My 12-year-old daughter is sort of 5ft 6in, and I will be able to see that she is being handled as though she have been older. When she says she feels scared, nobody turns out to imagine her. Lots of the kids residing in Barton Area come from Black backgrounds, and since they incessantly glance taller and larger for his or her age, we really feel they’re being noticed and handled as adults slightly than kids. This is a part of a much broader factor inside of housing, the place households from marginalised backgrounds face unfair remedy and discrimination. We’re calling on Bristol Town Council to hold out an Equality Have an effect on Evaluation in housing to make certain that insurance policies and choices don’t disproportionately hurt Black and minority ethnic households. Each and every kid merits to really feel protected and be handled consistent with their age, irrespective of how they appear or the place they are living.”[Mother of the young person who spoke at the council meeting]

Many citizens we spoke to stated that Grenfell uncovered one thing they’ve recognized for a very long time – that their communities don’t seem to be noticed as deserving of protected and wholesome houses. A large number of research have demonstrated that systemic racism is a key motive force of poorer well being results in racialised communities.

A document via the housing charity Refuge discovered that Black and Asian persons are some distance much more likely to be denied the proper to a protected and safe house: 56% of Black families and 49% of combined ethnic background and Asian families vs 33% of White families (Refuge 2021). The similar document discovered that Black-led families are 12 instances much more likely to be residing in transient lodging than White-led families. Rising proof means that equivalent inequities are provide throughout housing in Bristol (Karlsen et al. 2020).

Coupling this proof with the testimonies we’ve heard, it’s transparent to us that the reviews of Barton Area citizens weren’t formed in a vacuum. It’s most probably that systemic racism has exacerbated most of the adverse affects on citizens’ well being and wellbeing. A seminal evaluate led via Sir Michael Marmot discovered that the direct well being affects of racism come with mental misery, poorer self-rated well being, psychological well being sickness and persistent bodily sickness equivalent to high blood pressure. The oblique well being results are much more stark, with structural racism being a key motive force of revenue inequality, poor-quality housing and decreased get admission to to good-quality healthcare provision (Marmot et al. 2024).

Silencing, dehumanisation and distrust

As we’ve already highlighted, there was a elementary breakdown in agree with between citizens and the council. Citizens let us know that a significant factor in the back of this has been the inconsistent, contradictory and every now and then dehumanising nature of communique from the council. This has been compounded via the loss of any really extensive apology at any degree. Taken in combination, this has resulted in a state of affairs the place citizens understandably really feel not able to agree with the reassurances given via the council. As paintings continues at the within Barton Area there’s little clarification to the citizens as to why this is occurring, compounding the sentiments of unease in their very own houses. To many it feels as though one thing remains to be improper, however that they have got now not been advised what. 

“I don’t have the calories to speak to the council any further. I believe low. I keep within the flat as a rule.”[Interview 7]

“Having the interior paintings completed was once much more frightening, as a result of not anything’s been defined.”[Interview 12]

For over a 12 months the citizens of Barton Area were in search of justice. Of their seek for solutions, and of their efforts to in the end really feel protected, they’ve given up hours in their time to fulfill with representatives from the council. From the primary assembly we had with citizens, they advised us that they have been uninterested in repeating their tales to other folks from the council – by no means being listened to and not getting any solutions. Additional exacerbating this loss of communique, translation has incessantly been insufficient. That is particularly essential for the reason that many citizens don’t talk English as their first language. 

“They ship any individual to speak to us, they write down what our lawsuits are and so they promise a reaction. Normally we by no means pay attention from them once more, but when they do come again it’s typically with an answer that by no means in truth addresses the basis explanation for the problem.”[Interview 13]

Ignoring skilled proof 

We don’t seem to be the primary healthcare pros to boost issues concerning the remedy of Barton Area Citizens. In each and every dialog we’ve had with citizens, it’s been transparent that their calls for for justice were neglected for some distance too lengthy. Citizens shared with us letters from numerous pros highlighting issues about their remedy and residing prerequisites:

Healthcare – GPs, kid and adolescent psychological well being products and services, occupational treatment, grownup psychological well being products and services

Social care – social staff

Schooling – lecturers, headteachers, particular instructional wishes co-ordinators.

For lots of households, vital issues have been raised via a couple of pros persistently over a chronic time period, then again those seem to have been regarded as now not severe sufficient to behave on via the council. Just one circle of relatives has been rehoused so far as we’re mindful, and this was once once they have been ready to supply a non-public analysis of post-traumatic rigidity dysfunction.

We imagine the council’s strategy to scientific proof and rehousing of Barton Area citizens to be beside the point and inequitable. Irrelevant as a result of, as social staff, psychologists, common practitioners and psychiatrists, we all know that particular diagnoses are incessantly now not suitable because of the developmental nature of psychopathology. Inequitable as it gives the look that most effective those that can manage to pay for to get a non-public analysis will probably be listened to. 

For instance, the circle of relatives with two autistic kids we met, discussed previous within the document, confirmed us a letter from their GP which highlighted vital issues concerning the loss of house for the kids, concluding: “I strongly enhance the circle of relatives’s software to transport into extra appropriate lodging… It is very important for the circle of relatives’s bodily and emotional well being that they have got sufficient room.” In addition they had a letter from an occupational therapist which highlighted the dangers associated with her autistic kid, declaring that “(they) haven’t any threat consciousness and is at excessive possibility of absconding”, which would seem extremely related to the protection issues raised. 

Some other circle of relatives confirmed us a letter from the Deputy Safeguarding Lead at their college. This detailed the have an effect on the evacuation had on one in all their kids and strongly supported their software to be rehoused: “For the reason that evacuation of Barton Area we’ve spotted vital behavioural adjustments… They’re incessantly dysregulated, disenchanted and withdrawn… They have got been shying clear of any consideration… They’re refusing to consume in class and this has now not in the past been a subject matter… They lately discussed after an evaluation that it wasn’t truthful as a result of that they had overlooked finding out from the evacuation and everybody else were given that finding out.”

In any case, it’s also essential to notice that now not most effective haven’t any different households been rehoused, but additionally maximum households have now not even had their banding modified at the Housing Sign up. Many households proceed to be on Band 3 or 4, which is sort of unnecessary consistent with HomeChoice Bristol web page: “Candidates in Bands 3 and four will stand little likelihood of being rehoused during the Housing Sign up and are suggested to take a look at different housing choices (HomeChoice Bristol).”

Conclusion

This document brings in combination the robust testimonies of Barton Area citizens along our personal skilled judgement, making it transparent that the evacuation and its aftermath have had a profound and lasting have an effect on on their bodily and psychological well-being. For lots of, those results were worsened via long-standing problems with poor-quality and hazardous housing, together with chilly, damp and overcrowding. On this document we’ve highlighted the dire forget and systematic screw ups that Barton Area citizens have persevered for over a 12 months. This has had an amazing have an effect on at the well being and lives of generations of folks – a tragedy that are meant to were utterly avoidable (Morrison & Raval 2023). 

Given the present nationwide housing disaster, and the poor-quality housing inventory inside of Bristol, we recognize that evacuations don’t seem to be unusual. On the other hand it’s transparent that, in comparison to different equivalent circumstances, the movements of Bristol Town Council have fallen woefully brief. As an example, when Southwark Council evacuated Ledbury Property in 2017, that they had a right kind disaster control plan. This incorporated a 24/7 satellite tv for pc place of job, a day-to-day e-newsletter, additional body of workers, a named level of touch for each and every block and the involvement of the Crimson Move. 

For some families, residing in Barton Area won’t ever really feel protected once more regardless of what number of inside upkeep are performed. Adults and youngsters are caused via the smallest reminder of the fragility of the development – cracks within the partitions, hearth alarms malfunctioning, damaged lifts. Many families have spent years looking forward to their flip to transport during the council’s banding gadget. They have got requested the council time and time once more to be rehoused, however they’ve been neglected. The outcome has been generations of folks compelled to are living in a development that they really feel is a continuing risk to their lives.

For over a 12 months, world, nationwide and native information resources have highlighted the grave and systemic screw ups of the council in relation to the evacuation of Barton Area. On this document we publicly echo those issues. The remedy of Barton Area citizens constitutes a phenomenal case of failure and forget which will have to be addressed to keep away from additional hurt and struggling. 

We name for pressing motion via decision-makers together with Bristol Town Council and decision-makers within the housing division to in the end manage to pay for the folk residing in Barton Area their proper to protected, dignified and high quality housing.

Suggestions

As Medact Bristol, we stand in the back of the citizens of Barton Area to enlarge their calls for and enhance their requires pressing motion via Bristol Town Council. All the way through our conferences, interviews and discussions with citizens a number of key topics emerged highlighting the desires that will have to be fulfilled via the council in order that citizens can in the end really feel protected and the group can start to heal.

As we’ve already famous, this document has been written at the foundation of interviews that we did with citizens who selected to take part. It’s subsequently essential that we’re transparent that this document does now not talk for all citizens, however unquestionably a vital selection of them. We recognize that each and every particular person and each and every circle of relatives has had their very own distinctive revel in associated with the evacuation. Subsequently, folks and households will have wishes which might be distinctive and/or fall out of doors of the scope of our suggestions. 

Our suggestions are as follows:

Rehousing for the ones households who don’t really feel protected residing in Barton Area

A public apology to citizens of Barton Area over the dealing with of this disaster

Reimbursement to all citizens for the misery and prices incurred from the evacuation

An unbiased investigation into how Bristol Town Council has treated this disaster, together with the newsletter of any findings related to the protection of different equivalent council blocks in Bristol.

References

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Revealed via Medact, 2025

ISBN 978-1-8381205-8-0

Quotation: Rassa, N et al. (2025) “We don’t really feel protected right here”: An pressing name for protection, dignity and justice for Bristol’s Barton Area Citizens, London: Medact.

© Medact 2025 

Unique subject matter could also be reproduced for noncommercial functions with out permission however with accreditation.

Authors

Dr Nazanin Rassa, Dr Amelia Cussans, Dr Francis Bennett, Sam Kidel, Fadumo Farah, Collette Brydon, Dr Martin Valls Garcia, Dr Marina Boulton, Dr Jasmine Schulkind, Dr Catriona Grant, Ali Almeamari, Dr Georgia Statham, ACORN Bristol contributors and citizens of Barton Area



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