To provide appropriate health care to this group GPs and health professionals must be aware of the pre-migratory and ‘flight’ experiences. An understanding of the patients’ history is essential if an appropriate response is to be formulated. For example in the case of victims of torture, medical professionals need to develop the ability to recognise physical signs which would indicate that torture has occurred. In addition to this it is important to acknowledge the emotional state victims of torture present with, special consideration is required when dealing with torture victims; healthcare professionals need to build trust:.