The goal of this paper is to describe the current state, needs and values of migrants with a focus on relevant global issues and Malta as a case study. It also aims to review services offered to these migrants, identify aspects that require attention and draw up a framework that could be applied to enhance services to the culturally diverse populations, particularly speech therapy. The health care services offered to migrants are reviewed in the light of attitudes and expectations. Professional perceptions and competences to work with these populations are also discussed and perceptions of migrants about services offered to them are taken into consideration. Issues related to equitable professional practice and the training of health care professionals to address needs of the cultural diverse community are discussed. Strategies to implement the conceptual framework are suggested.