Migration and Health Care Pre and Post Brexit Thursday 7 th July 2016

Migration and London Asylum Seekers (some protection while in process) Refugees (everyday protection) Migrants (variable protection) i) EU Nationals (2004, 2007 nationals) ii) Visa categories iii) Leave outside the immigration rules iiii) Overstayers Established ethnic minority communities

Migration and London London has the largest share of the foreign born population at 36.9% (3 million based on 2014 figures from the Migration Observatory)

Top 10 nationalities applying for asylum June 2015 Eritrea Pakistan Syrian Iran Sudan Albania Afghanistan Sri Lanka Nigeria Iraq Source Home Office briefing to LSMP

Indian Nationals 290,000 in London in 2014 Around half arrived in the UK before 2000, half between 2001 and 2011 Population is now ageing, with 18% aged 65 & over Around 1/10 arriving since 2001 could not speak English well (previously ¼ women could not) 70% of men and 59% women were in work, with 6% of each unemployed Top occupations – Men: Science and Research professionals (11%), Elementary admin (11%), Managers and directors (9%) – Women: Admin (13%), Elementary Admin (11%), Sales (11%)

Romanian Nationals 84,000 in London in 2014 Over 7 in 10 aged between 20 and 39 years old Amongst the most recent of migrant groups – 80% have arrived since 2007 Perhaps a quarter of recent arrivals cannot speak English well 76% of men and 67% of women were in work in 2011, only 7% unemployed

Polish nationals 178,000 in London in 2014 Over four-fifths arrived in UK between 2001 and 2011 Nearly seven in ten aged between 20 and 39 Over a third of those arriving since 2007 could not speak English well but high employment rates 82% of men and 77% of women were in work with only 4% unemployed Top occupations – Men: Skilled construction trade (32%), Elementary admin (11%), Transport and machine operatives (8%) – Women: Elementary admin (30%), Admin (8%), Caring personal service (8%)

Nigerian Nationals 96,000 in London in 2014 Half arrived in UK since 2001 but has been significant flow since 1980s Predominantly working age population Virtually all Nigerian migrants speak English as main language 67% of men and 64% women were in work, but both had 11% unemployed Top occupations – Men: Elementary admin (24%), Business media professionals (7%), Sales (7%) – Women: Caring personal service (20%), Elementary admin (17%), Health professional (11%)

Pre Brexit Issues Access (registration) Charging Accusations of Health Tourism Immigration Act 2014 & Immigration Act 2016 Everyday Bordering Hostile Environment

Post Brexit Access (registration) Charging Accusations of Health Tourism Immigration Act 2014 & Immigration Act 2016 Everyday Bordering Hostile Environment Misapplication of the rules Mental Health concerns, stress, anxiety, ‘right to remain’ Health care workers Institutional racism

So what is happening in London? Briefings for migrant communities affected, to consolidate their position in the UK Department of health has postponed consultation with refugee and migrant groups around charging Support/solidarity for migrant health and social care workers

Thank you for listening Rita Chadha, Chief Executive Officer, RAMFEL, Cardinal Heenan Centre 326 High Road, Ilford, Essex, IG1 1QP