Healthcare for Vulnerable People Flashcards
Why is migrant access to healthcare important
- its a human right
- It is important for public health
- cost effective
- there are barriers for this group in accessing healthcare
What are the NHS views to access to healthcare
NHS treatment “based on clinical need, not ability to pay” (1948).
NHS value: “everyone counts: make sure nobody is excluded, discriminated against or left behind.”
what makes access to healthcare a basic human right
International Covenant on Economic, Social and Cultural Rights.
What are SDGs
- Sustainable development goals
why is access to healthcare financially efficient
- early diagnosis and treatment save lives and cut treatment costs
- health inequalities cost - in England the cost of treating illness and disease arising from health inequalities has been estimated at £5.5 billion a year
- Resource burden of checking and charging patients - operating an overseas visitors charging system is costly
How much does migrants cost the NHS
£1.95 billion during 2012-13
- Estimated cost to the NHS of EEA and non-EEA visitors, temporary migrants, students, British ex-patriots, “deliberate health tourists” and those “taking advantage”
What does doctors of the world do
Primary care clinic in East London for people with difficulty accessing mainstream NHS;
Staffed by volunteer GPs, nurses & support workers;
Advocacy service for GP registration and secondary care;
they try to influence health police and practise
What is the definition of an asylum seeker
A person who has left their country of origin and applied for asylum in another country but whose application has not yet been concluded
What is the definition of a refugee
Someone whose asylum application has been successful; the Government recognises they are unable to return to their country of origin owing to a well-founded fear of being persecuted for reasons provided for in the Refugee Convention 1951 or European Convention on Human Rights.
What is the definition of a refused asylum seeker
A person whose asylum application has been unsuccessful.
What is the definition of an undocumented migrant
Someone who enters or stays in the UK without the documents required under immigration regulations.
Who are undocumented migrants
Survivors of trafficking
Refused asylum seekers
People who don’t claim asylum due to lack of legal advice.
People who come to work without a visa.
People whose visa has expired (student/working)
Domestic workers on expired visas which employer doesn’t renew
People on spousal visas whose relationship breaks down
What problems do unregulated migrants have accessing primary care
- Lack of ID/proof of address - dont need a home address to register at a GP
- Immigration status
- Fear of the home office/arrest
- language
How many patients were refused by GP clinics after attempts were made after the doctors of the world
Out of the 2873 attempts by DOTW to register patients with their local GP in 2019, 787 were refused
What is not relevant to GP registration
Nationality and immigration status are not relevant to GP registration