L12 - Refugee health Flashcards
What is a refugee?
Someone who has been forced to leave their country of citizenship in order to escape e.g
- War
- Natural disaster
- Persecution e.g race, religion, political beliefs
Which act ended the liberal attitude of welcoming refugees into Britain?
The ‘Alien Act’ 1905
Which act ended the liberal attitude of welcoming refugees into Britain?
The ‘Alien Act’ 1905
What is an asylum seeker?
Someone who is legally not allowed to work and has a weekly benefit entitlement of only £39.63 per week
What is an undocumented migrant?
A person who enters or stays in the UK without the necessary documentation required under immigration regulations e.g someone who is trafficked, not received the correct legal advice, outstayed their visa
Why are doctors who can do moral reasoning better doctors?
- Better clinical practice
- Fewer malpractice claims
What are the 6 stages of moral reasoning identified by Kohlberg?
1) Authority punishment - we make moral decisions based on obedience and punishment
2) Egoistic exchange/ Self - interested - we are motivated by self interested
3) Inter personal accord and conformity - individual acts in order to fulfil prescribed social roles
4) Authority and societal maintenance - maintaining law and order and keeping society running
5) Social contract/ the greatest good - which action will bring about the most good to the most people?
6) Commitment to ethical principles - judgement based on what is the most moral/ just
Who’s work did Kohlberg expand on?
- Piaget
What is the principle concern of Kohlberg’s model?
Justice and Justice reasoning
What is care ethics?
An approach that argues that the ultimate ethic is about meeting human needs and something that fulfills the needs of others is the right thing to do
What is a limitation of the justice response/ justice reasoning?
It is reductionist and ignores the complexity of the situation by focusing on what is right. It doesn’t take into account competing rights or the long term consequences of actions
What is a strength of the care response?
It is not reductionist and what is right depends on specifics of the situation and what best meets the needs of everyone involved.
What is humanistic care and what are some examples of it?
Attitudes and behaviours that demonstrate interest in and respect for patients’ psychological, social and spiritual concerns and values
- whole person care
- respect for intrinsic value
- considering others perspectives
Would no proof of adress be a reasonable basis for refusal to register a patient at a GP practice?
No
What type of care is residency based?
Secondary care services - must be living lawfully in the UK on a settled basis
How much are undocumented migrants and asylum seekers charged for secondary care?
150% NHS tariff
Which secondary services are exempt from charges?
- A&E
- Communicable disease e.g COVID
- Family planning
Which groups are exempt from charges?
Victims of:
- trafficking
- modern day slavery
- domestic violence
- sexual violence
- torture and FGM
Children under the care of local authority
Treatment under the mental health act
Under which types of emergencies will health care be provided free of charge?
- Immediately necessary care e.g life saving
- Urgent care that can’t wait until they return to their origin country
What other 3 things are asylum seekers entitled to?
- Exempt from prescription charges
- Free NHS dental care
- Free eye tests and help paying for glasses
- Children of asylum seekers entitled to free education and FSM
What percentage of the worlds refugees does the UK accommodate for?
2%
