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NHS - Meeting the Needs of Everyone A picture of Leeds 01/12/ 2015

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Page 1: NHS - Meeting the needs of everyone

NHS - Meeting the Needs of Everyone

A picture of Leeds01/12/ 2015

Page 2: NHS - Meeting the needs of everyone

What is Migration Yorkshire?

A local-authority led partnership - partners include local authorities, the voluntary sector, Home Office, health and police

Key roles:Strategic leadership and coordination Information, data and researchExpert support for local integrationResponding to change

Page 3: NHS - Meeting the needs of everyone

Guidance booklets1. Why does migration matter?2. Who are the migrants in my area?3. Understanding immigration status4. Migrant rights and entitlements5. Migrant-friendly services6. Women and migration7. Migration and housing8. Migration, community safety and policing9. Trafficking migrants for labour exploitation10. Health and migration11. Migrants and work12. Safeguarding adult migrants13. Migrant youth14. Older migrants15. Migration and disability

Page 4: NHS - Meeting the needs of everyone

Who is a migrant? 

 

‘An international long-term migrant is … someone who moves to a new

country for at least a year.’  

Office for National Statistics Technical data: Long-Term International Migration, in Topic guide to: International migration www.statistics.gov.uk/hub/population/migration/international-migration/index.html Accessed 05.04.13. 

Page 5: NHS - Meeting the needs of everyone

Who is a migrant?

Page 6: NHS - Meeting the needs of everyone

Who is a migrant?

Page 7: NHS - Meeting the needs of everyone

Who is a migrant?

Page 8: NHS - Meeting the needs of everyone

Patterns of migration in Leeds

1. What were the top 5 countries of origin of new arrivals in 2003?

2. What were the top 5 countries of origin of new arrivals 10 years later - in 2013?

3. What were the top 5 countries of origin of new arrivals last year - in 2014?

4. What were the top 5 countries of origin for all residents in the last (2011) census? (non-UK born)

Page 9: NHS - Meeting the needs of everyone

Overview of migration patternsLeeds

Population (2014) 766 400 Biggest cause of population change

Natural change then international migration

Non-British population (2014) 8% (61 000)

Born outside UK (2014) 13% (97 000)Long-term migrant arrivals(highest estimate 2014)

11 100

Net migration estimate (2014) 1 450

Short-term arrivals (2013) 1 650Top countries of origin of arrivals (2014)

Poland, Romania, Spain, India, Italy, Portugal

Page 10: NHS - Meeting the needs of everyone

Immigration trends (2004-14)1.1 Immigration Trends

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

16,000

18,000

20,000

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

Mig

rant

Cou

ntNINo GP Registrations MYE Immig.

Page 11: NHS - Meeting the needs of everyone

Year of arrival (non-UK born residents)

Page 12: NHS - Meeting the needs of everyone

Asylum seekers supported over time4.1 ASYS Totals

0

500

1,000

1,500

2,000

2,500

3,000

3,500

Q1-07 Q1-08 Q1-09 Q1-10 Q1-11 Q1-12 Q1-13 Q1-14 Q1-15

AS

YS P

erso

ns &

Cas

esASYS - Cases ASYS - Persons

Page 13: NHS - Meeting the needs of everyone

Residents born in third countries (2011)Area

Variable

Category

Type

≥ <

267 - 1,717 [21]1,717 - 3,166 [7]3,166 - 4,616 [2]4,616 - 6,065 [0]6,065 - 7,515 [3]

Note: 2011 Census data

Contains Ordnance Survey data © Crown copyright and database right 2012

Leeds

Country of birth

Third Country

Counts

No value1

2

3

4

5

6

7

89

10

11

1213

14

1516

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

Page 14: NHS - Meeting the needs of everyone

Residents born in EU countries (2011)Area

Variable

Category

Type

≥ <

167 - 627 [23]627 - 1,087 [5]1,087 - 1,548 [4]1,548 - 2,008 [0]2,008 - 2,468 [1]

Note: 2011 Census data

Contains Ordnance Survey data © Crown copyright and database right 2012

Leeds

Country of birth

EU

Counts

Zero or no value1

2

3

4

5

6

7

89

10

11

1213

14

1516

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

Page 15: NHS - Meeting the needs of everyone

Dispersed asylum seekers (2015)

Area

Variable

Leeds

Type Total

12

3

4

5

6

7

8 9

10

11

1213

14

1516

17

18

1920

21

22

23

24

25

26

27

28

29

30

31

32

33

32

32–2 [10]

62– [1]

93–62 [2]

123–93 [1]

153–123 [1]

Zero or no value

<≥

Contains Ordnance Survey data Crown copyright and database right 2012

Da ta as of 31 August 2015Note:

Page 16: NHS - Meeting the needs of everyone

New arrivals (non-UK born) (2014)Area

Variable

43

All Nationalities

Leeds

120

120–5 [63]

235– [8]

351–235 [6]

466–351 [3]

581–466 [1]

Zero or no va lue

<≥

Contains Ordnance Survey data Crown copyright and database right 2012

NINo by Nationality - DWP

Note:

Page 17: NHS - Meeting the needs of everyone

Support on migration statistics

Local Migration Profiles (LMPs)Migration maps (using order form)Local area migration indicators (ONS)Local information systems

Leeds Local Migration Profile July 2015 Summary Document

This document summarises the main migration trends and latest data that we can access for Leeds. You are welcome to share this document publicly. The full Local Migration Profile document contains information about data sources. If you would like a copy of the full Local Migration Profile document, please contact Pip Tyler at [email protected] or on 0113 395 2438.

Page 18: NHS - Meeting the needs of everyone

What about information gaps?

unaccompanied asylum seeking children [UASC]?people who have been trafficked to the UK?particular ethnic groups such as the Roma or the Kurds?refused asylum seekers who are destitute?new refugees?undocumented migrants ?migrants who have come to join their families already in the UK? migrants who have left an area, region or the UK?

Local knowledge, shops, services and research can help to fill some of these gaps

Page 19: NHS - Meeting the needs of everyone

What’s happening in 2016?

Rise in:EU arrivals (Poland still dominant, Romania and southern EU growing)Asylum applications (Eritrea top, Sudan growing)

Reduction in:Non-EU students, families and workers? (were declining but recent reversal)…

…leading to displacement into short-term study / asylum routes?

No change:New EU countries (Western Balkans, Turkey and Iceland are EU candidates)Policy changes on entry (focused on welfare access not entry routes, little change pre-election)

Page 20: NHS - Meeting the needs of everyone

International students

7 700 international students registered at a HE institution in Leeds in 2013-2014 Local universities and FE colleges in the city – and region depend on themOver 75% of overseas students are from outside the EU and so pay higher feesOverseas students make huge contributions to the wider local economies in Leeds – and in Bradford, Hull, Huddersfield, Sheffield and York.

Page 21: NHS - Meeting the needs of everyone

Asylum seekersOn 28 October 2015 there were 617 supported asylum seekers in LeedsBetween January and October 2015 2,185 individuals moved into G4S accommodation in West Yorkshire and 1,1918 moved out. Many moving out will remain in LeedsTop countries of origin were Sudan, Eritrea, Iran, Pakistan, Syria, Afghanistan and Iraq82% of all new cases in 2015 are singles- mostly men

Page 22: NHS - Meeting the needs of everyone

Where does Syria fit?

Around 150 Syrians currently supported in Y&H as asylum seekers Also around 400 Syrians arrived in Y&H during past 12 months

Syrians can arrive through a number of routes:• Arrive independently as asylum seekers• Refugee resettlement directly from refugee camps

in/near Syria (not from EU countries)• With a visa through the PBS to work or study, as a

visitor, or through the family route.

Page 23: NHS - Meeting the needs of everyone

Syrian Resettlement Scheme25 Syrians have moved into Leeds during the last 6 months as part of the existing VPRS. Some have significant health issues Leeds has agreed to take 7 more families (c25 individuals) before ChristmasLeeds will take about 200 altogether over the next 2 yearsCentral Govt. funding to cover initial health, school and housing management costs Each LA considering whether to participateMassive local support that needs to be harnessed.

Page 24: NHS - Meeting the needs of everyone

Syrian Resettlement Scheme

Will come with Humanitarian Protection for 5 years - so will NOT be asylum seekersSo will therefore not be coming through the current asylum/G4S route They will be able to work and/or claim benefits and sign a tenancyAfter the 5 years Humanitarian families will be able to apply for permanent settlement rights or return home

Page 25: NHS - Meeting the needs of everyone

Migrants are people not numbers

Not all migrants have the same level of support needsWho is particularly vulnerable?• Negative experiences (exploitation / persecution)• UASC (unaccompanied asylum seeking children)• Trafficked migrants• Newest arrivals • Those not allowed to work• Undocumented migrants• Destitute migrants

Page 26: NHS - Meeting the needs of everyone

Deterrence? Policy impacts on migration and integrationHealthcare charge£200 per year

Applies to third country nationals coming to the UK with limited leave£200 a year per individual (£150 for students) - payable in advance. Visitors, Tier 2 workers, asylum seekers, trafficked & DV victims, Australians and New Zealanders exempt.Visitors and short term students charged 150% of costs instead.

Landlord and bank checks on immigration status

Residential landlords to check immigration status of all tenants.Some student exemptions May restrict access to housing unless both migrants and landlords are aware of these changes.Bank checks against database of immigration offenders

Page 27: NHS - Meeting the needs of everyone

New legislationAsylum payment rates were “standardised” in August 2015. Most people receive less A single parent with two children will now receive £110.85 rather than £149.86 per week – a reduction of almost £40.00 p/wA new Bill will end or severely reduce asylum support to refused familiesDespite widespread opposition the Bill has received its first reading- Significant implications for LA’s & voluntary sector

Page 28: NHS - Meeting the needs of everyone

Working with migrants

Some migrants struggle to access public services and some public services struggle to engage with migrant service users.Concerns about ‘getting it wrong’ when interacting directly with migrants are valid How can we reduce barriers?Multi-agency meetings – a good forum for building links

Page 29: NHS - Meeting the needs of everyone

New migrant Roma

Historically, Roma have been one of the poorest and most vulnerable communities in Europe, due to systematic marginalisation and exclusionMigration triggered during WWII, end of Cold War and EU expansion.Approximately 25 000 Roma are currently resident in Yorkshire and Humber (2012)Not a homogenous group but have common historical roots.

Page 30: NHS - Meeting the needs of everyone

New migrant RomaDifficulties Roma face:

Sub-standard accommodation leading to poor educational attendance /attainment, health problems, environmental issues. Lack of formal work credentials/experienceHate crime, racism, and discrimination fuelled by media coverage.

Difficulties in service response:Funding cuts prevent many initiativesA lack of reliable information on the population Unwillingness among many to self-ascribe as RomaDiversity among Roma and complexity of needs make it harder to ensure appropriate service provision.

Page 31: NHS - Meeting the needs of everyone

Challenges as migrants

What challenges can migrants face?

living in a new country and experiencing a new culturelearning a new languagemanaging without familiar support networktensions between culture of their country of birth and UKfamily responsibilities in the UK or country of originmaintaining valid immigration statusvisa conditions which restrict entitlementseducation and work experience in another countryrequirements to demonstrate eligibility for entitlements

Page 32: NHS - Meeting the needs of everyone

Opportunities through migrationRefresh workforce for an ageing populationFill skills shortages – and do work others won’t‘Work ethic’ and new skills/perspectiveIntellectual renewalLanguage skillsCultural diversityMusicFoodSportCelebrations

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Resources to support services

Page 34: NHS - Meeting the needs of everyone

Any questions??Thank you

Bill DennisIntegration and Guidance Officer0113 395 243807712 [email protected]@migrationyorkswww.migrationyorkshire.org.uk