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About us
East London Clinic
Entitlement to healthcare
Advocacy
Summary
About us
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Our Vision
A world in which vulnerable people affected by war, natural disasters,
disease, hunger, poverty or exclusion
get the healthcarethey need regardless of income or
status.
About us
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Médecins Du Monde Network
300 Projects
70 countries
3000 volunteers
About us
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Our Programmes
Conflict & Crisis Women & Girls People at risk of harm
Vulnerable migrants
About us
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Our London Clinic
London clinic
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We help people excluded from healthcare including:• Undocumented migrants• People working in exploitative conditions• Refused asylum seekers• People who have been trafficked• Sex workers
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Vulnerablities in Health
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Living in the UK for an average of over 5 years before accessing healthcare
Less than 1% included ‘personal health reasons’ amongst their reasons for migration
94.1% not registered with a GP
54.8% perceived themselves to be in poor health
76.3% had reported violence in their lifetime
44.3% had no-one they could rely on for emotional support
90% live below the poverty line
75% of pregnant women accessing AC care later than recommended
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Our Patients
Bangladesh
IndiaUganda
Philippines
China
Nigeria
Vietnam
Afghanistan Pakistan
Ghana
Algeria
Sri Lanka
Bulgaria
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Entitlements to Care
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Entitlements to healthcareEntitlement to Primary Care
All GP’s have the discretion to accept or refuse any person as an NHS patient (but they must not discriminate).
There are currently NO regulations regarding charging/eligibility.
Therefore: • Immigration status & ordinary residence are
irrelevant when registering with GP.• No legislation or statutory guidance suggests people
must be resident for a minimum length of time or have a visa in order to access primary care
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Entitlements to healthcareEntitlement to Secondary Care
Department of Health regulations restrict free access for overseas visitors where an overseas visitor is someone who is not considered ‘ordinarily resident’.
Immediately necessary and urgent treatment must be given, regardless of someone’s eligibility to care or their ability to pay.
Exceptions include:• Asylum seekers and Refugees• Survivors of trafficking (NRM only)• Children in care of LA’s• EEA Nationals• Certain visas• Treatment for infectious diseases• Sectioning under the Mental Health Act
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Advocacy
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The documented effects of crisis and austerity throughout Europe
Impact on women’s and children’s health
Policies based on fear and intolerance instead of evidence based policies
Some positive changes in national policies, rare and all the more noteworthy
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Immigration Bill
•£200 health levy on non-EEA migrants
•Restrictions around who is entitled to secondary care – only ILR
Department of Health proposed changes – from 2015
•Charging migrants for A+E
•Restricting certain aspects of Primary Care (but not GP/nurse consultations)
Also – the Home Office are proposing that data sharing should enable people’s NHS numbers to be matched with their HO records – potentially legalising immigration enforcement action when someone accesses healthcare
UK Immigration Act &Department of Health migrant and visitor cost recovery plan
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‘The government should:
• consider setting up triage clinics
• impose blanket exemptions for children who need NHS care
• establish a principle of one-way information sharing
• educate the administrators
• impose a rolling impact assessment’
Demos
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What has changed?
Surcharge and exemptions
EHIC card
Immediatley Necessary and Urgent Treatment must always be provided
Primary care remains free for all
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What has changed?
Consultation in the autumn ‘Deprioritised’
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How You Can Help
How You Can Help
Collect evidencehttp://
doctorsoftheworld.org.uk/Speak out
Volunteer
Spread the word
How You Can Help
Like US
Follow @DOTW_UK
Share Our Videos
Thank You
Details:
Doctorsoftheworld.org.uk@DOTW_UK
Contacts: Phil Murwill, UK Programme [email protected]
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020 70789 629
