Health Impact assessment (HIA) of the changes to NHS Charging Regulations for migrants in the North East
PHE ePoster Library. Coleman H. 09/10/18; 221255; 122
Dr. Hayley Coleman
Dr. Hayley Coleman
Login now to access Regular content available to all registered users.

You may also access this content "anytime, anywhere" with the Free MULTILEARNING App for iOS and Android
Rate & Comment (0)
Abstract Background: In 2013 the Government announced changes to NHS charging regimes for overseas visitors and migrants, with further amendments in autumn 2017. This included the extension of charges to previously exempt migrants; community delivered secondary care; and NHS-funded services provided by non-NHS organisations. The changes will affect vital community and preventative services for migrants, including midwifery and mental health. Aim: To explore the potential effects of changes to NHS charging practices on migrant populations, in the North East. Methods: A rapid desk HIA was conducted, including literature review and workshop with thirteen stakeholders.Results: Stakeholders felt the changes will impact negatively on migrant's quality of life, both directly through poor health, creating barriers and deterrents to service access and utilisation. But, also indirectly through reduced social integration and functionality. Unintended consequences were also highlighted, including over-reliance on A&E and primary care with shifted costs to already pressured services. Increased resource implications and potential public health risk, through communicable disease/infection transmission, were also concerns.Recommendations: Education for organisations and migrant communities is needed with collaborative working. Utilisation of 'advocates' was recommended; alongside sharing of best practice and standardisation across services to support equitable access and service navigation. Robust evaluation and data collection is also required to ensure national feedback and impact assessment. Conclusion: We believe the changes will have negative consequences, widening health and social inequalities for a vulnerable population with complex needs, and contrasting key NHS values. Education and communication with relevant stakeholders is essential to support and mitigate these.
    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.

Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.

Save Settings