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Older migrants, demographic challenges and the role of migrant workers Presentation to Better Health for Better Integration Julia Verne 29 November 2011. Projected population of people aged 75 and over by age group, England 2008–33 (based on estimated population in 2008).
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Older migrants, demographic challenges and the role of migrant workersPresentation toBetter Health for Better IntegrationJulia Verne29 November 2011
Projectedpopulation of people aged 75 and over by age group, England 2008–33 (based on estimated population in 2008) Source: South West Public Health Observatory from Office for National Statistics data (2008-based National Population Projections)
Projectedpopulation of people aged 75 and over by age group, England 2008–33 (based on estimated population in 2008) Source: South West Public Health Observatory from Office for National Statistics data (2008-based National Population Projections)
Growing and ageing populationComparing 2009 and 2030 Source: Office for National Statistics Source ONS
Age distribution: by ethnic group, April 2001 Source: ONS Census 2001
Older Refugees and health care • Saunders (2004) • Experience similar barriers to refugees of all ages • Experience compounded by • Dependence on younger generation • Isolation • Limited mobility
Ethnic Minorities and social care • Platt (2000) • Assessment procedures may miss or over-emphasize certain aspects of lives and lead to unhelpful care plans • Banton and Hirsh (2000) • Found that older Asians placed more emphasis on their religious needs and not their physical needs • Jewson (2003) • Caring affected by poor social housing and poverty
Ageing and care for older people • In England (2006-7) 2.5 million older peopole with care needs (<30% of pop 65+), 1.1 million use social care services [CSI, 2008] • 80+’s projected to double by 2031 [GAD, 2007] • Shift from acute to long tem conditions • Demand for informal care from adult children will exceed supply from 2017 [Pickard, 2008]
Percentage of ethnic minority care workers and nurses working in care for older people (2008) Source: Compas (2008). Survey of 557 residential and home care organisations employing 13, 846 care workers and 1,867 nurses
Demand for migrant care workers relates to pay and working conditions • 9 out of 10 employers recruiting MCWs undertake at least some action to recruit from the local labour market • 49% of employers reported challenges in recruiting UK born care workers • Employers identify low pay and shift work as the main reasons for staff shortages Sources: Compas, 2010
Employers also voice appreciation of migrant workers • Most employers stated that the quality of care had not changed or had improved by employing MCWs. • Advantages of MCWs included their willness to work all shifts (82%), a ‘good work ethic’ (71%), a more respectful attitude to older people (68%), and willingness to learn new skills (75%). • Add survey source info
A significant reliance on MCWs in the future • Assuming constant care levels, the total number of care workers working in older adult care would need to increase from 642,000 in 2006 to 1,025,000 in 2030 • Assuming constant reliance on MCWs (19%), the migrant workforce would need to increase from 122,000 in 2006 to 195,000 in 2030, and average of around 3,000 a year.