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Migration in England and the South West Presentation to Better Health for Better Integration

Migration in England and the South West Presentation to Better Health for Better Integration Julia Verne 28 November 2011. The history of migration in the UK. Before 1066 1000-150 BC Celts 43 – 410 AD Romans 80001,000 AD Danes 1066 Normans 1066 -1900 1555-1833 Slaves from West Africa

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Migration in England and the South West Presentation to Better Health for Better Integration

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  1. Migration in England and the South West Presentation to Better Health for Better Integration Julia Verne 28 November 2011

  2. The history of migration in the UK • Before 1066 • 1000-150 BC Celts • 43 – 410 AD Romans • 80001,000 AD Danes • 1066 Normans • 1066 -1900 • 1555-1833 Slaves from West Africa • 1830 -1860 Irish migration • 1900- • 1933-45 Refugees from the Third Reich • 1948-71 Caribbean • 1950-71 West Africa, Hong Kong, ISC • 1968- 76 East African Asians • 1990 – Eastern Europeans, refugees & asylum seekers

  3. Population by ethnic group, April 2001 Source: ONS – 2001 Census

  4. Source: ONS – 2001 Census

  5. ONS: Census

  6. Non White population by area, April 2001 April 2001 ONS: Census

  7. Source: Office for National Statistics, Control of Immigration Statistics UK, Q2 2010 Table 3.3, 2009 Table 3.1, 2007 Table 6.1

  8. Source: National Insurance Number Registrations

  9. Top 20 South West Local Authorities by NINO registrations to overseas nationals in 2010/11 with 209/10 comparison Source: National Insurance Number Registrations

  10. South West Flag 4 general practice registrations: Mid 2000 to Mid 2010 Source: Patient Registration Data System: New Registrations – Flag 4

  11. Economic activity of women by nationality (per cent), 2006 Source: LFS 2006 (annual average of four quarters)

  12. Average hourly wage (£) by country of birth, 2009 Source: The Labour Force Survey, 2009

  13. Top 10 occupations of foreign-born workers, 2010 Source: Labour Force Survey 1010, Q1-Q4

  14. School performance, by ethnic group and nationality, England. Source: DfES & IPPR, 2007

  15. Percentage of women with each level of education, employed only , 2009 Source: The Labour Force Survey, 2009

  16. Proportion of people living in social housing in UK, by country of birth, 2005/6 Source: IPPR

  17. Healthcare principles • NHS established 1948: • Preventative medicine • Primary care • Hospital services • Free at point of use • Approximately 12% covered by private medical insurance

  18. Health inequalities policy: Key Reports • 1980 The Black Report • 1998 Acheson Report • 2010 Marmot Review

  19. Gender Policy • Equality Act 2006 • Services should not discriminate • Services should promote equality • Gender Equality Duty (GED) • All NHS Trusts and contractors must publish their gender equality schemes • Gender impact assessment of new policies and programmes

  20. Policy relating to ethnic minorities • Many NHS policy documents produced. More recent examples: • Delivering Race Equality in Mental Health (DoH, 2005) • No patient left behind policy (Lakhani, 2008) • Also policy addressing specific populations • National Service Framework for health disease (DoH, 2004) • CEMACH (2007) • Race for Health (DoH, 2009) • However, not mainstreamed yet !

  21. Ethnic Minority Health Needs: Introduction • Relationship between ethnicity & health complex (Karlsen & Nazroo, 2002) • Unconscious & structural racism in service delivery (Chiu, 2004) • Many migrants arrive healthy (Johnson, 2006) • Variations across migrant groups • Many factors (Kings Fund, 2000) • Migration and settlement • Isolation • Loss of social status • Poverty • Insecure legal status • Government policies (for example detention & dispersal)

  22. Life expectancy at birth by ethnic group, England 2001, estimated by the GWM method Source: Rees and Wohland, 2008

  23. Proportions and age standardised risk ratios for self reported bad or very bad health for women by ethnic group, England, 2004 Source: The HSE, 2004

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