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

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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