Migrant workers have been keeping Britain's beleaguered care sector afloat for years but that could be about to change. Under plans outlined in the government's immigration white paper, social care providers will no longer be able to recruit staff from abroad on a Health and Care visa.
They will only be able to employ domestic workers, immigrant workers already here legally, or immigrants on other visas, which could be a "crushing blow to an already fragile sector", said Care England, the body representing adult social care.
How much do we rely on migrant care workers? Migrant workers make up 32% of England's adult care workforce, according to a 2024 report, and fill almost 400,000 roles in the sector. Most are recruited from outside the EU, with Nigeria, India, Zimbabwe, Romania and Ghana being the most common countries of origin.
How did it get this way? Austerity cuts from 2010 have slashed council budgets, limiting funding for social care. The "stressful and sometimes exploitative conditions" of the job, including the prevalence of zero-hours contracts, lack of progression and low social status of the work, make it difficult to attract staff, said The Bureau of Investigative Journalism.
Brexit added "fuel to the fire of severe challenges", said health think tank The Nuffield Trust. "Shutting off the 'relief valve' of EU migration" put more pressure on a system that had long "relied heavily" on recruitment abroad – and one that lacks an effective training and retention plan for British workers.
What does the future look like for the sector? The government says the planned changes will crack down on "rogue care providers" and cut immigration by 7,000 people a year. But the care sector's vacancy rate (8.3%) is nearly three times higher than that in the wider economy. Critics warn that without urgent reform, including better pay and working conditions, those roles are unlikely to be filled domestically. Britain's ageing population will also create the need for an estimated additional 540,000 care workers by 2040.
"International recruitment wasn't a silver bullet but it was a lifeline," said Care England's CEO Martin Green. "Taking it away now, with no warning, no funding and no alternative, is not just short-sighted, it's cruel." |