How care home staffing crisis is being fuelled by post-Brexit immigration rules – Lesley Dodo

WITHOUT a shadow of a doubt, the biggest victims of Covid-19 have been the elderly as the Government now considers compulsory vaccines for care home staff.

is sufficient political attention being given to social care?
is sufficient political attention being given to social care?

Under the UK’s new immigration rules the elderly look set to be the biggest victims of Brexit.

The staff turnover in the private care sector is currently 50 per cent a year. EU migrants make up eight per cent of the total staff in England and Wales. In some parts of England and the South East, this number is as high as 25 per cent. The industry has already had to force closures of some services due to staffing shortages.

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care homes are facing myriad challenges at present.

At the start of the pandemic, the Government shipped old people out of hospitals and into care homes. They 
did this to free up hospital beds 
without running Covid tests first. The death rate in care homes soared as a result.

It soon became clear that care home deaths were the reason behind the UK’s disastrous numbers. Only at this point was the social care sector provided with appropriate PPE.

Local authorities and private care providers are overwhelmed and understaffed. The situation looks set to worsen. On January 1, 2021, the UK’s skilled worker visa went live. Under the new rules EU migrants are only able to fill jobs that have an income threshold of £25,600 or more. They may earn less – but no less than £20,480 – as long as they have “relevant skills”.

The system would allow EU migrants to staff the NHS but not social care. Nearly 90 per cent of social care workers receive less than a real living wage. The alternative route for points if you earn £20,485 is to have a Ph.D. Unlikely in this sector.

Care homes are facing an unprecedented staffing crisis.

No one can argue the devastating effect this year has had on the elderly. The unfair and cruel treatment feels more like contemptuous disdain rather than callous disregard.

Priti Patel has made it her personal mission to reduce immigration numbers by any means necessary. The ban on these workers is in direct opposition to the economy’s need for social care staffing.

Under the new rules, UK labour 
costs will rise and services that rely 
on migrant workers from hospitality 
to health will buckle under the 

But lack of staff isn’t the only worry for the elderly. In the wake of a no-deal Brexit, the country could suffer both 
food and medicine shortages. The 
impact on this age group would be devastating. Death rates will continue to rise.

Despite this, the Government refuses to budge on the Health and Care visa. It claims immigration is not the answer to solving the problems faced by the industry.

It is true immigration alone may not be enough to solve staffing issues faced by the social care sector. Long term solutions will need investment, regulation and reform. Pay rises 
will be vital to aid in slowing staff turnover.

There is no doubt that increasing pay will help with domestic recruitment. But it would also allow EU migrants to qualify under new visa rules. The choice between domestic and international recruitment is not binary.

The crisis facing social care 
doesn’t look set to see a resolution anytime soon. Both local authorities 
and private health care providers are already working hand to mouth and stretched to breaking point. Years of budget cuts to the adult care sector 
mean a pay rise is unlikely. In the wake of Covid 19, one in 10 care homes face closure. If I was Matt Hancock, I’d cry

But perhaps the biggest worry 
of all is this. In the face of a national 
care staffing crisis and a no-deal 
Brexit looming, the risk of food and medicine shortages does not seem 
high on the agenda at Downing Street. Instead, politicians are hard at work discussing the nutritional value of a scotch egg.

You could be mistaken for thinking the Tories are attempting to cull the elderly. A tweet by Jeremy Hunt, a former 
Health and Social Care Secretary and the current chair of Parliament’s Health Committee, recently read: “Every older person should die with dignity and respect. We should be the party who sorts it out.”

The words “with dignity and respect” now feel somewhat misplaced.

Lesley Dodo is a content writer for

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