ArticleInternational journal of health policy and management2016
National Health Service Principles as Experienced by Vulnerable London Migrants in "Austerity Britain": A Qualitative Study of Rights, Entitlements, and Civil-Society Advocacy.
Article in International journal of health policy and management, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comparing cancer stage at diagnosis between migrants and non-migrants: a meta-analysis.British journal of cancer · 2025Pooled it
- Primary care receptionists influence migrant access to healthcare by acting as street-level bureaucrats: a scoping review.BMC primary care · 2026Article
- Innovative pathways for sustainable health financing for migrants and refugees in Iran: a stakeholder and social network analysis approach.BMJ public health · 2026Article
- Exploring ways to improve healthcare service access for people experiencing homelessness in Manchester, UK.Health promotion international · 2025Article
- Navigating challenges and workarounds: A qualitative study of healthcare and support workers' perceptions on providing care to people seeking sanctuary.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Defining drivers of under-immunization and vaccine hesitancy in refugee and migrant populations.Journal of travel medicine · 2023Article
- Impact of COVID-19 on migrants' access to primary care and implications for vaccine roll-out: a national qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
- "It's a life you're playing with": A qualitative study on experiences of NHS maternity services among undocumented migrant women in England.Social science & medicine (1982) · 2021Article
- Asylum seekers' and refugees' experiences of accessing health care: a qualitative study.BJGP open · 2021Article
- Healthcare utilization among migrants to the UK: cross-sectional analysis of two national surveys.Journal of health services research & policy · 2021Article
- The north-south policy divide in transnational healthcare: a comparative review of policy research on medical tourism in source and destination countries.Globalization and health · 2020Review
- Patient data-sharing for immigration enforcement: a qualitative study of healthcare providers in England.BMJ open · 2020Article
- Austerity or Xenophobia? The Causes and Costs of the "Hostile Environment" in the NHS.Health care analysis : HCA : journal of health philosophy and policy · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRecent British National Health Service (NHS) reforms, in response to austerity and alleged 'health tourism,' could impose additional barriers to healthcare access for non-European Economic Area (EEA) migrants. This study explores policy reform challenges and implications, using excerpts from the perspectives of non-EEA migrants and health advocates in London.
methodsA qualitative study design was selected. Data were collected through document review and 22 in-depth interviews with non-EEA migrants and civil-society organisation representatives. Data were analysed thematically using the NHS principles.
resultsThe experiences of those 'vulnerable migrants' (ie, defined as adult non-EEA asylum-seekers, refugees, undocumented, low-skilled, and trafficked migrants susceptible to marginalised healthcare access) able to access health services were positive, with healthcare professionals generally demonstrating caring attitudes. However, general confusion existed about entitlements due to recent NHS changes, controversy over 'health tourism,' and challenges registering for health services or accessing secondary facilities. Factors requiring greater clarity or improvement included accessibility, communication, and clarity on general practitioner (GP) responsibilities and migrant entitlements.
conclusionLegislation to restrict access to healthcare based on immigration status could further compromise the health of vulnerable individuals in Britain. This study highlights current challenges in health services policy and practice and the role of non-governmental organizations (NGOs) in healthcare advocacy (eg, helping the voices of the most vulnerable reach policy-makers). Thus, it contributes to broadening national discussions and enabling more nuanced interpretation of ongoing global debates on immigration and health.
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