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UK Immigration

UK Care Workforce Shortage: How UK Immigration Policy Affects the Healthcare Sector

The UK care sector is facing a workforce shortage, with 19% of caregivers being foreign. The government's immigration crackdown may deter foreign workers, exacerbating the problem. Low pay and staff shortages are already challenges.

Last updated: July 18, 2025 9:38 pm
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Key takeaways

UK care sector faces staff shortages, with immigration policies potentially deterring foreign workers.
19% of UK care workforce is from abroad, and demand for care workers is growing due to an aging population.
Low pay, exploitation, and challenging work environment contribute to staff shortages in the UK care sector.

Addressing the UK Care Workforce Shortage through International Recruitment

The United Kingdom is grappling with a significant challenge in its health and care sector—staff shortages. Industry leaders are sounding the alarm over the potential for these shortages to worsen, as Prime Minister Rishi Sunak’s immigration policies may deter foreign workers, essential to this sector, from coming to the UK.

UK Care Workforce Shortage: How UK Immigration Policy Affects the Healthcare Sector
As the UK faces a shortage of care workers due to low pay and challenging conditions, concerns arise that stricter immigration policies could worsen the situation. The industry heavily relies on migrant workers, but the proposed ban on bringing family members and increased healthcare surcharges might drive them to seek opportunities elsewhere. This poses a significant challenge for the healthcare recruitment sector in Britain.

Currently, foreigners play a vital role in the UK’s health and care system; a staggering 19% of the care workforce comes from abroad, with many hailing from countries such as Nigeria, India, Romania, Poland, the Philippines, and Zimbabwe. Their contribution cannot be overstated, especially as the UK faces growing demand for care workers due to an aging population. By 2035, the number of over-65s is projected to reach 13.8 million.

Exploring the Reasons Behind Staff Shortages

The UK care workforce shortage can be attributed to several key factors. The Care Quality Commission’s 2023 survey involving nearly 2,000 care providers brought to light some hard truths: more than half reported difficulties in hiring staff, and a third faced challenges in retaining them. The reasons for this include:

  • Low pay: With a median hourly pay of 10.11 pounds, social care jobs are among the lowest-paid in Britain.
  • Rising exploitation: Incidents of modern slavery involving carers are reported, with 106 cases in 2022, according to the charity Unseen, resonating about 10% of all cases that year.
  • Demanding work in a challenging environment: As Simon Bottery, a senior fellow of social care at The King’s Fund, states, “Unless we do something about the underlying problem with the underfunding of the system, which in turn leads to too low pay, then we’re not going to fix the problem.”

The Reliance on Foreign Care Workers

The health and social care recruitment in Britain heavily relies on foreign workers, especially with vacancies intensifying following the Covid-19 pandemic and Brexit. Official immigration data from the year ending September 2023 highlights this dependence, with skilled visas granted to health and care workers surging to nearly 144,000 from 61,274 the previous year.

This reliance stems from the comparatively lower wages offered in the UK sector. An overseas carer in Britain earns a minimum of 20,960 pounds a year—modest by UK standards, yet significantly higher than the average earnings in their home countries.

The Impact of UK Immigration Policy on Healthcare Sector

Recent policy changes have added more complexity to a sector already in crisis. Home Secretary James Cleverly announced plans in December aimed at reducing the number of migrants entering the UK. While care and health workers have been exempted from a higher minimum salary requirement, other restrictive measures have been introduced:

  • A ban on foreign workers bringing family members with them.
  • A 66% increase in the surcharge migrants must pay to use the health service.

Such measures have raised concerns among care providers, as they fear these impediments will push foreign carers toward other countries also in need of care workers—like Australia, Canada, and the United States. Vic Rayner, Chief Executive of the National Care Forum, articulates this worry: “Every barrier that we put up makes us less attractive as a country for people to come and work in.”

Navigating the Future of the Care Workforce

With global populations aging at an “unprecedented pace,” the United Nations World Health Organization indicates that the over-60 age group will reach 2.1 billion by 2050. This demographic shift signifies an escalating worldwide demand for health and care workers, setting up a competitive international market for these professionals.

Skills For Care’s 2023 report forecasts an additional 440,000 carer jobs will arise as Britain’s population ages, suggesting a significant reliance on a migrant workforce to fill these roles. Vic Rayner presumes, “It seems very unlikely that we will be able to do that without a significant migrant workforce.”

Conclusion

The intersection of immigration policy and the necessity for an adequate care workforce poses unique challenges for the UK. Encouraging more British workers to take up care jobs while ensuring that the system is sufficiently funded and salaries are competitive is crucial. In tandem, the UK must also remain an attractive destination for foreign care workers who are crucial to the sustainability of the healthcare sector.

As policymakers navigate the complexities of immigration and healthcare staffing, it is essential to balance the need to maintain a robust, supportive care environment with pragmatic immigration policies. We cannot underestimate the significant role foreign workers play in healthcare and the dire consequences a migration crackdown could have on the sector.

For those seeking more information on UK visa policies and immigration, visiting the UK Visa and Immigration website is a helpful starting point. Here, individuals can find comprehensive guidance on various visa programs, including those relevant to health and care jobs.

Learn Today:

Glossary or Definitions

  1. Staff Shortages: The situation where there is a lack of available workers to fill job positions within a particular sector or industry.
  2. Immigration Policies: The set of rules, regulations, and laws established by a country to govern the entry, residence, and employment of foreigners within its borders.

  3. Foreign Workers: Individuals who are citizens of a different country and are employed outside their home country.

  4. Care Workforce: The group of individuals who provide care services, including health and social care, to individuals who require support due to age, illness, or disability.

  5. Exploitation: The act of taking advantage of someone, often through unethical or unfair treatment, for personal gain or benefit.

  6. Median Hourly Pay: The midpoint value in a set of hourly pay rates, where half of the values are lower and the other half are higher.

  7. Modern Slavery: A term used to describe various forms of exploitative labor, including forced labor and human trafficking, where individuals are coerced or deceived into working under exploitative conditions.

  8. Underfunding: Insufficient financial resources allocated to a particular sector or area, resulting in a lack of adequate support, resources, or services.

  9. Dependence: Reliance or reliance on someone or something.

  10. Skilled Visas: Visa categories that are granted to foreign workers with specialized skills, qualifications, or experience in specific occupations or industries.

  11. Brexit: The withdrawal of the United Kingdom from the European Union, resulting in various political, economic, and social changes, including changes to immigration policies.

  12. Minimum Salary Requirement: The prescribed minimum amount of income that foreign workers must earn in order to be eligible for certain visa categories or entry into a country.

  13. Surcharge: A fee or additional cost that is imposed on migrants as a requirement for accessing certain services, such as healthcare.

  14. Care Providers: Organizations or individuals that offer care services, including health and social care, to individuals in need of support.

  15. Competitive International Market: A global and competitive environment where countries and employers actively seek to attract and recruit skilled professionals from around the world to meet the demand for specific occupations or industries.

  16. Pragmatic: Practical and realistic, focusing on finding effective and feasible solutions to problems or challenges.

  17. Visa Programs: Specific schemes or programs established by a country to regulate and facilitate the entry, stay, and employment of foreign individuals, often with specific criteria and requirements.

  18. Sustainability: The ability to maintain or support something over the long term, ensuring its ongoing functioning or existence.

  19. Migration Crackdown: Stringent measures or policies implemented by a country to restrict or reduce immigration, often leading to a decrease in the number of migrants entering or working in that country.

  20. UK Visa and Immigration Website: The official online platform or portal provided by the United Kingdom government where individuals can find information, guidance, and resources related to UK visa policies, regulations, and applications processes.

So, if you want to dive deeper into the world of UK visa policies and immigration, head over to visaverge.com. There, you’ll find a wealth of information on various visa programs, including those specifically relevant to health and care jobs. Remember, staying informed is the first step in understanding the intricacies of immigration and ensuring the continued success of the UK care workforce. Happy exploring!

This Article in a Nutshell:

The UK is facing a shortage of care workers, with 19% of the sector being made up of foreign workers. Low pay, exploitation, and challenging conditions contribute to the shortage. Recent immigration policies may deter foreign workers, exacerbating the problem. The UK must balance attracting foreign workers with supporting domestic workers.

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Oliver Mercer
ByOliver Mercer
Chief Editor
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As the Chief Editor at VisaVerge.com, Oliver Mercer is instrumental in steering the website's focus on immigration, visa, and travel news. His role encompasses curating and editing content, guiding a team of writers, and ensuring factual accuracy and relevance in every article. Under Oliver's leadership, VisaVerge.com has become a go-to source for clear, comprehensive, and up-to-date information, helping readers navigate the complexities of global immigration and travel with confidence and ease.
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