Lords Voices Concerns On Impact Of Health And Social Care Visa Restriction

A cross-party House of Lords scrutiny committee has raised concerns over restrictions to health and social care visas.

The changes, which come into force on 11 March, include prohibiting health and care workers bringing dependants to the UK and narrowing visa eligibility from all posts in the care sector to only those where the sponsor is registered with the CQC.

The Committee has called on the Government to provide more information about the effect of these changes which took effect in February 2024.

The report comes after the Committee considered the Home Office’s latest Statement of Changes in Immigration Rules (HC 556) (the Statement).

The changes remove the provision for most dependants to accompany or join workers coming to the UK to work in the health and care sectors. The Statement also narrows the range of jobs in England for which migrant workers can be sponsored, reducing it from all posts in the care sector to only those where the sponsor is registered with the Care Quality Commission (CQC).

The Home Office told the Committee that the measures banning dependants from joining migrant workers would reduce the number of dependants coming to the UK by 120,000 per year but would have no effect on the numbers of workers themselves.

The reasons provided by the Department to support this assertion included the fact that there was already a high level of global labour supply; that workers were seeking to come to the UK without their dependants; and that there was a reduction in demand because of the CQC policy change. However, no evidence was provided by the Department in support of these claims.

In addition, the Home Office did not conduct a consultation before introducing these changes. The lack of such a step meant that any benefits from gathering the views of those in the care sector and the general public as to the potential impact of the changes was lost.

The Statement also includes a separate set of policies that alters the schemes that allow those fleeing the war in Ukraine to enter the UK. These changes also suffered from poor supporting material, meaning that explanations of the policy, its context or its rationale were inadequate or unconvincing.

Baroness Randerson, Member of the Secondary Legislation Scrutiny Committee, said:

“We recognise that these changes are intended to address concerns about levels of legal migration. However, there is alarm among social care providers about the impact of these changes: the care sector is already struggling to recruit sufficient workers and is worried these measures could make things worse.

“The Government says that the dependant ban will not reduce the number of immigrant workers, but it has not provided evidence to back this up. This means it is impossible for Parliament to assess the effects of the changes properly and the sector is also left in the dark.

“Whenever the Government lays legislation which has the potential to affect the effectiveness of a sector and has real world consequences for the public at large, it must provide information on the impact. This is a principle the Government has accepted but does not always observe in practice and we are writing to the Home Office to ask for further details.

“We will continue to highlight examples where departments fall short of their obligations to provide information to Parliament and the public thereby hindering our ability to effectively scrutinise secondary legislation”.