In recent decades, rapid population ageing has dramatically increased the need for older adult care provision in the UK. A prominent role in meeting the care needs of the older population has been played by migrant workers. The aim of this paper is to explore the characteristics of the UK social care system that shape demand for migrant labour, the conditions under which migrant care workers are employed, and older people's and migrant care workers' experiences of the quality of care. Our analysis draws on the findings of a survey of providers of social care for older people, in-depth interviews with migrant care workers, and focus groups with older people. The findings show that the underfunding of social care and interrelated workforce shortages are largely responsible for the extensive reliance on migrant workers among social care providers, and raise concerns for workforce inequalities and for the quality of care.
This article examines the demand for migrant labor in older‐adult care as one of the key aspects of the aging and migration nexus. It reviews the demographic determinants that have shaped demand for and provision of older‐adult care across Europe. Using the EU Labour Force Survey, new comparative estimates are generated on the employment of migrants in care occupations and the channels of entry into the European labor market. Projections on demand for and supply of care to the older population reveal a future gap in both formal and informal provision. It is shown that, owing to institutional, economic, and social constraints, the significant growth of the care workforce that will be required to meet the future needs of Europe's aging populations is unlikely to be achieved by relying exclusively on EU labor supply. The conclusions outline some implications for future immigration policies.
While a number of studies explored the demographic and human capital attributes affecting migrant socioeconomic assimilation, less is known about the role of immigration status on entry. In particular, little evidence exists on the employment outcomes of migrants admitted outside economic immigration channels (family, study, asylum or permit-free) and joining the labour market once in the country of destination. This paper addresses this knowledge gap. Its conceptual framework for understanding how immigration status on arrival influences access to the labour market highlights the role of selectivity mechanisms and of different rights and constraints characterizing the legal situation of migrants who enter via different admission routes. The empirical analysis builds on original estimates of the migrant workforce by immigration status on entry based on the 2008 Ad-Hoc Module of the EU Labour Force Survey. Logistic regressions show that immigration status on arrival affects the participation in the labour market, the probability of being unemployed and the access to a job commensurate to the migrant skills. While the participation of family migrants and refugees in the labour market is positively associated with their length of stay, these categories retain a significant unemployment disadvantage in almost all European destinations. This gap becomes particularly evident at the intersection of immigration status and gender. Results suggest the need for a more holistic approach to the governance of labour migration that takes into account the long-term trends of migrant labour supply.
Older adult care in Ireland and the UK has seen substantial recruitment of migrant registered nurses and care assistants. However, there is little information on recruitment methods in this sector and on how the current immigration systems influence these strategies. This article aims to address this topic through a survey of care organizations and interviews with employers and migrant carers in Ireland and the UK. Recruitment of migrant carers is based on a combination of conventional approaches, informal networks and recruitment agencies. Choice of strategy is dependent on occupation type and the targeted labour pools. Findings demonstrate that immigration regulations effectively dictate the recruitment pools and shape employer recruitment methods.
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