The UK National Health Service's migration infrastructure in times of Brexit and COVID‐19: Disjunctures, continuities and innovations

Published date01 June 2023
AuthorZinovijus Ciupijus,Chris Forde,Rosa Mas Giralt,Jiachen Shi,Li Sun
Date01 June 2023
DOIhttp://doi.org/10.1111/imig.13061
The University of Leeds, Leeds, UK
Correspondence
Zinovijus Ciupijus, The University of Leeds,
Leeds, UK.
Email: buszc@leeds.ac.uk
Funding information
World University Network
Abstract
The COVID-19 pandemic and Brexit were separate yet
inter-related developments which affected the British
National Health Service (NHS). The UK's state-funded
health sector had historically relied on migrant labour and
depended on a migration infrastructure designed to solve its
nursing labour shortages. The analysis of primary qualitative
and secondary quantitative data shows that the NHS migra-
tion infrastructure increased its orientation towards Asia to
compensate for the effects of Brexit. The paper reveals how
the persistent use of temporary visas along with conditional
contractual arrangements has led to various exclusions
for migrant nurses and midwives. These data also demon-
strate how international travel restrictions associated with
COVID-19 created temporary obstacles for nurses' inflows.
Alongside Brexit, this has also resulted in an increase in
outflows amongst EU health workers. The article identifies
the development of migrant support infrastructure amongst
Filipino and Indian nurses as a major COVID-19 linked
innovation.
ORIGINAL ARTICLE
The UK National Health Service's migration
infrastructure in times of Brexit and COVID-19:
Disjunctures, continuities and innovations
Zinovijus Ciupijus | Chris Forde | Rosa Mas Giralt | Jiachen Shi  |
Li Sun
DOI: 10.1111/imig.13061
Received: 28 February 2022 Revised: 25 July 2022 Accepted: 8 August 2022
336
This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits
use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or
adaptations are made.
© 2022 The Authors. International Migration published by John Wiley & Sons Ltd on behalf of International Organization for Migration.
International Migration. 2023;61:336–348.wileyonlinelibrary.com/journal/imig

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