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Reform UK levy on overseas staff would harm NHS, social care, experts warn

Created at 27 Jul · 5:06 AM1 source↑ Market-relevant
IN SHORT

Experts have warned that Reform UK's proposed levy on employers of overseas staff would negatively impact the NHS, social care, and education sectors, potentially leading to staff shortages and financial difficulties for universities.

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Key Numbers

20%NHS England staff are not UK nationals
6%teachers in England are non-UK nationals
60%of university budgets spent on salaries

Who's Involved

Reform UK
political party proposing a levy on overseas staff
Nigel Farage
leader associated with Reform UK's policy proposals
The King's Fund
health thinktank warning of added costs to the NHS
Suzie Bailey
from The King's Fund, concerned about impact on care
Victoria Tzortziou Brown
President of the Royal College of General Practitioners, warning of counter-productivity
Jane Townson
CEO of the Homecare Association, highlighting impact on care sector
James Zuccollo
Head of school workforce at the Education Policy Institute, on settled-status holders
Nick Hillman
CEO of the Higher Education Policy Institute, on university financial risks
Alicia Greated
from the Campaign for Science and Engineering, on damage to R&D sector

↳ Why This Matters

The proposed levy could exacerbate existing staff shortages in critical public services like healthcare and education, potentially impacting patient care, student access to education, and the viability of universities and research institutions.

Key facts

  • Reform UK plans a levy on employers hiring overseas staff.
  • The policy aims to encourage hiring of British employees.
  • Experts warn it would harm the NHS, social care, and education.
  • Universities could face financial distress due to increased salary costs.
  • The levy would apply to employees without a UK passport, excluding Irish nationals.
  • There are no exceptions for sectors with staff shortages.

Reform UK's proposal for employers to pay an annual levy for hiring overseas staff has drawn criticism from various experts who warn it could significantly harm essential sectors like the NHS and social care, as well as education.

The proposed "migrant worker surcharge" would involve increased employer national insurance contributions and a separate annual charge for any employee without a UK passport, with the exception of Irish nationals. Crucially, the policy would not exempt sectors heavily reliant on foreign workers, such as healthcare and education.

Thinktanks and professional bodies argue that the available pool of British workers is insufficient to fill these roles. The King's Fund highlighted that with 20% of NHS England staff being non-UK nationals, the levy would impose additional costs on an already strained service, potentially leading to cuts in care quality. Suzie Bailey from the King's Fund expressed strong doubts about the policy's practicality, predicting negative impacts on healthcare.

Victoria Tzortziou Brown, President of the Royal College of General Practitioners, pointed out the counter-productivity of penalizing overseas GPs who have trained in the UK at public expense, noting that general practices, often small independent services, could be disproportionately affected, ultimately impacting patient access to care.

Jane Townson, CEO of the Homecare Association, stated that the care sector already faces higher costs and complexity in employing overseas staff due to demand and a shortage of UK workers. She warned that a levy, particularly higher for low-paid workers, would be unabsorbable by providers, leading to reduced home care access, increased hospital backlogs, potential worker exploitation, and provider failures, with costs ultimately falling on the public purse.

In education, the impact could vary, but many overseas teachers are long-term UK residents with settled status. James Zuccollo of the Education Policy Institute noted that including these individuals would hinder future recruitment and burden existing staff.

Universities, where nearly half of institutions are currently running deficits and up to 60% of budgets are spent on salaries, could face severe financial strain. Nick Hillman of the Higher Education Policy Institute suggested that in extreme cases, these higher wage bills could push some universities towards insolvency, a situation no UK university has yet experienced.

Furthermore, Dr. Alicia Greated from the Campaign for Science and Engineering warned that the plans could be "highly damaging" to the broader research and development sector, which already grapples with high visa costs and complex policies that divert funds from research investment.

Frequently asked questions

Reform UK plans an annual levy on employers for each overseas staff member they employ, in addition to higher employer national insurance contributions.

The NHS, social care, schools, universities, and the wider research and development sector are expected to be significantly impacted due to their reliance on overseas workers.

The levy would apply to employees without a UK passport, with the exception of Irish passport holders. No specific exemptions are planned for sectors with staff shortages.

Experts warn of harm to healthcare and social care services, teacher shortages, financial difficulties for universities, and damage to the research sector.

What Happens Next

01Reform UK is expected to provide further details on the proposed levy.
02Further analysis and debate are anticipated from health, education, and research sectors.
03The policy's impact on upcoming elections and public discourse will likely unfold.

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How It Developed

Reform UK proposed a "migrant worker surcharge" on employers of non-UK passport holders.
The levy would include higher employer national insurance and a separate annual charge.
Exceptions would not be made for sectors with frequent staff shortages like the NHS and education.
Experts warned the policy would harm the NHS and social care, and could cause teacher shortages.
Thinktanks and professional groups stated that British workers are often unavailable in sufficient numbers.
The King's Fund stated the policy would add costs to the already stretched NHS.
The Royal College of General Practitioners warned that penalizing overseas GPs would be counter-productive.
The Homecare Association noted that overseas care staff are employed due to demand and lack of UK workers.

Sources

T1
Reform UK levy on employing overseas staff ‘would harm NHS and social care’The Guardian

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