{"id":40607,"date":"2017-11-10T17:24:42","date_gmt":"2017-11-10T16:24:42","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=40607"},"modified":"2017-11-21T18:03:51","modified_gmt":"2017-11-21T17:03:51","slug":"roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/10\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\/","title":{"rendered":"Roghieh Dehghan: A migrant GP on upfront NHS charges"},"content":{"rendered":"<p class=\"standfirst\">In post-referendum Britain, the policy of charging overseas visitors upfront further alienates healthcare staff in the NHS<\/p>\n<p><!--more--><\/p>\n<p><span style=\"font-weight: 400\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-40611 \" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/11\/Roghieh-Dehghan-Zaklaki.png\" alt=\"\" width=\"143\" height=\"158\" \/>As a European GP of Middle Eastern background working in post-referendum Britain, the political is very personal to me. This includes the new policy from the Department of Health (DoH) on upfront charges to \u201c<\/span><a href=\"https:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/654745\/Overseas_visitor_charging_regs_guidance.pdf\"><span style=\"font-weight: 400\">overseas visitors<\/span><\/a><span style=\"font-weight: 400\">\u201d using the NHS.<\/span> <span style=\"font-weight: 400\">As of 23 October this year, all patients attending hospitals for non-urgent care can be charged upfront unless they can show ID to prove they&#8217;re entitled to receive treatment. \u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Who is entitled to free health services and why have been hotly debated in the wake of this announcement. Some claim that the mere fact of being human entitles a person to access healthcare as a fundamental right. Others stress the risk to collective health and the financial cost of implementing this policy. Lastly, some argue that health is a public good the state is obliged to guarantee to its citizens. However, opinions diverge on what constitutes \u201cmembership\u201d of a state. <\/span><\/p>\n<p><span style=\"font-weight: 400\">These are all worthy arguments, but what I want to focus on is how the DoH\u2019s approach carries some hidden costs that many health professionals intuitively know but dismiss as negligible, irrelevant, or even \u201cmushy.\u201d Two of these costs that the NHS might be sooner or later presented with are the demoralisation or loss of its staff, and the deterioration of the doctor-patient relationship as two incompatible cultures clash: that of medicine based on trust and respect, and that of medicine as a proxy for the Home Office\u2014informed by suspicion and scrutiny. <\/span><\/p>\n<p><span style=\"font-weight: 400\">Having worked as an EU doctor in the UK for almost 15 years, I have always had a strong sense of ownership of the NHS. To my surprise, something drastically changed after the referendum on Britain\u2019s membership of the EU in June 2016. I don\u2019t know whether it was the shock of the vote, or worry about my future, or the fact that\u2014for the first time in all my years here\u2014I was subjected to shouts of \u201cF*** off<\/span> <span style=\"font-weight: 400\">foreigner\u201d in my own neighbourhood. <\/span><\/p>\n<p><span style=\"font-weight: 400\">Yet according to a survey undertaken by the <\/span><a href=\"https:\/\/www.bma.org.uk\/collective-voice\/policy-and-research\/education-training-and-workforce\/eu-doctors-survey\"><span style=\"font-weight: 400\">BMA<\/span><\/a><span style=\"font-weight: 400\">,<\/span> <span style=\"font-weight: 400\">I am not the only EU doctor struggling to maintain the level of commitment to the NHS that I once had. This disappointment is only reinforced by policies that are hostile to migrants, and which further alienate a not inconsiderable proportion of health professionals. These policies render you a second class doctor, and many of your patients second class citizens. <\/span><\/p>\n<p><span style=\"font-weight: 400\">No amount of \u201cYou can stay,\u201d \u201cYou we keep,\u201d or \u201cYou are safe\u201d\u2014not even a letter from <\/span><a href=\"https:\/\/www.gov.uk\/government\/news\/pms-open-letter-to-eu-citizens-in-the-uk\"><span style=\"font-weight: 400\">Theresa May<\/span><\/a><span style=\"font-weight: 400\">\u2014is enough to protect me and my patients from racial profiling and the everyday microaggressions that these policies encourage. At the end of the day, outside of my GP surgery, I am just another migrant. I don\u2019t look any different to many other migrants, nor do I sound different. No one who is subject to the demands of working in the NHS would want to feel welcomed when serving, but then scrutinised when they become a patient themselves in the same service. <\/span><\/p>\n<p><span style=\"font-weight: 400\">Infecting the NHS with immigration policies clashes with the standards of care that the General Medical Council holds us to, and on the basis of which we are appraised and revalidated. Three out of the four domains of the GMC\u2019s <\/span><a href=\"http:\/\/www.gmc-uk.org\/guidance\/good_medical_practice.asp\"><span style=\"font-weight: 400\">Good Medical Practice<\/span><\/a> <span style=\"font-weight: 400\">discuss the patient-doctor relationship, and the quality that is most stressed is trust. <\/span><\/p>\n<p><span style=\"font-weight: 400\">A large proportion of a doctor\u2019s work revolves around establishing and maintaining a trusting relationship with patients. This is not a luxury that we can cut down on<\/span><i><span style=\"font-weight: 400\">; <\/span><\/i><span style=\"font-weight: 400\">it is the glue that holds medicine together. Drawing attention to trust as the building block of medicine is not a soft argument, as opposed to the hard, practical arguments that are framed in economic and legal terms. Trust is an essential tool of the medical profession. It is the trust that a vulnerable person places in my intent<\/span><i><span style=\"font-weight: 400\">, <\/span><\/i><span style=\"font-weight: 400\">actions, and agenda. Without that, there is no history taking or examining. Trust is a diagnosing and healing tool. If a policy is putting this at risk, then it is only sensible to demand solid justification and evidence as to why it\u2019s being rolled out at all. <\/span><\/p>\n<p><span style=\"font-weight: 400\">There are two simple questions to be asked of any <\/span><a href=\"http:\/\/nuffieldbioethics.org\/wp-content\/uploads\/2014\/07\/Public-health-ethical-issues.pdf\"><span style=\"font-weight: 400\">health policy<\/span><\/a><span style=\"font-weight: 400\">: what it aims to achieve and on what basis is the intervention proposed? The <\/span><a href=\"https:\/\/www.bma.org.uk\/connecting-doctors\/b\/work\/posts\/the-human-cost-of-the-39-health-tourism-39-crackdown\"><span style=\"font-weight: 400\">0.3% deficit<\/span><\/a><span style=\"font-weight: 400\"> in the NHS budget that is attributed to \u201chealth tourism\u201d is too small to justify marginalising and discriminatory policies, which have been inadequately researched; are disproportionate in their reach; and, if not downright counterproductive, are nevertheless uncertain in their impact.<\/span><\/p>\n<p><span style=\"font-weight: 400\">As health professionals we should be mindful of how a policy like this reshapes the NHS in the long run. We need to protect our discipline from being hijacked by those who aim to hide their own dubious agenda under the respected mask of medicine.<\/span><\/p>\n<p><em><strong>Roghieh Dehghan<\/strong> is a part time GP in north London and an NIHR in-practice fellow at the Institute for Global Health at UCL. She does research on the mental health of traumatised refugees in the UK.\u00a0<\/em><\/p>\n<p><strong>Competing interests:<\/strong> None declared.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In post-referendum Britain, the policy of charging overseas visitors upfront further alienates healthcare staff in the NHS [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/10\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":40609,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[236],"tags":[],"class_list":["post-40607","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nhs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Roghieh Dehghan: A migrant GP on upfront NHS charges - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/10\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Roghieh Dehghan: A migrant GP on upfront NHS charges - The BMJ\" \/>\n<meta property=\"og:description\" content=\"In post-referendum Britain, the policy of charging overseas visitors upfront further alienates healthcare staff in the NHS [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/10\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2017-11-10T16:24:42+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2017-11-21T17:03:51+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/11\/waiting_room.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"540\" \/>\n\t<meta property=\"og:image:height\" content=\"350\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/11\\\/10\\\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/11\\\/10\\\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Roghieh Dehghan: A migrant GP on upfront NHS charges\",\"datePublished\":\"2017-11-10T16:24:42+00:00\",\"dateModified\":\"2017-11-21T17:03:51+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/11\\\/10\\\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\\\/\"},\"wordCount\":871,\"commentCount\":1,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/11\\\/10\\\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/11\\\/waiting_room.jpg\",\"articleSection\":[\"NHS\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/11\\\/10\\\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/11\\\/10\\\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/11\\\/10\\\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\\\/\",\"name\":\"Roghieh Dehghan: A migrant GP on upfront NHS charges - The BMJ\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/11\\\/10\\\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/11\\\/10\\\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/11\\\/waiting_room.jpg\",\"datePublished\":\"2017-11-10T16:24:42+00:00\",\"dateModified\":\"2017-11-21T17:03:51+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/11\\\/10\\\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/11\\\/10\\\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/11\\\/10\\\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\\\/#primaryimage\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/11\\\/waiting_room.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/11\\\/waiting_room.jpg\",\"width\":540,\"height\":350},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2017\\\/11\\\/10\\\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Roghieh Dehghan: A migrant GP on upfront NHS charges\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"name\":\"The BMJ\",\"description\":\"Helping doctors make better decisions.\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\",\"name\":\"The BMJ\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"width\":852,\"height\":568,\"caption\":\"The BMJ\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/bmjdotcom\\\/\",\"https:\\\/\\\/x.com\\\/bmj_latest\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\",\"name\":\"BMJ\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"caption\":\"BMJ\"},\"sameAs\":[\"https:\\\/\\\/blogs.bmj.com\\\/\"],\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/author\\\/admin\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Roghieh Dehghan: A migrant GP on upfront NHS charges - The BMJ","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/10\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\/","og_locale":"en_US","og_type":"article","og_title":"Roghieh Dehghan: A migrant GP on upfront NHS charges - The BMJ","og_description":"In post-referendum Britain, the policy of charging overseas visitors upfront further alienates healthcare staff in the NHS [...]More...","og_url":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/10\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\/","og_site_name":"The BMJ","article_publisher":"https:\/\/www.facebook.com\/bmjdotcom\/","article_published_time":"2017-11-10T16:24:42+00:00","article_modified_time":"2017-11-21T17:03:51+00:00","og_image":[{"width":540,"height":350,"url":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/11\/waiting_room.jpg","type":"image\/jpeg"}],"author":"BMJ","twitter_card":"summary_large_image","twitter_creator":"@bmj_latest","twitter_site":"@bmj_latest","twitter_misc":{"Written by":"BMJ","Est. reading time":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/10\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/10\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\/"},"author":{"name":"BMJ","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe"},"headline":"Roghieh Dehghan: A migrant GP on upfront NHS charges","datePublished":"2017-11-10T16:24:42+00:00","dateModified":"2017-11-21T17:03:51+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/10\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\/"},"wordCount":871,"commentCount":1,"publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/10\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/11\/waiting_room.jpg","articleSection":["NHS"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/bmj\/2017\/11\/10\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/10\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\/","url":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/10\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\/","name":"Roghieh Dehghan: A migrant GP on upfront NHS charges - The BMJ","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#website"},"primaryImageOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/10\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\/#primaryimage"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/10\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/11\/waiting_room.jpg","datePublished":"2017-11-10T16:24:42+00:00","dateModified":"2017-11-21T17:03:51+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/10\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/bmj\/2017\/11\/10\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/10\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\/#primaryimage","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/11\/waiting_room.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/11\/waiting_room.jpg","width":540,"height":350},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/bmj\/2017\/11\/10\/roghieh-dehghan-a-migrant-gp-on-upfront-nhs-charges\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/bmj\/"},{"@type":"ListItem","position":2,"name":"Roghieh Dehghan: A migrant GP on upfront NHS charges"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/bmj\/#website","url":"https:\/\/blogs.bmj.com\/bmj\/","name":"The BMJ","description":"Helping doctors make better decisions.","publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/bmj\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/bmj\/#organization","name":"The BMJ","url":"https:\/\/blogs.bmj.com\/bmj\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","width":852,"height":568,"caption":"The BMJ"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/bmjdotcom\/","https:\/\/x.com\/bmj_latest"]},{"@type":"Person","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe","name":"BMJ","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","caption":"BMJ"},"sameAs":["https:\/\/blogs.bmj.com\/"],"url":"https:\/\/blogs.bmj.com\/bmj\/author\/admin\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/40607","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=40607"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/40607\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media\/40609"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=40607"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=40607"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=40607"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}