{"id":40774,"date":"2017-12-04T13:07:44","date_gmt":"2017-12-04T12:07:44","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=40774"},"modified":"2017-12-08T17:26:12","modified_gmt":"2017-12-08T16:26:12","slug":"ruth-campbell-how-can-we-make-sure-that-immigration-detainees-health-related-human-rights-are-protected","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2017\/12\/04\/ruth-campbell-how-can-we-make-sure-that-immigration-detainees-health-related-human-rights-are-protected\/","title":{"rendered":"Ruth Campbell: How can we make sure that immigration detainees\u2019 health-related human rights are protected?"},"content":{"rendered":"<p><span style=\"font-weight: 400\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-40776\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/12\/ruth_campbell-150x150.png\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/12\/ruth_campbell-150x150.png 150w, https:\/\/blogs.bmj.com\/bmj\/files\/2017\/12\/ruth_campbell.png 160w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/>The UK opened its first \u201cdetention unit\u201d in 1970\u2014in a converted road research laboratory near Heathrow Airport. The Immigration Appeals Act 1969 had just been passed, and the UK was struggling to manage the citizenship appeals of people arriving from its former colonies. This first centre had room for 44 people. <\/span><\/p>\n<p><span style=\"font-weight: 400\">There are now 11 immigration removal centres (IRCs) across the UK, along with a handful of smaller facilities scattered around ports and airports. They can hold up to 3,500 people at any one time, and around 28,000 people will enter immigration detention each year. They are people who have not complied with the terms of their visa, or who have failed to obtain one; asylum seekers whose claims have been rejected; foreign national ex-offenders awaiting removal following a UK prison sentence. The decision to detain is administrative, made by Home Office officials, and can be enforced for an indeterminate period. Detainees may stay there for weeks, months, or in some cases, years. <\/span><\/p>\n<p><span style=\"font-weight: 400\">The BMA promotes fundamental human rights healthcare. We speak out against global abuses and advocate for individuals and marginalised populations whose rights are violated. This is the starting point for our new report <\/span><i><span style=\"font-weight: 400\"><a href=\"https:\/\/www.bma.org.uk\/collective-voice\/policy-and-research\/ethics\/health-and-human-rights-in-immigration-detention\">Locked up, locked out<\/a>,<\/span><\/i><span style=\"font-weight: 400\"> which explores the health and human rights of people in immigration detention. How can we make sure that detainees\u2019 health-related human rights are protected? How can we help doctors in immigration detention provide high-quality care to their patients? <\/span><\/p>\n<p><span style=\"font-weight: 400\">It\u2019s a complex picture. There are staggering rates of mental illness. Increasing evidence points to a link between detention itself and mental health problems. Current health provision can struggle to meet their needs. There are huge variations in the range and quality of healthcare, levels of staffing, and access to specialist care in the community. <\/span><\/p>\n<p><span style=\"font-weight: 400\">Some detainees have fled persecution, warfare, and violence. Victims of torture and sexual or gender based violence, victims of trafficking and those with serious mental health illness routinely end up in detention despite Home Office policy and government assurances that they should not normally be detained. <\/span><\/p>\n<p><span style=\"font-weight: 400\">Doctors working in immigration detention owe the same ethical and legal obligations to their patients\u2014but fulfilling those obligations can be difficult, if not impossible. Providing high-quality healthcare is a daily challenge. A high workload, limited resources, isolation from peers and colleagues in the community add to the challenge, as can the tension between the purpose and aims of the IRC (to detain and secure) and those of healthcare (to protect and promote health and wellbeing). <\/span><\/p>\n<p><span style=\"font-weight: 400\">All this against a background of global instability, mass migration, and virulent anti-immigration rhetoric. The public has little interest in the rights of the detained, and there are few votes to be won in championing their rights. <\/span><\/p>\n<p><span style=\"font-weight: 400\">Our report spells out the problems, and provides guidance to doctors. But without meaningful change to policy and practice, serious problems will persist. We therefore call for a fundamental revision of detention policies\u2014an end to the use of immigration detention and its replacement with more humane means of monitoring individuals\u2014and until then, an overhaul of healthcare in immigration detention to meet the needs of detainees. <\/span><\/p>\n<p><span style=\"font-weight: 400\">The UK is not unique in its use of immigration detention. Globally, doctors have taken a stand, from Australia where immigration policies have resulted in thousands being held in offshore detention, to the USA, where clinicians fear that Trump will entrench the substandard healthcare provided to detainees. With the publication of <\/span><i><span style=\"font-weight: 400\">Locked up, locked out,<\/span><\/i><span style=\"font-weight: 400\"> the British Medical Association adds the voice of UK doctors to those calling for change. <\/span><\/p>\n<p><i><span style=\"font-weight: 400\">You can find out more about the BMA\u2019s work on immigration detention and download copies of &#8220;<\/span><\/i><span style=\"font-weight: 400\">Locked up, locked out&#8221;\u00a0<\/span><i><span style=\"font-weight: 400\">here<\/span><\/i><i><span style=\"font-weight: 400\">.<\/span><\/i><\/p>\n<p><em><strong>Ruth Campbell<\/strong> is a senior policy advisor in the BMA\u2019s Medical Ethics and Human Rights Team.<\/em><\/p>\n<p><em><strong>Competing interests<\/strong>: None declared.<\/em><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The UK opened its first \u201cdetention unit\u201d in 1970\u2014in a converted road research laboratory near Heathrow Airport. The Immigration Appeals Act 1969 had just been passed, and the UK was [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2017\/12\/04\/ruth-campbell-how-can-we-make-sure-that-immigration-detainees-health-related-human-rights-are-protected\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":40777,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[223],"tags":[],"class_list":["post-40774","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guest-bloggers"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Ruth Campbell: How can we make sure that immigration detainees\u2019 health-related human rights are protected? - 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\/12\/04\/ruth-campbell-how-can-we-make-sure-that-immigration-detainees-health-related-human-rights-are-protected\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ruth Campbell: How can we make sure that immigration detainees\u2019 health-related human rights are protected? - The BMJ\" \/>\n<meta property=\"og:description\" content=\"The UK opened its first \u201cdetention unit\u201d in 1970\u2014in a converted road research laboratory near Heathrow Airport. 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