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The Effects of Immigration on NHS Waiting Times

Author

Listed:
  • Osea Giuntella

    (University of Oxford, IZA)

  • Catia Nicodemo

    (University of Oxford, CHSEO, IZA)

  • Carlos Vargas Silva

    (University of Oxford, COMPAS)

Abstract

This paper analyzes the effects of immigration on access to health care in England. Linking administrative records from the Hospital Episode Statistics (2003-2012) with immigration data drawn from the UK Labor Force Survey, we analyze how immigrant inflows affected waiting times in the National Health Service. We find that immigration reduced waiting times for outpatient referrals and did not have significant effects on waiting times in Accident and Emergency (A&E) and elective care. However, there is evidence that immigration increased waiting times for outpatient referrals in more deprived areas outside London. These effects are concentrated in the years immediately following the 2004 EU enlargement and vanish in the medium-run (e.g., 3 to 4 years). Our findings suggest that these regional disparities are explained by both differences in the health status of immigrants moving into different local authorities and in natives’ internal mobility across local authorities.

Suggested Citation

  • Osea Giuntella & Catia Nicodemo & Carlos Vargas Silva, 2015. "The Effects of Immigration on NHS Waiting Times," Economics Papers 2015-W04, Economics Group, Nuffield College, University of Oxford.
  • Handle: RePEc:nuf:econwp:1504
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    3. Ian Fitzgerald & Ron Beadle & Kevin Rowan, 2022. "Trade unions and the 2016 UK European Union Referendum," Economic and Industrial Democracy, Department of Economic History, Uppsala University, Sweden, vol. 43(1), pages 388-409, February.
    4. Osea Giuntella & Fabrizio Mazzonna & Catia Nicodemo & Carlos Vargas-Silva, 2019. "Immigration and the reallocation of work health risks," Journal of Population Economics, Springer;European Society for Population Economics, vol. 32(3), pages 1009-1042, July.
    5. Christian Gunadi, 2020. "Immigration and the Health of U.S. Natives," Southern Economic Journal, John Wiley & Sons, vol. 86(4), pages 1278-1306, April.
    6. Becker, Sascha O. & Fetzer, Thiemo, 2018. "Has Eastern European Migration Impacted UK-born Workers?," The Warwick Economics Research Paper Series (TWERPS) 1165, University of Warwick, Department of Economics.
    7. Philippe Aghion & Terra Allas & Timothy Besley & John Browne & Francesco Caselli & Richard Davies & Richard Lambert & Rachel Lomax & Stephen Machin & Gianmarco I. P. Ottaviano & Christopher A. Pissari, 2017. "UK growth: a new chapter," CEP Reports 28b, Centre for Economic Performance, LSE.
    8. Nicodemo, Catia & Raya, Josep M., 2018. "Does Juan Carlos or Nelson Obtain a Larger Price Cut in the Spanish Housing Market?," IZA Discussion Papers 11811, Institute of Labor Economics (IZA).
    9. Bruna Morais Guidetti & Paula Carvalho Pereda, Edson Roberto Severnini, 2021. "Health Shocks under Hospital Capacity Constraints: Evidence from Air Pollution in São Paulo, Brazil," Working Papers, Department of Economics 2021_05, University of São Paulo (FEA-USP).
    10. Lonsky, Jakub, 2020. "Does Immigration Decrease Far-Right Popularity? Evidence from Finnish Municipalities," GLO Discussion Paper Series 540, Global Labor Organization (GLO).
    11. Papageorgiou, Athanasios, 2018. "The Effect of Immigration on the Well-Being of Native Populations: Evidence from the United Kingdom," MPRA Paper 93045, University Library of Munich, Germany.
    12. Guidetti, Bruna & Pereda, Paula & Severnini, Edson R., 2020. "Health Shocks under Hospital Capacity Constraint: Evidence from Air Pollution in Sao Paulo, Brazil," IZA Discussion Papers 13211, Institute of Labor Economics (IZA).
    13. Bettin, Giulia & Sacchi, Agnese, 2020. "Health spending in Italy: The impact of immigrants," European Journal of Political Economy, Elsevier, vol. 65(C).
    14. repec:cep:spccrr:spdorp03 is not listed on IDEAS
    15. Rezwanul Hasan Rana & Khorshed Alam & Jeff Gow, 2020. "The Impact of Immigration on Public and Out-of-Pocket Health Expenditure in OECD Countries," Journal of International Migration and Integration, Springer, vol. 21(2), pages 485-508, June.
    16. Sascha O. Becker & Thiemo Fetzer, 2018. "Has Eastern European Migration Impacted UK-born Workers?," CAGE Online Working Paper Series 376, Competitive Advantage in the Global Economy (CAGE).
    17. Aygün, Aysun & Güray Kırdar, Murat & Tuncay, Berna, 2021. "The effect of hosting 3.4 million refugees on native population mortality," Journal of Health Economics, Elsevier, vol. 80(C).
    18. Jakub Lonsky, 2021. "Does immigration decrease far-right popularity? Evidence from Finnish municipalities," Journal of Population Economics, Springer;European Society for Population Economics, vol. 34(1), pages 97-139, January.
    19. Stewart, Kitty & Cooper, Kerris & Shutes, Isabel, 2020. "What will ‘taking back control’ mean for social policy in the UK? Brexit, public services and social rights," LSE Research Online Documents on Economics 105183, London School of Economics and Political Science, LSE Library.
    20. Mihaela Simionescu, 2017. "The Impact Of Immigrants On The UK Economy," Knowledge Horizons - Economics, Faculty of Finance, Banking and Accountancy Bucharest,"Dimitrie Cantemir" Christian University Bucharest, vol. 9(2), pages 31-46, June.

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    More about this item

    Keywords

    Immigration; waiting times; access to health care; welfare;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • J61 - Labor and Demographic Economics - - Mobility, Unemployment, Vacancies, and Immigrant Workers - - - Geographic Labor Mobility; Immigrant Workers

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