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31 Critical Soc. Pol'y 5 (2011)

handle is hein.journals/critsplcy31 and id is 1 raw text is: O JENNY PHILLIMORE University of Birmingham Approaches to health provision in the age of super-diversity: Accessing the NHS in Britain's most diverse city Abstract Commentators have argued that we have entered a new era of migration described by Vertovec as a 'transformative diversification of diversity'. Multiple variables of difference in the ethnicity, immigration status, rights and entitlements, age and gender profiles and patterns of distri- bution, of new migrants mean that the UK, and many other EU coun- tries, are now home to the most diverse population ever experienced. The onset of super-diversity challenges traditional multicultural models of welfare provision originally based upon an understanding of migrants as large and geographically contained clusters of predominantly post- colonial migrants. These changes are occurring at a time when migration has become highly politicized, multiculturalism is being questioned, a shift is under way towards assimilation and welfare provision has become re-racialized. This paper argues that models of welfare provision need to be rethought to take into account the new reality of super-diversity in a way that is affordable, politically acceptable and meets the needs of all. Using data from research undertaken from studies of health service provi- sion in the West Midlands the paper explores the challenges of meeting the needs of new migrants under existing provision, the costs of failing to adapt to super-diversity and the reasons why provision has failed to adapt. The paper concludes by arguing the need for different approaches to provision, and suggesting some new ways forward. Key words: migration, multiculturalism, super-diversity, welfare provision © The Author(s), 2010. Reprints and permissions: http://www.sagepub.co.uk/journalsPermissions.nav Critical Social Policy, 0261-0183 101; Vol. 31(1): 5-29; 385437 10.1177/0261018310385437 http://csp.sagepub.com 5

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