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


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