Regimes of Care and Control: UK Borders and Immigration Policing in the National Health Service

这项研究考察了英国边境和移民警务延伸到国民健康服务（NHS）。在后9/11时代，数据驱动的安全，在“敌对环境”的背景下，近年来，英国将移民检查和边境警务的官僚行为纳入了一系列平庸（通常是机构）的空间，包括NHS医院和手术。这包括引入移民健康附加费（IHS）（2015年），对海外游客预先收费（2017年），以及对《谅解备忘录》的各种修改，允许内政部使用NHS Digital持有的数据追踪移民违规者（2017年；2018年）。然而，尽管一些学者已经考虑到护理和控制之间的不稳定耦合，并承认边境地区的医院和外科手术的注册，但没有人关注这些机构在英国移民政策中扮演的具体角色。在此背景下，该研究考察了数据共享、预先收费和IHS如何发挥边境控制的作用，以及这方面的道德紧张局势如何产生新的政治联盟和公民行动形式。它将采用定性的多方法方法，借鉴一线多个群体的经验，以了解英国边境警务如何扩展到医疗保健制度中。这项研究是在欧盟移民医疗保健权利急剧变化和英国脱欧后重大转变的背景下进行的，既新颖又非常及时，使其能够为NHS和公共政策制定以及边境、移民和医疗保健的跨学科研究做出贡献。

This research examines the extension of UK borders and immigration policing into theNational Health Service (NHS). In a post-9/11 age of data-driven security, and in thecontext of the 'hostile environment', recent years have seen the UK incorporateimmigration checks and bureaucratic acts of border policing into a range of banal(typically institutional) spaces, including NHS hospitals and surgeries. This hasincluded the introduction of the Immigration Health Surcharge (IHS) (2015), upfrontcharging for overseas visitors (2017) and various alterations to the Memorandum ofUnderstanding allowing the Home Office to trace immigration offenders using data heldby NHS Digital (2017; 2018). However, while several scholars have considered theuneasy coupling of care and control and acknowledged the enrolment of hospitals andsurgeries in bordering, none have focused on the specific roles these institutions havecome to play in UK migration policy. In this context, the research examines how datasharing, upfront charging and the IHS function as border controls and how the ethicaltensions of this are generating new political alliances and forms of civic action.Employing a qualitative multi-method approach, it will draw on the experiences ofmultiple groups on the frontline to understand how UK border policing is beingextended into regimes of healthcare. Conducted amidst precipitous policy changes anda major post-Brexit shift in the healthcare entitlements of EU migrants, this research isboth novel and exceptionally timely, allowing it to contribute to NHS and public-policymaking and interdisciplinary research on borders, immigration and healthcare.