A recent investigation has brought to light distressing incidents of bullying, racism, and financial exploitation in the care sector, prompting calls for action from Andy Burnham to address the “grotesque” mistreatment of migrant care workers.
Nursing leaders have raised concerns about employers taking advantage of the visa system to impose exorbitant repayments, withhold wages, and foster a toxic work environment. The Prime Minister is urged to intervene as part of his proposed reforms in the social care sector.
A critical report by the Royal College of Nursing (RCN) advocates for a revamp of the visa system to facilitate workers’ ability to switch employers without facing coercion. It also emphasizes the need for thorough investigations into exploitation cases. In a particularly egregious instance, a care worker was reportedly threatened with a £25,000 fee to terminate their employment prematurely.
Professor Nicola Ranger, the General Secretary of the RCN, highlighted the urgency of addressing the widespread exploitation within the care sector. She stressed the importance of a National Care Service led by registered nurses, emphasizing the need to eradicate the exploitation, bullying, and discrimination faced by migrant colleagues.
The existing regulations require health and social care visa holders in the UK to be sponsored by their employers, creating a vulnerability that unscrupulous employers exploit. The RCN has documented 383 cases where migrant workers sought assistance between 2023 and 2025, revealing a pattern of financial coercion, underpayment, contract alterations, and harassment.
To combat these abuses, the RCN proposes the establishment of a new oversight body to manage visas and enhance protections for workers. It also calls for an extended transition period of 180 days for workers changing jobs to prevent deportation risks.
Andy Burnham has expressed appreciation for overseas care workers and hinted at excluding them from stringent migration policies that could delay their eligibility for indefinite leave to remain. The government has reaffirmed its commitment to combating labor exploitation and immigration abuse by rogue employers in the care sector.
Overall, the call for reform underscores the need to safeguard the rights and well-being of migrant care workers who play a vital role in providing essential services to the community.

