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Vacancy: Caseworker / Trainee Caseworker

We are no longer taking applications

 

Would you like to work as a Caseworker for Medical Justice assisting people in immigration detention?

We particularly welcome applications from people with lived experience – see the Application Pack for details.

Come and work with Medical Justice, a small and dynamic team that builds on casework to produce research that is used to challenge systemic failures in healthcare provision in immigration detention. We expose medical mistreatment in detention and strive for lasting change for all detained people through policy work, strategic litigation, media coverage and parliamentary action.

 

“Joining Medical Justice as a Caseworker has been a great experience right from the beginning. The team at Medical Justice are very supportive, knowledgeable, and passionate about the work that they do, it has been a great environment to work in. I found the role to be very rewarding; you get to make a real difference in the lives of those that are vulnerable during some of the most difficult times they are experiencing.

The support I received from the Experts by Experience Employment Initiative was really helpful in applying to and joining this role. They offer support from the beginning stages of applying to support once you join the role e.g., CV/cover letter advice, interview preparation, and onboarding support. I found the advice to be thorough and detailed, the mentor I had was very communicative and supported me throughout the different stages of the application.”

Lujain, Medical Justice caseworker

 

 

Job Purpose: Ensure Medical Justice assists as many people in detention as it can and as well as it can, to access adequate healthcare and obtain high-quality independent medical evidence to progress their legal case.

Salary: Depending on experience – £27,395 (Trainee Caseworker) to £30,197 (Caseworker) with an annual increase of £500 for 5 years and cost of living increases (when relevant) three times a year.

Trainee position: This is not linked to a formal training programme. It will normally be expected that the Caseworker Trainee will progress to Caseworker after 2 years – the salary and level of responsibility will increase, whilst the level of supervision will decrease.

Reports to: Casework Manager

Working hours: Full-time

Based: Medical Justice office with some flexibility for working from home after an initial period

Length of contract: 2 years, with renewal if funding available

Terms: 28 days annual leave per annum plus statutory bank holidays

Timeline: The closing date for applications is Wednesday 26th July 2023. Interviews will take place on Tuesday 1st and Friday 11th August 2023 at the Medical Justice office and will include a written and verbal exercise. The ideal timeframe for starting the job is as soon as possible

To apply: Please read the Application Pack which includes the Job Description and the application form. Email your competed application form and your CV to Anthony at a.omar@medicaljustice.org.uk

 

We look forward to receiving your application !

Re-Rooted: Stories Of Starting Again

Message from our trustee, Janahan Sivanathan …

 

I’m proud to be a part of Comic Relief’s free exhibition RE-ROOTED: Stories of starting again.

The exhibition features photographs by the brilliant Amir Mahdavi and was curated with celebrated Syrian BAFTA award-winning documentary filmmaker, Hassan Akkad.

Illegal Migration Bill – detention amendments in the Lords

 

Medical Justice is extremely concerned by the current government’s Illegal Migration Bill 2023. Once passed, the Bill will effectively amount to a ban on claiming asylum in the UK by most asylum seekers. 

We have been supporting parliamentarians with their efforts to oppose the Bill and to highlight its damaging effects. Most recently this has included working with Peers in the House of Lords to table amendments on key detention-related issues. 

The amendments were debated on 7 and 14 June 2023. 

 


Amendment 62 – Places of detention 

Under current legislation, the Home Secretary may only detain people for immigration purpose in those places specified by her in law. Detention in places not specified by her in this way will be unlawful.  

The Illegal Migration Bill however contains a provision that will grant the Home Secretary the power to detain people “in any place she considers appropriate”.  

As such it was not clear whether the Bill intends to authorise detention in places not specified in law, and therefore where minimum standards regarding the treatment of detained person may not necessarily be met. 

Amendment 62 would prevent the Home Secretary from detaining people other than in places currently specified in law and where minimum standards must be met. It would also place the Home Secretary under a duty to consult local residents before authorising the use of any new detention facility. 

You can read Medical Justice’s full briefing on the amendment here.

The amendment was tabled by Lord German (Liberal Democrat) and the Lord Bishop of Durham. You can listen to their debate speeches below. 

 

Removing someone’s liberty is a deeply serious issue and we are extremely concerned about the consequences of (the Bill’s detention provisions) for the most vulnerable in our society, particularly children, torture victims, pregnant women and victims of modern slavery. It seems to us that the Home Secretary is moving far beyond the sorts of powers necessary to detain people in an appropriate manner…

“The lives, liberty and well-being of fellow human beings should not be put on the line as collateral damage for a policy which most of us know will never achieve its stated aims but is being used for political appeasement.”

Lord German

 

The power to deprive a person of their liberty, and how and where someone is detained, should be constrained by law and not the discretion of a Minister of the Crown, or anyone else…

The Government will understand the potential impact of wide discretionary powers to detain people anywhere, without adherence to particular standards, given the events at Manston in 2022. With a maximum capacity of 1,600, Manston became overcrowded, with the number of people detained there nearing 4,000 towards the end of 2022, and there are concerns that the conditions are likely to have amounted to inhuman and degrading treatment. We cannot allow another humanitarian crisis such as this to occur

It is therefore of the utmost importance that we understand the legal framework that will be put in place to ensure that detention and safeguarding standards are established, and that detention sites are designated by law, not by expedient, as suitable.”

The Lord Bishop of Southwark (representing the Lord Bishop of Durham) 

 

The full debate can be viewed here (from 21:21:06) and a written transcript is available here. 

 


Amendment 70 – Use of force against pregnant women and children 

Current government policy does not allow force to be used against detained pregnant women and children for any purpose except to prevent harm (either to the woman or child in question, or to others). 

This position only exists in government policy, however – not in primary legislation – meaning it can quite easily be withdrawn or changed. 

Amendment 70 sought to address this by inserting into the Bill a prohibition on the use of force against pregnant women and children to effect their removal or detention.

You can read Medical Justice’s full briefing on the amendment here. 

The amendment was tabled by Baroness Lister of Burtersett (Labour), Baroness Gohir (crossbencher), the Lord Bishop of Gloucester, and Baroness Chakrabarti (Labour). It was debated along with an amendment that attempted to re-establish a time-limit on the detention of pregnant women. Similar amendments on retaining time-limits for the detention of both unaccompanied and accompanied children were discussed elsewhere in the debate. 

You can listen to the peers’ speeches in the debate below. 

(T)he rationale for this amendment is the harm that the use of force can do to particularly vulnerable groups, the numbers of whom are likely to increase as the Bill’s removal of detention restrictions becomes law…

I fear that the Government’s obsession with deterrence, such that they intend to make life as grim as possible for all those who seek asylum in the UK through irregular means—not just small boats—regardless of vulnerability, means that they have lost all sight of humanity.”

Baroness Lister of Burtersett 

 

The suggestion of the use of force against either group is unspeakable.

The Lord Bishop of Southwark (representing the Lord Bishop of Gloucester) 

 

“Given the vulnerability of pregnant women and children, I support Amendment 70. Force should never be used to effect detention or for removal. Any use of force, even if it is considered mild, will risk harm to the mother and unborn child because each pregnancy is unique, and there may be pregnancy complications that are not apparent. The use of force risks miscarriage, waters breaking and the risk of infection, premature labour, stillbirth and trauma. It goes without saying that to safeguard and protect children from harm, force should also not be used on them…

The Government have a duty to safeguard the most vulnerable in society, so I hope they carefully listen to our concerns today.”

Baroness Gohir 

 

It would seem that there is the edge of depravity, and then there is the abyss. In the last group, we talked about detention. We now take it to its further conclusion, because in the end, a consequence of detention will sometimes be force. It is as well that we confront that, and confront it in the case of both children and, in this example, pregnant women…

Surely, whatever is said about deterrents and so on, there can be some concession to humanity, please, in relation to children and pregnant women… We cannot go on like this… we cannot go on degrading ourselves and our values by suggesting that there is no difference between a child or a pregnant woman and an adult, and that everybody is illegal. We need to make some restraints, just for decency, for our own sake.”

Baroness Chakrabarti 

The full debate can be viewed here (from 23:58:37) and a written transcript is available here.

 


 

Amendment 78 – Exception from detention ouster clause for people with medical evidence of vulnerability 

Clause 12 of the Bill stipulates that the High Court cannot review the lawfulness of the decision to detain a person under immigration powers, for the first 28 days of their detention. This type of provision is known as an “ouster clause” because it “ousts” the jurisdiction of the Court in the circumstances in question. 

Clause 12 has very serious implications for vulnerable people in detention.  For example, the Home Office may decide to continue the detention of a survivor torture with post-traumatic stress disorder, despite a Rule 35 DCR 2001 or a Rule 32 STHF 2018 report. However, this decision may be in breach of the Home Office’s own guidance, for example if the medical evidence was not given sufficient weight compared to immigration factors under the Adults at Risk policy. At present, this individual can judicially review the decision to maintain their detention. However, under the proposed legislation, whilst they could ask the Home Office to exercise their discretion to release them, for instance, based on medical evidence, if this is refused, there could potentially be nothing they can do to challenge that situation for the first 28 days of detention. They would be entirely at the whim of the official making that decision. 

Amendment 78 therefore sought to create an exemption from the detention ouster clause for people who have medical evidence of their vulnerability – including, for example, a Rule 35 or Rule 32 report or a medico-legal report from a Medical Justice doctor or another external independent clinician.

You can read Medical Justice’s full briefing on the amendment here.

The amendment was tabled by the Lord Bishop of Durham, Baroness Lister of Burtersett, and Baroness Neuberger (crossbencher). You can listen to some of their speeches in the debate below. 

 

Amendment 78 would make an exception to the general ouster of judicial review during the first 28 days of detention where a person has been the subject of a report from a medical practitioner. To be clear, this is where the Home Office has evidence that a person’s health is likely to be injuriously affected by continued detention, they have suicidal intentions or there is concern that they may have been a victim of torture. It is hard to conceive of a more vulnerable grouping, where the stakes are higher, when considering detention.

I fear that preventing any means of legal challenge for those in a very dangerous and precarious medical state could be a disaster waiting to happen.”

The Lord Bishop of Southwark (representing the Lord Bishop of Durham) 

 

If someone has been the victim of torture and medical professionals make a report to the Home Secretary to that fact, that person ought to be able to appeal against detention in those first 28 days. The reason for that—for those who have not spent time with those who have been victims of torture—is the very considerable terror that many of those people experience if detained in any way. If they experience that form of terror, they are then very likely to be suicidal and in a situation within detention where the sort of holistic treatment they would need is simply not available.”

Baroness Neuberger 

The full debate can be viewed here (from 02:17:06) and a written transcript is available here. 

 


Amendment 139B – Placing duty on Home Secretary to implement recommendations of HMIP  

This amendment sought to place a statutory duty on the Secretary of State a statutory duty to implement all recommendations of HM Inspectorate of Prisons (HMIP) in relation to immigration detention within six months, strengthening its independent external monitoring role. 

Strengthening HMIP’s role is particularly important given that the Illegal Migration Bill is set to significantly increase the numbers of people who are held in immigration detention, including vulnerable people.

You can read Medical Justice’s full briefing on the amendment here.

The amendment was tabled by the Lord Bishop of Durham, Baroness Lister of Burtersett and Lord Scriven (Liberal Democrat). You can listen to their speeches in the debate below. 

 

The Bill establishes a comprehensive detention regime that many of us expected to have been consigned to history….

(I)t would be unfathomable to proceed with these provisions without a detention inspection regime on a statutory footing

 The expansive duties and powers provided to the Home Office by the Bill demand they be matched by statutory and mandatory accountability.”

Lord Bishop of Durham 

 

“(T)his Bill would dramatically increase the detention estate, with many vulnerable asylum seekers including children, pregnant women, and survivors of torture and trafficking experiencing the devastating harm that detention is known to inflict, particularly indefinite detention.

It is therefore imperative, as this amendment recommends, that the Home Secretary implements any relevant recommendations made by the Chief Inspector of Prisons.”

Baroness Lister of Burtersett 

 

“I put my name to the amendment because I have a long history since I came into this place of asking questions about and taking a keen interest in vulnerable people who have been put in detention, particularly LGBT individuals. That goes back to 2014, when the then Independent Chief Inspector of Borders and Immigration, John Vine, investigated the Home Office’s handling of asylum claims with people on the grounds of sexual orientation. Since then, every time an independent inspection has been carried out, issues concerning LGBT individuals being held in detention and experiencing homophobia or physical violence, affecting their mental health, have been documented…

Despite nearly 10 years of me and other noble lords putting questions to the Home Office, it repeatedly says that action plans have been put in place based on recommendations made by these independent inspections. However, they turn out to be more plan than action. That is the reality of the evidence to date, so (this) amendment is intended to ensure that the action plans are indeed action plans based on the recommendations of the Chief Inspector of Prisons.”

Lord Scriven

 

The full debate can be viewed here (from 19:24:28 – 19:37:35, and from 20:25:00); a written transcript is available in two parts here and here. 

 


Amendment 142 – Brook House Inquiry 

The Brook House Inquiry is the first public inquiry into immigration detention in the UK. Instituted in 2019, the Inquiry has offered a unique opportunity for public scrutiny of, and accountability for, detention practices and culture. It has heard extensive evidence of continuing systemic and institutional failings within the detention system leading to abuse of those people held there. 

Amendment 142 sought to delay the implementation of the Illegal Migration Bill until such time as the Inquiry Chair, Kate Eves, has issued her final report and the government has explained how it will put into practice her recommendations.

You can read Medical Justice’s full briefing on the amendment here 

The amendment was tabled by Lord German (Liberal Democrat). You can watch his speech in the debate below: 

 

The evidence that has emerged in what has already been given to the (Brook House Inquiry)… has uncovered the misuse of force, systemic failures in the operation of clinical safeguards, prison-like practices and policies, dehumanisation, racism and a lack of accountability…

“The chair is due to publish the (Brook House Inquiry) report, with its findings and recommendations, in late summer. My concern is that the Government are proposing a dramatic expansion of the powers to detain without knowing what this inquiry will recommend.”

 Lord German 

The full debate can be viewed here (from 19:12:04) and a written transcript is available here. 

Dr Rachel Bingham of Medical Justice speaks to The News Movement

Watch The News Movement interview of Dr Rachel Bingham of Medical Justice about severe mental health problems she comes across in immigration detention, why she feels detention must be phased out, and her fears about how the provisions of the Illegal Migration Bill will worsen detention conditions.

 


Video summarising abuse at Brook House IRC

This video is a recording of an All-Party Parliamentary Group (APPG) on Immigration Detention briefing session organised by Medical Justice to summarise the evidence heard by the Brook House Public Inquiry (BHI), set up to investigate the shocking mistreatment of detained individuals at Brook House Immigration Removal Centre (IRC) which was caught on undercover cameras and exposed by BBC Panorama in 2017.

Content warning : distressing video scenes of abuse and self-harm

Read the accompanying Medical Justice written summary here

The Illegal Migration Bill and its impact on children

The British Medical Association, British Association of Social Workers, Medical Justice, Refugee Council, and the Royal College of Paediatrics and Child Health are deeply concerned by the proposed changes and their impact on children’s health, well-being and safety.

Key concerns include – The provisions within the Bill will change the asylum system and child protection framework in an unprecedented way. Claims made by unaccompanied children will not be accepted into the UK system, children will be detained, and some could be removed from the UK before they turn 18 years old. Additionally, the Bill will afford the Home Secretary significant new powers in relation to housing and care of these children in a way, we believe, that will significantly undermine the Children Act 1989 and associated statutory guidance.

Read the joint briefing in full here.

Inside Brook House

The News Movement has spoken to seven people currently or recently detained at the Brook House immigration removal centre. They described incidents of self-harm and attempted suicide, the use of isolation cells, working for £3 a day and a lack of medical help.

Along with detained people in Brook House, Dr Rachel Bingham of Medical Justice was also interviewed, and expressed her concerns about the physical and mental health our client’s face in detention.

Click here to view the article in full

 


Video summarising abuse at Brook House IRC

This video is a recording of an All-Party Parliamentary Group (APPG) on Immigration Detention briefing session organised by Medical Justice to summarise the evidence heard by the Brook House Public Inquiry (BHI), set up to investigate the shocking mistreatment of detained individuals at Brook House Immigration Removal Centre (IRC) which was caught on undercover cameras and exposed by BBC Panorama in 2017.

Content warning : distressing video scenes of abuse and self-harm

Read the accompanying Medical Justice written summary here

Joint letter on the health consequences of the Illegal Migration Bill

Dear Secretary of State,

As leading medical and humanitarian organisations in the UK representing medical professionals and patients, we are writing to raise concerns about the health implications of the Illegal Migration Bill. Rather than fulfilling its stated aim of breaking the business model of people smugglers operating in the Channel, the Bill will cause lasting and profound harm to the health, wellbeing and dignity of people seeking safety and survivors of trafficking in the UK.

The Bill dramatically increases the current powers of immigration detention. It will result in vast numbers of people, including people seeking asylum, children, pregnant women, and survivors of torture and trafficking, being detained, for longer periods of time, with significantly fewer safeguards and protections. This expansion of powers contradicts medical evidence that immigration detention is damaging to the mental health of those detained, and particularly for survivors of torture and trauma. Organisations including Women for Refugee Women, the BMA and medical royal colleges have also warned that undoing the vital protection of the time limit on the detention of pregnant women will “put individual women and their unborn babies at great risk of harm.”

The situation on the Greek islands of Lesvos and Samos should act as a warning against the use of large containment sites to accommodate people seeking safety. Médecins Sans Frontières previously witnessed high levels of mental health suffering among men, women and children held in such isolated containment sites. These were exacerbated by deplorable conditions, lack of information on the length of their confinement or on their legal status, as well as a lack of access to appropriate healthcare.

Experience to date of using large centres in isolated areas to accommodate people seeking asylum in the UK has been associated with extremely poor, unsanitary and inappropriate living conditions. It has also led to high rates of psychological and other health conditions amongst residents, unmet medical needs and inadequate access to medical and dental care.

The Bill would further expand the offshoring programme, which as the UK medical community has previously warned, risks leaving people who are vulnerable, fleeing dangerous situations and who have often experienced trauma, subject to an environment where they are re-traumatised and unable to access the medical attention many desperately need.

This is evidenced by Australia’s unworkable offshoring and indefinite detention policy on Manus and Nauru Islands which resulted in widespread and well-documented harm and abuse. It catalysed a mental health epidemic amongst those asylum seekers and refugees on the islands, including high rates of self-harm, suicidal ideation and suicide attempts. In the UK, clinicians have found that the prospect of removal to Rwanda has exacerbated the mental health conditions (including post-traumatic stress disorder and depression) of the men, women and age-disputed children threatened with removal, causing increased risks of self-harm and suicide.

Of further concern are new powers in the Bill that disregard interim measures issued by the European Court of Human Rights under Rule 39 of the rules of the court in relation to the treatment of migrants. The World Medical Association has expressed its grave concern that if enacted the legislation will remove important protection for people seeking asylum and those health workers caring for them.

We are further concerned that the Bill is unworkable and would be in breach of the United Nations Refugee Convention. The United Nations High Commissioner for Refugees has warned it will “amount to an asylum ban” and will not achieve its stated objective of stopping asylum seekers from coming to the UK. People seeking safety may be forced to turn to more dangerous routes, placing them at serious risk of injury and potentially death. Instead, the Bill will result in thousands of people stuck in perpetual limbo in the UK, denied the right to a fair hearing of their protection claim and recognition of their refugee status.

All the harms described above will place unnecessary pressure on NHS services at a time when the healthcare system is under unprecedented stress.

We warn the Government that if this Bill passes it will knowingly be inflicting damage to people’s health and wellbeing, which will ultimately cost lives. As bodies representing patients and health professionals committed to alleviating suffering, we oppose it on medical, ethical and humanitarian grounds.

We collectively urge the Government to abandon this Bill and replace it with a compassionate, fair and effective asylum system that protects the health, wellbeing and dignity of people seeking safety.

Yours Sincerely,

Professor Martin McKee CBE, President, British Medical Association

Dr Latifa Patel, British Medical Association Representative Body Chair

Sheila Sobrany, President, Royal College of Nursing

Professor Kevin Fenton CBE, President, Faculty of Public Health

Professor Delan Devakumar, International Child Health Group

Sonya Sceats, Chief Executive, Freedom From Torture

Ros Bragg, Director, Maternity Action

Simon Tyler, Executive Director, Doctors of the World UK

Sampson Low, Head of Policy, Unison

Dr Coral Jones, Chair Doctors in Unite

Dr Katy Robjant, Executive Director of Clinical and Counter-Trafficking, Helen Bamber Foundation

Dr Natalie Roberts, Executive Director, Médecins Sans Frontières UK

Emma Ginn, Director, Medical Justice

The Illegal Migration Bill: MJ produce joint briefing for House Of Lords

This Illegal Migration Bill is, in effect, a refugee ban. A prohibition on the world’s most persecuted people seeking safety in the UK. The Bill does all this while dramatically expanding the Home Secretary’s power to detain, removing the detention time limits for children and pregnant women, and reducing judicial oversight and scrutiny.

Medical Justice has worked with a large number of NGOs from across the refugee sector to produce a joint civil society briefing for the House of Lords second reading of the Bill. We have co-written the section on detention and bail.

Note: Due to specialist sector experience and expertise, most organisations have only signed parts of the briefing but that does not imply disagreement with the other parts. The briefing is a united effort among contributors.

READ THE BRIEFING HERE

 

The medical consequences of the new ‘Illegal Migration Bill’

Medical Justice has produced a briefing on the medical consequences of the new Illegal Migration Bill, jointly with Doctors of the World, Medicines Sans Frontieres, Freedom from Torture, the Helen Bamber Foundation and Maternity Action.

The briefing outlines our grave concerns that the ‘Illegal Migration Bill’ will have serious implications for the health, wellbeing and dignity of people seeking safety people in the UK.

The new legislation will extinguish the right to seek refugee protection in the UK for those who arrive irregularly (i.e. without prior permission), stripping people fleeing war and persecution of their right to seek safety in the UK and punishing them, based simply on how they came here, not on their protection needs.

The United Nations High Commissioner for Refugees (UNHCR) has said that the Bill “would amount to an asylum ban” because of the absence of virtually any ways to claim refugee protection before arriving in the UK. The Bill would also be a clear breach of the United Nations Refugee Convention which explicitly recognises that refugees may be compelled to enter a country of asylum irregularly.

The briefing outlines the profound harm that the Bill will have on people’s health and wellbeing.

This includes the health implications of the detention provisions.

Read our joint briefing here

Briefing on Lords debate to oppose the Short-term Holding Facility (Amendment) Rules 2022

On 18 April 2023, a debate took place in the House of Lords on the Short-term Holding Facility (Amendment) Rules 2022.

The Rules create a new category of STHF known as a “Residential Holding Room” (RHR), designed specifically for the notorious site at Manston. Worryingly, the Rules allow safeguards and standards at sites designated as RHRs to be dramatically downgraded, whilst also at least quadrupling the length of time – from 24 to 96 hours, and even longer in “exceptional circumstances” – that the Home Office can hold people there.

 

The debate came as a result of earlier work in Parliament by Medical Justice and others to highlight concerns. You can watch it in full here (from 19:24:40 – 20:16:38) or read the transcript here.

The debate was led by Labour peer and APPG on Immigration Detention member, Baroness Lister of Burtersett. Other peers speaking included the Lord Bishop of Leeds, Baroness Hamwee (Liberal Democrat), and Baroness Bennett of Manor Castle (Green Party). The Home Office minister Lord Murray of Blidworth responded for the government.

 

Medical Justice and Freedom From Torture produced a JOINT BRIEFING for the debate, which was shared with peers in advance.