Widespread exploitation of carers recruited from abroad is the “the number one priority” for the agency that investigates criminality affecting workers in England and Wales.
The Gangmasters and Labour Abuse Authority (GLAA) told Sky News that the Health and Care Worker visa system is being abused by criminals, leading to “a constant stream of allegations” of fraud and modern slavery.
GLAA Senior Investigating Officer Martin Plimmer said there are more than 30 ongoing investigations into care agencies operating illegally and that his organisation still “doesn’t know the full extent” of the problem.
“It is our number one priority at the moment,” he said. “It’s the one area, the sector of business – because we deal with labour exploitation – where we have the most intelligence coming into us. Care is by far the number one issue for us as an agency.”
He explained: “Two years ago the care sector wasn’t on our radar at all”, adding that cases shot up since February 2022 when the government added care workers to the country’s Shortage Occupation List allowing people to be recruited from overseas. Carers now account for two in five of all skilled work visas.
Image: Gangmasters and Labour Abuse Authority senior investigating officer Martin Plimmer
Mr Plimmer said there are companies established nationwide with the intention of exploiting workers desperate to come to the UK.
“The sole purpose of these criminals is to use these people as cash cows. They are running businesses at a much reduced cost because they’re not paying them what they’re supposed to. They’re also charging them excessive fees.”
Some of those illegal recruiters are based in Britain, operating fake and fraudulent care agencies.
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‘Mary’, not her real name, told us she began looking for work in the UK in order to support her sick husband and teenage son. She was working in the Philippines but thought she could earn more here.
Image: A woman, who we’re calling Mary, told us she began looking for work in the UK in order to support her sick husband and teenage son
She found an online advert for employment with a care agency in the North of England and had a successful interview on Zoom with a director of the company.
She said they then told her to transfer £4,000 – a fee which is illegal for recruiters to charge under UK law. In return she was provided with a certificate of sponsorship, outlining her offer of 39 hours a week as a carer and allowing her to be granted a Health and Care Worker visa.
‘I spent a lot of money and I cannot go back’
Mary said she used all her savings and borrowed money from her sister and a friend, but she believed her salary would provide a “better life” for her family back home.
It was only when she landed at the airport in England in July and was met by her recruiter that he told her there was no job.
Since then she’s been given accommodation in a shared house and a small food allowance but “not a single day” of the paid work she was promised.
As she described her situation she became tearful. “We need money to pay my debt in the Philippines,” she said. “And also I need to support my family because they are relying on me.”
She said she feels trapped. Under the terms of her visa, she is only allowed to work full-time for her sponsor – and any part-time work, limited to 20 hours extra per week, has to also be in the care sector.
“My family doesn’t know my situation here and I don’t know how to tell them,” she said. “They will be upset.”
“I spent a lot of money and I cannot go back,” she added, saying her best hope is trying to find a legitimate care organisation to transfer her sponsorship.
She’s scared to report the agency to the authorities which is why Sky News is not naming the company.
But it is one of several agencies that only began operating after the government changed the visa rules for carers. It remains on the list of government-approved sponsors for overseas hiring.
‘They’ll do a free shift’
Sky News has spoken to several care homes who described being bombarded by calls from new care agencies with names they don’t recognise.
One care home administrator in northwest England said: “We probably get about four or five calls a day asking if we need agency staff and a lot now are phoning and offering that they’ll do a free shift.”
She said they also get migrants turning up at the home asking for work “two or three times a day”.
As Sky News filmed at the care home, a man and woman, wet through from the pouring rain, knocked on the door, hoping to find some work. They were turned away.
Image: Migrants turning up at the home asking for work
The woman, from Pakistan, said in broken English: “We are looking for work permit, like most of the care homes are giving work permits or jobs.”
‘Very close to people trafficking’
Neil Russell runs PJ Care which has homes in Milton Keynes and Peterborough. He told Sky News: “Over the last six to eight months we’ve seen an increase in approaches from care agencies offering staff to cover shifts. Some of the approaches are very desperate, almost begging us to use them.”
“These new agencies feel a little bit fly-by-night. And it’s quite concerning that we could end up with somebody working here who’s not got the clearances, not got the right training and could end up damaging or harming one of our residents that we’re trying to provide care for.”
Image: Neil Russell runs PJ Care which has homes in Milton Keynes and Peterborough
His company offers legitimate Health and Care Worker visa sponsorship, but last year he paused overseas recruitment after discovering an agent he’d paid to find staff abroad had also illegally charged a worker for her visa.
“It’s very, very close to people trafficking,” he said, about a practice he now believes is widespread in his industry.
Asked how much bogus recruiters are charging workers he said: “We’re talking about £15,000 and then we’re paying the same amount.”
“£30,000 to bring somebody over – it’s probably more than the transporters are getting for the rubber dinghies coming across the Channel. And they’re doing less work for it. It’s ridiculous.”
A Home Office spokesperson said: “We strongly condemn offering Health and Care Worker visa holders employment under false pretences.
“The government does not tolerate illegal activity in the labour market and any accusations of illegal employment practices will be thoroughly looked into.
“Those found operating unlawfully may face prosecution and/or removal from the sponsorship register.”
Additional reporting by Nick Stylianou, communities producer.
Donald Trump has landed in Scotland for a four-day trip including high-level meetings – praising Sir Keir Starmer as “a good man” but calling illegal migration a “horrible invasion” that is “killing Europe”.
Mr Trump told reporters: “I like your prime minister. He’s slightly more liberal than I am… but he’s a good man… he got a trade deal done. It’s a good deal for the UK.”
The pair are expected to discuss potential changes to the UK-US trade deal which came into force last month.
Trump left Air Force One to head to Turnberry, one of his Scottish golf courses. Part of the trip will include the opening of another course in Aberdeenshire, billed as “the greatest 36 holes in golf”.
Image: Trump supporters waved as Air Force One landed. Pic: PA
“There’s no place like Turnberry. It’s the best, probably the best course in the world. And I would say Aberdeen is right up there,” the US president said.
“Sean Connery helped get me the [planning] permits. If it weren’t for Sean Connery, we wouldn’t have those great courses,” he added.
During the trip, President Trump will also hold discussions with Scotland’s First Minister John Swinney and EU Commission President Ursula von der Leyen, who is keen to secure a trade deal with the US.
Image: Donald Trump spoke to reporters after landing at Prestwick Airport, Ayrshire. Pic: AP
Mr Trump told reporters there was “a good 50-50 chance” of an agreement with the EU but added there were “maybe 20 different” sticking points.
EU diplomats say a deal could result in a broad 15% tariff on EU goods and half of the 30% Trump is threatening to impose by 1 August.
Image: He travelled to Turnberry, one of his Scottish golf resorts, amid tight security. Pic: Reuters
The US president touched on illegal immigration and gave European leaders a stark warning.
“You better get your act together or you’re not going to have Europe anymore. You got to get your act together,” he said.
“But you’re allowing it to happen to your countries and you got to stop this horrible invasion that’s happening to Europe. Immigration is killing Europe.”
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1:30
What do Scots think of Trump visit?
He was also scathing about the installation of wind turbines across the continent.
“Stop the windmills. You’re ruining your countries,” he said. “It’s so sad. You fly over and you see these windmills all over the place, ruining your beautiful fields and valleys and killing your birds.”
Domestically, Mr Trump faces the biggest political crisis of his second term in office over his administration’s handling of files linked to disgraced financier and sex offender Jeffrey Epstein, who died in prison in 2019.
He faced another round of questions after stepping off Air Force One.
“You’re making a big thing over something that’s not a big thing. I’m focused on making deals, not on conspiracy theories that you are,” he said.
Mr Trump added that “now’s not the time” to discuss a pardon for Ghislaine Maxwell, Epstein’s imprisoned accomplice.
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While the president’s visit did attract some enthusiastic flag-waving supporters at Prestwick Airport, he is also likely to trigger a number of protests, prompting Police Scotland to call in support from other forces in the UK.
The Stop Trump Scotland group has planned demonstrations on Saturday in Edinburgh, Aberdeen and Dumfries.
About 70% of Scots have an unfavourable opinion of Mr Trump, while 18% have a positive opinion, an Ipsos poll in March found.
Mr Trump is staying at his Turnberry property on Scotland’s west coast this weekend, before travelling to Aberdeenshire on Monday, where he will open a second 18-hole course.
He is due to return to the UK in September for a state visit hosted by the King – the first world leader in modern times to undertake two UK state visits.
Donald Trump has landed in Scotland ahead of a four-day trip, which includes high-level meetings, praising Sir Keir Starmer as “a good man” but also calling illegal migration a “horrible invasion” that was “killing Europe”.
Mr Trump told reporters: “I like your prime minister. He’s slightly more liberal than I am… but he’s a good man… he got a trade deal done. It’s a good deal for the UK.”
The pair are expected to discuss potential changes to the UK-US trade deal which came into force last month.
Trump left Air Force One to head to Turnberry, one of his Scottish golf courses. Part of the trip will include the opening of another course in Aberdeenshire, billed as “the greatest 36 holes in golf”.
Image: Trump supporters waved as Air Force One landed. Pic: PA
“There’s no place like Turnberry. It’s the best, probably the best course in the world. And I would say Aberdeen is right up there,” the US president said.
“Sean Connery helped get me the [planning] permits. If it weren’t for Sean Connery, we wouldn’t have those great courses,” he added.
During the trip, President Trump will also hold discussions with Scotland’s First Minister John Swinney and EU Commission President Ursula von der Leyen, who is keen to secure a trade deal with the US.
Image: Donald Trump spoke to reporters after landing at Prestwick Airport, Ayrshire. Pic: AP
Mr Trump told reporters there was “a good 50-50 chance” of an agreement with the EU but added there were “maybe 20 different” sticking points.
EU diplomats say a deal could result in a broad 15% tariff on EU goods and half of the 30% Trump is threatening to impose by 1 August.
Image: He travelled to Turnberry, one of his Scottish golf resorts, amid tight security. Pic: Reuters
The US president touched on illegal immigration and gave European leaders a stark warning.
“You better get your act together or you’re not going to have Europe anymore. You got to get your act together,” he said.
“But you’re allowing it to happen to your countries and you got to stop this horrible invasion that’s happening to Europe. Immigration is killing Europe,” he told reporters.
Please use Chrome browser for a more accessible video player
1:30
What do Scots think of Trump visit?
He was also scathing about the installation of wind turbines across Europe.
“Stop the windmills. You’re ruining your countries,” he said. “It’s so sad. You fly over and you see these windmills all over the place, ruining your beautiful fields and valleys and killing your birds.”
Domestically, President Trump faces the biggest political crisis of his second term in office over his administration’s handling of files linked to disgraced financier and sex offender Jeffrey Epstein, who died in prison in 2019.
He faced another round of questions after stepping off Air Force One. “You’re making a big thing over something that’s not a big thing. I’m focused on making deals, not on conspiracy theories that you are,” he said.
Mr Trump added that “now’s not the time” to discuss a pardon for Ghislaine Maxwell, Epstein’s imprisoned accomplice.
Please use Chrome browser for a more accessible video player
While the president’s visit did attract some enthusiastic flag-waving supporters at Prestwick Airport, he is also likely to trigger a number of protests, prompting Police Scotland to call in support from other forces in the UK.
The Stop Trump Scotland group has planned demonstrations on Saturday in Edinburgh, Aberdeen and Dumfries.
About 70% of Scots have an unfavourable opinion of Trump, while 18% have a positive opinion, an Ipsos poll in March found.
President Trump is staying at his Turnberry property on Scotland’s west coast this weekend, before travelling to Aberdeenshire on Monday, where he will open a second 18-hole course.
He is due to return to the UK in September for a state visit hosted by the King – the first world leader in modern times to undertake two UK state visits.
A woman who thought she was being injected with Botox was left unable to swallow and doctors thought she had suffered a stroke – after she contracted a life-threatening illness from a potentially illegal product.
Nicola Fairley is one of dozens of people who have developed botulism linked to unlicenced anti-wrinkle injections.
She had the procedure done with her regular beautician after winning a Facebook competition for three areas of “Botox”.
Image: Nicola Fairley
“Within two or three hours my forehead and the sides of my eyes had started to freeze,” Nicola says.
“At first I thought ‘amazing’, that’s what I wanted – then it just carried on.”
Nicola was eventually sent to A&E in Durham, where she met several other patients who all had similar symptoms.
Doctors were stumped. “They thought I’d had a stroke,” she says.
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“We all had problems with our eyes, some of us with our breathing. I couldn’t swallow – they put me on nil by mouth because they were worried I would choke in the waiting room.”
Image: Doctors were worried Nicola could choke after she was injected with a suspected illegal product
It turns out all of the patients had recently had anti-wrinkle injections containing botulinum toxin.
Health officials believe they were imported, illegal products.
Botulism – the disease they caused – is so rare many doctors never see it in their entire careers.
It can cause symptoms including slurred speech and breathing problems, and can be deadly.
The disease is so unusual, and so many cases were coming in, that doctors exhausted their stocks of anti-toxin and had to ask hospitals as far away as London to get more.
The UK Health Security Agency has so far confirmed 38 cases of botulism linked to cosmetic toxin injections, but Sky News has been told of several more.
The outbreak began in the North East but cases have now been seen in the East of England and East Midlands as well.
There are only a handful of legal botulinum toxin products in the UK – of which Botox is one.
But cosmetic treatments are largely unregulated, with anyone allowed to inject products like fillers and toxins without any medical training.
Cheap, illegal products imported from overseas are easily available.
Image: Dr Steven Land
‘It’s the Wild West’
Dr Steven Land runs Novellus Aesthetics clinic in Newcastle upon Tyne. He worked for decades as an emergency medicine doctor before moving into aesthetics.
He says he has been warning health officials of an outbreak for years.
“It’s the Wild West,” Dr Land told Sky News.
“Because anyone can do this, there is a lack of knowledge around what is legal, what’s not legal, what is okay to be injected.
“These illegal toxins could have 50 units, 5,000 units or rat poison – there could be anything in there.”