UNISON has released a report titled ‘Caring at a Cost’, which highlights numerous examples of exploitation of migrant care workers in the UK. Based on a survey of over 3,000 overseas health and care worker visa holders, the report uncovers illegal practices including exorbitant placement fees, substandard accommodation, and racist abuse. Some workers reported paying over £20,000 to intermediaries for job placements, while others faced below-minimum wage pay and threats of dismissal or deportation for raising concerns. UNISON is calling for the government to assume sponsorship of migrant care staff from employers and implement a fair pay agreement as part of a national care service for England. These measures aim to prevent exploitation, improve working conditions, and address the ongoing staffing crisis in the care sector.