(10 years, 7 months ago)
Commons ChamberEvery weekend, as a first responder volunteer in the NHS, I see too many people taken off to hospital unnecessarily. One way of addressing that is to have a proper strategy for community paramedicine. We have had a trial running in Goole, which the Secretary of State has seen, where an emergency care practitioner delivers care in people’s homes, thereby reducing visits to hospital. Do we not need a national strategy on community paramedicine?
I know of my hon. Friend’s extraordinary work as a first responder, and we all greatly admire it. He makes another great point about how we tackle this long-term challenge of the sustainability of our acute services. I am happy to draw his comments to the attention of NHS England. I am sure that it is one part of all the things it is looking at as it addresses this issue.
(11 years, 1 month ago)
Commons ChamberAs the right hon. Gentleman might know, my first outing as public health Minister was to attend a diabetes think-tank, which I hope indicates how seriously I take the issue. I do not think what he asks for is within my powers, but obviously I will take a close interest in the Department of Health canteen. The right hon. Gentleman is right. We have never said that other measures will not necessarily be taken, but the responsibility deal has taken us a long way when many predicted it would not, and we are keen to inject new energy into it.
When I was in the classroom as a school teacher, people used to come to school having had Micro Chips for breakfast. I do not wish to see a nanny state imposed on anybody, but we must do a lot more education. I urge the Minister’s Department to work cross-departmentally with the Department for Education to ensure that we get proper health and food education in our schools. Those using fast food at the moment are often those who can least afford it.
(11 years, 2 months ago)
Commons ChamberI thank my hon. Friend, and I shall come on to the impact that that has had on decent people who just want to bring their family together and make a life here.
In relation to the income rule that has impacted on my constituent, I shall give the House the average incomes in our area, which has a low-wage economy. The average income in the East Riding of Yorkshire is £5 above the threshold. I represent the poorest part of the East Riding, and Gary lives in one of the bottom 25% most deprived areas in the country, so achieving £18,000 is something of which many people in our area can only dream. The average income in inner London is £34,749.
We may have low incomes, but we also have low house prices. The average house price in our area is £150,000, compared with the average in Greater London of £454,000, which is even more than my house cost. Gary could have the same job earning slightly more than that arbitrary £18,600, and he would be able to bring his wife in, despite the fact that he would have greater outgoings and a much lower disposable income than he has by virtue of the fact that he lives in Goole. I am grateful for a figure provided by the Royal College of Nursing to the all-party parliamentary group on migration, which has done a good job on this issue. The RCN points out that the majority of national health service care support workers earn a maximum of £17,253 a year. Anyone who is an NHS care support worker is not allowed to find love outside the country.
Since this issue came to light and I secured the debate, I have learned of several examples of the problem around the country, two of them involving US citizens who have been caught by the requirement. That is what concerns me most. The measure was supposed to impact on sham marriages, but who is it really affecting?
I thank my hon. Friend for introducing this Adjournment debate. He mentioned American citizens, and that is exactly the situation in which one of my constituents finds himself, having been caught by the rules. He lives in the much higher-than-average wage area, as my hon. Friend mentioned, of central London, but his background is in academia. He is going into a well-paid job in industry, but he has spent the past three years in academia with much lower wages, so he has been caught by the rules.
Indeed. I thank my hon. Friend for that. As her constituency is in central London, the rules probably hit even harder than they do in mine. I know she will be working hard on behalf of her constituent. The point that she makes about the US is relevant. The figures from the Home Office show that the largest decline in family visas has been among applicants from the United States. In the year to March 2013 such visas were down by just under 1,000. In evidence to the all-party parliamentary group, the Migration Observatory points out that 47% of the UK working population last year would not meet the income criterion. In my constituency that figure would be an awful lot higher.
Denying some of those people access to join their family is having a detrimental effect on the UK economy. When they come here their passports are stamped with the words “No recourse to public funds”, but they are often people who, if they were here working, as in the case of my constituent, whose wife has a job offer, would be paying tax and contributing to the UK economy. I make no bones about wanting, as my hon. Friend the Member for Battersea (Jane Ellison) said, a tougher immigration system. The English language testing is problematic for some, but I understand the importance of that in ensuring that people can come here and contribute. My constituent’s wife has a job offer, has a qualification in English, has studied with an Australian college and would be of benefit to our local community. It concerns me that we are affecting in particular immigration from countries that have a lot more in common with us than much of the EU immigration with which it is contrasted.