(12 years, 8 months ago)
Commons ChamberI do not have the faintest idea. If the hon. Gentleman wishes to write to me, I will try to give him a better answer. Yes, my point is anecdotal, in that the Government have a figure for certain forms of accident and emergency doctor provision in the whole of the UK, and there is no shortage across the whole country, just in certain areas. That is why we may need some tweaking to ensure that we are able to maintain the services on which we all rely. There are similar issues in relation to nursing, not least because one of the elements of migration that we must bear in mind is that many British nurses—although no statistics have been provided since 2008—are choosing to work in countries such as Canada, New Zealand and Australia. It is therefore difficult for us to plan precisely.
One of the challenges for the NHS is that many of the overseas students who come to study health sciences in our world-leading universities have been built into the staffing plans of our health services. That is partly where the gap comes from. I am concerned about the knock-on effect of our recruiting overseas and the brain drain from developing countries. It is important, however, that we do not pull the rug from under our NHS plans and those elsewhere in our public services.
The hon. Lady makes several fair points. She is right about not wanting to steal lots of doctors from other parts of the world, although people often want to work here for a few years and take their expertise back to developing countries—a positive contribution that we can make. At this very moment, the minor injuries unit in Llwynypia is closed because the accident and emergency unit at the Royal Glamorgan in south Wales is not able to recruit internationally. It has tried to recruit nationally several times, so there is a problem and we need to be able to plan for our services.
Universities face similar issues, because—as the Minister said—it is vital that the brightest and the best come to the UK to study. If they do not, we will not have the best universities and the brain drain will continue and cause long-term productivity problems. That is why some of what the Minister is suggesting in relation to the university route—the right to study in the UK—is right, although I wonder whether some specific elements need tweaking. For instance, it is suggested that someone should be allowed to do a course for only five years, with no extension to six or seven years unless they are already earning £35,000, but junior doctors are on about £29,000 and staff doctors on £34,000. There is therefore a danger in the Government’s proposals.