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Henry Smith Excerpts

Thursday 9th May 2013 Commons Chamber

[Dr Julian Huppert (Cambridge) (LD)]

It is a great pleasure to be called in this debate on the Queen’s Speech. It is also a pleasure to follow the hon. Member for Slough (Fiona Mactaggart). I usually agree with much of what she says and on this occasion I agreed with large chunks of it. I will not go through every constituent in my area who has had to wait years for decisions to be made; the hon. Member for Hackney North and Stoke Newington (Ms Abbott) made the point for me.

I was generally very pleased with yesterday’s Queen’s Speech. It contained a lot of good measures that the Liberal Democrats are proud to have championed for a long time. There was excellent news that will help us to create a stronger economy and a fairer society.

Aspiring businesses will be boosted by the legislation on the national insurance employment allowance of £2,000. That is a progressive way of helping businesses out, giving them a springboard for growth and, critically, encouraging them to hire staff. There are proposals to improve the intellectual property system. The Hargreaves proposals suggested that European Union unitary patents could lead to £2.1 billion in growth. That will be welcomed by a lot of the high-tech businesses in my constituency, although we must not go down the dangerous route of software patents. The Energy Bill, which will continue its passage, will provide green jobs. The High Speed 2 Bill will generate about 100,000 jobs. As we have heard, the £10,000 income tax threshold will lift millions of poorly paid people out of income tax and give money back to others that can be spent to grow the economy.

On fairness, the care Bill will put an end to vulnerable members of society having to sell their homes to pay for care costs in their lifetime. There will also be a new flat-rate state pension, help for carers and the continuation of the Marriage (Same Sex Couples) Bill. I hope that through cross-party agreement, that Bill will include the proposal to allow humanist weddings to take place in England and Wales, as they do in Scotland.

In government, we have fought for and will continue to fight for a stronger economy and a fairer society, but I will focus on the home affairs and justice measures in the Queen’s Speech. I will start with the contentious issue of immigration, on which I largely agree with the hon. Member for Slough. This country benefits massively from immigration. I am pleased to say that very clearly. If we were to take away the immigrants from my constituency, it would be disastrous. The hospital could not function without people who have come from overseas, universities and high-tech businesses would suffer massively, and the quality of society would be massively diminished. We should be delighted that we have successful immigration. Immigrants come to this country and make a huge contribution. I am very proud to support that.

However, our system does not work well. Under this Government, the previous Government and, I dare say, the Government before that, our border controls have simply not been good enough and we have not been able to keep track of people. We definitely want to ensure that the people who should be able to come into this country can get in easily and quickly. They should not have a struggle with bureaucracy or wait months for decisions, whether they are a wealthy businessman or somebody seeking asylum. Everybody deserves a prompt, correct decision. That is not what has happened. Improvements are being made and we will see whether they go far enough. It should be easy for talented business people, academics, researchers and genuine asylum claimants to come here legitimately. There have been far too many problems with that.

I have a constituent who had been sentenced to death in Iran for converting to Christianity. He applied for asylum under the previous Government and was rejected because, although he had a copy of the death sentence, it was deemed that there was not enough evidence that he would be at risk if he went back. Most people who are asking for asylum do not have a copy of a death sentence. That decision has been corrected and he is living in Cambridge and is very active there. The Home Office has been very helpful to members of his family.

We have to fix the system. I want exit checks to be reinstated. That is a long-standing Liberal Democrat position. If we do not know who is leaving, we do not know who is still in the country. That causes frustration because there are lots of figures that suggest that people are still in this country who should not be, when in fact they left many years ago. A lot of the figures on student migration include people who have left the country or who did not come here in the first place.

[Henry Smith (Crawley) (Con)]

I agree with the hon. Gentleman. The previous Government’s abandonment of exit checks has led to the appalling situation whereby we cannot tell who is in the country. I would certainly welcome it if they were put back in.

[Fiona Mactaggart]

It was in 1994.

--- Later in debate ---

[Henry Smith (Crawley) (Con)]

I am grateful to be called to speak in this debate on the Gracious Speech. It was three years ago this month when Mr Speaker called me to make my maiden speech, and after your recent ruling, Madam Deputy Speaker, I can assure you that I will be much more concise in this submission than I was in the previous one.

I would like to take the opportunity briefly to support the measures in the immigration Bill that was announced yesterday in the other place. Last September, during the previous parliamentary Session, I had the privilege to introduce a private Member’s Bill, called the NHS Audit Requirements (Foreign Nationals) Bill, which was intended to tackle the large-scale abuse of our national health service that occurs when people not entitled to receive free NHS care do receive it. That Bill came about as a result of my submission of Freedom of Information Act requests to every health trust in the country. I asked how many foreign nationals they had treated and what level of costs they had managed to recover from the treatments of those foreign nationals—either directly or, more typically, through reciprocal agreements such as the European health card insurance scheme.

The responses I received were really quite shocking, as about half of all health trusts said that they did not record information on the treatment of foreign nationals at all. Many of those who responded with some data provided confused information. Some had treated British citizens who had moved abroad and some had treated those who had served in the armed forces abroad as foreign nationals, while others recorded data only on EU nationals or on European economic area nationals. Frankly, the general picture of how the NHS records data about the treatment of foreign nationals was in a very parlous state indeed.

Technically, people are entitled to free treatment on the NHS if they have been habitually resident in this country for a year or more. The reality, however, is that free treatment is available to people—in many cases literally as soon as they step off the plane and arrive in this country. That is certainly the case in my constituency, which has Gatwick airport within its boundaries. I have heard reports of about 150 heavily pregnant women arriving at Gatwick airport every year, and of my local area’s East Surrey hospital having to support and treat those women from the pregnancy process through to birth. Indeed, it was reported to me just this morning that women who are 35 weeks pregnant have often presented themselves at Gatwick airport. That is, of course, a burden on the national health service; it is essentially an abuse of the generosity of our system.

The problem, however, is much more wide scale than that. Where people present themselves to a local GP surgery, the GPs are encouraged to register the individuals and not to ask about their eligibility to receive primary health care or free health on the NHS at all. Once someone is registered with a doctor’s practice, they will receive an NHS number and will then be free to be referred on anywhere in the health care system without any further checks. In the majority of cases, such people will be entitled to free prescriptions as well.

What we essentially have in this country, then, is not so much a national health service as an international health service. I do not think anyone in this place would want to deny the very best treatment that our health system can offer to people in this country and around the world, but people should be able properly to contribute to the system, and the system should be able to recover the costs of treating foreign nationals through reciprocal arrangements or, where such arrangements do not exist, the costs should be directly recovered.

I received an e-mail this morning from the Surrey and Sussex Healthcare NHS Trust, my local acute health care trust. It detailed the latest available figures on the cost of treating foreign nationals—to its credit, it does audit them—as more than £500,000. Yet the amount it was able to recover through reciprocal arrangements or directly was in the order only of about £130,000. That is a pretty typical picture across our health service and trusts up and down the country.

Last year, together with the Minister for Immigration, my hon. Friend the Member for Forest of Dean (Mr Harper), I had the privilege of visiting the immigration facilities at Gatwick airport. As part of our discussions with immigration officials at the airport, we spoke to a desk officer who liaises with the Department of Health and NHS trusts in order to try to recover costs from foreign nationals who have used NHS services. The picture presented was again that we were successful in recovering those costs only from a minority of those foreign nationals.

It is incredible that we have allowed this sort of situation to become commonplace in this country. If we look to other European countries, we find that they are much more rigorous in ensuring that the treatment of their foreign nationals, including Britons, under their health system is properly recorded so that those costs can be recovered—in the case of our European neighbours, through the European health insurance card scheme. They achieve that by checking eligibility at the point where health services are received. If someone needs to see a doctor for primary care, a gateway mechanism is introduced. In the case of emergency treatment, it is of course important that care is delivered as soon as possible, but in other countries it is again commonplace for the costs of such emergency treatments to be recovered after the individual has been treated, stabilised and is capable of being discharged. It is incredible that we do not do that, which is why I am very supportive of the measures announced in the Queen’s Speech to ensure finally that we have some rigour, because this is ultimately about fairness to the taxpayers who fund our NHS.

It is right that we have an NHS that is universally available regardless of ability to pay, and it is right that that system is largely paid for out of taxation, but it cannot be right that that system is then freely available to anybody arriving in this country without any meaningful checks. By introducing these checks to ensure that our health service is not abused in that way, we can restore confidence in our system and create greater fairness, and also ensure that the health budget is not unnecessarily overburdened, as it is at present, to the tune of hundreds of millions of pounds.