(1 year, 9 months ago)
Commons ChamberMy hon. Friend is right that there is a real need for a multi-pronged approach. It is not quite right that countries like Germany or Sweden do not accept asylum applications; rather, they may have higher burdens of proof or thresholds that need to be met. We need to change some of the regimes that govern asylum and some of the rights being claimed, in a large number of cases, unmeritoriously. We will make an announcement on the measures that we are taking in due course.
I would be very happy to look into that case for the hon. Lady.
(1 year, 9 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
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I beg to move,
That this House has considered visas for international doctors.
It is a pleasure to serve under your chairmanship, Mr Stringer.
This is a debate about doctors, but I want to begin with the story of a hypothetical patient. Let us call her Marjorie and say that she lives in Skegness. She is in her 80s or thereabouts. She is registered with a local GP practice, and she has a trainee doctor as her GP. They have a really good relationship and know each other well. They have the continuity of care that means that Marjorie’s needs are looked after. For a couple of years, Marjorie has gone back and forth to her doctor with little ailments, as people often do. In her final consultation, her doctor mentions that she will be moving on relatively soon.
Thereafter, Marjorie finds herself with another GP, and the continuity of care is broken. Marjorie struggles to get the type of relationship that she built up over the past few years, and she finds herself bouncing in and out of hospital. She is fine, but not as well as she would be if her care had been provided by a doctor who was able to make sure that they knew each other well. The reason for the break in continuity of care is that the doctor she had in training was an international medical graduate who was being trained at the surgery in Skegness. Unfortunately, for a whole host of reasons, the surgery was not registered to take international medical graduates once they had qualified, and it was not what is called a sponsoring practice—it was not able to say that it would sponsor the visa for that doctor.
The reason I make that point in such a way is because the people who are suffering as a result of the approach we currently take to visas—on one level, they are doctors who are dealing with the immensely stressful visa process—are ultimately patients, who should be our priority. The doctor I mentioned is one of 40% of trainee GPs who come from abroad. While they are training, their visas are sponsored by Health Education England.
A result of the difficulties around trainee GP visas is that many IMGs feel that they have no choice but to take on other roles within the NHS, or they leave the NHS altogether. Many may even return home. Does the hon. Member agree that this is yet another area where the Home Office must look at the bigger picture, rather than trying to plug gaps on an ad hoc basis?
Ultimately, this is where we need joined-up government, whereby the Home Office and the Department of Health and Social Care deliver on the same priorities, and I really do think that they can.
As I say, 40% of trainee GPs come from abroad. In the final months before they qualify as GPs, the last thing they should be doing is dealing with the stress of a potential visa application and considering whether the practice where they might want to apply for a job is registered on the programme, and whether they can reasonably jump through the Home Office hoops at that precise moment. We are increasing stress for doctors, and we are increasing the risks for patients at the same time.
The hon. Lady alluded to figures from the Royal College of General Practitioners which show that some 30% of GP trainees are considering not working as GPs when they qualify for these visa-related reasons, and some 17% think they might have to leave the UK either temporarily or, at worst, permanently. That is some 1,200 doctors who are considering not working in the health service as a result of this system. In Lincolnshire alone, a third of practices have thought about registering as a visa-sponsoring practice, but just one in 10 have actually done it. We are really limiting the options for GP trainees and for the health service.
This is a political choice, and it reveals an inequality between different sorts of doctors. It will probably take a hospital doctor five years to qualify. After those five years, they will qualify for indefinite leave to remain in a much easier way. Because GP trainees take just three years to complete their programme, they need to go through this visa process, because three years is not five years, and the Home Office has decided that five years is what is required.
There are other associated problems. When it comes to applying for a visa, the GP practice that needs to register will consider whether that process is worth while. It may, in theory, be worth while in advance, and some practices do register in advance, but many do not. They then find themselves confronted with a brilliant candidate, and they try to register, but with the best will in the world, the timescales are very tight for doctors to apply for visas when they have a job offer from a practice that is already registered. There are lots of things to line up, and it is stressful for practices and for doctors. Even if there were no backlog in the Home Office, it would be a very tight timescale.
I thank you for allowing me to participate in the debate, Mr Stringer. I thank the hon. Member for Boston and Skegness (Matt Warman) for bringing this matter to light. It is good to see the Minister in his place—a return to duty in his ministerial role—and I am confident that, like the rest of us, he will be keen to address the key issues of the debate and why this issue is so important. I wish him well in this new role and look forward to his response to our questions.
The issue of visas is always a difficult one. I am incredibly aware of the need to protect our country and ensure that only those who have a desire to enjoy British life and to enhance it should be given visas. I understand the system of immigration and agree that it should be rigorously implemented. However, within that, we very much need to have the appropriate systems for the appropriate types of visa. That is why I believe that changes need to be made, as outlined by the hon. Member. Talented and skilled doctors want to come here and contribute to our society but unfortunately, due to the visa system, they are not always able to do so. For me, the issue is: how can we help them to help us in the United Kingdom of Great Britain and Northern Ireland?
As the hon. Member for Boston and Skegness (Matt Warman) said, a difficulty that many international medical graduates face is that many GP practices do not have a visa sponsorship licence in place, making it harder to meet the requirements before the student’s studies end. Does the hon. Member share my concerns about the general level of the Home Office backlog and the associated impact on IMGs?
I agree with the hon. Lady. I hope that through today’s debate and contributions, this issue can be addressed. Again, we look to the Minister to give us some help, direction or support in how we can go through the vigorous bureaucracy that is clearly there. People with talent and skills want to come here; it is about how we can make that happen.
I have raised immigration on multiple occasions with Home Office Ministers—in particular, with regard to visas for those working on fishing boats in my constituency and the skilled work done by Filipino fishermen. The previous Minister was most helpful. That work is undoubtedly skilled, but it is under the pay threshold, so visa requirements sometimes restrict that opportunity.
Junior doctors, nurses and others do work that is not highly paid but highly skilled and necessary. That is why there must be time-sensitive application systems for those vital jobs and staff members. We need flexibility in the system. I say this again because it is important: those highly skilled and highly talented people who wish to come here will add to society and enable us to fill some of the vacancies.
I cannot speak for the United Kingdom mainland, but I can certainly speak with some knowledge of Northern Ireland. I am my party’s health spokesperson, and the research we did for this debate shows that 6,613 vacancies are listed for the five trusts in Northern Ireland. I know that they are not entirely for medical staff, but it is clear that we are desperately in need of staff, and there are many opportunities for doctors.
In my constituency and neighbouring constituencies, we are having problems in relation to GPs. I absolutely agree that there is a need for restrictive immigration, but we must not cut off our nose to spite our face. I am sure those numbers are replicated throughout the entire UK; perhaps the Minister will give us some figures for GP vacancies. I know that the Government have set out a strategy for employing and recruiting more GPs—that is good news.
During the Brexit discussions, we were told that there would be distinct differences between the visa systems. That is as it should be. The hon. Member for Boston and Skegness said that the system needs to be altered to meet the need, and that is what we need to do today.
The hon. Gentleman mentioned GPs, and we are of the same mindset. In a neighbouring constituency, a GP surgery, which is 10 minutes from my office, is set to close down because there are not enough GPs. In response, the GPs in my area have issued a moratorium on joining or leaving local practices. In other words, they will not take any more patients, and in some cases they are directing patients who live outside the area—that was okay a few years ago—to go elsewhere.
The trust is hopeful that it will get more GPs to take over the practice, but the fact is that we simply do not have enough GPs. That puts more pressure on the existing ones, which leads to more burnout, and the vicious cycle continues. GPs are under incredible pressure. Patients want to meet their GP; they want face-to-face appointments. That has been lost to them over the past two and a half years due to covid, but they are trying hard to get back in the queue.
The hon. Gentleman said that 40% of all GP trainees are international medical graduates—the hon. Member for Rutherglen and Hamilton West (Margaret Ferrier) referred to that—but they have difficulties obtaining visas. I do not have the exact numbers for Northern Ireland, but I do know that we cannot afford the loss of any more GPs. I therefore add my voice to those of others in the Chamber requesting that a special dispensation be granted not simply to allow those trainees to stay but to enable us to recruit further.
If there a block of trainee GPs who have almost completed their degrees and courses and are ready to come here, let us encourage them to do so. The question is not why it cannot happen, but how we can make it happen. The thought of training GPs to understand how we do medicine and run our practices, only for them to leave—not because they want to but because the system is not working for them—is madness. That needs to be addressed through this debate.
Recently, medical professionals outlined to me that the mental health and self- esteem of our medical community are at an all-time low because the staff are simply burned out. I have met many nurses, GPs and surgeons who are absolutely exhausted with the work they do. For those who are on call and have a duty rota to complete, being sent an SOS text to cover shifts is no longer exceptional; it is standard. That tells us that the GPs need to be employed and some of the pressure taken off.
We need to change the way that things are done, by giving GPs more admin support and funding for on-site nutritionists, physios and mental health teams, which we need within all health clinics. In my constituency, they are trying to do that regularly, and it should help to diagnose early, whether the problem is diabetes, arthritis or dementia. Whatever the issue, doing that correctly in GP surgeries is the way forward.
It is impossible to imagine that things can go on much longer the way they have for the past two and a half to three years throughout the United Kingdom of Great Britain and Northern Ireland. We need change, flexibility and help, Minister. We do not want to put all the pressure on the Minister, but in this case there are ways forward. The hon. Member for Boston and Skegness has outlined them, as have I and others. We look forward to a successful conclusion to this debate, with a way forward from which we can all benefit across this great United Kingdom of Great Britain and Northern Ireland.
(1 year, 10 months ago)
Commons ChamberI shall be brief. I welcome the Minister to his place and I welcome the Bill. I am glad to see Ministers deliver on the commitment to use the building blocks laid by fast-tracked legislation earlier this year. While the war in Ukraine continues, we have to utilise what we can to hit the Russian state where it hurts financially.
Although Russian aggression may have been the catalyst for economic crime prevention measures, the benefits of a better-regulated system are far more wide-reaching. According to the Cabinet Office, fraud accounts for 40% of all crime committed in the UK. Tackling that is crucial, and a monumental task. However, as we have heard, the legislation is not the powerhouse it needs to be. There are some very big limitations and gaps to be plugged. For the Bill to be effective there cannot be any gaps or loopholes. We must close them before the Bill finishes its passage, and get it right the first time.
I have concern about the resourcing and funding that will be available to public bodies such as Companies House to undertake their new responsibilities. The Government have been clear that they are keen to cut back departmental spending and reduce civil service numbers. How do those priorities align with pouring what will be very necessary resource into the organisations responsible for operationalising the Bill’s measures?
Companies House will have to make a significant pivot to its new regulatory role, and that will require investment if it is to be effective in the long term. Some of the funding could, and should, be raised through increasing the registration costs for new companies. The Government have taken the power to do so through secondary legislation but have not yet committed to using that power. As we have heard, increases would not need to be astronomically high: industry has suggested an increase from £12 to £50 and the Treasury Committee has suggested £100. Those costs would still mean that the UK is one of the cheapest places in the world to set up a company.
What steps will the Government take to ensure the registrar’s proactive querying power is effective in targeting a significant number of the companies that have submitted fraudulent information to the register? Are Ministers also looking at further reform to the strike-off process? That will inevitably require further resourcing but is a crucial gap in the Bill that needs some more attention. If companies continue to be struck from the register automatically, there are no checks to assess whether any fraud has occurred. That means that the directors of automatically struck-off companies can go on to commit further frauds—indeed, many do just that. Will the Minister commit to putting such companies through an insolvency process to ensure that returns to creditors can be made?
The Bill will deliver significant changes for limited partnerships, which are at high risk of being “shell companies” that are used for fraudulent activity and crime. In its current form, the Bill does not adequately prevent limited partnerships, limited liability partnerships or Scottish limited partnerships from having corporate partners and members in secretive offshore jurisdictions. While such companies are controlled by offshore entities, we will continue to struggle to identify their real owners and verify that the information held by Companies House is accurate. Because limited partnerships operate differently and do not require directors, they could allow sanctioned individuals to continue to launder money through the UK. The Government must introduce measures to tackle that issue.
The last issue I wish to look at is communication and information sharing. I will give Ministers some leniency here—it is not easy to create an effective information-sharing gateway while protecting sensitive data—but information sharing will be key to the success of a new regime.
Regulated sector entities should be able to share information more easily—the new measures will be used reactively and miss the potential for proactivity in spotting fraudulent activity earlier. Regulated organisations need more clarity about the intent of the legislation and how it can be operationalised to its fullest potential.
The finance sector, for example, sees benefits in sharing information between firms on the same basis that they currently share information with the National Crime Agency. Although the legislative framework may exist for that, civil liability is a very real risk, particularly where firms are dealing with sophisticated, experienced and monied criminal individuals. We have already seen the risks of aggressive litigation in this area through the legal challenges mounted against the National Crime Agency when pursuing unexplained wealth orders.
I hope that Ministers will be looking closely at where the gaps are here. This is a piece of legislation that must be done right and must be watertight if it is to be effective. Rather than bringing forward multiple Bills over the next few years as issues are identified and further gaps need filling, I hope the Government will use the Bill as a legislative vehicle to reform the system and prevent these instances of money laundering and economic crime as soon as possible.
(2 years, 2 months ago)
Commons ChamberI can. May I take the opportunity to thank my hon. Friend for all his work in support of our national security while he was Parliamentary Private Secretary to the Home Secretary in the Department?
The National Security Bill will keep pace with the changing threat and will make the UK an ever harder target for states that seek to conduct hostile acts against us. It will be an offence for foreign powers to improperly interfere with the UK’s democracy. The Bill will address the serious threat from state-backed attacks on assets, including sites, data and infrastructure critical to the UK’s safety or interests.
Has the Home Secretary considered the dangers to freedom of the press that the National Security Bill presents? Many of my constituents are concerned that measures that could prevent journalists from publishing stories of public interest are undemocratic.
No, I do not see a danger to journalistic freedoms. Indeed, the Government are taking stringent steps to ensure, for example, that in the Online Safety Bill journalistic rights and freedoms are absolutely to the fore, because of the vital and irreplaceable role that a free and sometimes boisterous media plays in underpinning and challenging us in our democracy.
(2 years, 2 months ago)
Commons ChamberIt is an absolute pleasure to respond to what we just heard. From the motion and the opening speech, it is obvious that this debate is focused on not the practical or even items particularly relevant to my brief, but the party political—there were no ideas, no plans and no alternative offered.
Let us start with some facts. Prior to the pandemic, Her Majesty’s Passport Office routinely processed approximately 7 million passports each year. Due to covid-19 and the necessary restrictions on international travel, only 4 million people applied for a British passport in 2020 and 5 million in 2021. As highlighted by my hon. Friend the Member for North West Norfolk (James Wild), that means that we will soon have dealt with more passports in the first half of this year than in the entirety of last year.
This year, many customers who delayed their applications are returning. It is therefore expected that 9.5 million British passport applications will be made this year, which will require a record output. That is a major surge in demand that we are planning for and have dealt with. Extensive preparation, including a regular ministerial board, started long before the Labour Front-Bench team started to show an interest a few weeks ago. Although we have heard attacks today, I thank those from HMPO who have worked hard to prepare for the surge and to deliver record output levels.
In general, the hard-working staff at passport offices, including Glasgow, who have been really good at helping my team to resolve some of the passport issues, and on the MP hotline, are dealing as well as they can with what are difficult circumstances. We all know that happy and healthy staff lead to better outcomes, so can the Minister confirm that staff are being provided with the necessary stress management tools and care for their wellbeing?
I thank the hon. Member for her comments and join her in paying tribute to the staff at the Glasgow passport office, who are working hard to deal with applications, including more complex applications—not every applicant is immediately entitled to a British passport. Ensuring that support is there for staff is one of the things that we discuss with senior managers.
Some staff have worked through weekends as well. We obviously do not enforce weekend working, but there have been overtime opportunities for some months for staff who wish to take them. Alongside that, we are ensuring that there is support for members of staff, because working seven days a week for months on end is not healthy. I thank the hon. Member for the tone and nature of her intervention.
(2 years, 2 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
They are sound people, and they will be concerned that the Opposition parties have no credible plan to tackle illegal migration. We will continue to ask where precisely their plan is.
Can the Minister confirm what risk assessments were undertaken in advance of each individual being served with a notice? Was the risk of modern slavery considered as a key factor in the Court’s decision to overturn some notices?
It is fair to say that reports of modern slavery are taken into consideration as part of the processes. I will not comment in any further detail on operational matters, but I refer the hon. Lady to the published information out there around the process. It is publicly available.
(2 years, 3 months ago)
Commons ChamberThank you very much, Mr Deputy Speaker, for granting me this debate on the operation of the Births and Deaths Registration Act 1953. This is not just a debate about the operation of an Act or our campaign to make changes to it; it is a debate about the enduring pain of loss. It is about unimaginable heartbreak and how the Government can inject some humanity and empathy into this decades-old legislation.
I commend the hon. Member for securing this debate on such a sensitive and important issue, and for the early-day motion that she has tabled. Losing someone, especially a child, is traumatic and can often make someone feel that their life has suddenly spiralled out of control. Does she agree that this is about dignity for the families, and a final opportunity to regain control over their last goodbyes?
I thank the hon. Member for that intervention, and I could not agree more. I will be echoing her comments later in my speech.
Last Sunday marked five years since 22 people were murdered in the Manchester Arena terror attack. My constituents Chloe Ann Rutherford, aged 17, and Liam Thomas Allen Curry, aged 19—a young couple deeply in love, full of hope for their futures—were brutally taken from their families in this attack. Since 2020, Chloe and Liam’s parents have spent days in the public inquiry, listening to every agonising detail of that horrific night. As the inquiry sessions have come to an end, they have been told that, owing to the Births and Deaths Registration Act, they cannot register their own precious children’s deaths.
(2 years, 3 months ago)
Commons ChamberThere was quite a lot there, Mr Speaker, and I think that if I were to answer all of that, I would be at real risk of incurring your wrath. Two million passports were issued in March and April alone. The hon. Gentleman is a canny parliamentarian who took the opportunity to raise this issue in business questions. He will have noted from my earlier responses the steps that we have been taking in that period to address this issue. We will see that work through. This is all about bolstering capacity and resource, but if he would like us to look at specific cases, I am very happy for him to share them with us so we can perhaps understand where he thinks the issues are.
I put on record my thanks to the Glasgow passport office, which has been most helpful to my caseworkers.
I have a constituent who has applied for a child’s passport. The child is a dual national; as part of the application for a British passport, my constituent provided the child’s Australian passport, which is in date. They travel next week, and my team have been urgently supporting them in trying to get, at a minimum, the Australian passport returned urgently. We were assured that that would happen, but the constituent was advised last night that it was not possible. My constituent has also faced some really poor treatment from call handlers on the advice line and is very stressed and upset by it. Please will the Minister intervene in this case and help me to get my constituent their passport?
I certainly want the hon. Lady to share her constituent’s experience with me and with Ministers in the Department, particularly the concerns that she raises about how the calls have been handled. If she shares those details with me, we will look at them in the usual way, but I am keen to understand the specifics.
(2 years, 4 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Certainly, if the application is over 10 weeks and the family are due to travel, I know that the Passport Office will be happy to expedite that and resolve it. It sounds like there has been a specific issue with it. I am happy if the hon. Gentleman wants to raise that with me directly.
There is no doubt that staff across the UK have been working hard, but a constituent submitted an application more than 10 weeks before travel. Her Majesty’s Passport Office made a series of mistakes and seriously mishandled it; it even lost my constituent’s documents. When my office tried to help, it told my staff on one occasion that the application had not been made until a week after our first contact with it about the application. I also wrote to its director general, who never responded. What is the Home Office doing to implement meaningful routes of escalation and to address where there have been failings in specific cases?
I am sorry to hear of the hon. Lady’s experience. As already touched on a number of times in this UQ, I accept that the current performance of the advice lines for members of the public and Members of Parliament is not what it should be. That does need to change. On the specific case, I am happy for her to raise the details with me after the session.
(2 years, 4 months ago)
Commons ChamberI am grateful to my right hon. Friend for his intervention and long-standing interest in this issue. He and I, along with other Ministers, share a common goal in wanting to bring to justice the individuals responsible for this heinous criminality of people trafficking. We are very willing to engage on this. One thing we have discussed in meetings is an openness and willingness to engage on the guidance in place on these matters. As I have said before in this House, there are further opportunities coming on the issue of modern slavery and we are keen to ensure that he is involved in that discussion and dialogue, along with the charitable organisations he works with, to make sure that we get this right, because there is a moral imperative to bring these people to justice. We all want to make sure that individuals are getting the care and support they need to help facilitate that important process.
Does the Minister agree that any legislation touching on modern slavery must recognise that it takes human beings time to process trauma and gain an ability to talk about it? By imposing arbitrary deadlines for victims to declare that they are victims, which many may not really understand themselves, the Government are punishing and further victimising, where they should be supporting. That is particularly true in respect of children or survivors of sexual trauma.
The hon. Lady is absolutely right to raise this point. I can give her the reassurance that at all times a trauma-based approach is taken when dealing with these matters, and rightly so, because the horrendous experiences that people have had are unthinkable and unimaginable. We have only to speak to survivors to realise the enormous impact that these events have on them. It is right that we respond in a way that is appropriate and sensitive to people’s circumstances. That principle will continue to underpin all the work we do. On the late provision of information, good reasons will apply at all times and proper account will be taken of individual circumstances and the reasons why individuals have not been able to provide timely information.
Let me conclude by addressing Lords amendments 53B, 53C and 53D. As colleagues will be aware, last week my right hon. Friend the Prime Minister announced a world-first deal with Rwanda. The UK and Rwanda migration and economic development partnership addresses the shared international challenge of illegal migration and will help to break the business model of evil people-smuggling gangs. Those who make dangerous, illegal or unnecessary journeys to claim asylum in the UK may now be relocated to Rwanda, which will take responsibility for processing their claims and, if they are recognised as refugees, building their lives there.