Draft Immigration (Health Charge) (Amendment) Order 2017

Mark Harper Excerpts

Tuesday 31st January 2017 General Committees

[Mr Mark Harper (Forest of Dean) (Con)]

The Minister and the Committee will be pleased to know that I plan on speaking briefly. Indeed, I had not planned on speaking at all, but was forced to do so by the Shadow Home Secretary’s speech. My understanding—the Minister will no doubt correct me if I am wrong—is that this immigration health charge is not about health tourism at all, if by health tourism we mean visitors who come to the United Kingdom specifically to get healthcare to which they are not entitled. Of course, it is a national health service, not an international health service.

[Ms Abbott]

rose—

[Mr Harper]

Let me finish the point. This is about making sure that people who come here as migrants to work, or who have other leave, pay a reasonable amount towards services that they get from the health service. It is not about visitors to the United Kingdom who are not entitled to healthcare at all.

[Ms Abbott]

I am grateful to the right hon. Gentleman for letting me intervene. I am clear what this order is about, but the context of this debate about people paying for healthcare is the very lively tabloid debate there has been about health tourism. That was my point; I was putting the debate in context, not setting out the purpose of the order. If I did not make that clear, I apologise.

[Mr Harper]

I accept that may have been what the hon. Lady was doing, but I was the Minister who took the original primary legislation through the House, and we were very clear about what it was, and was not, about. I do not agree with her. The context was about making sure that those who come to Britain to work and are here perfectly lawfully, contributing to the country, make a relatively modest contribution to the cost of the services that they and their families may get from our national health service.

As for visitors who come to the United Kingdom with the specific intention of getting healthcare to which they are not entitled, we already have provisions on that. My right hon. Friend the Health Secretary is making sure that the national health service, which, properly, does not charge British citizens and others who are entitled to be here, is better at establishing when people have an entitlement to healthcare, and at collecting money from those who are not entitled to it; that makes our national health service more robust, sustainable and able to provide free care to those who are entitled to it. That is the context in which we introduced the charges; we were making sure that people who are here lawfully make a reasonable contribution to the health service that we have all paid for. The rules for those who are guilty of health tourism and are abusing our national health service are different, and are not brought into play by this health charge at all.

Notwithstanding that, I thought the Minister put the case very well. I particularly welcome the exemption for victims of slavery, and I welcome the work the Government have done on putting in place the Modern Slavery Act 2015, a world-leading piece of legislation to deal with that heinous crime perpetrated by organised criminals. The Minister put the point very well, and I am very happy to support the order.