International Doctors: Visas

Debate between Matt Warman and Steve Brine

Wednesday 2nd November 2022 Westminster Hall

[Matt Warman]

I absolutely agree with my hon. Friend that increasing all those routes is hugely important. Of course, we would all like to see more doctors trained in this country, and the Government have gone some way towards doing that, but where people want to work abroad, Britain should be as attractive a place as we can be. That is why, on the GP point specifically, the Government should be removing every single barrier in that visa process.

The most straightforward thing we could do, which would remove the need for a practice to register as a visa-sponsoring practice, is simply to say that when a GP qualifies in this country, they get the indefinite leave to remain that other doctors get. These are people in whom the UK has already invested. They are already here; they already have a visa. The extension of that visa into another form seems simply to be a bureaucratic hoop that we are putting in their way as doctors and in the way of GP practices. We are putting extra bureaucracy into a system, while on the other hand the Government say, “We desperately need people to come to this country to work in the NHS, and we will try to do everything we can.” The health service does hugely good work to try to recruit such people and specifically encourages them to train as GPs, but then we put an additional barrier in their way.

The response from the Government in the past has been, “Actually, the visa process registration is not terribly onerous and GP practices can do it.” They point to the numbers that have and do, which is fine as far as it goes, but it does not answer the question of why we put a barrier in the way in the first place. It should not be a cost of doing business when we say that we really want to make it as easy as possible.

Equally, it should not be a reasonable thing to put different sorts of doctors on different sorts of levels. It is not reasonable to say to people that, just as they have gone through the most stressful part of qualifying with exams, they should also be thinking about their immigration status. That calls into question their probity when we have things such as the General Medical Council making sure that they are upstanding members of our communities, and many of them have tens of thousands of patients to testify to that.

I do not think it really washes when the Government say that we need to put barriers in place, and I do not think that the Department of Health, where the Minister was previously a Minister of State, would agree, in an ideal world, with the Home Office stance. We could work together across Government to try to secure a sensible outcome.

I have talked about GPs, but there are broader issues around visas for doctors, many of which come back to the Home Office backlogs that I know my right hon. Friend the Minister is working really hard to address. There is a good argument for simply scrapping visa fees altogether for people coming to work in the health service. That is an argument for another day, but when it comes to GPs I think that lowering the five-year limit for indefinite leave to remain to three years is the neatest way to address the issue.

On the broader issues, ultimately this comes back to how many doctors we are training in the UK. We all want, as I said to my hon. Friend the Member for Mid Derbyshire (Mrs Latham), to see more people trained in this country. That is what we are doing and that is what the Government continue to pursue, but until we reach that moment—the NHS has never reached entire self-sufficiency in the UK—we should make it as easy as possible for doctors, dentists, nurses, people working in social care, and all those who work in different parts of the health service, to come to the UK. It is not primarily a question about backlogs; it is a question about process. At the moment there is a degree of bureaucracy that simply does not need to exist.

[Steve Brine (Winchester) (Con)]

It is great to hear my hon. Friend making such an eloquent case, as always—more so than I can. The issue matters for all the reasons he has set out, but would he agree that because of the retention challenge in the health service, the more we pour in at the top is sometimes, in part at least, offset by those who go out at the bottom? There is a wider picture here to do with pension pots—the whole retention piece is part of the wider jigsaw, which I appreciate is not the remit of this Minister, but perhaps was in his previous job.

[Matt Warman]

I thank my hon. Friend for that intervention. It is always tempting to ask the Minister to go and have a word with his former self, but we cannot do that. I think he has read the last couple of points that I want to make.

There are a number of relatively low-hanging pieces of fruit that the NHS has repeatedly asked for. I want to thank the RCGP, the British Medical Association, the radiologists, the British Dental Association, and also groups such as EveryDoctor, which have helped me with this debate and have identified the fact, as my hon. Friend implied, that there are a small number of things that could and should be sorted as quickly as possible. Busting the barriers around pensions and the bureaucracy around visas are things that would make a real difference to recruitment and retention across the health service. There are plenty of things that are difficult when it comes to addressing the NHS’s challenges, particularly as we approach winter. On the narrow point of GP provision, we have a visa process that puts pressure on, in particular, small GP practices, where the added burden of registering as a visa sponsoring practice is even greater now as they are under such huge pressure. It is also a burden on GPs at what is a particularly stressful point in their careers.

I know the Minister will make entirely legitimate points around putting a process in place, but the reality is that there is a political choice to be made to ease some of those burdens. There is a powerful, compelling case to be made for doing a small number of easy things that could address the GP crisis in particular, which, as my hon. Friend the Member for Winchester (Steve Brine) alluded to, is acute.

I appeal to the Minister and the Government to work as closely as they can with the Department of Health and Social Care to understand these challenges and see what can be done, and I urge my right hon. Friend to take seriously the suggestion that if someone qualifies as a medical doctor in this country, and in particular as a GP, they should have indefinite leave to remain. At the moment, it effectively comes with that if they qualify in a hospital but not in general practice. That is an inequality that the Minister can look to fix, and I hope he will do so as soon as is practicable.

Digital, Culture, Media and Sport: Support Measures

Debate between Matt Warman and Steve Brine

Thursday 8th October 2020 Commons Chamber

[The Parliamentary Under-Secretary of State for Digital, Culture, Media and Sport (Matt Warman)]

I congratulate the Chair of the Digital, Culture, Media and Sport Committee, my hon. Friend the Member for Solihull (Julian Knight), and the hon. Member for Cardiff West (Kevin Brennan) on securing the debate. This is a critical topic that must remain at the forefront of our considerations as we continue to tackle the challenges of the covid-19 pandemic. That is what we have heard from a diverse range of speakers today. I congratulate all of them and apologise for not being able to mention everyone in detail.

Our arts shape us. Our heritage and our history shapes us, and our communities around our sports clubs at every level shape us. That is why this Government have put £1.57 billion into supporting our arts—an unprecedented package. It is why we have put £200 million into supporting our sports, and it is why we will continue to do so to the best of our abilities. This Government are here for culture, here for the arts and here for sport, and we will continue to be so. Whatever ITV might tweet and then have to delete, that is true for the Chancellor as well.

Let us go back to the beginning of this extraordinary pandemic. The Prime Minister rightly instructed us to work at home if we could. That meant millions of people suddenly relying on the internet for endless Zoom calls. It meant millions more people relying on the internet to educate their children, even if they could not work from home, and it meant millions of people relying on the internet for entertainment. Let us not forget that, thanks to the work of our telecommunications networks, the digital lights did not go out. That is hundreds of thousands of men and women working incredibly hard, and I thank them for that. I also thank the BBC, Netflix and other providers that agreed to take some of the load off our networks, so that we could all carry on.

At the outset of this pandemic, we made it clear that we would move to protect our cultural institutions, which are rightly famous around the world. Moreover, they are vital to our economy, to our theatres, to our live music venues and to our museums. They brought in £32.3 billion in 2018, and they employ 680,000 people. It is that income and those jobs that we have moved to shield. It culminated in the £1.57 billion culture recovery fund to tackle the crisis in our most loved arts organisations and heritage sites and help weather the storm of coronavirus. I want to be clear: we are working as hard as we can to get this money out of the door as quickly as possible. That will begin on Monday, and it will continue throughout October and November.

[Steve Brine]

That is good to hear. If there is any money left in the culture recovery fund after Monday, how soon will the pot be emptied? We do not want any money left in the pot when there are people going to the wall.

[Matt Warman]

I understand my hon. Friend’s enthusiasm. Perhaps it would help if I unpack some of the culture recovery fund, because I, too, do not want to see any money left unclaimed. There is £88 million for heritage institutions, which will provide grants of £10,000 to £3 million; £622 million in recovery grants, and a further £270 million in repayable finance on very generous terms; £120 million to invest in rebuilding and upgrading our cultural infrastructure, as part of a wider effort to bounce back stronger; £100 million for arm’s-length bodies such as the British Library, the British Museum and the BFI; and £188 million for the devolved Administrations.

This is not just about big names in London. It is about all our small venues and our communities up and down the country. It is important to ensure that they are not forgotten, and with this fund, they are not. This is about protecting our cultural assets. That is why we have already provided £3.36 million in emergency funding, which has gone to grassroots venues up and down the country, and 42 cinemas across England have already been supported in the first wave of BFI funding. I know how important cinemas are, and the independent sector is a crucial part. The Department has also worked closely with our arm’s-length bodies to deliver tailored support packages at speed, including £200 million in emergency public funding to stabilise organisations and protect jobs. We have engaged extensively with the breadth of the sector since the pandemic began, and that is how we will ensure we get the culture recovery fund distributed as quickly as possible.

We continue to work at speed with sports clubs across the country to understand the best way of providing as much support as we can. Department for Digital, Culture, Media and Sport officials are working with their Treasury counterparts to ensure that as many sports clubs as possible are not adversely affected. The Government’s first duty is to public health, but we must ensure that there are clubs for fans to go back to.

In addition to sector-specific interventions, DCMS sectors have of course benefited from a year’s business rates holiday for leisure businesses, bounce back loans and the reduction in VAT from 20% to 5%.

Thanks to our arm’s-length body, Sport England, grassroots sport is in the process of receiving a £195 million package of support to help community sports clubs, which are so important at this time. We have recently boosted the community emergency fund by a further £15 million, taking the total to £210 million.

We have supported the return of elite sport to behind-closed-doors competition, which has also enabled vital broadcast revenue to flow into elite sport. The Government ensured that Project Restart was shared with everyone by getting Premier League football on the BBC for the first time ever.

There has also been important support for rugby league and, following the postponement of fans’ return to stadiums in general, the Government will come forward with a package to support the most affected sports. That includes help with the immediate needs of the National League football teams that are at the heart of many communities.

Work continues apace to explore new ways of getting fans into stadiums as soon as we can. We have hosted several successful pilots and we have launched the sports technology and innovation group. Its work and our learning from our successful pilot sports events with crowds will ensure that we are best prepared to get fans back into stadiums as soon as it is possible to do so.

I recognise that the business events industry, which is often related to stadiums, is also affected. That is why the Government have put in place the unprecedented package of general support. We will also work with the industry specifically to restart. Pilots undertaken in September have demonstrated that that can be done in a covid-secure way. We will continue to do that as much as we possibly can.

Tourism was one of the first industries to be hit, but the Government acted quickly to help businesses. On top of the wider economic support package, we have provided business rates relief and one-off grants and introduced the hugely significant cut in VAT for tourism. We recognise that the times remain extremely difficult for the sector. We are acutely aware of the seasonal nature of many businesses’ trade and we continue to engage with stakeholders to assess how we can most effectively support tourism’s recovery across the UK. I point my hon. Friends to the work with the Ministry of Housing, Communities and Local Government and VisitBritain on the aim to extend the season in coastal communities where that can safely be done.

We have announced the £500 million film and TV production restart scheme to assist our creative economy. The scheme will be able to compensate film and TV productions after they have restarted. It is a temporary measure that supports productions that commence filming before the end of the calendar year and compensates for coronavirus losses until the end of June 2021.

We will work as quickly as we can to reopen theatres. We will continue to work with the sector to develop the pilot that we need to get theatres open. That is a vital part of getting support to freelancers. Our world-beating creative industries are nothing without the work of freelancers and we are working hard to help provide financial support for them in those sectors.

We should not forget the charitable and voluntary sector. It has done great work in these extraordinary times.

I am aware that I have not been able to cover every single aspect of the work of DCMS. We will continue to work with colleagues across the House to ensure that we can answer questions, provide the clarity the sector needs and support that most important of sectors in our country.