Immigration and Social Security Co-ordination (EU Withdrawal) Bill (Sixth sitting)

Debate between Nicholas Dakin and Maria Caulfield

Tuesday 26th February 2019 Public Bill Committees

[Nic Dakin (Scunthorpe) (Lab)]

I beg to move amendment 22, in clause 4, page 3, line 10, at end insert—

“(5A) Regulations under subsection (1) must not be made until the Secretary of State has undertaken and published an impact assessment of the effect of the regulations on the United Kingdom’s health, social care and medical research sectors.

(5B) An impact assessment under subsection (5A) above must include, but is not limited to, an assessment of the regulations impact on—

(a) the health and social care workforce;

(b) the cancer workforce; and

(c) the medical research workforce.

(5C) An impact assessment under subsection 1 must be laid before both Houses of Parliament.”

It is a pleasure to serve under your chairmanship, Mr Stringer. As chair of the all-party parliamentary group on cancer, it is also a pleasure to take this opportunity to raise these issues by moving amendment 22. The measure has wide-ranging support from the cancer sector, with no fewer than 18 cancer charities urging support for it, namely Macmillan Cancer Support, Cancer Research UK, Bloodwise, Bowel Cancer UK, the Brain Tumour Charity, Brain Tumour Research, Breast Cancer Care, Breast Cancer Now, the cancer counselling group, CHAPS, CLIC Sargent, Ovarian Cancer Action, Pancreatic Cancer UK, Prostate Cancer UK, Sarcoma UK, Tackle Prostate Cancer, the Teenage Cancer Trust and Tenovus Cancer Care.

We all agree that ending freedom of movement is one of the most significant changes to immigration policy in decades. It is therefore imperative that people know what the impact of that change will be on the health and social care workforce; indeed, we touched on some of those issues in an earlier debate. Making sure that the Government are taking steps to understand fully the impact of ending freedom of movement on the health and social care workforce is important to the organisations I listed, and to the people whom they exist to support. As the Minister has said, this is something that is in the Government’s mind, but these proposals make it more important that things are carried through to a conclusion.

The purpose of the amendment is to require the Government to make arrangements to conduct an impact assessment in both Houses on the implications of ending freedom of movement for the health, social care, cancer and medical research workforces, prior to the change coming into effect. The amendment is focused on the principle of ensuring that any change of such scale and importance is not undertaken without the Government demonstrating that they have prepared properly. As the Minister is well aware, getting the preparation right is key for the future health and social care system.

Historically, the NHS workforce has relied on the support of professionals from across the world coming to the UK. In recent decades, that has included a supply of EU nationals. Nearly 10% of doctors, 8% of social care staff and 6% of nurses working in the UK are from the EEA. The Government have acknowledged that there are already pressures facing the health and social care workforce. Scotland, England, Wales and Northern Ireland are all experiencing high vacancy rates. Given the worrying trends that we have seen since June 2016, we must ask whether leaving the EU will create further pressures.

[Maria Caulfield]

The hon. Gentleman is making a very important point. I have worked in lung cancer research. Although researchers from the EU make up 10% of the workforce, a significant problem is trying to get researchers, PhD students and scientists from around the world. The current immigration system is not working for cancer research, and reforming the whole system would greatly benefit research across the board.

[Nic Dakin]

That really underlines the importance of having a proper impact assessment so that we can minimise the risks and maximise the opportunities, to ensure that this crucial workforce can continue to deliver to the people it serves.

There has been a 90% fall in the number of European nurses coming to the UK over the past year. In addition, 14% of European doctors in Scotland and 19% in England are already in the process of leaving. The Government need to consider whether ending freedom of movement will exacerbate the issue or, as the hon. Member for Lewes said, provide opportunities that reduce the problem, which is what an impact assessment would do.

Immigration and Social Security Co-ordination (EU Withdrawal) Bill (First sitting)

Debate between Nicholas Dakin and Maria Caulfield

Committee Debate: 1st sitting: House of Commons
Tuesday 12th February 2019 Public Bill Committees

[Nic Dakin]

Q That is partly because, at the other end, Government are not putting enough money into the system. There is a bit of a dilemma there, isn’t there?

Professor Manning: We accept that, and we singled it out as a big problem. The issue with financing social care is not just with this Government; it is a long-lasting issue that has not been addressed, and I am not sure it is being particularly addressed at the moment.

There is a risk if you have a carve-out for social care. A good example is Canada, which had a live-in caregiver programme. It was about live-in carers, but it was similar. That programme expanded incredibly rapidly, but as soon as the migrants who had come in under that route had the opportunity to leave the sector, they left the sector because—just as the existing residents found—the terms and conditions were poor and they could get better elsewhere. After 10 years, only something like 10% of workers were still working in care. The Canadian Government shut that programme down last spring, because it did not solve the problem.

Our concern about this is that a carve-out for social care will be a short-term fix. It will stop the real, underlying problems being addressed. It will look successful in the short run, but in the medium to longer run it will not work.

[Maria Caulfield]

Q I want to get your views on clause 1, which will repeal free movement of EU citizens. What effect will that have on overall immigration to the UK?

Professor Manning: I must confess that I am not absolutely sure what clause 1 says.

Implementation of the 1995 and 2011 Pension Acts

Debate between Nicholas Dakin and Maria Caulfield

Tuesday 11th October 2016 Commons Chamber

Maria Caulfield (Lewes) (Con)

- Hansard - - Excerpts

I rise to present this petition on behalf of 350 of my constituents in Lewes in the same terms as that presented by the hon. Member for Worsley and Eccles South.

The Petition of the residents of Lewes.

[P001713]

Nic Dakin (Scunthorpe) (Lab)

- Hansard -

I rise to present this petition on behalf of many hundreds of residents of Scunthorpe constituency in the same terms as my hon. Friend the Member for Worsley and Eccles South.

The Petition of the residents of Scunthorpe.

[P001715]