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

Paul Blomfield Excerpts

Tuesday 26th February 2019 Public Bill Committees

“Social care is a sector that struggles to recruit and retain workers which is a cause for concern as demand is rising inexorably. Its basic underlying problem is…poor terms and conditions paid to workers in this sector, in turn caused by the difficulty in finding a sustainable funding model.”

[Paul Blomfield (Sheffield Central) (Lab)]

The Minister is right to cite the evidence from the MAC. Indeed, Alan Manning in his verbal evidence to the Committee, made the point that, in low-wage sectors, employers needed to step up to the mark. Clearly, the major employer behind social care is the Government. Are the Government willing to step up to the mark to provide the funding necessary?

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[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.

[Paul Blomfield]

Opening up opportunities from around the world is clearly an issue that we will return to, but is it not unwise to close down a particular sector of recruitment while the Government have no such proposals on the table?

[Nic Dakin]

My hon. Friend makes a salient point. As we go through the Bill in Committee, there seems to be a recurring theme of the danger of gaps. One of the issues is that if we have gaps, there is a danger that people fall through them. In this particular area, the people who might fall through them are those in need of specialist healthcare, support and treatment. None of us would want that to happen, which is why planning and preparedness are so important. Such a significant change further underlines the necessity of planning and preparedness.

Across the wider workforce, primary and acute medical and social care shortages are already impacting on people’s access to cancer care in hospitals and communities. We know that demand is growing at the same time. Macmillan Cancer Support has said that cancer is a key proxy through which to understand the importance of supporting the health and social care workforces. Improvements in diagnosis and treatment mean that more people than ever are surviving or living longer with cancer, which is a very good thing. Across the UK there are now 2.5 million people living with cancer, and the figure is expected to rise to 4 million by 2030.

To support the growing number of people living with and beyond cancer, there must be an immigration system in place to underpin and support a workforce that is capable of delivering this, alongside an appropriate skills and development system. The immigration system must also complement the very welcome long-term ambitions of this Government, and the Scottish and Welsh Governments, to improve cancer care across the United Kingdom. The plans set out in the immigration White Paper do not include a detailed analysis of the impact of ending freedom of movement on the cancer workforce or those working within the wider health and social care sector. Plans to use salaries as a barometer by which to identify skilled workers are concerning given the large number of professionals who would not meet the threshold that may be established at £30,000. I recognise that the Minister has consistently said that the threshold is being consulted on and is under review, which is a welcome message for her to continue to repeat. I hope that that message is properly delivered on as we move forward.

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[Caroline Nokes]

I am grateful to the hon. Member for Scunthorpe for providing the Committee with the opportunity to discuss the amendment, and for his really important work as chair of the all-party parliamentary group on cancer.

The amendment gives us the opportunity to consider the impact that ending free movement through the Bill might have on the health and social care and medical research sectors. I appreciate that there are those on the Committee who do not believe that we should end free movement. I have to remind them that the people of the United Kingdom voted in a referendum, in which there was no doubt that immigration was a key consideration for some members of the electorate. Parliament has to respect that democratic mandate.

[Paul Blomfield]

I accept the Minister’s point about the concerns around immigration, but does she accept that the Government have had complete control of our borders in relation to non-EU migration for the last eight years and in each one of those years, non-EU net migration has been higher than EU net migration?

[Caroline Nokes]

I thank the hon. Gentleman for his comment. I am sure, like me, he welcomes the fact that some of the most recent immigration statistics show more people coming to the UK with a confirmed job to go to, rather than simply looking for work. That is an important trend. I am sure he would also acknowledge that, as the Secretary of State for Exiting the European Union pointed out—he was a Minister in the Department of Health and Social Care when he did so—there are more EU citizens working in the NHS today than there were at the time of the 2016 referendum. I would not want anyone to misunderstand me and think I was being remotely complacent, because I really am not, but I must emphasise again the Government’s recognition and appreciation of the great contribution made to the UK by EU nationals working in health, social care and our important medical research sector. I think it was on the day we published the White Paper that I went to the Crick Institute in London and spoke to some of the research teams there. They were not simply from the EU or the EEA, but were global research teams. That point was made to me by Cancer Research UK, which I visited at the tail end of last year. We will continue to engage with the sector.

The hon. Member for Scunthorpe made an important point about roundtable events and talking to all sectors, and I am absolutely determined to do that in the area of medical research. I assure him that I have a busy programme over the next six months.

[Caroline Nokes]

My hon. Friend is right to point out that we do not want to miss out on expertise. We want to continue to attract the very brightest and the best to the UK, to work not only in medical research, but across the economy and all sectors of academia. We heard evidence from Universities UK, which often comes to talk to me about the importance of being able to attract not only researchers from the EEA, but students and academic staff. As I am sometimes inclined to point out, they cannot open their doors if they do not have people available to clean the lavatories. I am conscious that there is a wide breadth of individuals, skills and talents that we will need to continue to attract to the UK post Brexit.

We are in absolutely no doubt about the continuing need in the UK for those working to tackle terrible diseases, such as cancer. We want the existing EU workforce to stay, and we want to continue to attract other international workers in the field. We recognise that the research, as the hon. Member for Scunthorpe pointed out, goes way beyond fiscal benefit. It is about the contribution to the health of the UK population and to the world, because research in this country does not stop at our own shores.

Even under the existing immigration system, special provisions apply for those coming to work in the UK as doctors, nurses and researchers, including in important scientific and medical fields. The provisions include, but are not limited to, being outside the scope of the annual cap that applies to the main skilled work route under tier 2 and not being subject to the resident labour market test. There is also provision for special salary exemptions from the minimum £30,000 threshold for experienced workers. I assure the Committee that the Government take seriously the impact on the UK economy of the proposals we have set out in the immigration White Paper. Together, the proposals are and will be designed to benefit the UK and ensure that we continue to be a competitive place, including for medical research and innovation.

As the hon. Gentleman will be aware, the Bill is designed to provide for the arrangements by which free movement will end for EEA nationals, delivering the commitment that the Government made. It is not designed to set out precisely how the future immigration system will apply, and the power in clause 4 is to make consequential changes as a result of the end of free movement. It is not the place where we will set out the details of the future system.

As stated in the impact assessment published alongside the Bill, the details of the future immigration arrangements that apply to EEA nationals and their family members from 2021 will be set out in immigration rules. It is not yet possible to set out the quantitative and wider benefits of that future system, but the White Paper proposals published in December were supported by a full and detailed economic appraisal, which was published in an analytical note in annex B of the White Paper.

As the Committee will know, the Government intend that the proposal in the White Paper will provide the basis for a national conversation with a wide spectrum of business organisations and sectors. As I have said several times today, over the next 12 months we will listen carefully to various sectors and their concerns before taking final decisions. As the hon. Member for Scunthorpe will appreciate, it is right that the Government assess the full costs and benefits of ending free movement once the future policies have been finalised.

I therefore suggest that the regulations, which are primarily intended to cover the transition from free movement to the future system, are not the right place to set out a detailed impact assessment of the end of free movement on individual sectors. I can reassure the Committee that it is our intention that the immigration rules for the future system will be accompanied by relevant impact assessments, once the arrangements have been finalised.

Accordingly, I believe that the amendment is not appropriate at this time, because it is attached to the wrong provision, but I accept and welcome the spirit of what the hon. Member for Scunthorpe seeks to achieve. I assure him that appropriate impact assessments will be provided.

[Paul Blomfield]

The Minister is making an important point about future arrangements. Part of the problem is that we are moving towards a blindfold departure. The Minister talks about future rules. Will she give a guarantee that there will be an immigration Bill that will set out the framework for those future rules, so that we can have a full and proper debate in the House?

[Caroline Nokes]

The hon. Gentleman will be conscious that our immigration rules since the 1971 Act have been largely set out in the rules, as opposed to primary legislation. This is a framework Bill to end free movement. As I have put on record in a statutory instrument Committee, I fully expect there to be a subsequent immigration Bill. There are many aspects of future policy that are perhaps not yet in this Bill.