(4 years, 5 months ago)
Commons ChamberMany people listening in Torfaen and Halifax will be wondering whether the hon. Gentleman has been following the sad news about the economic impact of covid-19 and the number of our own UK-based workers who we will need to get back into employment. It is hard to believe that many will believe that there is a labour shortage. We engage regularly with the care sector and we listen to what it says. Our priority is that in future these jobs will be valued, rewarded and trained for, and that immigration should not be an alternative.
(5 years, 8 months ago)
Commons ChamberI meant it more as a comment. I accept the Lords amendments. To be blunt, given the pressure of time and the need to get the Bill on the statute book to give people certainty about their healthcare arrangements, if these amendments achieve consensus with Opposition Front Benchers and the other place, I am more than happy to support them.
In relation to the remarks of the right hon. Member for Carshalton and Wallington, who sadly has not stayed for the rest of the debate, this is about making sure that people who go to hospital to access emergency care are not suddenly faced with a bill for the full cost as if they were completely uninsured.
We have arrangements with Australia and New Zealand that are not at the same level as we have with other EU countries, but they could potentially be developed. I do not want to see that aspiration lost, because we want our young people to have the opportunity to travel and work abroad where appropriate. In many countries, as the hon. Member for Central Ayrshire (Dr Whitford) rightly said, people who work will start earning rights under that country’s social insurance system, which would trump the Bill.
My hon. Friend is generous in giving way. In talking about other Commonwealth nations to which we would like to extend such arrangements, does he agree that the dominions of the Channel Islands, which do not currently have reciprocal status with the UK, should not be ignored and should be a matter of importance once the EU arrangements have been completed?
As always, I thank my right hon. Friend for his incisive intervention. The Channel Islands might use our currency and, in many ways, fly our flag, but people forget they have a very different constitutional status and are not part of the European Union. For some visitors, it can be a surprise that there is not a reciprocal agreement. There is a reciprocal arrangement with Gibraltar, for example, and it makes eminent sense to try to have such an arrangement between the UK and the Channel Islands, not least given the strong cultural links and the fact that many families split their time between the mainland and the islands.
Looking across the Commonwealth more widely, it might make sense to have arrangements with countries such as Canada and Jamaica in the long run, based on the fact that they have comparable systems of healthcare provision. That is perhaps where the oft-cited example of the United States starts to fall apart, because it is one of the handful of modern, developed countries that do not have a guaranteed system of universal healthcare free at the point of need rather than a system based on insurance schemes for which people may pay.
It is welcome to have ambition, and the Bill is clear about where we are going. I have no problems with the Lords amendments, which are welcome, and I am happy to support them. I am conscious that we are looking to move the debate forward, but I wanted to get those thoughts on the record.
Obviously, the Bill itself is quite small. It does not extend or protect continuing reciprocal healthcare rights; it is simply an enabling Bill that gives the Secretary of State powers to try to do that. It enables him to pay for overseas treatment in the EEA and Switzerland. We have heard how the Lords removed the powers to extend that worldwide and increase the scope, as well as limiting some of the Henry VIII powers.
The Bill will allow the Secretary of State and his team to negotiate healthcare agreements with the EEA and Switzerland as a group through the EU system or, failing that, to make bilateral agreements. Unfortunately, that would mean having bilateral agreements with 31 countries, which would inevitably be more complex, more bureaucratic and more expensive.
Clause 4 allows data exchange, which most Members would recognise is absolutely critical not just for collecting payments or swapping money, but for accessing medical health records if someone goes for treatment in another country. It is important that that will be handled only by an authorised person who is part of a statutory body—a public body.
I welcome the new clause in Lords amendment 11, which says that the devolved Governments must be consulted, because it is the three devolved Governments who deliver healthcare in Wales, Northern Ireland and Scotland. It is critical that they are involved in any agreements.
This legislation is needed whether there is a deal or no deal. As came out of the points of order exchange earlier, the withdrawal agreement would extend through the transition period, but we have all seen how the last three years have melted away like snow off a dyke. The next 20 months will also disappear, so legislation is required for the long-term protection of those who already live in Europe and want to stay there, particularly those who have been there only a few years and do not have five years-worth of residency rights in the country they have chosen to settle in. After the Bill is passed, it is therefore important that the Government hope to negotiate the continuation of reciprocal healthcare.
The problem is that reciprocal healthcare is not a free-standing thing on its own; it is there simply to enable freedom of movement. People cannot exercise their freedom of movement rights if they simply cannot afford healthcare where they choose to live, work, love, settle or retire. We have had the right over the past few decades to retire and settle anywhere. People are well aware of my husband’s situation as a German citizen who lives here and has spent virtually all his adult life working in our health system. That was certainly his first concern after the Brexit vote, and I am sure it is a concern for all 5 million people who have either settled here from Europe or settled in Europe from the UK.
The problem is that, as the Government reject freedom of movement and talk merely about a mobility framework, any reciprocal arrangement is likely to be proportional to that mobility framework, as is described in the impact assessment. The Government are not offering visas of over a year for unskilled workers. They are demanding that people be high skilled, possibly that they earn more than £30,000 a year and that they are economically active and are contributors. Will pensioners still be able to retire elsewhere, since they are not necessarily contributors in a major sense and are certainly not necessarily economically active?
People highlight the difference between what the UK has to pay into the European system and what we get back from Europe. A lot of that difference is quite simply because of the number of UK pensioners who choose to retire to sunnier climes—who can blame them?—and the general lack of obsession with retiring to the drizzle and moving in the other direction. Living in Scotland, I can vouch for that. Who would choose to leave the south of France and come to live in the mist, fog and drizzle? That is why the number of European pensioners retiring to the UK is considerably smaller than the number of UK pensioners who retire to the south of Spain and the south of France. That is simple logic.
(7 years, 5 months ago)
Commons ChamberThe scope of the inquiry will be determined as part of the discussions which, as I have said, will take place over coming weeks and short number of months. Our intention is that the devolved Administrations and their residents will have full access to participation in the inquiry, irrespective of where people live or were infected.
The Government intend to update the House once the discussions are complete, and I encourage colleagues with a specific interest to engage in discussions through the all-party group or other relevant groups. In the meantime, if anyone in the House or outside has any evidence of criminality, they should take that evidence to the police as soon as possible. If anyone has any other evidence that they want the inquiry to consider, I would request that they submit it to the inquiry once it has been established. The Government will write to everyone in receipt of payments from the current schemes to make sure that they all know about today’s announcement and to inform them of next steps.
I very much welcome the Minister’s comments. Will he confirm that when the scope of the inquiry is drawn up care will be taken not to do anything that might endanger future trials? Will he further emphasise that anyone with information should make sure that it is made available to the police?
My hon. Friend will recollect that the recent Hillsborough inquiry gave rise to certain information that was made available to the police and led to charges being made. We would envisage that the inquiry that is established would have the ability to do the same thing if appropriate.
(8 years, 1 month ago)
Commons ChamberThe Minister will be aware of the concerns in Torbay about the impact on accident and emergency services from the potential loss of the minor injuries unit at Paignton hospital. Does he agree that it is vital that MIU services are kept within Paignton given that it is the second biggest town in Devon?
(8 years, 2 months ago)
Commons ChamberThe Secretary of State will be aware of the concern in my constituency about the future of Paignton hospital, which prompted hundreds to turn up to a recent meeting. Does he agree with me that it is vital the clinical commissioning group, in publishing its plans, does not just publish what it will remove but the details of what it will replace them with?
Considerable efforts are going into sorting out some of the historical challenges in the provision of both acute and community care in Devon. I hosted a meeting for a number of colleagues who are concerned about this and I am happy to continue to engage with colleagues across the county.
(8 years, 6 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
I ask the hon. Lady to consider her last remarks. There is no suggestion—none whatsoever—that the United Kingdom or our forces are involved in breaches of humanitarian law in this conflict. The humanitarian aid provided by this country to refugees as a result of the crisis in Yemen is second in the ranking of countries around the world. We have a proud record of supporting the humanitarian cause of people disturbed by this crisis. As she will probably be aware, the UN estimates that some one fifth of people in need around the world as a result of conflict are in Yemen. We are committed to supporting a peaceful resolution of the conflict.
Arms exports to the Kingdom of Saudi Arabia in recent years have primarily been about providing capability to cope with incursion by foreign powers. These exports support the Kingdom of Saudi Arabia’s contribution to the anti-Daesh coalition, in which they play a vital role. The hon. Lady has to look at the challenges in the round in the region and at the role that Saudi Arabia plays in providing continued security to the region.
I am sure the Minister would agree that when looking at the Arabian peninsula we sometimes have to be careful what we wish for, as even more conservative forces could replace some of the Governments and some of the organisations there. Without intervention, we would have seen a collapse in Yemen that would have endangered our entire security. Does he agree that this latest incident and the latest allegations show the importance of all nations signing up to the cluster munitions legislation, as the UK already has?
I am grateful to my hon. Friend for pointing out that this is a very volatile country that has played host to a number of international terrorist organisations, including al-Qaeda. I agree that it is desirable for more countries to sign up to the convention on cluster munitions. We have encouraged our friends in Saudi Arabia to do so on several occasions.
(8 years, 11 months ago)
Commons ChamberDoes the Minister agree that all NATO countries are part of the NATO nuclear alliance, which is based on the three members who are in possession of weapons; and that to spend all the money on a nuclear deterrent, but not actually have one at the end, would be the worst option of all?
(9 years, 2 months ago)
Commons ChamberI am grateful to my hon. Friend for informing the House of those facts, based on his deep experience of our capabilities.
My hon. Friend the Member for Eddisbury (Antoinette Sandbach) is already proving to be a doughty champion for Cheshire, my neighbouring county. I am always pleased to see people standing up for Cheshire. She has also given tremendous support to the armed forces since arriving in the House. I applaud her for that and support her efforts. She drew attention to the contribution that defence makes to the prosperity of the nation, which I touched on earlier. She is absolutely right about the skills that defence is able to provide to our people. We are the largest employer of young people coming out of college or school into an engineering trade. We are also the largest provider of apprenticeship programmes in the country and the largest provider of skilled employees back into the civilian workforce, once military careers come to an end. We therefore play an enormous role, which needs to be more widely acknowledged, in helping to upskill our nation.
My hon. Friend the Member for North West Norfolk (Mr Bellingham) explained the significance to defence of RAF Marham in Norfolk, as the home of the Tornado squadron, including 31 Squadron, with which, as we discovered, his father served. RAF Marham will become the home of the squadron for the new F-25B joint strike fighter, Lightning II, when it is stood up. He spoke powerfully of the role of international development aid as a pump primer for trade to help recipient countries to emerge into self-sufficiency.
I would like to dwell for a moment on the mutually supportive role that humanitarian aid spending can play to help to keep this country and its citizens secure. With the present conflicts in the middle and near east, the United Kingdom is able to use the aid budget, through DFID, to provide vital humanitarian assistance. As hon. Friends are aware, refugees from the Syrian civil war have received £1.1 billion from the United Kingdom. We are the largest donor outside of the US to those suffering from this appalling civil war, and in Yemen we are the fourth largest donor, which is not quite so well known, following the US and regional donors. We have pledged £75 million to humanitarian relief stemming from the civil war in that country. There is therefore a vital role for us to play as a nation, and the pledge to contribute 0.7% of GNI—which I will come to later and which is used to help refugees in those places—helps us as a nation to remain more secure, so in my mind there is a clear linkage between these two pledges.
My hon. Friend the Member for Gainsborough spoke movingly of the role of defence in our midst, especially in his county of Lincolnshire. RAF Scampton is of course the home of the Red Arrows, who play such a vital role in promoting the air force and will, I believe, play a part in welcoming the Prime Minister of India on his visit, which will be exciting to watch. Lincolnshire is also, as he told us, home to RAF Coningsby, one of the three operating bases for combat jets across the UK, and RAF Waddington, the operating base for our ISTAR—information, surveillance, target acquisition and reconnaissance—assets, or at least it will be again, once its runway has been resurfaced, which is under way at the moment.
As a former Chairman of the Public Accounts Committee, my hon. Friend spoke knowledgeably about the risks to good government of ring-fencing, as we have discussed. He also raised the problem of target setting, with the attendant risk of skewing procurement, not least given the challenges, which I am grateful to him for acknowledging, that exist in managing such a significant procurement programme as we have in defence.
It was good to welcome my hon. Friend the Member for Congleton (Fiona Bruce) to a defence debate. She acknowledged that she is not an habitual attender, unlike many of the other colleagues who have participated in the debate, and it was refreshing to hear a different approach. She emphasised how the military can and does support humanitarian efforts, often on a cross-government basis, to help other nations in distress. She referenced Sierra Leone and Nepal—I will have something else to say about Sierra Leone in a few minutes. I would like to draw her attention to the role that the military was able to play in bringing relief to the people of the Bahamas earlier this month, when a just-under hurricane strength storm ripped across the islands, causing mudslides and wreaking havoc. As it happens, I was the Minister on duty on the day and was able to authorise the Royal Fleet Auxiliary vessel Lyme Bay to go to the assistance of the people of the Bahamas. It was there for a few days and provided invaluable help to the people of those islands.
My hon. Friend the Member for Torbay (Kevin Foster) started by enlightening the House about his formative—may I say existential?—relationship with the Royal Navy. He welcomed our plans to develop new capabilities for our armed forces, but cautioned us on the importance of avoiding waste and poor decision making in improving our procurement processes. As he has an interest in this, I hope he will take the opportunity to look at what we are doing in our equipment plan, which was published yesterday, and will appreciate what the National Audit Office said—which was little short of praise—for the progress made thus far. We are acutely aware that we cannot rest on our laurels. It is important to continue to bear down on inefficiency.
I thank the Minister for his comments. He will be pleased to know that the Public Accounts Committee, of which I am a member, regularly considers these issues. We discussed military flying training recently and have also looked at the forward review and we were pleased to see many of the changes being made.
I am grateful for that further endorsement of the progress being made.
Having congratulated the hon. Member for York Central on taking up her now post, I should also take this opportunity to welcome her remarks. For most of what she said, I found we had very little issue between us. It was a particular pleasure to hear her endorsement of the 2% NATO pledge. That is extremely welcome and clears up one of the apparent inconsistencies that have been flying around the media, in connection with a potential lack of support from the Leader of the Opposition for NATO. It is very welcome to hear that that is not the case, and I am sure the whole House will agree that that clarification was useful.
Having referenced the contributions made by hon. Members in general, let me turn to some of the specifics, in particular some of the calculations. Much of the talk in this debate has been about one half of the calculation of 2%. There has been hardly any reference to the denominator, in this case gross domestic product. Members are aware that in this country, thankfully, GDP has been growing faster than in any other G7 nation over the last two years. That is to be welcomed. Of course, each year that GDP grows, more challenges are placed on defence and Government spending as a whole if our spending is not able to grow at the same pace. From a purely arithmetic point of view, it becomes harder for defence to achieve a minimum threshold expressed as a percentage unless we are able to grow in tandem. Under present plans, we are likely to grow, but not at quite such a pace.
There are also changes from time to time in the way GDP is calculated. One important such change took place only last year. That was the result of the European system of national and regular accounts—ESA 2010, as it is known—which gives guidance on standardising public finance accounts across the European Union. Major differences to the way GDP is calculated include ESA 2010 counting weapons expenditure and R and D spend as capital spend, as well as including non-profit organisations that serve households and—this is a particularly big one that affected the UK—the proceeds from what used to be called the black economy, but is now, I gather, called the underground economy, such as illegal activities, including prostitution and drug dealing. When we add the apparent proceeds from prostitution and drug dealing to GDP, it makes achieving the target that much more difficult, with of course no cash consequence whatever.
We adopted the new accounting methods to bring the country into line with other EU members. This initially added £43 billion to the UK GDP, following the re-evaluation—the equivalent of a 3.6% average increase in GDP, which was subsequently revised upwards, to 4.1%. Those changes will make the difficult task of meeting the NATO guideline of spending 2% of GDP on defence even more of a challenge, and the impact of the change in the GDP denominator has been estimated as a 0.09%—so almost 1%—reduction in the defence calculation for zero cash effect.
Article 3 of NATO’s founding charter states:
“In order more effectively to achieve the objectives of this Treaty, the Parties, separately and jointly, by means of continuous and effective self-help and mutual aid, will maintain and develop their individual and collective capacity to resist armed attack”.
Like any insurance policy, defence only pays out when you pay in. Some hon. Members mentioned the contribution that the United States makes financially to the NATO alliance and the increasing dependence that we have on it. We cannot expect US taxpayers to go on picking up the security cheque so that nations on the European side of the Atlantic can prioritise social welfare spending when the threats are on our doorstep, especially at a time when the US is under increasing pressure to meet its own debt reduction targets and is pivoting to face new threats in the Asia Pacific region. Moreover, the combined wealth of the non-US allies, measured in GDP, exceeds that of the United States.
Non-US allies together spend less than half of what the United States spends on defence, and the gap between defence spending in the United States compared to Canada and European members combined has increased since 9/11. Today, the volume of US defence expenditure effectively represents 73% of the defence spending of the alliance as a whole. So there is an over-reliance by the alliance as a whole on the United States for the provision of essential capabilities, especially when it comes to intelligence, surveillance and reconnaissance; air-to-air refuelling; ballistic missile defence; and airborne electronic warfare.
As it always has done in the past, the UK is once more taking the lead in turning NATO around. That is why we have committed to the readiness action plan. That is why we are playing a significant role in NATO assurance measures, protecting Baltic skies from Russian aggression and joining the transatlantic capability enhancement and training initiative, alongside the US and—yes—Germany, to offer reassurance to our allies and help to build regional capacity and capability. That is also why we are also a framework nation for the Very High Readiness Joint Task Force (Land) Brigade and are committed to providing it with thousands of troops a year. In fact, the Spearhead Force, as it will be known —a rather more useful short name than the usual military acronym—is currently being put through its paces in Exercise Trident Juncture before it goes operational next year. The UK is committing some 2,800 personnel including an Army Brigade Headquarters and Battlegroup, three Royal Navy warships and aircraft, including Typhoon fighter jets and helicopters, to those manoeuvres.
Above all, our leadership in NATO is illustrated by the fact that we are prepared to put our money where our mouth is. We have a budget of £35 billion, the second largest defence expenditure in the alliance. We are one of those five nations projected to spend 2% of GDP on defence in 2015, and the Chancellor has made the commitment to spend 2% of GDP on defence for every year of this decade. Make no mistake: our allies appreciate our efforts. It has been suggested in this debate that unless the Bill proceeds we will suffer opprobrium from some of our main NATO allies. I am afraid that hon. Members are misguided, because our principal allies in NATO have expressed on several occasions their pleasure that we are taking that lead. Let us not forget that President Obama was first on the phone to the Prime Minister after the Chancellor had made that major spending announcement.