(2 years, 1 month ago)
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The hon. Gentleman makes a valid point. Of course, one could apply that to a number of other regulated professions, whether that be lawyers, nurses or others making significant contributions to the United Kingdom. It is an important step to obtain indefinite leave to remain, and not one that we should give away lightly. Asking an individual to spend five years here in order to demonstrate that level of commitment to the UK feels to me about the right length of time, but I am open and interested to hear other contributions on that point. At the moment we do not have plans to reduce the length of time that skilled workers would need to complete in the UK in order to apply for settlement.
The SNP spokesperson, the hon. Member for Cumbernauld, Kilsyth and Kirkintilloch East (Stuart C. McDonald), raised a number of cases that I am aware of from my former role at the Department of Health and Social Care about allegations of the mistreatment of foreign workers—including doctors and nurses—coming to the UK. That is something we take seriously, and the Department of Health and Social Care and NHS England are investigating. If I receive further information from the Ministers in the Department of Health and Social Care, I will be happy to write to the hon. Gentleman.
On the broader question of the ethics of recruiting healthcare professionals internationally, the NHS takes that responsibility seriously. We have ethical guidelines nationally that are set by NHS England and individual trusts in England—that may well be the case in Scotland as well—and of course we take heed of the red lists, which give a strong indication of countries from which we should not be recruiting healthcare professionals because they clearly need them to satisfy their own healthcare requirements. The NHS proactively works with countries that have an excess of doctors and nurses, or that train individuals specifically for export. In fact, one of the last meetings I had as Health Minister was with the Chief Minister of the state of Kerala, which specifically trains nurses to be exported to other countries around the world.
That sort of arrangement is sensible and defensible by the UK, although it is not a sustainable answer in the very long term because we live in a globally ageing society; there will be competition from other states to recruit professionals. That is one of the many reasons we should be training more doctors and nurses in the UK and considering measures such as raising the cap on medical school places, if we are able to do so. That, of course, is a matter for the Treasury and the Department of Health and Social Care, not my Department. It is worth saying that it is an extremely expensive measure over time, and that the Opposition’s proposal would cost several billion pounds to deliver. That is not to say that it is not an important step, but it is worth bearing in mind the significant outlay.
The Minister is responding very clearly to the points raised. What we really need is an independent health workforce assessment, supported by the Treasury. He will be aware that that was called for by some Members who are no longer on the Back Benches. Dare I say that he could encourage that through his good offices, because only once we have the answer will we get to a better place. If we ask the NHS what we need it will answer with what we can afford. Those are not the same questions.
For a long time I have believed that one of the virtues of a national health service is that it should be able to plan for its workforce needs long into the future. My hon. Friend raises the specific campaign of our right hon. Friend the Member for South West Surrey (Jeremy Hunt), when he was Chair of the Health and Social Care Committee. I am sure that he will consider that carefully now that he has his hands on the controls as Chancellor of the Exchequer.
(4 years, 6 months ago)
Commons ChamberPropriety in the planning the system is extremely important and I take my responsibility as Secretary of State very seriously indeed. The application to which the hon. Gentleman refers was highly contentious —all applications that come before the Secretary of State are highly contentious—and had been contested for many years. In fact, it had only come before Ministers in my Department and my predecessor in April because Tower Hamlets Council had itself failed to determine it. I took the decision in good faith and with an open mind. I am confident that all the rules were followed in doing so.
It is not unusual for a Secretary of State to come to a different conclusion from a local authority. It is not unusual for a Secretary of State to come a different conclusion from a planning inspector—no disrespect to the great people who work there—and my predecessors did so on a number of occasions. All the relevant information relating to this matter is with the Cabinet Secretary. I have taken, and will take again, advice from my permanent secretary about what further documentation we might be able to publish. As the hon. Gentleman says, we want to ensure the correct processes of the planning system are followed. That means publishing documents while bearing in mind the legitimate interests of the parties to this case, which remains a live planning application.
My understanding is that the new discretionary fund would allow a business such as the one my hon. Friend raises to benefit from that. I know he has written to me in the past asking for further clarification, but I am happy to come back to him once again and ensure that that business has the clarification it needs to receive the funding it desperately requires at this time.
(4 years, 7 months ago)
Commons ChamberMy right hon. Friend was dead right to say in his statement that we need to build homes before we can buy and sell them. What can he do to unlock the market in Hampshire, where a stand-off between Natural England and local authorities over nitrates in the Solent—a subject which the Secretary of State knows about—has had planners, developers, architects and investors tied in knots since long before covid-19? Perversely, it is encouraging greenfield development over brownfield.
My hon. Friend and I have discussed this issue at length on a number of occasions, and he has been assiduous in campaigning to break this deadlock. It is extremely unfortunate that before the coronavirus crisis house building in the Solent area was essentially paused because of the issue he described. I have been working with the Department for Environment, Food and Rural Affairs and Natural England to bring forward guidelines and to bring the parties together, because too many people’s livelihoods depend on this and we need to move forward. I hope that those guidelines are now available and will ensure that we continue to work with his local council and others to get the industry moving in the Solent area.