Immigration Bill

Roberta Blackman-Woods Excerpts

Tuesday 22nd October 2013 Commons Chamber

[Paul Blomfield (Sheffield Central) (Lab)]

It is interesting that we started this debate by being reminded that the Home Secretary was busy distancing herself from the disgraceful ad vans. It is just unfortunate that she has applied the same school of politics to developing the Bill, which is absolutely from the ad van approach to tackling immigration. In her own words, she was trying in the Bill to create “a really hostile environment” for migrants, and not just illegal ones—before the Minister intervenes. The narrative surrounding the Bill is creating a hostile environment for all migrants and a toxic background for a sane debate about immigration.

Let us look at some of the provisions. I will not go into the detail on appeals, because many others have, but what sort of approach is this? The reason we have too many appeals is that too many initial decisions are wrong. The majority of entry clearance decisions are wrong. The appeals system is a safety valve. What approach is it to take away the safety valve, instead of dealing with the problem at the heart of it?

I find the stuff on landlords curious because I thought that this was the Government who had launched the red tape challenge. Where are we now on the red tape challenge? We are creating a needless bureaucracy for landlords who, in large numbers, have said they do not want it. Who will train our landlords to become immigration experts? Where are people to live while they wait for a decision from the Home Office? The Minister represents the party that proclaims itself to be the party of the family. What about the family waiting for mum’s spousal visa? Where will they set up home? According to the Bill, the landlord would breach the duty if he or she entered into an agreement to allow a disqualified person to occupy a property whether or not that person was named on the tenancy agreement. This is ill thought out, with very negative social consequences.

I want to concentrate on NHS charges and on the proposals to introduce a health surcharge for non-European economic area temporary migrants. This was proposed before today’s research was published on the actual cost of NHS use by visitors and temporary migrants. Sadly, it is too reflective of the non-evidence-based approach that the Government are adopting to this Bill; the prescription has been set out before the doctor has diagnosed the condition. We have some of the facts now, but there are question marks over some of the evidence in the report which I would like to share with the Minister.

The report says:

“We have reviewed the medical literature to try to find evidence of how visitors and migrants use healthcare compared to the host population…The findings suggest overall that recent migrants are less likely to use UK primary and secondary care services than UK born residents…At this time, as a starting point, we have therefore assumed in the model that migrant propensity to use NHS services is equivalent to the non-migrant population.”

What does that mean? It means, “we have found one thing but based all our modelling on something else to exaggerate the costs.”

Similarly the independent assessment says that the health surcharge will generate £230 million a year. But we understand that the level at which it will be set is £200. On the basis of information that I have received from the Library this afternoon, that will apply to 552,000 people. The cost would be £110 million a year, less than half the level suggested in the report.

The figure of £2 billion for the cost of visitor and migrant use of the NHS in England includes EU and EEA nationals of course, but it also includes workers who already pay national insurance contributions and taxes, and students, and I will come back to students in a moment. Whatever it is, it is not

“The true cost of health tourism”

as the Daily Mail described it today and as, I am sure, a number of Government Back Benches would characterise it in their contributions.

I go back to the Home Secretary’s opening remarks, where she talked about the cost of those who in the words of the research

“conceal the fact that they have come to the UK specifically to use NHS services that they are not entitled to access for free”.

The Home Secretary said that that cost was several hundred millions of pounds. I hope she will take the opportunity to correct the record because the report says that the cost is “very uncertain” but is estimated to be about £70 million within a range of £20 million to £100 million, or 0.06% of the NHS budget.

Of course there are already rules on charging people who are not ordinarily resident in the UK for using the NHS. The evidence on how the system is working is patchy, but the NHS appears to be recovering gross income of about £15 million to £25 million, less than 20% of the estimated chargeable costs. Add in the costs of administering the current system—estimated at over £15 million—and the current overseas visitor charging system may be generating a small profit, according to the Department of Health’s own assessment. Does the Home Secretary look to improve the current system? No, she introduces a new one without a full impact assessment of how much it will cost. This really is dog-whistle politics at its worst, building policy on prejudice rather than on facts and setting it in the context of a falsely constructed debate around health tourism.

That is clearly illustrated by the fact that, according to the Office for National Statistics, the majority of the people who will be impacted by the health surcharge will be students. I was fortunate enough to host a breakfast seminar before the summer recess at which the guest speaker was a former higher education Minister in one of the Australian states. He said that he was delighted to be in the House of Commons because it gave him the opportunity to congratulate the Home Office on its work, which had led to a significant increase in the number of students choosing to study in Australia rather than in the UK.

[Roberta Blackman-Woods (City of Durham) (Lab)]

My hon. Friend is making a powerful case. Does he agree that there is a danger that, by placing yet more strictures on potential international students, the Bill will send a signal that they are not welcome in the UK? This is such an important export industry for the UK, if I can put it like that, and it is important that the mood music—

[Mr Deputy Speaker (Mr Lindsay Hoyle)]

Order.