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He is right that we are taking both long-term and short-term actions. A key part of the long-term workforce plan is to boost the number of dentists being trained. In the more immediate term, earlier this year we made legislative changes that give the General Dental Council the flexibility to improve the way professionals are registered, giving more flexibility in terms of the skills mix and, for example, tripling the number of people sitting part 1 this year, so that more overseas professionals can be recognised and qualified to practise in the UK.
He is right that we are taking both long-term and short-term actions. A key part of the long-term workforce plan is to boost the number of dentists being trained. In the more immediate term, earlier this year we made legislative changes that give the General Dental Council the flexibility to improve the way professionals are registered, giving more flexibility in terms of the skills mix and, for example, tripling the number of people sitting part 1 this year, so that more overseas professionals can be recognised and qualified to practise in the UK.
I thank the Secretary of State for his statement, particularly what he said about tech. On dental provision, I recently met with Dr Khan of Westbury Park dental practice in my constituency to discuss access to NHS dentistry, which is becoming more difficult for many of my constituents. I welcome the plans we have to increase the number of dentists and I reiterate my support for a dental school at Keele University, but those plans will take time. In the short term, there is a huge backlog of overseas clinicians waiting to take the registration exam so that they can practise here. What steps is the Secretary of State taking to expedite this?
Ninth Opposition day debate (part one): Motion, That this House recognises that the National Health Service is facing the worst workforce crisis in its history with a shortage of 9,000 hospital doctors and 50,000 nurses; condemns the Government’s failure to train enough NHS staff to tackle this crisis; regrets that, as a result, patients are finding it impossible to get a GP appointment, ambulance or operation when they need one; calls on the Government to end the 200-year-old non-domiciled tax status regime which currently costs taxpayers £3.2 billion a year; and further calls on the Government to use part of the funds raised to invest in the NHS workforce by doubling the number of medical training places, delivering 10,000 more nursing and midwifery clinical placements, training twice the number of district nurses per year and delivering 5,000 more health visitors to guarantee that the NHS has the staff to ensure every patient can access the care they need. Debate stopped for the Deputy Speaker's announcement on Royal Assent.
Ninth Opposition day debate (part one): Motion, That this House recognises that the National Health Service is facing the worst workforce crisis in its history with a shortage of 9,000 hospital doctors and 50,000 nurses; condemns the Government’s failure to train enough NHS staff to tackle this crisis; regrets that,...
Across the clinical workforce—whether we are talking about dentistry, nursing, social care or doctors—we are seeking to boost recruitment, including international recruitment, and to remove red tape. Within the GP population, however, we are looking at retention, recruitment and boosting the number of trainees.
Across the clinical workforce—whether we are talking about dentistry, nursing, social care or doctors—we are seeking to boost recruitment, including international recruitment, and to remove red tape. Within the GP population, however, we are looking at retention, recruitment and boosting the number of trainees.
The Secretary of State says that he is boosting GP trainee numbers, but according to the Royal College of General Practitioners, 49% of the more than
40% of GP trainees who are international graduates have reported visa processing problems and 17% are considering leaving the UK altogether, taking their desperately needed skills elsewhere. Why are the UK Government hamstringing the NHS with red tape, and what is the Secretary of State doing to sort this out with ministerial colleagues?
To ask the Chancellor of the Exchequer, what assessment he has made of the financial implications for local authorities of excluding social care workers from the fast track visa programme; and whether the Government plans to provide additional funding to local authorities in relation to that matter.
To ask the Chancellor of the Exchequer, what assessment he has made of the financial implications for local authorities of excluding social care workers from the fast track visa programme; and whether the Government plans to provide additional funding to local authorities in relation to that matter.
The Government completed an Impact Assessment for the Immigration and Nationality (Fees) Regulations 2020: Introduction of the Health and Care Visa, IA number HO0369.
The Chancellor has written to Secretaries of State to launch the Comprehensive Spending Review. This is a multi-year Spending Review, setting resource budgets for three years (21-22 to 23-24) and capital budgets for four years (21-22 to 24-25) to set direction and firm budgets for the duration of the parliament. Any local government funding decisions, including decisions about social care workforce funding, will be taken as part of this Spending Review.
I am grateful to the hon. Gentleman for giving me the opportunity to remind the House of the £20.5 billion extra that the Government are investing in the NHS. In terms of workforce and recruitment, which is key, I remind him that the Government have lifted the tier 2 visa for doctors and nurses as part of increasing recruitment. What matters is not just recruitment from the EU—we have already had an exchange about EU recruitment since the referendum—but the recruitment of doctors and nurses globally. We are very committed to doing that as part of a skills-based immigration system.
I am grateful to the hon. Gentleman for giving me the opportunity to remind the House of the £20.5 billion extra that the Government are investing in the NHS. In terms of workforce and recruitment, which is key, I remind him that the Government have lifted the tier 2 visa for doctors and nurses as part of increasing recruitment. What matters is not just recruitment from the EU—we have already had an exchange about EU recruitment since the referendum—but the recruitment of doctors and nurses globally. We are very committed to doing that as part of a skills-based immigration system.
When I met representatives of Doctors of the World yesterday, they told me that the EU workers on the Government’s new 12-month visa scheme will not qualify for the immigration health surcharge scheme. Will the Secretary of State confirm that that is the case and tell us what provision will be made for those people?
To ask the Secretary of State for Health and Social Care, what meetings he has had with the Home Secretary on the ability of foreign nationals from (a) countries in the EU and (b) non-EU countries to move to the UK to work in the NHS; and what the (a)...
To ask the Secretary of State for Health and Social Care, what meetings he has had with the Home Secretary on the ability of foreign nationals from (a) countries in the EU and (b) non-EU countries to move to the UK to work in the NHS; and what the (a)...
My Rt. hon. Friend, the Secretary of State for Health and Social Care, has regular discussions with Ministerial colleagues on a number of issues, including on immigration and the ability of foreign nationals from both European Union and non-EU countries to work in the National Health Service.
The Government values highly the enormous contribution of all those working across our health and care sector from across the EU and the rest of the world. This is why the Home Secretary recently removed doctors and nurses from the ambit of the Tier 2 visa cap, and why many NHS staff will have early access to the settled status scheme for EU nationals.
To ask the Secretary of State for Health and Social Care, how many nationals from other EU countries are employed in the NHS.
To ask the Secretary of State for Health and Social Care, how many nationals from other EU countries are employed in the NHS.
NHS Digital publishes Hospital and Community Health Services (HCHS) workforce statistics for England. These include staff working in hospital trusts and clinical commissioning groups, but not staff working in primary care or in general practitioner surgeries, local authorities or other providers.
The following table shows the number of non-United Kingdom European Union nationals that are employed in the NHS in England as at 30 September in the past two years and latest month available.
The number of non-UK EU nationals increased by 4,367 (5.5%) between Sept 2016 and June 2018.
| September 2016 | September 2017 | 30 June 2018 |
Number of other EU nationals employed by the NHS (headcount) | 59,796 | 61,974 | 63,065 |
Source: NHS Digital Quarterly HCHS workforce statistics.
The NHS in Wales, Scotland and Northern Ireland is a matter for the devolved governments.
To ask the Secretary of State for Health and Social Care, what change there has been in the number of nationals from other EU countries working in the NHS in the last two years.
To ask the Secretary of State for Health and Social Care, what change there has been in the number of nationals from other EU countries working in the NHS in the last two years.
NHS Digital publishes Hospital and Community Health Services (HCHS) workforce statistics for England. These include staff working in hospital trusts and clinical commissioning groups, but not staff working in primary care or in general practitioner surgeries, local authorities or other providers.
The following table shows the number of non-United Kingdom European Union nationals that are employed in the NHS in England as at 30 September in the past two years and latest month available.
The number of non-UK EU nationals increased by 4,367 (5.5%) between Sept 2016 and June 2018.
| September 2016 | September 2017 | 30 June 2018 |
Number of other EU nationals employed by the NHS (headcount) | 59,796 | 61,974 | 63,065 |
Source: NHS Digital Quarterly HCHS workforce statistics.
The NHS in Wales, Scotland and Northern Ireland is a matter for the devolved governments.
To ask the Secretary of State for Health and Social Care, how many foreign nationals from (a) EU and (b) non-EU countries are employed by NHS trusts in the Kirklees area.
To ask the Secretary of State for Health and Social Care, how many foreign nationals from (a) EU and (b) non-EU countries are employed by NHS trusts in the Kirklees area.
NHS Digital publishes Hospital and Community Health Services (HCHS) workforce statistics. These include staff working in hospital trusts and clinical commissioning groups, but not staff working in primary care or in general practitoner surgeries, local authorities or other providers.
The following table shows all staff employed in National Health Service trusts in the Kirklees area (Mid Yorkshire Hospitals NHS Trust and Calderdale and Huddersfield NHS Foundation Trust) by nationality, as at 31 May 2018, headcount.
| Headcount |
All nationalities | 14,019 |
of which: |
|
United Kingdom | 12,931 |
European Union (excluding UK) | 297 |
Other European Economic Area countries | 4 |
Rest of the World | 526 |
Unknown | 262 |
Source: NHS HCHS monthly workforce statistics, NHS Digital
Nationality is self-reported and may be a reflection of cultural heritage rather than country of birth.
To ask the Secretary of State for Health and Social Care, how many and what proportion of staff in the NHS are non-EU citizens.
To ask the Secretary of State for Health and Social Care, how many and what proportion of staff in the NHS are non-EU citizens.
NHS Digital publishes Hospital and Community Health Services (HCHS) workforce statistics. These include staff working in hospital trusts and clinical commissioning groups, but not staff working in primary care or in general practitioner surgeries, local authorities or other providers.
The NHS Digital monthly HCHS workforce statistics show that:
- In England, there are 79,982 non-European Union National Health Service staff, which is 6.6% of the total workforce as at 31 March 2018, headcount; and
- In England, there are 73,281 NHS staff, which is 6.1% of the total workforce that have not disclosed their nationality in the NHS staff records as at 31 March 2018, headcount.
To ask the Secretary of State for Health and Social Care, how many foreign nationals from (a) EU and (b) non-EU countries are employed by Gloucestershire’s NHS Trusts.
To ask the Secretary of State for Health and Social Care, how many foreign nationals from (a) EU and (b) non-EU countries are employed by Gloucestershire’s NHS Trusts.
NHS Digital publishes Hospital and Community Health Services (HCHS) workforce statistics and the following table shows all staff employed in Gloucestershire’s National Health Service trusts by nationality, as at 31 March 2018, headcount.
Headcount | |
All nationalities | 10,129 |
of which: | |
United Kingdom | 6,031 |
European Union (excluding UK) | 284 |
European Economic Area | 2 |
Rest of the World | 285 |
Unknown | 3,529 |
Source: NHS HCHS monthly workforce statistics, NHS Digital
There are over 3,500 unknown NHS staff records in Gloucestershire Care Services NHS Trust and Gloucestershire Hospitals NHS Foundation Trust with people choosing not to specify their nationality or not asked to. Nationality is self-reported and may be a reflection of cultural heritage rather than country of birth.
To ask the Secretary of State for Health and Social Care, whether his Department holds information on the number of fly in, fly out cosmetic surgeons practising in the UK.
To ask the Secretary of State for Health and Social Care, whether his Department holds information on the number of fly in, fly out cosmetic surgeons practising in the UK.
The information requested is not collected by the Department.
The General Medical Council (GMC) is the independent regulator of medical doctors in the United Kingdom. All medical doctors, including those undertaking cosmetic surgery, must register with the GMC and meet set professional standards to work in the UK and be fit for practise.
To ask the Secretary of State for Health and Social Care, what plans he has to ensure that the UK's withdrawal from the EU does not adversely affect the number of medical professionals entering the UK to work in the NHS in (a) interventional radiology and (b) other understaffed positions.
To ask the Secretary of State for Health and Social Care, what plans he has to ensure that the UK's withdrawal from the EU does not adversely affect the number of medical professionals entering the UK to work in the NHS in (a) interventional radiology and (b) other understaffed positions.
The Department continues to monitor and analyse overall staffing levels across the National Health Service and adult social care, and we are working across Government to ensure there will continue to be sufficient staff to deliver the high quality services on which patients rely following the United Kingdom’s exit from the European Union.
On 8 December the UK and EU Commission reached an agreement which delivered on the Prime Minister’s number one priority, to safeguard the rights of people who have built their lives in the UK and EU, following the UK’s exit from the EU.
The latest nationality statistics show as at March 2018 4,558 more EU nationals excluding the UK (EU27) employed in NHS trusts and Clinical Commissioning Groups than in June 2016.
The agreement will guarantee the rights of the 158,000 EU nationals working in our health and care system. It means that EU citizens living lawfully in the UK and UK nationals living lawfully in the EU by 29 March 2019 will be able to stay and enjoy broadly the same rights and benefits as they do now.
In addition to this, my Rt. hon. Friend the Secretary of State for the Home Department (Sajid Javid) recently announced that doctors and nurses have been removed from the Tier 2 visa cap, meaning the NHS will be able to recruit to understaffed medical positions.
To ask the Secretary of State for Health and Social Care, what steps he is taking to increase the recruitment of doctors from overseas.
To ask the Secretary of State for Health and Social Care, what steps he is taking to increase the recruitment of doctors from overseas.
The Government recognises fully the contribution that international doctors working in the NHS make towards delivering the high quality compassionate care we all expect.
Health Education England, through its Global Engagement Directorate, is supporting recruitment from overseas into a number of priority professions, including clinical radiology and emergency medicine. In addition, NHS England is aiming to recruit at least 2,000 overseas general practitioners (GPs) into English general practice as part of its wider commitment to an extra 5,000 GPs compared to 2015.
The Department continues to work closely with the Home Office to ensure the United Kingdom’s immigration system works in the national interest, bringing in talent where we need it while keeping overall numbers under control.
To ask the Secretary of State for Health and Social Care, what assessment he has made of the effect on the number of overseas doctors coming to work in the NHS of placing new applicants to the Medical Training Initiative on a revised waiting list from countries not considered priority...
To ask the Secretary of State for Health and Social Care, what assessment he has made of the effect on the number of overseas doctors coming to work in the NHS of placing new applicants to the Medical Training Initiative on a revised waiting list from countries not considered priority...
The main focus of the Medical Training Initiative (MTI) is to provide training opportunities for doctors from the Department for International Development (DfID) and Lower Income and Lower Middle Income priority countries.
There are 1,000 MTI Certificate of Sponsorships available per year and the majority of these will be allocated to applicants from countries on the DfID approved priority list and Lower Income and Lower Middle Income priority countries.
Applicants from countries not considered DfID priority or Lower Income and Lower Middle Income countries may still apply for the MTI. If there is any remaining capacity at the end of each month having processed all applications from DfID priority and Lower Income and Lower Middle Income countries, other applicants will be awarded a Certificate of Sponsorship taken in order of the receipt of their application.
To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of delays to the recruitment of overseas doctors for reasons of visa restrictions in (a) Ealing hospital and (b) the North West London Trust area in each of the last three...
To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of delays to the recruitment of overseas doctors for reasons of visa restrictions in (a) Ealing hospital and (b) the North West London Trust area in each of the last three...
The Department does not hold information centrally on the number of delays to the recruitment of overseas doctors as a result of visa restrictions.
The Government recognises fully the contribution that international doctors working in the National Health Service make towards delivering the high quality compassionate care we all expect.
But it is important that our immigration system works in the national interest, ensuring that employers look first to the United Kingdom resident labour market before recruiting from overseas.
The Department and the Home Office are monitoring the operation of the cap on the number of Certificates of Sponsorship for Tier 2 (General) visas closely to ensure it continues to strike the right balance. The health sector continues to occupy the largest cohort of applications within the Tier 2 (General) limit, taking 39% of available Certificates within the cap in 2017/18.
To ask the Secretary of State for Health and Social Care, whether the Government has plans to charge European Economic Area NHS staff the NHS surcharge after the UK leaves the European Union.
To ask the Secretary of State for Health and Social Care, whether the Government has plans to charge European Economic Area NHS staff the NHS surcharge after the UK leaves the European Union.
There are no plans to charge European Economic Area National Health Service staff the NHS surcharge after the United Kingdom leaves the European Union. The Department is working to ensure the best outcome for the health and social care system. All relevant policy teams within the Department are involved with this work and are assessing the implications of the UK leaving the EU on their area. Cost recovery arrangements once the UK has left the EU will be subject to the outcome of this work.
To ask the Secretary of State for Health and Social Care, whether the Department has made an assessment of the effect of the NHS surcharge for non-EEA migrants on the recruitment and retention of non-EEA NHS staff.
To ask the Secretary of State for Health and Social Care, whether the Department has made an assessment of the effect of the NHS surcharge for non-EEA migrants on the recruitment and retention of non-EEA NHS staff.
The Department has not made an assessment of the effect of the National Health Service surcharge for non-European Economic Area (EEA) migrants on the recruitment and retention of non-EEA NHS staff and we have no current plans to make an estimate of the cost of a waiver on the NHS surcharge for non-EEA citizens working in the NHS. Whilst the Government fully recognises the contribution that international professionals make to the United Kingdom and to our health service, it is only right that people who come to the UK for more than six months should contribute to the running of the NHS.
To ask the Secretary of State for Health and Social Care, whether his Department will make an estimate the cost of a waiver on the NHS surcharge for non-EEA citizens working in the NHS.
To ask the Secretary of State for Health and Social Care, whether his Department will make an estimate the cost of a waiver on the NHS surcharge for non-EEA citizens working in the NHS.
The Department has not made an assessment of the effect of the National Health Service surcharge for non-European Economic Area (EEA) migrants on the recruitment and retention of non-EEA NHS staff and we have no current plans to make an estimate of the cost of a waiver on the NHS surcharge for non-EEA citizens working in the NHS. Whilst the Government fully recognises the contribution that international professionals make to the United Kingdom and to our health service, it is only right that people who come to the UK for more than six months should contribute to the running of the NHS.
To ask the Secretary of State for Health and Social Care, what steps the government is taking to ensure that the UK continues to attract the best talent in science and healthcare after the UK leaves the EU.
To ask the Secretary of State for Health and Social Care, what steps the government is taking to ensure that the UK continues to attract the best talent in science and healthcare after the UK leaves the EU.
The Government has always said it is committed to ensuring leaving the European Union is a success and wants the United Kingdom to remain a hub for attracting international talent including to the National Health Service and UK research.
The Department is working with other Government Departments, including the Home Office, to ensure continued access to the brightest and best international talent.