​THE FULL TRANSCRIPT OF THE DEBATE CAN BE READ HERE:

Tonia Antoniazzi MP:

I beg to move, that this House has considered e-petition 604472, relating to immigration fees for healthcare workers.

It is an honour to serve under your chairship, Mr Sharma. It is a privilege to introduce this petition and give voice to the thousands of healthcare workers for whom this discussion is an opportunity to raise an issue that has not only a significant detrimental impact on their lives and careers, but a huge impact on the availability and quality of healthcare in the United Kingdom. Although the petition is focused on changes that are within the remit of the Home Office, to understand the reasons behind it and why this is such an important issues for the petitioner, Mictin, and tens of thousands of his NHS colleagues, we have to understand that the most British of institutions, the national health service, would collapse without staff who are not British nationals.

According to the House of Commons Library, about 16.5% of NHS England staff are not British nationals. Of those 220,000 staff, more than half—just under 120,000—are from outside the European Union. Let me break that down a bit. Figures from the General Medical Council tell us that in 2021, more than half of new doctors working in the NHS came from overseas. There are 146,664 internationally trained professionals on the Nursing and Midwifery Council register—almost one in five of the nursing workforce. The Royal College of Radiologists’ recent workforce census found that in England, 27% of the clinical radiology consultant workforce and 20% of clinical oncology consultant workforce gained their primary medical degree in non-European economic area countries.

The list goes on across roles and specialisms, and that is before we even get to the healthcare workers who work in social care and provide support as home carers or in nursing homes.

Margaret Ferrier MP intervenes

Although it is welcome that the scheme has been extended to care workers under a 12-month trial, they are some of the lowest paid in the sector. The at-home care area of healthcare is facing some of the biggest difficulties of any across the UK. Does the hon. Lady share my concern that the costs are completely unaffordable for care workers?

Tonia Antoniazzi continues

I agree with the hon. Lady. The scheme has been extended by 12 months, but care workers are the lowest paid, and these are some of the biggest costs.

The numbers tell only part of the story. Although it is essential that we know the facts and figures, I would like hon. Members to think about what those numbers translate to for patients. Those clinical oncologists are helping to reduce the backlog of patients awaiting checks, scans and treatment, and are delivering life-saving care to cancer patients. Those midwives are guiding mothers through pregnancy and helping to bring their children into the world. Those doctors and nurses gave so much during the covid pandemic, worked all hours, did not see their own families, saved lives and comforted those who could not be with their families in their final hours.

Janet Daby intervenes

During the pandemic, I was involved with GMB’s campaign for NHS cleaners and carers to be granted indefinite leave to remain after the sacrifices they made. Does my hon. Friend agree that we need to lower the cost of indefinite leave to remain and show the same level of gratitude to health workers who had to work during one of the most severe crises that our NHS has experienced?

Tonia Antoniazzi continues

It is true that these have been the most challenging of times, and indefinite leave to remain is one way of addressing that. As we discuss the petition, I urge hon. Members to remember that when we talk about health and care workers, we are not talking in the abstract. We must remember the very real impact that Government decisions have on people’s health and wellbeing. There is little argument that workers from overseas are not essential to the running of our healthcare system. In fact, NHS trusts actively recruit from around the globe.

The health and care worker visa we are discussing was introduced to speed up processes to ensure that much-needed health and care staff could work in the United Kingdom. Despite broad agreement that there is obvious need in our overstretched health and care sector for overseas professionals, the current system is failing to retain these key workers. The expensive, drawn-out indefinite leave to remain process is pushing many key workers away, creating financial and bureaucratic barriers for those who wish to stay and to continue working in this country.

A greater number of healthcare workers settling in the UK would only benefit the health system. Not only does better access to ILR make the UK more attractive to the international workforce; better staff retention provides employers with greater long-term security for workforce planning, which I know at first hand is a key issue. Indefinite leave to remain allows for greater mobility between sectors and employers, as well as greater flexibility to deploy internationally recruited workers where need is greatest, rather than being hamstrung by restrictive visa requirements.

The financial barrier is high. The Migration Advisory Committee has highlighted the general high cost of these fees compared with other countries. The cost to apply for ILR sits at £2,404 per person. However, the latest visa and transparency fees data suggests that the estimated cost of an ILR application is just £491. In the context of a decade of pay erosion and the cost of living crisis, ILR fees may simply be unaffordable for many healthcare workers.


In the online survey of petitioners run by the Petitions Committee, respondents said they found it difficult to save up for indefinite leave to remain fees because of low salaries and a high cost of living, especially where they would need to pay ILR fees for multiple family members. One nurse who answered the survey said,

“I work as a deputy sister. I’m a single mum and my 2 kids have recently joined me in the UK. I cannot afford the ILR fees for me and my 2 children. With the salary of nurses and the cost of living here, a single mum like myself cannot afford it.”

A medical practitioner who responded said,

“As with current pay and cost of living crisis, it’s impossible to save this much. I am forced to buy used and second hand items only. I buy the cheapest groceries. Try and only use heating when absolutely required…I am forced to work weekends to save. I am hardly spending time with family. My mental health is affected. It feels like I’m a slave forced to labor…I don’t understand why the government would keep a fee that would force workers to leave NHS and UK…I survived through all waves of covid and staffing pressure. Had multiple illnesses because of my work. I don’t think I’ll survive this one. I believe these fees will break me.”

The fee is not the only cost; it is in addition to other substantial visa fees paid in the years prior to eligibility.

Workers without ILR are also subject to the no recourse to public funds policy. The cost of living crisis brings into sharp focus the potential financial hardship that internationally educated workers who are unable to access public funds could face. Members of the Royal College of Nursing consistently report the negative impact that the policy has had on their lives and the lives of their families. The covid-19 pandemic has exacerbated the challenges that individuals with no recourse to public funds were already facing, with these families identified as being at high risk of living in insecure and crowded housing.

Making the ILR process more accessible would bring significant benefits to individual workers who report that their mental health is suffering as a result of the financial pressures they are facing to try to meet the costs of ILR. A healthcare assistant who responded to the Committee survey said

“With the ever rising cost of living, [saving for ILR] becomes mentally draining for an already overwhelmed health worker. Reducing the cost shows the government care about the wellbeing of health workers and promotes work life balance because families have to work odd hours to meet up with the fees.”

The RCN also reports that nurses sponsored under the health and care visa often have difficulty reducing their working hours because of the minimum salary threshold —£20,480 per annum—that is applied to their visa. Given that there is no provision for that to be applied pro rata for part-time staff, the RCN understands that the policy often conflicts with nurses’ caring responsibilities.

Better settlement pathways can help to tackle abusive labour practices, reducing the ability of predatory employers to use immigration status to tie staff into exploitative situations. This is particularly relevant in the care sector, where the director of labour market enforcement has identified workers as being at high risk of exploitation. The RCN is aware from member reports that employers will, on occasion, use threats of deportation to coerce staff into paying extortionate repayment fees should they choose to leave employment early.

The current policy means that the UK is already losing overseas healthcare staff to other countries.


“I couldn’t raise the money [for ILR] for the last 2 years to apply, so I’ve gotten a better salary offer in New Zealand…so I’ll be leaving the UK.”

Those are the words of one nurse who responded to the petition. A trainee doctor told us:

“With paying for exams and training, I don’t have enough money to apply for an ILR, which makes me think to leave the UK and work in Australia after I qualify as a GP.”

The petition is not simply asking for a reduced fee for those health and care workers seeking ILR; it is asking for a joined-up approach from Government, and for a better system that will improve the lives of those using it and enable us to provide a strong and sustainable health sector.

Earlier, I told hon. Members that it was essential to remember that behind the figures, statistics and costings, we are talking about people, so I will finish by telling hon. Members about the person who kicked this all off—the petitioner, Mictin, who is here today with his family—and why he started the petition. Mictin was actively recruited to the NHS from India, as NHS trusts use local agents to recruit for them. Of the 23 other overseas workers who started with him when he came to Leicester, only six are still working in the trust. The costs of pursuing ILR were too much for many of them and some have found new work abroad—skilled workers who have left the United Kingdom because we have made it too difficult to stay.

We ask people to make the choice to come to the United Kingdom, but we have not ensured that we have a system that makes that choice an easy one. We force difficult choices on the workers we need. Mictin and his wife have made the choice to stay, but we have not made it easy for them. Mictin’s parents-in-law have never seen their grandchild, because the cost of taking him to India would mean greater delays in applying to ILR. Mictin started the petition because he knows he is not the only one making these difficult choices. While our health sector desperately needs more Mictins, we have to ask why we are making the choice to stay so difficult.

THE FULL TRANSCRIPT OF THE DEBATE CAN BE READ HERE:

Intervention from 

Tonia Antoniazzi MP resumes

Tonia Antoniazzi MP

I beg to move, that this House has considered e-petition 607317, relating to requirements to stop and report road traffic collisions involving cats. It is indeed a great pleasure to serve under your chairship, Ms Harris. The petition calls for Parliament to amend legislation “to make it a legal requirement for a driver to stop & report accidents involving cats.”

It has been signed by 102,436 people throughout the UK, with the highest number in Tunbridge Wells. It is often said that Britain is a nation of animal lovers. As I am sure all Members’ inboxes will attest, issues of animal welfare, from the use of animals in research to livestock transport, move people from all walks of life to engage with their representatives.

As a nation, we are particularly attached to our pets. According to the People’s Dispensary for Sick Animals, around 52% of UK adults own a pet. Our pets play a huge part in our lives and many of us consider our pet another member of the family. Although dogs are the most common pet in the UK, cats are not far behind: one in four households are home to at least one cat. The choice of a cat as a pet is often not understood; non-cat owners may wonder what is to be gained from a pet who operates completely on their own terms. Cat owners will know that that is just one part of the mystique of having a cat. Cats Protection’s 2022 “Cats and Their Stats” report found that “companionship, reducing loneliness, and reducing stress were collectively the top reasons for owning a cat”.

Intervention from Mark Tami MP

​Does my hon. Friend agree that we have seen, certainly during the covid pandemic, the ownership of cats and dogs increase because of the companionship that they offer? That is particularly important for people who live on their own. I am sure my hon. Friend will agree that it is heartbreaking for an animal to be run over, whether it be a dog or a cat, and for the owner in many cases never to find out what actually happened. Cats are pets and should be treated in the same way as dogs.

Tonia Antoniazzi MP resumes

I thank my right hon. Friend for his contribution. It is true: we love our pets and they are a huge part of the fabric of our families and our lives. He is right that we saw an increase in ownership during in covid, and that the necessary measures must be put in place so that there is not such heartache—I will go on to talk about that—when pets disappear and are unaccounted for.

We have spoken about the importance of pet cats for the wellbeing of their owners, especially during covid, and in relation to loneliness. The Cats Protection report also showed that 92% of owners see their cat as part of the family and that 67% say their cat gives them something to get up for in the morning. Alongside their independent nature, inquisitiveness and aloofness, that has helped them to be one of our favourite pets.

It is a reflection of the nation’s love of animals that the UK ranks highly on the world stage in respect of animal welfare, but there are gaps in the legislation, particularly in relation to our feline companions. We do all that we can to protect our pets, but sometimes it is not enough. The sadness of losing a pet—a part of the family—is only exacerbated by not knowing what has happened. That sad state of affairs is the reality for many cat owners across the United Kingdom. For many of them, a missing pet will lead to an assumption that the cat been hit by a vehicle and simply left by the roadside to be picked up by the local authority’s refuse services. I know that is a blunt description.

Intervention from Dr Lisa Cameron MP

The hon. Lady is making such an important speech, and this debate is vital to many constituents. Does she agree that further support should be given to local authorities to ensure they have the necessary resources to scan cats when they are found—and dogs too—and make sure that owners are notified?

Tonia Antoniazzi MP resumes

I thank the hon. Lady for that contribution. I will go on to talk about local authorities, but it is a case of them having the necessary resources to be able to scan animals and know that they are accounted for.

The petitioner, Olivia, is here in the Gallery and is an avid campaigner for the protection of cats. When we spoke before Christmas she was thankful that the situation when she lost her cat was not the same as the one I have described. Their beloved cat, who was very much part of the family, was killed by a car; however, a good-hearted neighbour who found the cat knocked on all the doors until the owner was found in order to let them know. It should not be down to luck or a good Samaritan.

Intervention from Kirsten Oswald MP

The hon. Lady makes an important point. Most residents of our communities would want to do the right thing. They would want to make an owner aware of the tragedy that had happened because they would appreciate the hurt and sadness the family would feel and would not want to leave them in the dark. Does the hon. Lady agree that groups such as Cats Protection Giffnock in my constituency have done really valuable work on this issue? They ought to be commended for making sure that it is kept in the public eye. I hope we see some progress.

Tonia Antoniazzi MP resumes

I thank the hon. Member for her contribution. Doing the right thing gives us heart, does it not? The work of Cats Protection and all the organisations that have campaigned for cats is to be commended, because it is excellent in keeping the issue in the public eye, which is really important.

Intervention from Rehman Chishti MP

I pay tribute to the hon. Lady for her work on this issue. I introduced a presentation Bill on the compulsory microchipping of cats, and we are waiting for legislation to come in. I thank the Government for that.

The second part of my Bill was on the issue of reporting after an accident. Of course the great majority of people in our great country would do the right thing, but it comes down to a basic principle: parity of esteem. People love their dogs and cats. We currently have legislation under section 170 of the Road Traffic Act 1988 that covers horses, cattle, asses, mules, sheep, pigs, goats and dogs, but not cats. People in my constituency and throughout the country ask, “Why not?” If the primary objective is to alleviate pain and suffering, we need to make sure we have parity for cats.


Tonia Antoniazzi MP resumes

I thank the hon. Member for his very good contribution. Unfortunately, the 1988 Act was not put in place with this issue in mind, but I am going to talk about the microchipping issue that he has done significant work on.

Intervention from Margaret Ferrier MP

Following on from what the hon. Member for Gillingham and Rainham (Rehman Chishti) said, the Government previously committed to bringing forward regulations to make cat microchipping compulsory before the end of last year. Many charities are concerned that they have not yet been laid; does the hon. Lady share those concerns?

Tonia Antoniazzi MP resumes

I thank the hon. Member for her contribution. That is exactly what I am going to talk about. I agree that the microchipping legislation should be brought forward.

Under section 170 of the Road Traffic Act 1988, drivers are required to stop and report incidents of hitting a horse, cattle, ass, mule, sheep, pig, goat or dog, as mentioned by the hon. Member for Gillingham and Rainham (Rehman Chishti). The Act reflects an understanding of animals as having a financial value attached to them as livestock or working animals. As such, cats are not covered. The petitioner, Olivia, and organisations including Battersea and the Blue Cross want this to change.

Because there is currently no legal requirement to report, we do not know how many cats are killed by vehicles. One needs only to have a quick search through their local area’s Facebook groups to know that. It is sadly very commonplace. Some 52% of respondents to the Petitions Committee’s survey for this debate said they had lost a cat as a result of a road traffic accident, with a further 40% suspecting that their cat had been killed but without any proof.

The reality is that not all drivers comply with the 1988 Act as it stands. For example, one particular road in my constituency has become notorious for cattle deaths at night, with the deceased animals being found by other drivers in lighter hours and reported then. Whether or not there is a place for cats in the Act, we know that it is not fully fit for purpose as it stands. How can the Government help to ensure that cat owners such as Olivia are not left in limbo when it comes to losing their beloved pet?

Intervention from Andy Slaughter

I had the pleasure of hosting a Cats Protection event just before Christmas. Some 76 MPs and peers turned up, which shows where the sympathies of Members lie. Does my hon. Friend agree that it is a shame the Government are out of step with the view of Members and that they should look at this matter again? They have dismissed it rather out of hand in their response to the petition, but this issue goes hand in hand with microchipping. The Government said they would bring forward microchipping by the end of last year; they should now do so, in tandem with introducing provisions on reporting.

Tonia Antoniazzi MP resumes

I thank my hon. Friend for making that point and for hosting Cats Protection before Christmas. That event really was well attended. The point of such events is to raise awareness of legislation that is not fit for purpose and to talk to peers and Members of Parliament about the importance of cats. We do not need a huge uprooting of legislation to get this right: small changes would make a huge difference to cats and cat owners.

First, we need the Government to finally make good on their promise to make it a legal requirement for cats to be microchipped. In its 2022 “Cats and Their Stats” report, Cats Protection estimated that 2.8 million cats are not microchipped, meaning they do not have any permanent identification. Microchipping is a hugely important part of responsible pet ownership, and making it compulsory for cat owners would send a vital message that it is an integral part of looking after a cat. The Government had planned to lay regulations by the end of 2022 to bring compulsory cat microchipping into force after a transition period, but sadly that has not yet happened. I would be most grateful if the Minister could confirm a timetable for the enactment of that legislation. He has a wonderful opportunity to come forward with that change, which the Government have supported.

Secondly, requiring local authorities to scan and log cat fatalities would make a huge difference. National Highways contracts already include a requirement to identify and inform the owner of any domesticated animal fatality on main trunk roads, with keepers given the opportunity to come forward and collect their pet’s remains. The local authorities that cover the rest of the road network are duty-bound to remove deceased animals but not to scan and log, although many do—the situation is inconsistent across the United Kingdom, but the infrastructure already exists.

By requiring local authorities to make attempts to identify cat fatalities, comfort and certainty can be given to owners whose cats are killed in accidents. A freedom of information request carried out by Cats Protection in May 2019 found that 92% of local councils in England have some sort of arrangement in place to scan cats, but only 75% inform the chip company. It is clear that there is a lack of consistency on this front, and intervention from the Government would only improve the situation.

It is true that cats and dogs, while both beloved choices of pet, have different legal standings. We should be creating parity between the two and making things less difficult. Dog owners are legally required to keep their dog under control in public, whereas cats are said to have the right to roam, although owners are still responsible for making sure that their cats do not cause injury or damage to property. The so-called right to roam has often ended conversations on cat welfare legislation, for reasons I have already discussed, but that need not be the case.
​
Unlike so many of the issues we discuss within these walls, this is not a complex problem. The infrastructure needed to implement the changes already exists and charities such as Cats Protection are already working with local authorities to provide scanners and support their work. The changes requested may not save cats, but they can prevent any added heartbreak. I extend my deepest thanks to Olivia for starting the petition and starting the conversation. She is asking not for an overhaul of legislation but just the chance for other owners to feel the closure that she has felt at such a traumatic time.

New analysis reveals the Tories’ wholescale failure to grow the economy and to level up Britain, with figures showing that in every region in Great Britain real wages are lower now than when the Tories came to power in 2010.

Across the country as a whole, real wages are down by an average of 5%, leaving people £1,600 a year worse off than they were in 2010. Wages in Gower have fallen by £4700, resulting in a 12.7% cut.

A crucial component of getting wages up and improving living standards is growing the economy, something that has stalled under the Tories.

If the economy had continued to grow at the same rate as it had been with the last Labour government, then there would be £30 billion more to spend on public services without having to raise a single tax.

Labour’s Shadow Chancellor Rachel Reeves said:
“These figures don’t just underline a lack of growth under the Tories. They show the complete failure over 12 years to build an economy that actually works in the interests of working people. Married with the billions upon billions of taxpayer money that has been wasted on undelivered projects, crony contracts, unsafe PPE and Tory vanity projects, it shows just what irresponsible stewards of the economy the Conservatives are. Labour will stabilise our economy, and we will get it growing with our Green Prosperity Plan and our active partnership with British businesses.”

Local MP Tonia Antoniazzi responding on the impact of falling wages in Gower constituency, said:
Gower has so much potential but right now we're facing an economic crisis because of 12 years of Tory failure. We need a Prime Minister with big ideas to change the mood of the country and put us on the right track, instead we have the weak Rishi Sunak who is ruled by his ruinous backbenchers. People in Swansea deserve and need a UK Labour Government which is going to act in their interests, not a Tory government only interested in protecting their vested interests."