I beg to move,
That leave be given to bring in a Bill to require the Secretary of State to report on the merits of a scheme for the United Kingdom to pay to train two doctors or nurses in developing countries for each doctor or nurse recruited to the National Health Service from those countries.
I am extremely grateful to you, Mr Deputy Speaker, for granting me this opportunity to make the case today for my Bill—my first ten-minute rule Bill since I was elected to the House 33 years ago. I am supported by a distinguished cross-section of Members from both sides of the House. I believe this Bill to be uncontroversial, but a genuine boost for the reputation of global Britain and the international values that this House supports, particularly ahead of the integrated review. It builds on the past reputation of our country as an international development superpower. We were the first of the major developed countries to honour our promise to the world’s poorest people to spend 0.7% of our gross national income as part of our mission to elevate the lives and social conditions of some of the most desperate people on the planet—people deprived not for any reason of their own, but because of where they were born.
One of the proudest moments of my political life was when the coalition Government, in spite of the austerity that our country faced back in 2010, declined to balance the books on the backs of the world’s poor and agreed to honour the 0.7% promise. I am still certain that that chimes with the values and instincts of the vast majority of our fellow citizens, even at such a dreadful time as this for so many.
Secondly, I want to emphasise how much we rely on those doctors and nurses and other healthcare workers who bring their talents and skills to this country to support our NHS from overseas. We respect them and we are hugely grateful to them. Indeed, if I may use a second world war analogy, much beloved by some of my hon. Friends, the heroes of this war against covid are not, as in the battle of Britain, the men and women of the Royal Air Force but, all too often, workers from overseas working in our hospitals, giving their all in our care homes, putting themselves in harm’s way, and often living on the minimum wage.
When we persuade a doctor from the developing world to come here, we do so in the knowledge that our gain will inevitably be their country’s loss. In this country, we have 215 doctors, nurses, health workers and midwives from Sierra Leone; from Nigeria, 4,099; from Pakistan, 3,394; from Ghana, 1,118; and from India, just short of 20,000. All these countries are developing nations with whom we have, or have had, a significant development partnership. What I am describing—the export to us of their doctors and clinicians—is reverse aid: not from Britain to help developing countries, but from those developing countries to help Britain; and it is clearly wrong. In Britain, we have one doctor for every 357 people—effectively, three doctors per 1,000 people—with some 15% of our nurses coming from overseas and about a quarter of our doctors.