4. 4. Plaid Cymru Debate: Overseas Workers in the Welsh NHS

Part of the debate – in the Senedd at 2:47 pm on 16 November 2016.

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Photo of Dawn Bowden Dawn Bowden Labour 2:47, 16 November 2016

Can I thank Plaid Cymru for bringing this debate before us? Because it is a very important issue that we need to be dealing with at this moment and it’s very immediate, of course. In my previous life as Unison’s head of health here in Wales, I had a high level of engagement with the Welsh NHS as an employer, and my experience in that position made me acutely aware of how crucial to the NHS overseas workers employed across the whole of our health service actually are.

As an aside, as Rhun ap Iorwerth has already said, it is worth mentioning that, whilst this debate is about NHS workers, we shouldn’t forget that it’s not just our health service that relies on overseas workers; many more are employed in social care services, which play an increasingly integrated role in the delivery of healthcare.

According to the most recent figures, almost 31 per cent of doctors in Wales were trained overseas, and about 6 per cent of those were trained in EU countries. That equates to about 518 doctors here in Wales trained overseas, not just in the EU. Of nearly 26,000 registered nurses in Wales, 262 qualified in another EU country—just over 1 per cent—with a further 6.5 per cent qualifying in non-EU countries. As recruitment from the EU in particular has been a key component in addressing current staff shortages, it’s probably likely that that figure is now slightly higher. But I don’t think this debate is really about statistics. I don’t believe any of us could fail to be aware of the tremendous contribution that staff from the EU, the EEA and many other parts of the world make to our NHS, working alongside Welsh and UK workers. We know that the health service would struggle without them.

In this Chamber, we’ve unfortunately had to express, on a number of occasions, our outrage and despair at the rise in incidents of racism being reported since the vote to leave the EU on 23 June. If that were not enough to raise concerns amongst these staff over their future in this country, there will be many who will now be fearful about what leaving the EU will mean for them when that finally happens—just one more reason why it’s particularly unhelpful that, despite what Neil Hamilton says, the UK Government is unable or unwilling to provide any clarity over its negotiating position in respect of the free movement of workers. There’s no doubt that the NHS will not just be reliant on the EU and overseas workers it currently employs, but, if the targets for overcoming shortages are to be met, there will be a reliance on bringing in more overseas workers in the years to come.

As I said at the outset, I am grateful to Plaid for bringing forward this motion. But I’m afraid, as often is the case, I think they risk not achieving the desired aims by turning this into an issue around an argument for more powers—something, I think, that can be a long-term objective, but, on this issue, it’s something we need to deal with fairly quickly. So, the amendment from Jane Hutt, on the other hand, maintains the thrust of the motion, which aims to ensure that we can secure the EU overseas workforce and develop our workforce into the future, but without getting ourselves embroiled in technical or legal issues around further devolved powers.

I certainly don’t intend to dwell on the fairly predictable amendment that we’ve seen from UKIP. We all know the scale of the current challenges we face with staffing in the Welsh NHS, so why anyone would want to introduce a work permit and visa scheme, which could only serve to act as a deterrent to future recruitment from overseas, is really beyond my comprehension. It’s our duty to ensure that our NHS can continue to benefit from the skills and experience provided by overseas workers, and Welsh Government should do everything it can to make sure that there is no impediment to making that happen.