Part of the debate – in the Scottish Parliament at on 30 May 2017.
Donald Cameron
Conservative
I am pleased to close the debate for the Scottish Conservatives. I echo other members’ comments about our shared commitment to doing whatever we can to support reasonable and workable actions that support some of the most vulnerable people in our society. As Annie Wells said, we will support the motion. We recognise that, in this area above all, it is essential for the Scottish Government and the UK Government to work together. I entirely support what Christina McKelvie said in that regard and I thank her for the tone with which she opened the debate.
Such debates are often—rightly—peppered with passions. The debate is about a sensitive and highly important matter and it should be treated as such. I was struck by the individual stories of hardship and struggle in the committee’s report, which we should take into account. Some of those stories are incredibly moving and, as Gail Ross said, it is right that we think of people rather than statistics. We also need to balance those stories with the evidence that is at hand, which I will do in my closing remarks.
Many elements of the report are worth while and should be taken forward. One issue that is dear to my heart is the proposal for a new advocacy service, which the report asks the Scottish Government to consider. Many members have mentioned that recommendation. One of the most formative experiences of my professional life was during my early years practising as an advocate, when I appeared at the asylum and immigration tribunal, as it was then called, in Bothwell Street in Glasgow, to represent asylum seekers. My first observation is that the rules and regulations that surround immigration law are formidable, hugely complicated and very difficult for anyone, even a lawyer, to navigate. My second observation from representing asylum seekers is about how difficult it is for applicants to argue their cases successfully and how much more that is the case if an asylum seeker meets the legal definition of “destitute”. The proposal for an independent advocacy service is therefore to be welcomed.
I will focus the rest of my comments on healthcare, which is a significant area in considering how we support refugees and asylum seekers, and particularly those who find themselves destitute. The committee’s report notes that some people who have come to the UK carry transmittable diseases such as tuberculosis, HIV and AIDS. Plainly, that poses a serious health issue for the individuals who carry such diseases. The report notes many of the barriers and issues that people with such conditions face to receiving treatment, which concern the distance to health centres, access to a general practitioner, contact between the patient and health workers and, crucially, patients’ willingness to seek treatment.
Treating HIV and AIDS is particularly difficult because of the cultural perceptions and stigma that continue to exist around the conditions. Although that is true of general society to an extent, the stigma is exacerbated in migrant communities, and particularly in migrant sub-Saharan communities. Many who have the conditions are embarrassed about it and worried about others in their community finding out. As the HIV and hepatitis C charity Waverley Care noted, those with such conditions who find themselves living with friends or accessing shelters have less privacy and are at greater risk of refusing to take medications as a result.
Like other members, I note the impact on mental health of destitution. The committee’s report gives a variety of examples of serious things that contribute to diminished mental health, such as young female asylum seekers being trafficked and individuals suffering from domestic servitude. The report quotes the Glasgow psychological trauma service, which said that
“Mental health gets worse because of destitution” and that that exacerbates pre-existing mental health issues.
It is also pertinent to raise in the debate the final substantial healthcare concern that the report documents, which is about maternity services for those who find themselves destitute. As the report notes, many pregnant women feel reluctant to talk about their pregnancy and some feel shame about it for various reasons. That poses a set of serious risks to women, including an increased incidence of maternal death because of an underlying condition and complexities during birth because of undisclosed conditions. The report also focuses on FGM, which the Parliament has—properly—discussed at length.
If the Scottish Government intends to take forward the report’s recommendation that a Scottish anti-destitution strategy should be created, methods of tackling the stigma that can exist in some migrant communities in relation to mental health, the treatment of transmittable diseases and pregnancy should be further examined and included.
I will quickly touch on remarks that various members around the chamber made. I welcome the fact that Annie Wells has today written to the UK Government to ask it to consider whether it is possible for claims to be lodged in Scotland. Finlay Carson discussed the context and the dimensions of what is happening internationally and—rightly—he put on the record what the UK Government has done in its efforts there. Pauline McNeill spoke with great passion and sympathy about a migrant arriving here, the destitution that they face and the complexity of the system that meets them. I was struck by her contribution.
It is clear that, as we continue to live in an uncertain world with many unstable regions, the United Kingdom and Scotland will continue to be a beacon of hope for many people who are looking for a better life. We need to use the powers that this Parliament possesses to support people who choose to make Scotland their home, and I reiterate the importance of having a suitable and specific strategy that deals with issues such as mental and public health in order to achieve that.
We cannot always solve or eliminate every cause and circumstance that leads to destitution, but we can employ measures that help to get people into a more stable environment, for their benefit and for the benefit of Scotland as a whole.
The Conservatives are a centre-right political party in the UK, founded in the 1830s. They are also known as the Tory party.
With a lower-case ‘c’, ‘conservative’ is an adjective which implies a dislike of change, and a preference for traditional values.