My hon. Friend is correct. Indeed, one of our Doorkeepers in the House of Commons comes from St. Helena.

Since 2000—this very much illustrates my hon. Friend's point—the population has fallen from approximately 7,000 to fewer than 4,000. As a result, more than 150 children and young adults are in informal foster care. The population increasingly comprises the elderly and children.

The health department has to select which seriously ill patients qualify for further care and treatment in Cape Town or the UK, and that practice will only increase with an ageing population. Access to medical supplies is poor. Residents rely on supplies delivered by RMS St. Helena. As we saw in 1999, when the ship broke down, the island is vulnerable.