Comparison of Divisions: Opposition Day — [1st Allotted Day] — Emergency Care — 21 Jan 2009 at 15:45 with Division No. 104 on 29 Apr 2009 at 15:49

I beg to move,

That this House acknowledges the excellent reputation of emergency and urgent care services in the UK; commends the expertise and dedication of NHS emergency and urgent care staff who work around the clock to provide a consistent and reliable service; notes the strain placed on accident and emergency departments across the country from winter viruses, and commends NHS staff for their extra efforts to maintain services in the face of such pressures; supports the improvement of acute hospital services and development of specialist centres where appropriate; welcomes the recent report published by the College of Emergency Medicine, but notes with concern its conclusion that proposals for urgent care centres are clinically unproven and undermine the principle of patient choice; regrets the lack of evidence to support models of service configuration which are centred on financial concerns and pressures arising from the European Working Time Directive; deplores the Government's lack of urgency in addressing concerns raised over trauma care; believes that the public should be given a more meaningful voice over the provision of local emergency services; recognises the unique contribution made by community first responders; recommends that the Government introduce a single number to access urgent and emergency care services; and urges the Government to publish its delayed urgent care strategy, the consultation for which was published over two years ago.

I beg to move an amendment, to leave out from "appropriate" to the end of the Question and add:

"acknowledges that health professionals provide excellent emergency care to 19 million patients a year in England; recognises the unique contribution made by community first responders; notes that the four hour target maximum wait in accident and emergency is hailed by many as one of the most significant steps forward in improving services for patients; welcomes the fact that patients can also access services through NHS Direct and 90 NHS walk-in centres and will soon see the benefits of 113 new GP practices in underdoctored areas and at least one new GP-led health centre in each primary care trust open seven days a week from 8 am to 8 pm; and further notes that the removal of target maximum waits for treatment will increase waiting times for patients."

The House having divided: Ayes 230, Noes 306.

The majority of MPs voted in favour of the motion:^[1]

• This House
• regrets the Government's recent statement^[2] outlining the eligibility criteria for Gurkhas to reside in the United Kingdom;
• recognises the contribution the Gurkhas have made to the safety and freedom of the United Kingdom for the past 200 years;
• notes that more Gurkhas have laid down their lives for the United Kingdom than are estimated to want to live here;
• believes that Gurkhas who retired before 1997 should be treated fairly and in the same way as those who have retired since;
• is concerned that the Government's new guidelines will permit only a small minority of Gurkhas and their families to settle whilst preventing the vast majority;
• further believes that people who are prepared to fight and die for the United Kingdom should be entitled to live in the country; and
• calls upon the Government to withdraw its new guidelines immediately and bring forward revised proposals that extend an equal right of residence to all Gurkhas.

As a consequence, the alternative Government motion, which read:^[3]

• This House
• recognises that this Government is the only one since the Second World War to allow Gurkhas and their families settlement rights to the United Kingdom;
• notes that in 2004 the Government permitted settlement rights to Gurkhas discharged since 1997, following the transfer of the Brigade HQ from Hong Kong to the United Kingdom;
• further notes that under these rules around 6,000 Gurkhas and family members have been welcomed to the UK;
• acknowledges that the court judgement of September 2008 determined that the 1997 cut-off date was fair and rational, while seeking clarification of the criteria for settlement rights for those who retired before 1997;
• further notes that on 24 April the Government published new and more generous guidelines for the settlement applications of Gurkhas who retired before 1997;
• supports this revised guidance, which will make around 10,000 Gurkhas and family members eligible to settle in the UK;
• further notes that the Government undertakes actively to inform those who may be eligible in Nepal of these changes and to review the impact of the new guidance within 12 months;
• further notes that the contribution Gurkhas have made is already recognised by pensions paid to around 25,000 Gurkhas or their widows in Nepal that allow for a good standard of living there; and
• further notes that in the year 2000 Gurkha pensions were doubled and that, earlier in April 2009, in addition to an inflationary uplift of 14 per cent., those over 80 years old received a 20 per cent. increase in their pension.

... was never voted upon.

Although this extremely rare Government defeat in an opposition day motion is not binding (has no legal force)^[4] a Government minister made a statement later in the day to bring "forward the date for the determination of the outstanding applications to the end of May."^[5]

• [1] Christopher Huhne MP, House of Commons, 29 April 2009
• [2] Phil Woollas MP, Written Ministerial Statement, 29 April 2009
• [3] Phil Woolas MP, House of Commons, 29 April 2009
• [4] Home Secretary Jacqui Smith blamed for humiliating Gurkhas defeat in the Commons, Daily Mail, 30 April 2009
• [5] Phil Woolas MP, House of Commons, 29 April 2009