New Times,
New Thinking.

Why did the government U-turn on NHS surcharges for immigrant staff?

Keir Starmer's performance at Prime Minister's Questions played a part, but it isn't the whole story. 

By Stephen Bush

Did Keir Starmer win this week’s PMQs in extra time? The government will remove the NHS surcharge ⁠— the additional levy that immigrants have to pay to use the National Health Service ⁠— from people who work for the NHS, after a U-turn by Boris Johnson. 

It’s a win for Starmer, who brought the issue up in the House this week. But it’s also a reminder of the additional pressures on Johnson. One reason why the U-turn happened was the viral video made by a Syrian refugee and  NHS worker Hassan Akkad: a demonstration that neither the major parties nor news organisations can control what gains national prominence or drives debate in the modern world. 

But the pressure on Johnson came not only from social media but his own backbenches. One of the first to speak out, William Wragg, is a good example of the various internal challenges the PM faces. Wragg is a select committee chair and therefore his mandate depends on the whole House, incentivising him to be plain-spoken and intermittently heretical.

He’s a man elected in 2015 or earlier, and many in that group fear that if they have yet to make it to the frontbench under Johnson, they never will. Those are two of the three major challenges Johnson faces on is own side. The third challenge is the China hawks, who have long been critical of the government’s approach towards that country, but whose cause has been boosted by the Xi administration’s lack of candour around the coronavirus. 

Part of Starmer’s success so far is showing a good sense of where Johnson is vulnerable on additional flanks ⁠— he didn’t cause this U-turn alone, but did use his awareness of where pressure might build. Now Starmer gets to end another week with a spring in his step.

Select and enter your email address Your weekly guide to the best writing on ideas, politics, books and culture every Saturday. The best way to sign up for The Saturday Read is via saturdayread.substack.com The New Statesman's quick and essential guide to the news and politics of the day. The best way to sign up for Morning Call is via morningcall.substack.com
Visit our privacy Policy for more information about our services, how Progressive Media Investments may use, process and share your personal data, including information on your rights in respect of your personal data and how you can unsubscribe from future marketing communications.
THANK YOU

For Johnson, it’s a reminder that winning a majority of 80 doesn’t mean that his parliamentary party can be counted out or ignored ⁠— and if he doesn’t pick up on their concerns and deal with them quickly, then the credit for that will go to someone else. 

Content from our partners
Why Rachel Reeves needs to focus on food in schools
No health, no growth
Tackling cancer waiting times