John Cryer (Leyton and Wanstead) (Lab)
1. By what means he plans to assess levels of fraudulent use of aid in fragile and conflict-affected states.
The Secretary of State for International Development (Mr Andrew Mitchell)
The Government are committed to spending 30% of UK aid on conflict-affected and fragile states where the millennium development goals are most off track. We have a zero-tolerance approach to fraud and other abuse and all our programmes include safeguards to ensure that taxpayers’ money is spent properly.
John Cryer
A very high proportion of that taxpayers’ money flows through the EU. Is the Secretary of State satisfied that that EU money is being properly used and accounted for?
Mr Mitchell
About a third of that money goes to the European development fund, which scored highly in the multilateral aid review, and that suits Britain’s interests because around 40% of it goes to Commonwealth countries and we contribute only 17%. The money spent through the budget is £800 million, over which we have much less control, and we are seeking to ensure that it is better deployed.
Malcolm Bruce (Gordon) (LD)
The Secretary of State will of course acknowledge that the Government have committed additional funding to post-conflict states because that is where the greatest poverty and the greatest risk of falling back into conflict lies. Nevertheless, does he accept that, although we must do everything we can to stamp out corruption, it is precisely in those difficult climates that risks must be taken if achievements in poverty reduction and conflict prevention are to be secured?
Mr Mitchell
My right hon. Friend is absolutely right that there are greater risks when operating in conflict states, but in such states the very poorest in the world lose out twice over, once because they are poor and again because they are living in frightening and conflicted circumstances.
Mr Peter Lilley (Hitchin and Harpenden) (Con)
I welcome my right hon. Friend’s commitment to a zero-tolerance attitude to fraud. Will he encourage the World Bank to continue to have its regular survey of 32,000 small businesses across different developing countries, which shows that although fraud is a problem, it by no means absorbs all the aid entering those countries, as bar-room gossip would have it, and that it is more prevalent in south Asia than in Africa?
Mr Mitchell
My right hon. Friend’s analysis is absolutely right. He will have seen the world development report, produced by the World Bank, on working in conflict states, which focuses on security and development. It is a very good report, produced at Britain’s request, which focuses specifically on the points he has made.
Jake Berry (Rossendale and Darwen) (Con)
2. What steps he is taking to improve the transparency of bilateral and multilateral aid.
The Minister of State, Department for International Development (Mr Alan Duncan)
We have introduced the UK aid transparency guarantee, under which we have published greater and more detailed information on the Department for International Development’s aid expenditure than ever before, and we have actively encouraged our multilateral and other partners to follow our lead. I welcome the launch today of the Make Aid Transparent website, which is supported by a coalition of more than 50 civil society groups from more than 20 countries.
Jake Berry
I thank the Minister for his answer. Just as the Prime Minister has called on others in the G8 to live up to their promises on their aid budgets, will the Minister assure me that the Government are calling on others to increase the transparency of their spending and will he update the House on the international aid transparency initiative?
Mr Duncan
My hon. Friend is absolutely right that the Prime Minister secured agreement in Deauville that the G8 should begin to lead rather than follow on aid transparency. DFID also leads the international aid transparency initiative, an alliance of 19 major donors. Under our leadership, a new aid transparency standard was agreed in February and is already being implemented by DFID, the World Bank and the Hewlett Foundation, with many more set to follow later this year.
Mr Tom Clarke (Coatbridge, Chryston and Bellshill) (Lab)
In view of the lobbying of the House tomorrow by international development enthusiasts, will the Minister encourage as many people as possible to turn up, including hon. Members, to make our contribution to international development awareness?
Mr Duncan
I fully share the right hon. Gentleman’s enthusiasm for international development awareness, and when it comes to transparency there is already much praise for what the UK is doing. For instance, Publish What You Fund recently said:
“As well as focusing on its own breadth and quality of publication, its”—
DFID’s—
“commitment to influencing others sets important precedents for aid transparency on a global level.”
Mr Gary Streeter (South West Devon) (Con)
Does my right hon. Friend agree that the better we can demonstrate the effectiveness of UK aid, and that it is not all siphoned off into Swiss bank accounts, the sooner we will get the people of this country behind our excellent and worthy notion of spending 0.7% of GDP on overseas aid?
Mr Duncan
My hon. Friend is absolutely right, and that is exactly why we have set up the Independent Commission for Aid Impact, which can evaluate the impact and value for money of UK aid. Transparency sheds light on all that is done and reduces the sort of corruption that my hon. Friend describes.
Rushanara Ali (Bethnal Green and Bow) (Lab)
Does the Minister accept that the welcome continued emphasis on transparency in Government aid must also apply to businesses? Given the OECD estimate that poor countries lose $120 billion each year to tax havens, three times more than the aid that they receive, what is he doing to require companies to publish what they pay to Governments in developing countries?
Catherine McKinnell (Newcastle upon Tyne North) (Lab)
3. When he plans to bring forward legislation enacting the commitment to spend at least 0.7% of gross national income on official development assistance.
The Secretary of State for International Development (Mr Andrew Mitchell)
The coalition Government have set out how we will meet our commitment to spend 0.7% of national income as overseas aid from 2013. As the Prime Minister has made clear, we will enshrine that commitment in law as soon as the parliamentary timetable allows.
Catherine McKinnell
Tomorrow I will meet several of my constituents as part of the “Tea Time for Change” event to discuss their and my support for the 0.7% commitment. Has the Secretary of State had any recent discussions with the Defence Secretary on that important issue?
Mr Mitchell
I have discussions on those matters with all my colleagues, not least the business managers for the reasons that I set out in my original answer, but the hon. Lady is right to point out the importance of proceeding with the commitment, and that is why we have made it clear that we will.
Mr James Gray (North Wiltshire) (Con)
The Secretary of State recently described Britain as an aid superstate. Can he tell us what an aid superstate is—and do we really want to be one?
Mr Mitchell
My hon. Friend refers to a comment that I made on Monday, when I said that just as America is a military superpower, so Britain is a development superpower. I was referring to the fact that throughout the world brilliant work is being done with Britain in the lead on development, and we do so because it is not only morally right but, as my hon. Friend will understand, absolutely in our national interest.
Mark Tami (Alyn and Deeside) (Lab)
4. What steps he plans to take to reduce levels of HIV/AIDS in Lesotho.
The Parliamentary Under-Secretary of State for International Development (Mr Stephen O'Brien)
The DFID Lesotho programme has helped to reduce the prevalence of HIV in garment factories from 37% to 27%, and we continue to assist 40,000 factory workers. We also provide support to HIV programmes in Lesotho through our contributions to the EU, the World Bank and the Global Fund.
Mark Tami
The Minister will be aware that almost 25% of the population of Lesotho has HIV, and one project that his Department funds is the Apparel Lesotho Alliance to Fight AIDS, which as he says targets almost 40,000 people. Will that funding carry on? If not, who will fund it?
Mr O'Brien
The hon. Gentleman is completely correct that one of the most successful programmes in Lesotho has been the ALAFA programme, which has enabled those 40,000 factory workers to obtain vital services to help with HIV/AIDS. We have just announced that we will continue that programme up to the point when we can secure long-term funding through either the EU or other donor agencies.
Simon Kirby (Brighton, Kemptown) (Con)
Can the Minister confirm that the prevention of HIV is as essential as the treatment of it?
Mr O'Brien
My hon. Friend is entirely right to bring to the House’s notice, and to emphasise, that prevention is as important as the treatment of HIV/AIDS. Indeed, that will be one of the major thrusts of what I say in New York tomorrow at the UN meeting on AIDS. In addition to prevention and treatment, however, we want to ensure that care and support, which has often been the neglected area of HIV campaigning, is addressed too.
Hywel Williams (Arfon) (PC)
Dolen Cymru has 26 years’ experience of working from Wales into Lesotho, particularly in the field of health care. What consideration have the Government given to using such a non-governmental organisation to administer some of the aid budgets in Lesotho?
Mr O’Brien
I pay tribute to and congratulate Dolen Cymru on its tremendous ongoing work with Lesotho. It has not been a recipient of DFID funds; it has been self-supporting. On 30 June, I will be travelling to Wales on a ministerial visit, so I can discuss the most appropriate way, particularly now that Wales has the newer powers, to take forward the fact that development is a national responsibility while equally ensuring that we involve all parts of the United Kingdom in continuing good development work.
Sheila Gilmore (Edinburgh East) (Lab)
5. By what means he proposes to determine the level of funding his Department will allocate to UN Women. The Department for International Development recently reviewed the value for money of British taxpayers’ funding to all multilateral agencies through the multilateral aid review. We will apply the same broad criteria to UN Women’s strategic plan by assessing its organisational strengths and the relevance to UK aid objectives. This approach will help to determine the level of core funding for the agency.
Sheila Gilmore
One of the key priority areas for UN Women will be political empowerment of women. What plans does the Secretary of State’s Department have for backing up this work in Governments and legislatures around the world?
Mr Mitchell
The hon. Lady is absolutely right. It is incredibly important to put girls and women at the centre of everything we do in development, which is what empowerment is. We are watching very carefully how the agency is developing. We have given nearly £660,000 as transitional funding to the agency and offered support staff on secondment. I am confident that once the plan is produced we will be able to fund it. I am sure that she will understand, however, that it is right to commit taxpayers’ money only when we can see what it is being spent on.
Margot James (Stourbridge) (Con)
Evidence is coming from Egypt that the position of women is not advancing as a result of the Arab spring; indeed, there are concerns that it is going backwards. Can my right hon. Friend assure the House that he is using all the influence that comes with the additional money that we are investing in that part of the world to ensure that women get their fair share of that resource?
Mr Mitchell
My hon. Friend is absolutely right. There is a feeling that the role of women in the Arab spring in Egypt was very significant, and it is extremely important that their role should now be advanced. We will try to do that in a number of ways, not least through know-how funds and the Arab Partnership money that we are deploying.
Ms Harriet Harman (Camberwell and Peckham) (Lab)
To follow up the point so ably made by the hon. Member for Stourbridge (Margot James), while there is no doubt that the Arab spring offers huge possibilities for democracy and human rights in Egypt, it will not be progress if women’s rights are set back. Will the Secretary of State ensure that out of the generous funding that we are providing, funds will go to the Alliance for Arab Women in Cairo to make a reality of the demands set out in the Egyptian national women’s statement of 4 June?
Mr Mitchell
I am considering the right hon. Lady’s suggestion. We have exchanged correspondence on this, and I will look very carefully at the proposition that she puts. During my visit to Benghazi at the weekend, I had the opportunity to meet representatives of Arab women’s organisations, who made a similar point. I am sure that we will be able to assist.
Mark Pawsey (Rugby) (Con)
6. What his policy is on tackling HIV/AIDS in developing countries.
The Parliamentary Under-Secretary of State for International Development (Mr Stephen O’Brien)
The Government’s policy on HIV in developing countries is set out in “Towards zero infections: The UK’s position paper on HIV in the developing world”, published on 31 May. I have placed a copy of this in the House today.
Mark Pawsey
I thank the Minister for his answer. Following the recent good news about a decline in the number of infections, does he recognise the contribution that has been made by UK-based non-governmental organisations, with young volunteers, often in their gap years, working overseas with young people in their communities to get across the message of how a change in their behaviour can reduce their exposure to the risk of AIDS?
Mr O’Brien
My hon. Friend makes a very good observation. Tremendous, and often brilliant, work is done by NGOs in ensuring that work on the ground is delivering results. While this can be a tremendous, life-changing opportunity for gap year students and other young people, they also need to ensure that they observe a duty of care in ensuring that those experiences are benign and deliver results.
Emma Reynolds (Wolverhampton North East) (Lab)
The Minister will be aware that HIV/AIDS disproportionately affects women in developing countries. Why, therefore, have the Government dropped from their new strategy the specific commitment to measure the impact of AIDS programmes on women and girls?
Mr O'Brien
The hon. Lady is right that in sub-Saharan Africa, HIV/AIDS is primarily a disease that affects women; they are now in the majority compared with men. It is right that in putting women and girls at the heart of all our policies, we measure all the impacts on women, in particular those on the poorest women in the poorest countries. In tomorrow’s meetings at the UN, there will be a keen focus on women, and we hope that something will come of that.
Luciana Berger (Liverpool, Wavertree) (Lab/Co-op)
8. By what means he plans to assess value for money in his Department’s funding for climate change prevention in developing countries.
The Minister of State, Department for International Development (Mr Alan Duncan)
We rigorously assess costs against benefits in all our programmes. To measure the value for money of our climate programmes, we will look at metrics including the number of poor people protected from extreme weather events, the number of hectares of forest protected, and the number of people with access to energy.
Luciana Berger
The Minister will be aware of the decision at the last climate change summit to establish a green climate fund, and that the UK has a representative on the transnational committee that is designing the fund. Will he update the House on the progress made to date by the transnational committee and on what concrete outcomes the UK Government hope to see by the next summit in Durban later this year?
Martin Horwood (Cheltenham) (LD)
The clearest message from the poorest countries at the world climate change talks in Cancun was that they face immediate impacts from climate change. Will the British Government commit to set an example to other countries by putting a high proportion of our climate finance into adaptation, as well as into climate change mitigation?
Mr Duncan
Climate change will hit the poor hardest and first. DFID will support poor people to protect their lives and possessions from the impacts of climate change, for example by raising homes on to plinths to protect poor people from flooding in Bangladesh, supporting drought-resistant crops in Malawi, and preventing coastal erosion in Vietnam. We aim to spend 50% of our climate change finance on adaptation. That will be kept under full review.
Mark Lazarowicz (Edinburgh North and Leith) (Lab/Co-op)
The Minister will know that if we are to meet the commitments we made at the Copenhagen climate change conference, the UK will have to allocate by next year a further £1 billion in fast-start finance to help developing countries tackle climate change. Will he confirm that the Government still intend to allocate that funding by next year?
Julie Hilling (Bolton West) (Lab)
9. What estimate he has made of the proportion of gross national income to be spent on official development assistance in (a) 2011-12 and (b) 2012-13.
The Secretary of State for International Development (Mr Andrew Mitchell)
British official development assistance as a proportion of gross national income will be 0.56% in 2011 and 2012. The Government are fully committed to delivering 0.7% of GNI as ODA from 2013 and will enshrine that commitment in law, in line with the coalition agreement.
Julie Hilling
The Government have frozen aid for two years and propose to spend money through multinational institutions, which have more expensive bureaucracy. Is it not nonsensical for DFID to cut its admin costs only to spend money through institutions with higher costs?
Mr Mitchell
The hon. Lady is not correct. The way in which we judge multilateral institutions was set out clearly in the multilateral aid review. The whole point of the two big reviews that the coalition Government commissioned on coming to power was to ensure that we deliver best value for money. It is our aim to ensure that for every pound of hard-earned taxpayers’ money that we spend, we get 100p of development results on the ground.
Mr Peter Bone (Wellingborough) (Con)
The brave men and women of our armed forces put their lives at risk every day to protect civilians and rebuild societies in far-off lands. That is real overseas aid. Does the Secretary of State agree that it is surprising that his budget is increasing by £4 billion when the defence budget is being cut by billions and billions of pounds?
Mr Mitchell
Having served in the armed forces, I yield to no one in my respect for them. However, I point out to my hon. Friend, who I know takes a close interest in these matters, that Britain’s security is maintained not only by tanks and guns, but by training police in Afghanistan, getting kids into school in the horn of Africa, and building up governance structures in the middle east.
Jake Berry (Rossendale and Darwen) (Con)
T1. If he will make a statement on his departmental responsibilities.
The Secretary of State for International Development (Mr Andrew Mitchell)
Last weekend I visited Benghazi with the Foreign Secretary to meet the national transitional council and discuss its plans for the future of Libya. I also announced new British support for the clearance of mines in Misrata, Benghazi and other affected areas, to help ensure the safety of 200,000 people.
On Monday, Britain will host the replenishment of the Global Alliance for Vaccines and Immunisation, to secure global pledges to vaccinate a quarter of a billion children and prevent the deaths of millions of children in some of the poorest countries in the world over the next five years.
Jake Berry
I thank my right hon. Friend for that answer. On behalf of the whole House, may I express a great welcome to those coming to London for the GAVI pledge drive next week? What is the Secretary of State doing to encourage people who are coming to make generous pledges for the vaccination of children in the developing world?
Mr Mitchell
My hon. Friend is quite right that we are bending every sinew to ensure that we have the biggest possible replenishment. Our ambition is to be able to vaccinate 250 million children and save 4 million lives, and replenishment progress is going well. We are not there yet, but I am reasonably confident that we will get there by Monday. [Interruption.]
Mr Speaker
Order. There are far too many private conversations taking place in the Chamber. I want to hear Ministers’ answers, and I want now to hear Catherine McKinnell.
Catherine McKinnell (Newcastle upon Tyne North) (Lab)
T4. I have been contacted by several constituents who believe that the World Bank should be leading the way towards a green economy and a greener future for the world’s poor. Will the Minister outline what discussions he and his colleagues in government have had with the World Bank to ensure that there is investment in clean energy projects in developing countries?
The Minister of State, Department for International Development (Mr Alan Duncan)
The crux of this issue is whether the building of coal-fired power stations should be supported. We believe that such power stations should be a last resort, and that every possible action should be taken to explore the scientific and commercial availability of carbon capture and storage.
Chris Skidmore (Kingswood) (Con)
T2. During the Secretary of State’s visit to Benghazi this weekend, what discussions did he have with the national transitional council regarding its plans for the immediate and longer-term future?
Mr Andrew Mitchell
The stabilisation response team is working flat out, together with our international allies in Benghazi, to work out what action should be taken when the conflict is over and early recovery is taking place. That work is going well, and I hope that we will have a plan within the next 10 days. It will of course be owned by the Libyan people under the umbrella of the United Nations, and it will involve all the relevant organisations in helping the Libyans to implement it.
Lilian Greenwood (Nottingham South) (Lab)
T8. More than 1,000 supporters of international development charities, including some of my constituents, are coming to Westminster tomorrow to show their support for protection of the aid budget and for further action to tackle global poverty. Given that poor countries lose more money to tax-dodging each year than they receive in aid, what action is the Secretary of State taking to address that issue?
Mr Mitchell
I am very glad that the hon. Lady’s constituents are coming tomorrow, and Members of all parties will want to support that important lobby. The issue that she raises, which was discussed in earlier questions, is very important, and I expect that we will make progress on it in the coming years, not least because of the emphasis that has been put on it in the G8 and the European Council.
Simon Kirby (Brighton, Kemptown) (Con)
T3. Can the Minister assure us that the UK Government will maintain their global leadership role in the response to HIV and AIDS, in both policy and funding?
The Parliamentary Under-Secretary of State for International Development (Mr Stephen O'Brien)
I am pleased to confirm that the commitment of the UK Government, who are the second largest contributor globally to the effort against HIV and AIDS, is set to continue. The matter will be central to the discussions that I have in New York tomorrow at the United Nations meeting.
Pamela Nash (Airdrie and Shotts) (Lab)
As the Minister has just alluded to, the UN General Assembly’s high-level meeting on HIV/AIDS is taking place this week. Can he assure the House that the UK will raise the issue of homosexuals being prevented from accessing information and health care in relation to HIV/AIDS in countries where homophobia is still prevalent?
Mr O'Brien
The hon. Lady is quite right that if we are to make prevention equal to treatment, it is vital that we tackle what leads to the problem, whether it is men having sex with men or injecting drug users. Both those matters often lead to some difficult discussions and policy take-up in countries that do not wish either to discuss or to accept them—
David Rutley (Macclesfield) (Con)
T5. Can my right hon. Friend the Secretary of State tell the House what progress is being made on encouraging other Arab nations to provide much-needed humanitarian aid in Libya?
Mr Andrew Mitchell
In the last two weeks, the humanitarian position in Libya has eased, particularly on the border, which some 950,000 migrant workers have left. Today, under 6,000 people are stuck on the border, so a humanitarian crisis has been avoided.
In general, we encourage all countries to play their roles in providing humanitarian support and to put their taxpayers’ money into those funds. Progress on that is good.
Mark Durkan (Foyle) (SDLP)
Given the sensitive time line for change in Sudan, what commitments can the Secretary of State give to people there, and particularly to those in Abyei?
Mr Mitchell
I visited South Sudan and north Sudan recently with troika Ministers from Norway and the US. The position in Abyei is extremely tense at the moment, and we call on all parties to desist from taking aggressive action and to approach the negotiations in a spirit of good will and compromise. That is the way to reach the birth of the new state on 9 July and the full completion of the comprehensive peace agreement.
The Prime Minister (Mr David Cameron)
I am sure the whole House will wish to join me in paying tribute to the following brave servicemen who have died in Afghanistan since we last met: Colour Serjeant Kevin Fortuna and Rifleman Martin Lamb from 1st Battalion The Rifles; Lieutenant Oliver Augustin, Marine Samuel Alexander and Lance Corporal Martin Gill from 42 Commando, Royal Marines; and Corporal Mike Pike from 4th Battalion, The Royal Regiment of Scotland. All of them were dedicated professionals serving our country. Their deaths are a reminder of the very high price that we are paying to stop Afghanistan being a haven for terrorists. We honour their memory and we will support their families, and we will not forget their service and their sacrifice.
This morning, I had meetings with ministerial colleagues and others, and in addition to my duties in this House, I shall have further such meetings later today.
Jackie Doyle-Price
May I associate myself with the Prime Minister’s tribute to our fallen soldiers? We do indeed owe them a great debt.
We are reminded on a daily basis that not everyone in the world is as fortunate as we are in respect of the freedoms that we enjoy in this country. In particular, I should like to highlight the absolute horror of the images of the 13-year-old boy who was tortured by Syrian Government forces in recent weeks. Will the Prime Minister give me his assurance that he will use every influence he has to ensure that the international community condemns the activities of the Syrian Government and demands that their reign of terror ends?
The Prime Minister
My hon. Friend speaks for the whole House in what she says about those dreadful pictures of that poor boy. There are credible reports of 1,000 dead and as many as 10,000 detained. The violence being meted out to peaceful protesters and demonstrators is completely unacceptable. Of course, we must not stand silent in the face of those outrages, and we will not. The EU has already frozen the assets of, and banned travel by, members of the regime, and we have now added President Assad to that list. However, I believe that we need to go further, and today in New York, Britain and France will table a resolution at the Security Council condemning the repression and demanding accountability and humanitarian access. If anyone votes against that resolution or tries to veto it, that should be on their conscience.
Edward Miliband (Doncaster North) (Lab)
May I join the Prime Minister in paying tribute to Colour Serjeant Kevin Fortuna and Rifleman Martin Lamb from 1st Battalion The Rifles; Lieutenant Oliver Augustin, Marine Samuel Alexander MC and Lance Corporal Martin Gill from 42 Commando, Royal Marines; and Corporal Michael Pike from 4th Battalion, The Royal Regiment of Scotland. They all showed enormous bravery and courage, and our thoughts are with their families and friends. As the Prime Minister said, that number of deaths once again demonstrates the bravery of all our forces in Afghanistan and elsewhere around the world.
We read in the newspapers today that the Prime Minister has torn up the Justice Secretary’s policy on sentencing. Has he?
The Prime Minister
What we want is tough sentences for serious offenders. This Government produced a consultation paper—there was wide consultation and widespread support for many of the proposals that it made—and in the coming weeks, we will publish our legislation.
Edward Miliband
But we read in the newspapers today that the Prime Minister has torn up the Justice Secretary’s proposals because he felt that he had to step in—and frankly I can see why. There is widespread public concern about the proposal to cut by 50% sentences for those who plead guilty. The consultation ended in March. The Justice Secretary was advocating the policy two weeks ago. Has the Prime Minister torn it up, yes or no?
The Prime Minister
The right hon. Gentleman should do something more useful than just read the newspapers. One response to the consultation paper came from the shadow Justice Secretary, the man sitting next to him, who said that it is
“a perfectly sensible vision for a sentencing policy, entirely in keeping with the emphasis on punishment and reform that Labour followed in government”.
Why the sudden U-turn?
Edward Miliband
The Prime Minister knows, and the whole country knows, that he is in a total mess on his sentencing policy, just like on all of his other crime policies. I now want to ask about another area where he is in a complete mess. Why has he made such a mess of his health plans?
The Prime Minister
I am not surprised that the right hon. Gentleman wants to move on because on the first subject he was found guilty. On the issue of discounts, it was the last Government who introduced a 33% discount—a third—on sentences. So there is more than a whiff of jumping on a bandwagon.
Bandwagon No. 1 hit the buffers, so let us turn to bandwagon No. 2. Yes, we are having a review of the plans that we announced on health: we want to get them right. I have to say again that there has been widespread support for the review of our health plans, not least from the man sitting four down from the right hon. Gentleman, the shadow Health Secretary—I know I often quote him—who said that
“looking at the evidence of what works, listening hard to those who know the NHS and learning from the views they get…is not rocket science. It’s simply good government”.
What the right hon. Gentleman calls a shambles, his shadow Health Secretary calls good government. The right hon. Gentleman is not really in command of the ship.
Edward Miliband
I asked the Prime Minister why he had made such a mess of his health proposals. The first reason he made such a mess of his health proposals is the promises he made before the election. We all remember the Prime Minister touring round the country promising no more top-down reorganisations. A year before the election, he told the Royal College of Nursing:
“There will be no more of those pointless top-down reorganisations that aim for change and instead bring chaos”.
Why did he say that?
The Prime Minister
What the Royal College of Nursing said yesterday was a welcome for the speech that I made. The reason that we are able to improve the NHS is not only that we are committed to reform, but that we are also committed to more funding. The Labour party is in favour of cutting funding to the NHS. If the right hon. Gentleman wants to look at what is happening in the NHS, Wales is now only one part of the country that is controlled by Labour and there waiting lists are massively up and health spending is being cut. That is what Labour would do to the NHS.
Edward Miliband
I will tell the Prime Minister why he made promises that he then broke—because he is completely shameless and he will say anything. The second reason he has made a mess of the health service is because he did not think the policy through. Last June, he ordered the NHS to stop enforcing Labour’s 18-week waiting time target. As a result, the number of patients waiting more than 18 weeks has gone up by 69%. Why did he scrap the instruction to enforce the waiting time target?
The Prime Minister
The best that can be said about this performance is that—quite rightly—the right hon. Gentleman was not thinking about politics on his honeymoon. On waiting times, what actually matters is the time people wait and median waiting times are down. That is what has happened in the NHS, and that is something that he misled the House of Commons about a fortnight ago—
Mr Speaker
Order. I know that the Prime Minister will be a follower of parliamentary protocol, and he will not suggest that the Leader of the Opposition misled the House of Commons. I am sure that he will withdraw that remark.
The Prime Minister
What I meant was that the right hon. Gentleman gave an interesting use of facts on waiting times, which are down in the NHS. What we are seeing today is simply empty opposition and weak leadership. That is what we get from Labour.
Edward Miliband
The whole House will note that the Prime Minister did not withdraw his remark. He is obviously rattled over the health service. It is no wonder he is rattled, because he is making a complete mess of it, and everybody up and down the country knows it. What is the most important reason he is making a mess of the health service? However much he says he loves the NHS, and however many times he says it, the truth is that he has the wrong values. He wanted to put a free market free-for-all at the centre of our health service, and any changes he makes now are not because he wants to make them, but because he has been found out. We know all we need to know about this Prime Minister from what he has done on the NHS: he breaks his promises; he does not think things through; he is reckless; and he has got the wrong values. I will hand it to him though. After one year, he has proved the oldest truth in politics: you can’t trust the Tories on the NHS.
The Prime Minister
This side of the House will not take lectures from a party that, when in government, gave £250 million to private sector companies for doing nothing. That is what happened. What we have heard today is just a series of bandwagons, and anyone who is watching this knows that it is this Government who are boldly making reforms in the public sector; who are dealing with the deficit; and who are reforming welfare, and what do we get from the Labour party? Where is the right hon. Gentleman’s plan for the NHS? There is not one. Where is his plan for reforming welfare? Nothing. Where is his plan for higher education? Nothing. All we get is empty opposition and weak leadership, and the country can see it.
Mr Robin Walker (Worcester) (Con)
Q2. Following the welcome introduction of the pupil premium, some head teachers in Worcester tell me that owing to long-term underfunding from the previous Government’s flawed formula, the money is needed to make ends meet and cannot be spent on the deprived pupils it was meant for. Can the Prime Minister assure schools in both Worcester and Witney that the Government will not just consult on that formula, but reform it and correct a problem that has been too wrong for too long?
The Prime Minister
My hon. Friend makes a good point about a serious problem in our country. He is right to welcome the pupil premium, which will put more money in all our schools, particularly those that have many children from free-school-meals backgrounds. However, the current problem with the discrepancy of funding means that at present there can be a difference of £1,800 per pupil between the best-funded school and the worst-funded school. We want to reform the school funding system, and we want to do it in a fairer and more logical way. I am determined that we will make progress on this.
Mr Chuka Umunna (Streatham) (Lab)
I have come here from meeting the family of my 18-year-old constituent, Nana Darko-Frempong, who was fatally shot outside his block of flats on Monday. I am sure that the whole House will want to send its condolences to his family. I raised a similar case with the Prime Minister this time last year. This senseless loss of life is completely and utterly unacceptable, yet it continues, and rightly or wrongly there is a perception that, on all sides of the House, we are not getting to grips with the root causes of this problem, which is blighting our inner-city streets. What reassurance can he give my constituents and the country that the Government are doing all they can to stop this senseless loss of life.
The Prime Minister
The hon. Gentleman is absolutely right to bring this case to the House of Commons, and I join him in sending condolences to his constituent’s family on their appalling loss. He is absolutely right that the level of gun crime and knife crime in our country, particularly in inner-city areas, is unacceptable. I do not think there is one single answer. Of course, we have to ensure that the police do everything they can to search for guns and knives and have a zero-tolerance policy, but we also have to look at where these problems are coming from, including the growth of gangs in our cities and the fact that in too many cases people are looking to gang, rather than to family and community. It is incumbent on us all to try and work out how we can strengthen the fabric of our communities, starting with our families.
Richard Harrington (Watford) (Con)
Q3. Will my right hon. Friend the Prime Minister advise me on whom to listen to on the UK’s economic policy? Should it be the experts in the International Monetary Fund or the letters page of The Guardian? [Interruption.]
The Prime Minister
My hon. Friend was being shouted down because the Labour party does not want to hear what the International Monetary Fund said about the British economy. It said:
“Strong fiscal consolidation is underway and remains essential to achieve a more sustainable budgetary position”—
[Interruption.] Members ask me to read the rest, and I will read the rest. The IMF put the question specifically:
“This raises the question whether it is time to adjust macroeconomic policies”—
the question put by the Labour party—and it said this: “The answer is no”. The IMF could not be more clear in backing the policies that we are pursuing to get this country back on track.
Lindsay Roy (Glenrothes) (Lab)
Q4. What message does the Prime Minister have for the hundreds of women in my constituency in their mid-50s who feel that they have been unjustly thwarted by the extension of their retirement age, contrary to the coalition agreement?
The Prime Minister
What I would say is that the first decision was taken in 1995, when there was all-party agreement that we should equalise men’s and women’s pension ages, and that was done over a long period of time. The second point is that it is right to lift the pension age for men and women to a higher level more rapidly than the last Government decided. However, the key fact is that 85% of the women affected are going to lose one year or less in terms of their pension. The last point that I would make is this. Because we have linked the pension to earnings, people who retire today will be £15,000 better off than they were under the policies of the last Government.
Mr Philip Hollobone (Kettering) (Con)
Q5. Why do magistrates have to retire at the age of 70, when the Lord Chancellor, who appoints them, is 71 this year?
The Prime Minister
The point that I would make to my hon. Friend—I speak as someone whose mother served as a magistrate for over three decades—is that it is important to get turnover in the magistracy so that new people come in. To be fair to my right hon. and learned Friend the Lord Chancellor, he has been in his job for only a year. He is doing a superb job, and I can tell the House that there is plenty more fuel in his tank.
Mr Michael McCann (East Kilbride, Strathaven and Lesmahagow) (Lab)
Q6. The Prime Minister has an aspiration of making his Government the greenest ever. Meantime, Proven Energy, a small wind turbine company in my constituency, is making 10% of its staff redundant, not because it does not have a great product, but because planning applications for its product are stuck in town halls and bureaucracy all over the United Kingdom. Will the Prime Minister meet me and members of the Proven Energy team to discuss how we can find a solution?
The Prime Minister
I am very happy to ensure that someone from the Department for Business, Innovation and Skills—or, indeed, the Department of Energy and Climate Change—speaks with the company in the hon. Gentleman’s constituency. We are reforming the planning system to try to speed up these processes. We want to ensure that local people benefit when turbines are built, so that they have a share in the success of a scheme. Also, the Government are taking action to attract manufacturers of wind turbines to the UK—for instance, by putting £60 million into our ports infrastructure—and I am talking personally to those manufacturers to try to bring them to Britain.
Annette Brooke (Mid Dorset and North Poole) (LD)
Q7. Notwithstanding the Prime Minister’s previous answer, I would, as a woman not affected by the current pension proposals, like to ask him personally to review this particular proposal, because of the injustice and discrimination against women. The group of women affected, who were born between 1953 and 1954, will be asked to work up to two extra years over and above what they had planned for, whereas men will be asked to work only an extra year. It is the discrimination that concerns me.
The Prime Minister
I do understand the point that the hon. Lady makes, but let me make this point. First, in general, the reason for raising pension ages is twofold: one is that we are seeing a huge increase in life expectancy, but the second point is that we want to ensure that we can fund really good pension provision for the future, and if we do not do this, we will not be able to. Let me repeat the statistic: four fifths of the women affected by the proposals will have their state pension age increase by a year or less. The reason, as she says, that there is this difficulty is that those two things—the equalisation of the pension age and the raising of the pension age—are coming together, but that is enabling us to link the pension with earnings, thus meaning that people will be £15,000 better off than they were under Labour’s plans.
Nic Dakin (Scunthorpe) (Lab)
Q8. Given 1,200 job losses at Tata in Scunthorpe and further job losses in the private and public sectors in north Lincolnshire, will the Prime Minister meet with the taskforce chair and local MPs, so that he can understand how his Government can help the local economy face these demands positively and respond positively to future challenges?
The Prime Minister
I shall be happy to do that, because I am extremely disappointed—as I know the hon. Gentleman and others are—by the job losses in Scunthorpe. I spoke personally to Ratan Tata about the decision.
Tata Steel is still hugely committed to the United Kingdom. It is still investing hundreds of millions of pounds in our country, which I think is wholly welcome. Obviously, however, what has happened in Scunthorpe is not welcome, and we must do all that we can to bring the taskforce together—I know that my right hon. Friend the Business Secretary is doing that—to ensure that we do everything we can to mitigate the impact on local jobs and local communities.
James Wharton (Stockton South) (Con)
Q9. I am sure the Prime Minister agrees that there should be no place for corruption in football. Given that the re-election of Sepp Blatter has brought FIFA even further into disrepute, will he take this opportunity to voice his support for those who are calling for the reforms that we need in order finally to show Mr Blatter the red card?
The Prime Minister
I have personally seen football governance at an international level, and I was not that impressed by what I saw.
FIFA’s reputation is now at an all-time low, and obviously the election involving just one candidate was something of a farce. FIFA must become more transparent and more accountable. It must prove that it is capable of doing the job that it is meant to do. Ultimately, however, change must come from within football, and I am sure that the Football Association will want to play a major role in helping to bring that about.
Mr Virendra Sharma (Ealing, Southall) (Lab)
Q10. I love the NHS and I love my local hospital, Ealing hospital. I was delighted to learn that the Prime Minister also thinks highly of Ealing hospital, and that he chose it as the place in which to deliver his speech on the Government’s NHS reforms. Given his personal experience of the high quality of services that Ealing hospital provides, will he assure the House that, faced with budget pressures and merger proposals, it will not close or lose its accident and emergency and other key services?
The Prime Minister
I enjoyed my visit to Ealing hospital, and was impressed by what I saw. There are no plans to close the hospital. Indeed, a new urgent care centre is due to open in July, and the maternity unit has a phased redevelopment programme in process.
As the hon. Gentleman knows, any proposals relating to any hospital must go through a proper process involving public and patient engagement, sound clinical evidence, support by the GP commissioners, and support for patient choice. That is the process that must be followed. As I have said, however, there are no plans to close the hospital.
Gareth Johnson (Dartford) (Con)
Q11. The Prime Minister will be aware that one in seven couples in the United Kingdom suffer from infertility problems, but, notwithstanding that fact, three quarters of primary care trusts do not provide the recommended three cycles of IVF treatment. Will the Prime Minister join me in calling on all PCTs to follow the National Institute for Health and Clinical Excellence guidelines and provide sufficient treatment for infertile couples?
The Prime Minister
I will certainly do that. My hon. Friend is right to raise an issue that affects a huge number of people in our country. We have all encountered constituency cases in which people are frustrated by local guidelines. The deputy chief executive of the NHS is writing to all primary care trusts reminding them of the NICE guidance and its recommendations, and I think that that is very important. Of course some PCTs have worse deficits than others and have a more difficult process to follow, but we want to ensure that everyone has access to this treatment.
John Woodcock (Barrow and Furness) (Lab/Co-op)
Q12. After four years, 15-year-old Alice Pyne, who lives in my constituency, is losing her battle against cancer. She has posted online her “bucket list”, a simple wish list of things that she wants to do before it is too late. She wants to meet Take That, to own a purple iPod and to enter her dog in a labrador show, but at the top of the list is a call for everyone to sign up to be a bone marrow donor. Will the Prime Minister work with the Leader of the Opposition and me to find out why too few people are currently on that life-saving register?
The Prime Minister
I will certainly do that. I am very sorry to hear about the situation facing Alice and what she is going through. Our thoughts go out to her and to her parents. She sounds like a very brave and very admirable person.
We want to get as many people as possible on to the bone marrow register. This year we are investing some £4 million of new money to improve donation processing and services for NHS patients. However, this is partly to do with a cultural and population change that we must help to drive, and I am sure that the Leader of the Opposition and I can discuss that.
Simon Hart (Carmarthen West and South Pembrokeshire) (Con)
The Prime Minister will be aware of the terrible explosion at the Chevron refinery in Pembroke last week, as a result of which four people died and one was seriously injured. Will he join me in extending condolences to the families and colleagues of those concerned, and also in commending the safety record of Chevron and its new owner, Valero, in what is a pretty difficult industry?
The Prime Minister
I will certainly do that. This was a tragic incident, and, on behalf of the whole House, may I join my hon. Friend in paying tribute to his constituents and expressing our deepest sympathies to the families of those who have been affected? I am sure there will be lessons to learn, but as my hon. Friend said, the company has had a good safety record, and in an industry in which there are inherent risks. I will be happy to discuss the issue with him.
Mr Russell Brown (Dumfries and Galloway) (Lab)
Q13. What does it say about our society when a BBC documentary on child poverty ends with a child saying: “And I don’t want to grow up”?
The Prime Minister
It says that, frankly, we need to do far more to tackle child poverty, not just here in the UK, but around the world. That is one of the reasons why, despite difficult spending decisions, we have maintained the pledge of increasing our aid budget to 0.7% of gross national income by 2013. That is a difficult pledge to make, but I think that, even at times of difficulty, we should not break our promises to the poorest people in the world.
In terms of child poverty here in Britain, the biggest challenge today is not just benefit levels, but mobility: how do we help people get out of poverty and stay out of poverty? That is why this Government are putting so much emphasis on measures such as the pupil premium, which will actually help people build themselves a better future.
Mark Pawsey (Rugby) (Con)
Q14. I have the honour of representing the only town to have given its name to an international sport: rugby football. Under the union code of the game, the home nations are preparing for the world cup later this year. Will the Prime Minister join me in expressing gratitude to the New Zealand authorities for proceeding despite the recent earthquake, and will he also join me in hoping that at the end of the tournament the Webb Ellis trophy will be making its way back home?
The Prime Minister
I certainly endorse what my hon. Friend says, and I will do everything I can to support our rugby team. I very much hope the trophy will be coming home—[Interruption.] Calm down. I very much hope the trophy will be coming home to one of the nations of the United Kingdom. When I met the Prime Minister of New Zealand, he kindly gave me an All Blacks shirt, but his advice was, “Whatever you do, don’t be seen wearing this”, and I think I will take that advice.
Mr Tom Watson (West Bromwich East) (Lab)
As the Prime Minister has previously said, the hacking inquiry should go where the evidence takes it. The Metropolitan police are in possession of paperwork detailing the dealings of criminal private investigator Jonathan Rees. It strongly suggests that, on behalf of News International, he was illegally targeting members of the royal family, senior politicians and high-level terrorist informers, yet the head of Operation Weeting has recently written to me to explain that this evidence may be outside the inquiry’s terms of reference. Prime Minister, I believe powerful forces are involved in a cover-up; please tell me what you intend to do to make sure that that does not happen.
The Prime Minister
I know the hon. Gentleman takes a close interest in this subject, and the point I would make to him is that there is a police inquiry, and a police inquiry does not need terms of reference. The police are free to investigate the evidence and take that wherever it leads them, and then mount a prosecution with the Crown Prosecution Service if the evidence supports that. In the case of phone hacking, which is illegal and wrong, there have been prosecutions and imprisonments, and if that is where the evidence takes them, that is what will happen in the future. There are no terms of reference as far as I am concerned; the police are able to look at any evidence and all evidence they can find.
Mr Marcus Jones (Nuneaton) (Con)
The Prime Minister will recall visiting Nuneaton town centre on several occasions, and he will be glad to hear that it is surviving well, with a comparatively low level of vacant premises, but our town centres are facing a vital and difficult challenge from the out-of-town stores and the internet. Given those challenges, will my right hon. Friend assure the House that this Government will be a keen supporter of our town centres?
The Prime Minister
I can, and my hon. Friend speaks powerfully not just for Nuneaton, but for all town centres and all Members who represent constituencies with vibrant town centres. We want to keep them, rather than see everything go out of town. There are two steps we need to take. One is to make sure local people have a real say in the planning process, so they can decide where future development goes. Secondly, we should continue the steps that my right hon. Friend the Chancellor has been pioneering in terms of rate relief, to help local shops in our high streets so we do not end up with identikit high streets, but instead have thriving town centres such as Nuneaton, which I so enjoyed visiting with my hon. Friend on a number of occasions.
Ms Gisela Stuart (Birmingham, Edgbaston) (Lab)
The chairman of the Georgian Parliament is in London this week, and, indeed, is following our proceedings. Some Members of this House went to Georgia during the recess. When the Prime Minister goes to Moscow later this year, will he remind Russia of the commitment it gave in 2008 to withdraw its troops and stop the occupation in Georgia?
The Prime Minister
I will certainly do that. I well remember myself going to Tbilisi when the Georgians were under so much pressure from the Russians, and standing up with them, recognising that Georgia is a country that wants to be a democracy; it wants to be an economic success story; it wants to join NATO; it wants to be able to look west, as well as east; and it wants to have good relations with its neighbour. I am delighted that the hon. Lady is meeting representatives from the Georgian Parliament. I myself have met Georgia’s President Saakashvili on several occasions, and I will certainly make my views clear on the issue of Georgia, if I visit, and when I visit, Russia later this year.
Mr Stephen Dorrell (Charnwood) (Con)
Does my right hon. Friend agree that the key challenge facing the national health service is how to convert this Government’s welcome commitment to year-on-year growth of real resources into improving productivity and improving quality of care for patients? Did the key to delivering that not lie in my right hon. Friend’s speech yesterday: in his advocacy of more integrated and less fragmented care? Will he continue to—
Mr Speaker
Order. We are grateful to the right hon. Gentleman—I think we have got the thrust of it.
The Prime Minister
My right hon. Friend’s support for the reforms is hugely welcome, and I know that he follows these issues very closely. It was not just he who welcomed the speech that I set out yesterday: also, I had express support from the Royal College of Nursing, the Royal College of Physicians, the NHS Confederation, Macmillan Cancer Support and Breakthrough Breast Cancer. I think we are seeing a coming together of people who care about the health service, who use the health service, of professional bodies in the health service, who can see that this Government are listening, getting their changes right and will add the money that is required—and that only we are committed to—with the reforms that are necessary to make sure the NHS can go on and thrive in future.
Ian Paisley (North Antrim) (DUP)
The Prime Minister will be aware of the dastardly murders of senior police officers Breen and Buchanan, and the subsequent public inquiry, established in consultation between this nation’s Government and the Irish Republic’s Government. Will he make sure that nothing is allowed to impede Anglo-Irish relations by making personal representations to the Prime Minister of the Irish Republic, such that they cannot restrict the time, the effort and the money put into that inquiry, so that we can get to the truth and find out how those two brave police officers were murdered in so dastardly a way?
The Prime Minister
I will certainly look very carefully at the issue the hon. Gentleman raises. There is still, on all sides in Northern Ireland, and indeed in the Republic, huge concern about things that happened in the past. Often, people ask for an inquiry, a public inquiry or a process. I think in most cases, what people really want is the truth. I found with the issue of the Saville inquiry that what really mattered, actually, was not the £120 million, the five years and all the rest of it. What people wanted was the unvarnished truth, so then they can come to terms with what happened in the past. I have said that I do not want to see further open-ended inquiries; but I do think there is still more that we can do to uncover and be frank about the truth, and that goes for us on all sides of this debate.
Mr Speaker
I appeal to hon. Members leaving the Chamber to do so quickly and quietly, affording the same courtesy to the hon. Member for Portsmouth North (Penny Mordaunt), who is about to introduce her ten-minute rule Bill, that they would want to be extended to them in such circumstances.