(4 days, 18 hours ago)
Lords ChamberThe noble Lord knows that, when Andrew Mitchell launched his international development White Paper, he repeatedly said that he did it in consultation. I do not recall the consultation, but I was very happy with the contents of the White Paper. As the noble Lord knows, the new Government are absolutely committed to drawing from its elements. That is why we have asked for an international development review from a Cross-Bench Peer—I have a mental block and cannot remember her name. We are committed to a review that will, I hope, be published in the new year, and it will reflect and build upon that. I know that there is banter in competitive Opposition/Government politics, but one thing we are absolutely determined to do in the international development space is ensure the long-term picture. Far too often there has been short-termism; so much of our international development work requires a longer-term strategy, so we will build upon it.
My Lords, while we cannot undo the painful wrongs of the past, did the meeting consider the question of slavery that continues today? Is there a move across the Commonwealth to ensure that people are properly paid for the work that they do?
I am pleased that the noble Baroness has asked that question, because I think that is absolutely right. Modern slavery was addressed, and certainly when I addressed some of the civil society groups, we looked at that issue. However, it is not just about issues of modern slavery, which is outrageous; it is also about the exploitation of workers across the board. Supply chains and labour have been a real focus, which is why I found the meeting with the Commonwealth Trade Union Group and other trade unionists in CHOGM really interesting. They were concerned that we work within the ILO, promote ILO conventions and ensure that those supply chains truly reflect our aspiration for people to be delivered sustainable development goal 8 in terms of fair employment. That was absolutely discussed, and it was a very positive exchange.
(2 years, 9 months ago)
Lords ChamberMy Lords, I support Amendment 268, to which I have added my name, and thank the noble Lord, Lord Hunt, for moving it so eloquently. I also support the two other amendments in this group.
I declare my interest as chair of ISCAS—the Independent Sector Complaints Adjudication Service—and because I have been involved personally in two clinical negligence situations. The first involved a death. We did not take legal action but tried to get answers. Answers were very difficult to obtain because all the papers that the hospital had disappeared. On the second, we had to take legal action.
Amendment 288 will, as discussed, do exactly what it says on the tin. It will ensure an independent review of the process for handling clinical negligence. The present situation where the only solution is to resort to law to get damages is far from satisfactory. Where a patient sustains damage, as my noble friend Lady Cumberlege so eloquently explained, the impact on them and their family is utterly devastating. In some cases, there is a need to get damages, because the situation means that there are ongoing costs for ongoing care, as we have just heard. They need financial help in these situations. Legal cases can often take years to settle. The one that I helped with took five or six years going over and over what happened, going to endless meetings, going to meetings with the lawyers and chasing the lawyers, who seemed to have dropped it. It was unbelievably stressful. I cannot think that anybody would want to go down that route unless they really had to. For the patient, if they are still alive, or the relatives, it means reliving and reliving the incident on top of coming to terms with the damage that has been inflicted.
Moreover, I understand that the costs of medical negligence have quadrupled in the last 15 years to £2.2 billion in 2020-21, equivalent to 1.5% of the NHS budget. I understand that about 25% of this goes on legal fees. I believe we urgently need to find a better way to deal with these cases, rather than resorting to the law. Not only do long, drawn-out legal wrangles put patients through years of unnecessary stress, but huge legal fees eat into the resources that should be available for front-line care.
An independent review would hopefully be able to examine and deliver a more satisfactory solution for patients and the NHS alike, and I hope the Minister can support this amendment.
(3 years, 2 months ago)
Lords ChamberMy Lords, this crisis in Afghanistan is a terrible disaster, not just for Afghanistan but for all the international community. It was predictable and preventable, sweeping away 20 years’ work and the money spent there with, of course, the tragic loss of life, both military and civilian, as well as life-changing injuries. The scenes from Kabul are chilling: the panic, the chaos, the fear. The immediate reaction has to be to help on the humanitarian front, and I commend the Foreign Office and our military for all their outstanding work.
We must act fast—there are so many in danger. The world has ignored that, for some time now, the Taliban has been targeting women, Hazaras, university graduates and those who worked in the military and for the Government. As well as extracting people to the West, can we not persuade countries in the region to help, as was the case with Syria? The Taliban now says that it has changed, but look at the atrocities it has recently perpetrated on the ground: hands being severed, people hanged at the entrance to cities, young girls seized to be married to fighters, and other barbarous acts. In Kabul, I understand, prominent government officials’ doors have been spray-painted. This does not bode well.
There are so many questions. Was the US announcement to withdraw unilateral, and if so, why did the UK not speak out then? Was there intelligence that this would happen? How is the Taliban so well organised, so well equipped, so well informed, and so logistically able? This calls for an inquiry to understand better why the West has so comprehensively failed. Now that there is to be a transitional government, please can the UK ensure that we have another Security Council debate, perhaps to put in a UN peacekeeping force to ensure that there is an end to violence and human rights abuse? Can we try to get a human rights observer into every province in the country?
I welcome the announcement about aid, but can we ensure that any given to the Afghan Government will be conditional on ending violence and ensuring that human rights are upheld? Most at risk are the courageous women of Afghanistan; we encourage them to challenge their society and come forward to take their place in public life. I received an email this morning, which said: “In the past two days, different groups have visited my house three times. They took my house, my vehicles, the safety weapons of my guards.” This woman is terrified, and it is not just high-profile women in danger; it is illiterate women and widows. All the women are in fear of their lives and will lose their freedom.
While I welcome the Prime Minister’s announcement yesterday, can we ensure that it includes vulnerable women peacebuilders, supported through the UK’s work on women, peace and security? How will the UK’s humanitarian response deliver for women and girls? How will we ensure that girls’ education there is not reversed? We must not abandon the women of Afghanistan—we owe them our support.