United Nations World Humanitarian Summit

Baroness Verma Excerpts

Tuesday 12th April 2016 Lords Chamber

[Lord McConnell of Glenscorrodale]

To ask Her Majesty’s Government who will represent the United Kingdom at the United Nations World Humanitarian Summit in Istanbul in May.

[The Parliamentary Under-Secretary of State, Department for International Development (Baroness Verma) (Con)]

My Lords, the UK is committed to making the World Humanitarian Summit a success and we will send high-level representation to Istanbul. We are progressing a strong agenda for humanitarian reform, including a new approach to protracted crises. Last week we hosted a forum at Wilton Park on protracted displacement and at the end of this week we will co-host, with the World Bank, the third grand bargain Sherpa event in Washington DC.

[Lord McConnell of Glenscorrodale (Lab)]

Secretary-General Ban Ki-moon has stressed that this summit, the first of its kind in the 70-year history of the United Nations, has to deal with the urgency of these complex challenges and the scale of the suffering that we see around the globe. He has called on global leaders to,

“act decisively, with compassion and resolve”.

Given that the UK is one of the biggest donors of development aid to humanitarian crises around the world, and given that the British public have consistently shown a generosity that is unmatched in most of the world, will the Prime Minister take a lead and attend the summit? It might give him a slight distraction from some of his current troubles.

[Baroness Verma]

My Lords, as I have already mentioned, there will be high-level representation at the summit.

[Lord Chidgey (LD)]

My Lords, UN member states have agreed that the summit in Istanbul must reinforce the outcomes of the 2030 Agenda for Sustainable Development and the Paris agreement on climate change. Therefore, will the Government be ready at the summit to commit to action, subject to mutual parliamentary scrutiny and accountability, in what will be the first major opportunity to give meaning to the principle of “Leave no one behind”?

[Baroness Verma]

My Lords, the noble Lord is absolutely right. This is a very important summit. It will tackle a lot of issues, including the agreements that were reached at Sendai and Paris, to ensure that those strong linkages between the disaster risk reduction and climate change adaptation agendas continue. On the wider point, it is about making sure that the reforms that are required to ensure preparedness for future crises are also part of the bigger reform agenda. As I said, we also need to encourage other partners and donors and the private sector to step up to the mark.

[Lord Lansley (Con)]

My Lords, does my noble friend the Minister agree that the British representative at the humanitarian summit will be able, by virtue of having met our commitment to the 0.7% GDP target, to give a lead to others, and that it is very important that we give that lead in May? Does she also agree that one of the projects that we should take on with our commitment of future resources is to increase the supply of expert humanitarian aid co-ordinators so that there is a corps in place not only for dealing with crises when they happen but of sufficient numbers that they can stay in place and help with the recovery from crises in some of the most desperate areas?

[Baroness Verma]

I am extremely grateful to my noble friend for the points he has raised, particularly on the 0.7% commitment that we have managed to embed and deliver. He is also right that we need to prepare ourselves for future crises but also help build resilience in infrastructure in countries that really need it, particularly in their health systems. My noble friend is absolutely right that we need to make sure that we not only support people with the skills but prepare people locally to have those skills.

[The Lord Bishop of Coventry]

My Lords, in his pre-summit report, referred to by the noble Lord, Lord McConnell, the United Nations Secretary-General urges world leaders not to underestimate or, worse, override the work of local organisations in dealing with humanitarian crises, because they are the best placed to shape programmes in culturally sensitive ways, as we saw in the Ebola crisis. Yet currently only 0.02% of humanitarian aid is passed through local organisations. Can the Minister reassure us that at the summit—whoever represents us—the Government will support the call made by leading NGOs to raise this to 20%? Will that be part of the new approach of which she speaks?

[Baroness Verma]

My Lords, the right reverend Prelate is right that we need to ensure that we do not miss out on the local support groups on the ground. We have a mixture of packages. There is some work that the multilaterals are better placed to do. Of course, as the right reverend Prelate said, it is also important that local-led community groups are properly supported. DfID support will be there to ensure that not only are we urging others to step up to the mark to support these local groups but we are doing that ourselves.

[Baroness Coussins (CB)]

My Lords, when the Minister last referred to the Istanbul summit in this House, she mentioned that one of the themes on the agenda would be the protection of civilian populations. Would Her Majesty’s Government be willing to table an item on the agenda in Istanbul about the need to protect the civilian interpreters in conflict zones?

[Baroness Verma]

My Lords, the noble Baroness raises a point that is well above my own pay grade but I will take that back to the department.

[Baroness Kinnock of Holyhead (Lab)]

My Lords, does the Minister agree that the summit is an opportunity to focus on making humanitarian action more effective and inclusive and, as Ban Ki-moon has said—I, too, quote him—“to transform the lives” of those who are most at risk and in danger of being “left behind”? Does she agree that it is a potential turning point in our ability to prevent and end crises, and to tackle vulnerability?

[Baroness Verma]

Yes, my Lords, the noble Baroness sums it up rather well. It is an opportunity, but one that we must all take. The UK has often been at the forefront of it all. We really need to push harder for other donors to step up to the mark, but also to involve the private sector and strengthen the civil society organisations on the ground.

[Lord Collins of Highbury (Lab)]

My Lords, clearly the focus at the summit will be on the Middle East and Syria but there are of course unfolding crises throughout the world, particularly in the east of Africa. The Minister mentioned the Sendai framework. Can she tell us a bit more about how committed the UK Government are to ensuring that this framework is properly operated, and will she continue to support the European Union’s efforts to ensure that it is implemented?

[Baroness Verma]

My Lords, the noble Lord is right that we must not take our eye off any crises. As demonstrated by the department in which I have the privilege of being a Minister, we have shown that leadership. We have provided an extra £150 million to prepare for and mitigate the impact of some of the crises caused by the El Niño-related climate shocks in Africa. But, again, we cannot do things on our own; we really need to get others to support strongly the work that we in the UK Government are doing. I agree with the noble Lord, but we need others to be reminded constantly that they have a duty, too.

Sendai Framework for Disaster Risk Reduction

Baroness Verma Excerpts

Tuesday 22nd March 2016 Grand Committee

[The Parliamentary Under-Secretary of State, Department for International Development (Baroness Verma) (Con)]

My Lords, I, too, thank my noble friend Lord Selborne for securing this debate, and I thank all noble Lords for their excellent contributions. The debate has demonstrated that we did not need lots of speakers—its quality has been excellent. I share the same breakfast listening in the mornings as the noble Lord, Lord Collins. It was a really interesting programme this morning and I listened to it when I was stuck in traffic, trying to get to the department.

I see on a near-daily basis how the lives of poor people are threatened by the effects of disasters. A changing climate, combined with rising populations, urbanisation, environmental degradation, war and conflict, is challenging progress to end extreme poverty and is tipping more people into crisis. We know that early action and work to build the resilience of countries, communities and people can save lives when disaster hits. Indeed, early action and resilience building helps protect livelihoods, safeguards development gains and offers better value for money.

We have had a range of questions. I hope that I will be able to respond to some of them from my notes. I have also taken note of some of the questions that noble Lords asked, but if I fail to respond to any of them today I undertake to write to noble Lords.

Since 2010 we have significantly improved the quality and speed of our humanitarian response. We have prioritised disaster preparedness. In the new UK aid strategy, we identify strengthening resilience and our response to crises as one of our four strategic objectives. We are committed to doing more to strengthen the resilience of poor and fragile countries to disasters, shocks and climate change.

DfID and the Cabinet Office have worked with the UN Office for Disaster Risk Reduction on developing the Sendai framework. In March of last year my right honourable friend the Minister of State for International Development, Mr Desmond Swayne, spoke at the third UN world conference in Sendai. The framework is coherent with other international processes. It builds international co-operation and global partnerships, strengthens disaster risk governance and takes account of the particular needs of countries that are at risk of conflicts and insecurity as well as natural hazards. It ensures that development investments are disaster-proof.

Over the past five years since the publication of the humanitarian emergency response review, chaired by the noble Lord, Lord Ashdown, my department has focused on building the resilience of poor and vulnerable people to disasters. Here we have seen real leadership. The UK was the first donor country to define and frame disaster resilience, and we have successfully influenced the funding strategies of others. Internally, we have embedded disaster resilience in all our country programmes, integrated resilience in our work on climate change and improved the coherence of our humanitarian and development work.

I have some examples. In Ethiopia we contribute £276 million to a £2.2 billion programme that provides guaranteed employment for more than 8 million people on activities to stop soil erosion and preserve scarce water. This has transformed formerly famine-stricken areas of Ethiopia. El Niño has hit Ethiopia hard, but a combination of this kind of preparedness work and concerted action by the Ethiopian Government and donors has meant that there has been no repeat of the horrific famine of the 1980s.

The noble Lord, Lord Hunt, mentioned Nepal. Prior to the devastating earthquakes in April and May 2015, the UK was already supporting a five-year programme to build Nepal’s disaster management system. This included measures to strengthen legislation on land use and building codes to retrofit key buildings such as hospitals to withstand earthquakes, to build the capacity of the Government and communities to organise, and to pre-position goods and train people to save lives in the immediate aftermath. So when the earthquake hit, the first relief was distributed within hours. When more relief was needed, the humanitarian staging area that the UK had built with the United Nations at Kathmandu airport helped accelerate the response by approximately three weeks. The experience in Nepal shows how the Sendai framework can be implemented and how it can directly save lives.

The UK is also leading the way in understanding and sharing what works best. The Building Resilience and Adaptation to Climate Extremes and Disasters programme, known as BRACED, will help more than 5 million people, especially women and children, cope with the impacts of extreme climate events by creating new coalitions of civil society, government, media, universities and meteorological offices to build community resilience, as the noble Lord, Lord Collins, alluded to in his opening remarks. Lessons from this will be used to improve local and national policies and build institutional knowledge.

But we know that timely responses depend on finances also being in place well before disasters strike. Here, the UK has a strong story to tell, with the Africa Risk Capacity programme using modern finance mechanisms to enable African Governments to obtain natural disaster insurance, reducing the losses incurred by extreme weather events and natural disasters, and helping protect livelihoods. After the poor rains in late 2014, the system paid out £18 million to Senegal, Mauritania and Niger, providing food for 1.3 million people and fodder for nearly 600,000 livestock.

Before I conclude, I will respond to some of the questions asked by noble Lords. My noble friend Lord Selborne asked about the national risk register. He rightly drew attention to the importance of the role that that plays in the discussion on national infrastructure and resilience investment. The national risk register and the national risk assessment are based on, and rooted in, scientific evidence. The Government Office for Science and the broad range of stakeholders that it represents are important partners in delivering a rigorous and evidence-based assessment of the hazards and threats faced by the UK.

My noble friend also asked about DfID building resilience to pandemics such as Ebola. The UK led the international response to the Ebola crisis in Sierra Leone, and we have committed £427 million. The response brought together 10 government departments and four other non-public bodies, along with non-governmental organisations and charities. While huge challenges remain to help Sierra Leone rebuild its economy, the rapid and flexible cross-government UK action helped to save several thousand lives and put a halt to the outbreak of the disease spreading further. We must also pay great tribute to the people of Sierra Leone themselves, who were on the ground working very closely with UK personnel.

The noble Lord, Lord Hunt, mentioned targets and earthquakes. Sendai is designed as a broad framework with guiding principles and priorities for action and increased strengthening of the role of the Science Advisory Group. Our expertise has long played a strong role and will continue to do so, but it is important to ensure that all forms of disaster are covered. We also need to make sure that we work with partners so that they will also be able to strengthen their systems.

The noble Lord, Lord Collins, mentioned gender, and how we are supporting and protecting women and girls in disasters. As the noble Lord is aware, it is a subject very close to my own heart and very much at the centre of all the programmes that DfID is working in. We know that data are limited and that there is evidence that more women are likely to die after a disaster than men. Similarly, child sexual abuse has historically increased after emergencies, perhaps just because of the breakdown of social structures. The risks to survival of transactional sex are high, and the needs of women and girls are often overlooked during humanitarian crises. It is really important not only that we are only constantly mindful of that ourselves but that we remind donor partners with which we work and the countries in which we work that we should not overlook those challenging needs that particularly face women and girls. We are in a unique position, with both humanitarian operations and long-term development programmes, to address the immediate needs of survivors of disasters and those who are prey to sexual violence in emergencies. Ultimately, we need to tackle the underlying root causes of abuse so that gender inequality and discrimination are eradicated.

The noble Lord, Lord Hunt, asked about funding. As he is aware, we have scaled up our support to meet our share of the developed countries’ commitment to provide $100 billion towards climate change activities. That is an increase of 50%, so our own contribution is $5.8 billion.

[Lord Hunt of Chesterton]

Does it focus enough on water?

[Baroness Verma]

My Lords, I hope that our response is comprehensive so that it takes into account all the issues that the noble Lord and indeed all of us should be concerned about on the effects of climate change. I am pretty certain that we will talk to colleagues to get a more detailed answer around the issue of water. While I was a Minister at DECC it was very much part of the wider debate, so I am pretty certain that it is not an overlooked subject matter.

Funding for work in response to climate change, for meeting our commitments and to meet other donors is done through the International Climate Fund. We work with our colleagues at DECC and Defra to make sure that not only do we reduce poverty and provide clean energy but we make sure that we are part of the economic growth agenda. Disaster financing should focus on the vulnerable, the poorest and those furthest away from help. It is likely that, while we are looking at development issues, we need to constantly make sure that humanitarian finance, which is currently under massive strain, is not overlooked and keeps pace with the rising need. Consequently, there is a need for Governments, businesses and individuals to build resilience against these disaster risks and develop rigorous disaster risk management strategies. Plans for risk financing, including insurance, should be an integral part of that.

I think I have run out of time, but I conclude by saying that the UK will meet its commitments under the new UK ODA strategy to strengthen resilience and our response to crises. The world humanitarian summit in May is a once-in-a-generation moment for the UK to showcase its experience and change the way that we work in the poorest and most fragile countries. As we come together to agree new ways of working to save lives and reduce hardship around the globe, the UK will play its role in making the summit a success. I pay tribute to my noble friend Lord Selborne, who reminds us of the work being done but also reminds us not to take our foot off the pedal in making sure that, as a lead development partner, we press other donors to implement and carry out their responsibilities, as the UK so successfully does.

Committee adjourned at 6.37 pm.

Health: Ebola

Baroness Verma Excerpts

Wednesday 9th March 2016 Lords Chamber

[Lord Chidgey]

To ask Her Majesty’s Government what assessment they have made of the principal lessons that can be learned from communities affected by the Ebola epidemic in preparedness for future health crises.

[The Parliamentary Under-Secretary of State, Department for International Development (Baroness Verma) (Con)]

My Lords, the UK’s £427 million response was fundamental to combating Ebola and saving countless lives. We are committed to learning lessons and responding effectively to future crises, and made a critical contribution to better understanding community engagement. Many UK nationals worked bravely alongside Sierra Leonean communities and health workers, and I pay tribute to their phenomenal work. Part of our £240 million economic recovery programme will help strengthen local health systems, and help communities to hold government to account.

[Lord Chidgey (LD)]

My Lords, I am grateful to the noble Baroness for her reply and for her consideration of the report of the All-Party Parliamentary Group on Africa on lessons to be learned from the Ebola crisis, which will be launched publicly later today. Can she confirm that the Government accept the key finding of this far-reaching study: that, in order to ensure preparedness for future health crises in Africa, health systems should be developed horizontally, local leadership prioritised and investment concentrated at community level? Will the Government regularly monitor DfID’s health development programmes to ensure that they recognise and respond to these findings?

--- Later in debate ---

[Baroness Verma]

My Lords, I thank the noble Lord and the APPG for the useful and timely report, which draws attention to the importance of communities’ role in ownership and in delivering in crises. We agree that engaging with communities in the delivery of public health systems is essential. To provide stronger, people-centred health services that reflect their needs, we are looking at lessons learned from the crisis, and very much looking at the recommendations of the noble Lord’s report.

[Lord Bruce of Bennachie (LD)]

My Lords, will the Government acknowledge that, prior to the Ebola crisis in Sierra Leone, they were planning to cut support for health systems in that country? As the Minister said, they subsequently spent nearly £500 million tackling the crisis. Does she accept that if we are to have health systems fit for the future, we must maintain long-term commitments? Can we be satisfied that the Government have reviewed their policy, given the cutbacks that have been applied in sub-Saharan Africa in order to support the Syrian refugee crisis?

[Baroness Verma]

My Lords, as the noble Lord knows, we are currently undergoing bilateral and multilateral reviews. We will learn from that process where our future funding will go. To take the noble Lord’s point about concentrating on fragile countries, a number of the countries to which the noble Lord referred will be among the 50% that we are targeting in our support for conflict-ridden and fragile states.

[Baroness Masham of Ilton (CB)]

My Lords, could the Minister encourage the Governments of the countries involved with the Ebola virus to teach their populations not to eat bush meat, which can carry the virus?

[Baroness Verma]

My Lords, the noble Baroness raises an important point about causes, but these are lessons that we will learn as we review all the work that we ourselves, other agencies and the Sierra Leone Government have done. We are also undertaking a lot of research in this area, so I thank the noble Baroness for her question.

[Baroness Hayman (CB)]

My Lords, I saw for myself at the height of the Ebola crisis last year and again on the return visit to the Parliament in Sierra Leone last month the value that communities there put on the work of the Minister’s department, the Foreign Office, NHS volunteers and international development agencies. One thing that they did not value was the suspension of direct flights to west Africa. Could the Minister look very carefully at that decision and not have a knee-jerk reaction in future? It did not stop people travelling from west Africa—it just made life a lot more difficult for volunteers and those going out and actually impeded public health screening, because people came back through a variety of routes rather than direct routes.

[Baroness Verma]

The noble Baroness is of course aware that as a Government we have to put the safety of the British people first.

[Baroness Kinnock of Holyhead (Lab)]

My Lords, is the Minister aware of the criticism that has been made by Save the Children of the UK’s NHS employment of 27 Sierra Leonean doctors and 103 nurses, which amounts to a subsidy to the UK of £22 million? Will the Government review the practice of using migrant nurses in the NHS?

[Baroness Verma]

As the noble Baroness will of course be aware, it is important that during the crisis we draw on the expertise of all volunteers and experts. We were very fortunate to have volunteers from the UK go out, but we also very much drew on local communities and are now building up their local capacities.

[Viscount Ridley (Con)]

My Lords, does my noble friend agree that something that we can do from this country is harness the extraordinary strength of our scientific base, particularly with respect to tropical diseases—in particular, insect-borne diseases such as malaria and Zika, which also threaten people’s livelihoods?

[Baroness Verma]

I absolutely agree with my noble friend. As I said earlier, we are working with other partners in looking at research and the Government are investing a lot more in research to be able to tackle these tropical diseases.

[Lord Collins of Highbury (Lab)]

My Lords, just to pick up on the point made by my noble friend, one problem is that there is no postgraduate training for those who want to specialise in the healthcare system in Sierra Leone to build a sustainable and resilient system. I have asked this question before, but the Minister did not respond directly to it. What steps are the Government taking, and DfID in particular, to support the royal colleges in ensuring that there is in-country professional development for healthcare workers?

[Baroness Verma]

My Lords, I am sorry if the noble Lord thinks that I did not respond, so I shall try again this time. We are supporting the strengthening of healthcare systems in Sierra Leone and other places. In Sierra Leone in particular we are investing £37 million to strengthen President Koroma’s recovery plan, which will help build up the strength and capacity of local health workers—and, of course, will look at patient safety.

[The Countess of Mar (CB)]

My Lords, I understand that it is possible that Ebola will become endemic in some of the populations that have been affected in the recent crisis. Can the Minister tell us what assistance is being given to these countries to monitor their people and make sure that we do not have such a huge epidemic as we had before?

[Baroness Verma]

My Lords, I am pleased to say that so far we are now looking towards 16 March as being the zero-plus-42 days since the last outbreak of Ebola, but we continue to monitor. Sierra Leone has active surveillance activities. Throughout the communities, health workers, health facilities and community surveillance programmes are continuing, even though we are coming to a zero point.

Women: Discrimination

Baroness Verma Excerpts

Tuesday 8th March 2016 Lords Chamber

[Baroness Kinnock of Holyhead]

To ask Her Majesty’s Government what assessment they have made of the United Nations framework launched in November 2015 with the aim of preventing violence against women, gender inequality, discriminatory practices and harmful cultural and social norms.

[The Parliamentary Under-Secretary of State, Department for International Development (Baroness Verma) (Con)]

My Lords, the UK championed the global goal on gender equality, and we will demonstrate the same leadership at the Commission on the Status of Women next week. The UK has scaled up its efforts to tackle violence against women and girls worldwide, with a 63% increase in our programmes since 2012. I welcome the new framework as the first UN-wide approach to the prevention of violence. It is a significant step in fostering greater co-ordination across the UN family.

[Baroness Kinnock of Holyhead (Lab)]

I thank the noble Baroness for her reply. Does she agree that the United Nations framework provides the basis for worldwide action in pursuit of justice and equality for women, including on global gender-based violence? Will our Government give a clear and increased priority to education for girls and women, universal provision of sanitation and access to employment? Across the world, these are exactly what determine whether women are free of oppression, want and violence.

[Baroness Verma]

My Lords, the noble Baroness raises a number of very important areas on which the Government are working very hard with the United Nations. The noble Baroness will also be aware of the high-level panel that my right honourable friend the Secretary of State is a founding member of and which has economic empowerment at the heart of its strategy. We want to make sure, going forward, not only that women’s need for water, sanitation and hygiene are addressed but that women are able to access economic opportunities.

[Lord Hague of Richmond (Con)]

My Lords, I support the emphasis the Government are giving to preventing sexual violence in conflict alongside supporting the UN framework. Will my noble friend acknowledge that the rise of Daesh has opened a new and grotesque chapter in systematic violence against women? Will the Government work at the UN and with our allies to communicate more effectively to the world the extent of those crimes, to care for survivors of those crimes and to train armed forces in the Middle East in their detection and prevention?

[Baroness Verma]

My noble friend raises some very important issues concerning the protection of women and the rise of Daesh, and I take this opportunity to congratulate him on all the work he did as Foreign Secretary. My noble friend will support what the Government are doing in working with our MoD colleagues and with the Foreign Office to ensure a co-ordinated approach across government. He is absolutely right that we need to do more, and we need to encourage our partners to do the same.

[Baroness Northover (LD)]

African Union peacekeepers in Somalia have been accused of rape. Does the noble Baroness agree that it is welcome that the AU has conducted an investigation into this? What are the UK Government doing to support the AU to ensure that it takes the conclusions of that investigation through and holds its troops to account?

[Baroness Verma]

Again, the noble Baroness has raised a serious issue that women face in these particularly fragile conflict areas. We need to praise the AU for the leadership it is showing, including in trying to tackle FGM and child and early forced marriage. The AU has taken a step forward, and we will be doing our level best, with other donors, to ensure that it receives the support it needs. The noble Baroness is absolutely right that we need to make sure that the perpetrators are brought to book.

[Baroness King of Bow (Lab)]

My Lords, I thank my noble friend Lady Kinnock for a lifetime’s work promoting gender equality. On the subject of harmful cultural and social norms, is it not strange that here in Britain, we persist in paying women less than men? At the current rate, it will take us 47 years to close the gender pay gap. I know that we take a long view in this House, but does the Minister think that that is too long? If so, will she go further than the Government’s current position on pay transparency and legislate for equal pay audits? She would be surprised by what she would find. Is she aware that the government department responsible for ending the gender pay gap pays its women £2 an hour less than its men?

[Baroness Verma]

My Lords, closing the pay gap between men and women is a really important question, and one that this Government have been very committed to addressing. The noble Baroness will be aware of the work of the noble Lord, Lord Davies. We must ensure that companies are held to account. That is why my right honourable friend Nicky Morgan, the Minister for Equalities, is pressing hard for companies employing more than 250 people to publish what they pay to men and women.

[Lord Singh of Wimbledon (CB)]

Does the Minister agree with the Sikh teaching that in conflict, enemy women should be regarded as mother, sister or daughter?

[Baroness Verma]

My Lords, across any teachings, we need to ensure that the basic human rights of all people are supported and protected.

[Baroness Hodgson of Abinger (Con)]

My Lords, widows and wives of the disappeared are at particular risk in conflict in developing countries. Does DfID have a specific focus on them, because they really need our protection?

[Baroness Verma]

My Lords, I am grateful to my noble friend for her question on widows. We fought hard to have a stand-alone gender goal at the UN General Assembly last year so that we could have a life-cycle approach, which included widows. We are doing a lot to help vulnerable groups in society who are susceptible to violence, including widows.

[Baroness Nye (Lab)]

My Lords, the Minister will have seen the pledge by more than 100 women, including noble Baronesses from all sides of the House and Members of the other place, to stand with the women of Burma to end rape and sexual violence in that country. Will the British Government support their call for an investigation into rape and sexual violence by the Burmese military against ethnic women and girls?

[Baroness Verma]

My Lords, we have to stand up and fight all abuses from all countries by all military personnel. That is why we insist on working with partners to ensure that countries respect the role and place of women in their communities.

Sudan

Baroness Verma Excerpts

Monday 29th February 2016 Lords Chamber

[Baroness Cox]

To ask Her Majesty’s Government what assessment they have made of continuing military offensives against civilians in Blue Nile and Southern Kordofan by the Government of Sudan.

[The Parliamentary Under-Secretary of State, Department for International Development (Baroness Verma) (Con)]

My Lords, the UK has provided life-saving assistance to conflict-affected populations in Sudan through our £36.5 million contribution to the UN’s response, making us the third largest humanitarian donor to Sudan in 2015. Conflict reduced in the Two Areas following the temporary ceasefires last autumn, but the humanitarian situation and recent fighting in Blue Nile remain of deep concern. The UK is continuing to press for agreement in the upcoming African Union-mediated peace talks.

[Baroness Cox (CB)]

My Lords, I thank the Minister for her sympathetic reply. Is she aware that last month I was in the Nuba mountains in Southern Kordofan, where women and children are forced to live in snake-infested caves by the Government of Sudan’s aerial bombardment of civilians in what is a de facto genocide? There is now an IPC emergency level for food shortages in both Southern Kordofan and Blue Nile states. Will Her Majesty’s Government use their influence in the UN to recommend extending and strengthening sanctions against the Government of Sudan while they continue to kill civilians with impunity in these areas, particularly in the light of the recently renewed mandate of the panel of experts monitoring sanctions in Darfur?

[Baroness Verma]

My Lords, although we welcome the role that UN sanctions can play in the right circumstances and support the recent renewal of the sanctions around Darfur, each situation is different. We judge that at present the best way to promote moves towards lasting peace in the Two Areas is to support the peace process negotiations being led by former President Mbeki and his AU High-level Implementation Panel.

[Lord Chidgey (LD)]

My Lords, in January Sudanese armed forces destroyed more than 20 villages in Jebel Marra during a major offensive, leaving literally thousands of people in hiding without food, shelter or assistance. Will the Government condemn these atrocities and challenge President al-Bashir’s claims to have ended the rebellion, as he calls it, in early February while his warplanes continue to bomb and murder helpless civilians in Darfur on a daily basis?

--- Later in debate ---

[Baroness Verma]

My Lords, the recent fighting in the Jebel Marra region of Darfur is a setback, and reports of barrel bombs and other military action are very disturbing. We continue to urge all the parties to stop fighting and allow full humanitarian access, as well as for Abdul Wahid to cease provocative actions so that we engage in proper talks.

[Baroness Kinnock of Holyhead (Lab)]

My Lords, does the Minister agree that there can be no military solution to Sudan’s internal conflicts, and will she join with the United States which has recently called on the Government of Sudan and the Sudan Revolutionary Front to de-escalate the violence and work with others to agree a comprehensive end to the terrible hostilities which have been described?

[Baroness Verma]

My Lords, US financial sanctions are a matter for the US Government. We continue to support efforts to improve the effectiveness of UN-targeted sanctions in Darfur and the EU arms embargo that remains in place across Sudan.

[Lord Alton of Liverpool (CB)]

My Lords, given that the Human Rights Watch organisation has said that in the Two Areas of Blue Nile and South Kordofan, civilians, including children, were,

“burned alive or blown to pieces after bombs or shells landed on their homes”,

and given what has already been said about Darfur, where between 200,000 and 300,000 people have been killed and 2 million displaced, will the noble Baroness tell us why the International Criminal Court has failed so miserably to bring to justice Omar al-Bashir and others charged with the crime of genocide?

[Baroness Verma]

My Lords, the UK continues to raise a range of human rights issues with the Government of Sudan, including the issues raised by the noble Lord. We are a big supporter of the International Criminal Court and will continue to make clear to the Government of Sudan and the international community that we expect compliance with the arrest warrant for President Bashir.

[The Lord Bishop of Durham]

My Lords, in noting that my friends the right reverend Prelates the Bishop of Leeds and the Bishop of Salisbury have particular links with Sudan, is the Minister aware of the key role played by the Anglican Episcopal Church in Sudan in peacemaking, maintaining ministry and pastoral support on the ground in these areas? Will the Government pressurise the Sudanese Government to cease the illegal confiscation of church properties and the oppression of Christian people, especially those who are trapped in the Blue Mountains and South Kordofan?

[Baroness Verma]

My Lords, the right reverend Prelate is of course right to raise the important role that faith communities play, and we continue to ensure that part of the conversations we have with the Sudanese Government is about enabling people to live freely to practise the religions that they wish to practise. These are difficult and challenging situations but the Government continue to press hard to make sure that the concerns raised in your Lordships’ Chamber are raised there.

[Baroness Symons of Vernham Dean (Lab)]

My Lords, the noble Baroness has described the terrible situation described by the noble Baroness, Lady Cox, as merely disturbing. We then listened to what the noble Lord, Lord Alton, told us about the horrific atrocities being committed, and the noble Baroness said that these matters were a setback. Surely Her Majesty’s Government can produce a more robust response to these terrible descriptions than calling them a setback or disturbing.

[Baroness Verma]

My Lords, the noble Baroness knows that these are very difficult situations and we have to be mindful of the language used if we are to continue to have dialogue with the Government of Sudan. They are of course horrific atrocities and we as the UK Government take our role very seriously in raising those horrific atrocities. At the same time, we are working both with the Sudanese Government and others to ensure that we are able to access those who need our assistance the most. They tend to be the ones who are hardest to reach.

[Lord Lexden (Con)]

Further to the last question, are there any signs of progress in this most unfortunate country for which Britain, in condominium with Egypt, once had responsibility?

[Baroness Verma]

My Lords, my noble friend is right in raising that. It is a very difficult situation. Sudan is one of the world’s most underdeveloped countries and has suffered from cycles of conflict over many years. A devastating impact of that falls directly on the lives of ordinary people. Our aid, and the UK Government’s assistance, is therefore not just to channel money but to try to work with others for a long-lasting peace settlement. This will be done through the UN and African Union agencies.

[Lord Collins of Highbury (Lab)]

My Lords, as my noble friend Lady Kinnock said, obviously support for the peace process, which is very complex, is vital. Because of the economic conditions, many families are forcing young sons into the proliferation of militias, so has the department thought of ways of breaking this cycle? It is now a cycle; every time the rainy seasons ends, there is another round of violence. Can the department look at this issue more fully?

[Baroness Verma]

My Lords, the noble Lord is absolutely right that we must do much more. We continue to work with partners to ensure that we are doing as much as we can so that on the ground those young people are engaged in a much more meaningful way and do not get attracted to join the militia and others. As the noble Lord said, this will be a very long-term process. We need to work with and support the UN agencies and the African Union, and also get our other donor partners to step up so that their support on the ground is much more prevalent and we can make real progress.

Zimbabwe: Food Security

Baroness Verma Excerpts

Thursday 11th February 2016 Lords Chamber

[Lord Oates]

To ask Her Majesty’s Government what assessment they have made of the food security situation in Zimbabwe in the light of the declaration of a state of disaster by the government of Zimbabwe on 2 February.

[The Parliamentary Under-Secretary of State, Department for International Development (Baroness Verma) (Con)]

My Lords, the UK led the international community when we began our response in September 2015. Our current £10 million humanitarian programme supports 336,000 people through cash transfers in the worst-affected areas. We are looking at options to extend the programme. We also support programmes valued at £48.8 million to build the resilience of smallholder farmers.

[Lord Oates (LD)]

I thank the Minister for that Answer. Is she aware of growing evidence that the Zimbabwean authorities are using food aid as a political tool by denying it to opposition supporters? Can she tell the House what measures the Government are taking to ensure that UK aid, whether provided bilaterally or through multilateral agencies, is not abused in this despicable manner, and will she assure the people of Zimbabwe that whatever the misrule of their Government, Britain stands in solidarity with them?

[Baroness Verma]

My Lords, I am aware of the reports that the noble Lord refers to but I assure him that all the assistance given by the UK Government goes through local partners on the ground—we do not do anything through the Government—and we use cash transfers targeted at the households that are in most need. I take the noble Lord’s point but we also need to look the progress being made. Like him, we stand by the Zimbabwean people.

[Lord Howell of Guildford (Con)]

My Lords, when Zimbabwe gets a better Government, will Her Majesty’s Government encourage the Commonwealth to re-embrace Zimbabwe and bring it back to the prosperity that it deserves, not leaving it all to the Chinese?

[Baroness Verma]

My noble friend raises an important point about what the Commonwealth can deliver. It is right and proper that when we see progress, we encourage even greater progress, and that we make sure that countries are able to remain, or return to being part of, the Commonwealth family.

[Lord Anderson of Swansea (Lab)]

My Lords, part of the problem is man-made; part of it is simply the dislocation caused by reorganisation in Zimbabwe. Part of the tragedy is that historically Zimbabwe has been the bread-basket of the region, so this is, to some extent, a regional problem. Given the corruption in the Zimbabwe Government and more widely, as well as the inefficiencies in administration, is the Minister wholly confident that any food aid is getting through to the people who desperately need it?

[Baroness Verma]

My Lords, this disaster has been added to by the El Niño effect and we need to make sure that we address that, as well as ensuring, as the noble Lord rightly points out, that the people who most need assistance receive it. I am really proud that the Government step up, show leadership and encourage their partners to work as stringently as we do, ensuring that there is real monitoring of the delivery of cash transfers and food aid on the ground. Ultimately, the focus must be on the Zimbabwean people who most need assistance.

[Baroness Northover (LD)]

My Lords, does the Minister recognise the possible significance of climate change in what is happening in Zimbabwe at the moment? What is DfID doing to make sure that across government, particularly in the Treasury and DECC, there is a return to the high priority that the previous Government gave to combating climate change?

[Baroness Verma]

My Lords, the Government have continued to support a reduction in the impact of climate change, and the Chancellor, through the Treasury, has added resources to the work being done. I do not think that this Government have been backward in dealing with climate change issues. In fact, in many areas we are leading the way, and I know that the noble Baroness will be reassured by that.

[Lord Hughes of Woodside (Lab)]

My Lords, does the noble Baroness agree that one of the problems in Zimbabwe at the moment is the very severe drought? If not unprecedented, it is certainly very severe. Is she aware that it is affecting not just Zimbabwe but surrounding countries, including South Africa, which are also suffering severely from the drought and a shortage of maize? Are the Government giving due attention to countries other than Zimbabwe?

[Baroness Verma]

The noble Lord is absolutely right. The drought is affecting not just Zimbabwe but its neighbours. The impact on Ethiopia is currently far greater than it is on Zimbabwe and other countries, so our focus is predominantly on those countries with the greatest need. However, it is a regional issue and we therefore need to ensure that we deal with it on a regional basis.

[Lord Collins of Highbury (Lab)]

My Lords, I congratulate the Government on their efforts to ensure that aid gets to the people who need it and that corruption is not a barrier to that. However, the fact is that, as the noble Lord, Lord Oates, said, the Government of Zimbabwe are using food aid as a political weapon. This is a case for joined-up government. Can the noble Baroness tell us what representations the Government as a whole, through the FCO, are making to the African Union and to neighbouring countries, particularly South Africa, to ensure that such practices are halted?

[Baroness Verma]

My Lords, we, along with our partners, continue to press the Zimbabwe Government to ensure that any food aid is distributed according to need. It is absolutely right that we continue to press them, and our FCO colleagues do the same; we are a joined-up Government and we work collectively. However, in responding to this Question today, I want to assure noble Lords that the focus of my department is to ensure that those who need food the most get it as urgently as possible.

Syria

Baroness Verma Excerpts

Monday 8th February 2016 Lords Chamber

[The Parliamentary Under-Secretary of State, Department for International Development (Baroness Verma) (Con)]

My Lords, with the leave of the House, I will now repeat a Statement made in the other place earlier today by my right honourable friend the Secretary of State for International Development. The Statement is as follows.

“With permission, Mr Speaker, I shall make a Statement updating the House on the recent Syria conference, which the UK co-hosted with Kuwait, Norway, Germany and the United Nations last Thursday. For nearly five years, the Syrian people have suffered unimaginable horrors at the hands of the Assad regime and, more recently, Daesh. Inside Syria, there are 13.5 million people in desperate need and a further 4.6 million people have become refugees. As we have seen over the past 72 hours alone, the impact of this crisis on the people of the region is terrible and profound.

I was in Lebanon and Jordan last month and spoke to refugees, some of whom are now facing their fifth winter spent under a tent. Their stories are similar: when they left their homes, they thought that they would be back in weeks or perhaps months at most. It has turned out to be years, with no end in sight. Syria is now not only the world’s biggest and most urgent humanitarian crisis; its far-reaching consequences are being felt across Europe and touching our lives in Britain. More than 1 million refugees and migrants risked their lives crossing the Mediterranean last year. Of these, around half were fleeing from the bloodbath in Syria.

Since the fighting began, Britain has been at the forefront of the humanitarian response to the Syrian conflict. Aid from the UK is helping to provide food for people inside Syria every month, as well as clean water and sanitation for hundreds of thousands of refugees across the region. Our work on the Syrian crisis gives people in the region hope for a better future and is also firmly in Britain’s national interest. Without British aid, hundreds of thousands more refugees could feel that they have no alternative but to risk their lives by seeking to get to Europe.

But more was needed. The UN’s Syria appeals for the whole of last year ended up only 54% funded. Other countries needed to follow the UK’s lead and step up to the plate. That is why the UK announced that we would co-host an international conference in London on behalf of Syria and the region. This would build on three successful conferences held in Kuwait in previous years. On Thursday last week, we brought together over 60 countries and organisations including 33 Heads of State and Government.

The stage was set for the international community to deliver real and lasting change for all the people affected by this crisis, but in the end it will all come down to choices. Could we pledge the record-breaking billions needed—going much further than previous conferences? Could we commit to going beyond people’s basic needs and deliver viable, long-term solutions on jobs and education for Syria’s refugees and the countries supporting them?

At the London conference, the world made the right choices to do all of those things. Countries, donors and businesses all stepped up and raised new funds for this crisis to the amount of over $11 billion. This included $5.8 billion for 2016 and another $5.4 billion for 2017 to 2020. This was the largest amount ever committed in response to a humanitarian crisis in a single day. It means more has been raised in the first five weeks of this year for the Syria crisis than in the whole of 2015. The UK, once again, played our part. We announced we would be doubling our commitment—increasing our total pledge to Syria and the region to over £2.3 billion.

Going beyond people’s basic needs, at the London conference the world said there must be no lost generation of Syrian children, pledging to deliver education to children inside Syria and education to at least 1 million refugee and host community children, in the region outside Syria, who are out of school. This is an essential investment, not only in these children, but in Syria’s future. It also gives those countries generously hosting refugees temporarily the investment in their education systems that will benefit them for the longer term.

The London conference also made a critical choice on supporting jobs for refugees and economic growth in the countries hosting them. We hope historic commitments with Turkey, Lebanon and Jordan will create at least 1 million jobs in countries neighbouring Syria, so that refugees will have a livelihood close to home. This will create jobs for local people and leave a legacy of economic growth. By making these choices, we are investing in what is, overwhelmingly, the first choice of Syrian refugees: to stay in the region and closer to their home country and their families still in it. If we can give Syrians hope for a better future where they are, they are less likely to feel they have no other choice left but to make perilous journeys to Europe.

The world has offered an alternative vision of hope to all those affected by this crisis, but only peace will give Syrian people their future back. The establishment of the International Syria Support Group at the end of 2015 was an important step on the path to finding a political settlement to the conflict. The Syrian opposition has come together to form the Higher Negotiations Committee to engage in negotiations on political transition with the regime, and the UN launched proximity talks between the Syrian parties in January.

The UN Special Envoy for Syria took the decision to pause these talks following an increase in air strikes and violence by the Assad regime, backed by Russia. The UK continues to call on all sides to take steps to create the conditions for peace negotiations to continue. In particular, Russia must use its influence over the regime to put a stop to indiscriminate attacks and unacceptable violations of international law. Across Syria, Assad and other parties to the conflict are wilfully impeding humanitarian access on a day-by-day basis. It is brutal, unacceptable and illegal to use starvation as a weapon of war.

In London, world leaders demanded an end to these abuses, including the illegal use of siege and obstruction of humanitarian aid. Our London conference raised the resourcing for life-saving humanitarian support. It must be allowed to reach those in need as a result of the Syria conflict, irrespective of where they are.

I also want to take this opportunity to provide an update on the campaign against Daesh in Iraq and Syria. Since my right honourable friend the Foreign Secretary last updated the House on the campaign against Daesh in Syria and Iraq, the global coalition, working with partner forces, has put further pressure on Daesh. Iraqi forces, with coalition support, have taken large portions of Ramadi. In Syria, the coalition has supported the capture of the Tishrin dam and surrounding villages as well as areas south of al-Hawl.

The UK is playing our part. As of 5 February, RAF Typhoon, Tornado and Reaper aircraft have flown over 2,000 combat missions and carried out more than 585 successful strikes across Iraq and Syria. We are also leading efforts to sanction those trading with, or supporting, Daesh. My right honourable friend the Prime Minister gained agreement at the European Council in December on asset freezes and other restrictive measures.

Since day one of this crisis, the UK has led the way in funding and shaping the international response. We have evolved our response as this incredibly complex crisis itself has evolved. There will be no end to the suffering until a political solution can be found. The Syria conference, co-hosted by the UK and held here in London, was a pivotal moment to at least respond to help those people affected and those countries affected. We seized the chance to offer the Syrian people and their children hope for a better future. The UK will now be at the heart of making that ambition a reality and keeping the international community’s promise to the Syrian people. This is the right thing to do on behalf of those suffering and, fundamentally, it is the right thing to do for Britain, too”.

My Lords, that concludes the Statement.

[Lord Collins of Highbury (Lab)]

My Lords, I thank the Minister for repeating the Statement. I also congratulate the Government on bringing together last week more than 30 Heads of State, the UN Secretary-General, heads of international organisations and NGOs. I particularly welcomed the inclusive sessions on how we build support for Syria and address the growing needs of the Syrian people. There is no doubt that the conference has generated significant new help for the immediate and longer-term needs of those affected by the conflict, including increased funding.

I read a recent Save the Children report, which found that 47% of refugee households in Jordan rely, at least in part, on putting boys and girls to work to make ends meet. Even after up to five years of exile, the majority of refugee boys and girls are still out of school. All of this is amid the endemic hunger, biting poverty and untreated disease which affect the mass of the displaced persons. I also welcome the education policy changes announced by the Governments of refugee-hosting countries, including support for non-formal education which will need to happen hand in hand with increased funding to ensure children can access quality schooling.

However, any plan for the region must ensure that we in Europe do what our values command: treat humanely those refugees who are here now with a planned and orderly resettlement across the continent. While we seek the elusive peace, we must guarantee the regular flow of food, shelter and healthcare for those cut off at the centre of the conflict. Despite the panic we see in the media surrounding the levels of migration into Europe, 14 in every 15 of Syria’s displaced persons are still in the region. If we want families to stay in the region, we have to give them a reason to hold on. We have to give them hope. We have to ensure that their families have more than just food and shelter. The children need education and the adults need jobs.

Will the Minister outline in more detail the plans to create jobs in the region? How is it going to be done? I am keen to understand better how we can boost the economies of the host regions, so that assistance is not simply seen as a scheme for the refugees but as a plan to promote sustainable development in the host regions.

[Baroness Verma]

My Lords, I thank the noble Lord for welcoming the work that was done at the Syria conference last week. I think he will agree that many of the NGOs and civil society organisations that were present demonstrated their gratitude for the opportunity to establish a response on the ground that suits the needs and challenges of the people in Syria and in the region.

I agree with the noble Lord when he says that we must go beyond providing basic aid. That is why I was so pleased that the UK stepped up to the mark and doubled its pledge to £2.3 billion and other countries also demonstrated that they were keen to go beyond the basic needs and assist with livelihoods so that people could contribute to the economies of the host countries.

I agree with the noble Lord that we must not lose a generation of children who will not have the education and skills that will be really needed to rebuild Syria when peace comes—sooner rather than later, we all hope. Of course, these are complex and difficult crises, and we must respond to them.

I am pleased that the action that the UK Government have taken has encouraged others to raise their ambitions. But as the noble Lord rightly says, we can give hope only when genuine peace negotiations are going on. That is why we will push hard for those who are involved to press the Assad Government to deliver a successful peace negotiation as well as deliver support while the crisis continues.

[Baroness Northover (LD)]

My Lords, I thank the Minister for repeating the Statement and for the Government’s continuing and massive commitment to Syrians in the region.

How will the Government seek to ensure that others who have pledged at this conference will in fact deliver? For those who are now besieged in Syria, will there be systematic air drops? For those who are on the border with Turkey—they are, apparently, not being let through that border—how will we guarantee their security if they are not allowed to cross that border?

[Baroness Verma]

I thank the noble Baroness for welcoming the conference and the commitments made by all those present. She is absolutely right to say that we need to press hard for others to make sure that they fulfil their commitments. It is right that, once we have made commitments, we deliver on them. The people who expect us to support them depend on all our commitments.

The noble Baroness is also right to say that in some areas it will be incredibly difficult to deliver aid. She asked whether we would try to use air drops. We do not believe that is an effective way to get food and other essential aid to people. We believe that using UN agencies and others delivering aid by road, and others who are respected and understand the situation on the ground, is probably the best way to ensure that the aid gets through to the people who most require it. But we do not rule anything out. We have to keep everything under check, as the noble Baroness, Lady Northover, will be aware from when she did my job in government.

However, what is really important is to recognise that we cannot allow starvation to be used as a weapon. We must press hard those who have influence on the Assad regime to make them understand that it is criminal to use food starvation sieges as weapons of war.

[Lord Alton of Liverpool (CB)]

My Lords, within the past half hour a Yazidi woman gave evidence here in the House about the plight of the minorities in the region. The Minister will know that the European Parliament passed a resolution last week declaring these events to be genocide. The Parliamentary Assembly of the Council of Europe has done the same. What effort was made at the conference to prioritise the needs of groups such as the Yazidis, the Christians, the Shabaks and others who have suffered this genocide? Although everyone has suffered in this conflict, these people are peculiarly and specifically targeted because of their ethnicity or religion. What is being done to assist them?

Will the Minister return to the question that the noble Baroness, Lady Northover, put to her about events in the province of Aleppo today? Around 100,000 people are amassed on the border with Turkey. Because of the aerial bombardment by the Russians, these people’s lives are in the balance, but they are not being allowed over the border. What are we doing to persuade Turkey to open the border to give safe refuge to those people?

[Baroness Verma]

My Lords, on the question of the minority groups within Syria, there have been horrific attacks by violent extremists on Christians and other religious minorities within Syria. As the noble Lord is aware, all our UK-funded humanitarian assistance is distributed on the basis of need alone, to ensure that civilians are not discriminated against on the grounds of race, religion or ethnicity. We prioritise reaching the most vulnerable across Syria, and that includes all groups. Of course, it is a challenging environment; these are incredibly complex, difficult areas to navigate, but I take the noble Lord’s point. Of course, where we can, we will work closely with the NGOs on the ground to get aid to as many people as possible.

The noble Lord mentioned the latest indications about the numbers of people being displaced from Aleppo. We know that many of them are sheltering in the border area, with more people on the move. We are exploring all options on how we can ensure that their humanitarian needs are met.

[Lord Howell of Guildford (Con)]

My Lords, I agree with the noble Lord, Lord Alton, that with Daesh we are seeing genocide. I know that the word has to be clearly defined, but the sooner that is recognised and settled, the better. The Statement was mostly about the humanitarian side, and it is perfectly clear that very fine work indeed has been done. I am afraid that the challenges will get very much worse in the future.

Does my noble friend accept that we need to be kept well informed and up to date on the apparent breakdown in the talks in Geneva and whether the Russians have almost deliberately undermined the talks by bombing the free Syrians with renewed ferocity? Will she reassure us that she and her colleagues will keep us up to date on that?

Could she just comment on reports that the British Army is now sending 1,600 troops to Jordan as part of some exercise, while the Egyptian troops are moving to Saudi Arabia to ally with them in preparation for possible moves to Jordan? The Jordan authorities have been urging for a long time that this is where we should open a new front, develop a buffer zone in the north and strike into the heart of ISIL territory. Is the war entering an entirely new phase? Could she just bear that in mind? She may not be able to answer that question at the moment, but we need to be kept up to date if things are changing as rapidly as it seems they really are.

[Baroness Verma]

My noble friend makes an important point about the talks and making sure that they do not stall. They have come to a pause. The UN special envoy decided to pause the talks until 25 February as it was apparent that there was little prospect of progress being made at this time. But my right honourable friend the Foreign Secretary will be in Munich on Thursday 11 February and will press the Russians, who I am sure will be attending, too, to ensure that they put pressure on the Assad regime, so that the conditions allow unfettered humanitarian access across Syria and that we have an end to the violations of international humanitarian law, as set out under the UN Security Council Resolution 2254.

My noble friend is absolutely right to ask that we keep the House updated and we absolutely commit to do so. He also mentioned Daesh—and of course our goal is to defeat Daesh so that it no longer presents a threat to the UK or to international stability. As he rightly says, we are dealing with very complex circumstances. He asked about the troops on the ground in the countries that he mentioned. I shall have to write to him, because I do not have that answer at hand—so if he will allow me to, I shall write to him and place a copy in the Library.

[Lord Judd (Lab)]

My Lords, I am sure that many of us in all parts of the House will want to express our appreciation to the Government for the successful work last week. It was very important. Does it not illustrate beyond doubt that, with all the tragedies that confront us now and in future, international co-operation and effective international arrangements are absolutely indispensable, and that, unless we work on foreign policy as a priority and build these up all the time, we shall be sticking our fingers in the dyke?

The Minister talked about the importance of education, and that of course is right. But if we are going to talk about reconstruction and the long-term future of these young people, it is not just a matter of getting children into schools; it is also a matter of further and higher education. Can she reassure us that there are plans in hand for adequate access to higher and further education, as well as to schools?

[Baroness Verma]

The noble Lord is absolutely right—it will not be just about primary and secondary education; it will be about vocational skills and higher education. Often, the length of time a person is a refugee is around 17 years, so he is absolutely right that we need to make sure that we are addressing not just children’s needs but wider needs, including making sure that people are being trained up with the right skills. That is why I am really pleased that we have doubled our efforts to give support in Jordan and Lebanon. We have put extra money there to ensure that people get that training and investment, and get the help that will help them to go on and rebuild Syria.

[Lord Naseby (Con)]

My Lords, I, too, congratulate Her Majesty’s Government on calling this conference and on the UK showing the lead that it has in money and resources to help the refugees. Nevertheless, I am reminded of what happened in the Second World War. Is my noble friend clear that the Americans and Churchill found themselves having to work with Stalin? I cannot understand why the West, and the UK Government in particular, cannot bring itself to do business with Assad. There is no way out for peace in that country—and certainly no way to deal with Daesh—unless there is some dialogue and connection with Assad.

[Baroness Verma]

My Lords, my noble friend absolutely puts the focus on Assad. Assad and his regime have got it in their hands to stop bombing their own people. If there is to be a political solution, it is incumbent on everyone to come around to the talks and ensure that we get a positive outcome that enables peace to take place.

[Lord Soley (Lab)]

My Lords, I noted with great pleasure the Government’s achievements the other day at the conference. However, I am deeply disturbed by the Russian bombing at the moment, which seems to have two clear aims—one to keep Assad in power and the other to drive thousands of new refugees towards Turkey, with all that that implies. Have there been any discussions with the Russians about that? Are the Russians giving any money to this fund?

[Baroness Verma]

My Lords, on the latter point, I shall have to write to the noble Lord; I cannot give him an answer right now. On his point around the Russians needing to do more, it is absolutely right that they need to do more to meet their obligations under international law. As a member of the UN Security Council and the International Syria Support Group, Russia needs to step up and put pressure on Assad. What I hope will happen when my right honourable friend the Foreign Secretary goes to Munich on Thursday is that those are the conversations that will take place.

[Lord Higgins (Con)]

My Lords, would my noble friend agree that negotiations are not likely to be successful and may not take place so long as Assad—clearly, in the present circumstances, backed by the Russians—believes that he might achieve a military solution? In that context, are we really sensible to use our resources and air power in bombing ISIL in Syria as well as in Iraq? Should not we redeploy those forces to attack ISIL in Iraq and, once that task is done, turn to ISIL in Syria? At the moment, in Syria we are helping Assad to take the pressure off as far as ISIL is concerned. We really ought to shift the balance more towards our intervention from an air power point of view into Iraq, until such time as that is solved, when we can go on to Syria.

[Baroness Verma]

My noble friend highlights the complexity and difficulty of what we are having to deal with, and what the international community has to deal with. It is really important to understand that our goal has to be to defeat Daesh so that it no longer presents a threat to UK or international stability, which means focusing on Daesh’s core in Syria and Iraq and working with our allies to support those countries where Daesh is becoming a threat to help them prevent its spread.

[Lord Hain (Lab)]

My Lords, in welcoming the Minister’s insistence that only political negotiations will end this disaster of almost biblical proportions, I ask for some recognition that western foreign policy has in large part been responsible for this disaster. Why? Because we insisted at the very beginning on imposing a precondition that Assad must go when he was never going to; then we tried to arm the rebel groups, when parliamentary support was not present for that; then an ill-fated decision to try to bounce Parliament into military strikes was attempted by the Prime Minister; and now we are still setting preconditions by saying that Assad must go within six months. You cannot get negotiations off the ground or deal with Russian malevolence—a fact my noble friend has drawn the House’s attention to—unless you learn the lessons from Northern Ireland, which are that you do not impose preconditions and you try to get a political settlement in the context of everybody co-operating and finding out where the different interests can be reconciled. I urge some sense of humility on the Government, who have acted with far too much bombast and blunder for years now and therefore bear a share of responsibility.

[Baroness Verma]

My Lords, it would be much more constructive for us to work with international partners to ensure that the voices coming from all of us are about supporting the people of Syria. While I understand the main thrust of the noble Lord’s points, it needs to be very carefully worded so that we give a very clear message that what Assad is doing to the people in Syria is not acceptable. Across Syria, Assad and other parties to the conflict are wilfully preventing and impeding humanitarian access on a day-by-day basis. That is why we need to be incredibly careful with our words and to continue with our ongoing support to the UN and international NGOs which risk life and limb every single day to help the people of Syria.

[Baroness Morris of Bolton (Con)]

My Lords, I declare an interest as the Prime Minister’s trade envoy to Jordan and Kuwait. I congratulate everybody who took part in the donors conference. There was a great deal of generosity and warmth of spirit in London last Thursday. I also congratulate the Prime Minister, who for some time now has been determined to provide jobs not only for refugees in the region but also for locals within those countries. It is going to be very important, if those jobs are going to be meaningful, for the private sector to be involved. Can my noble friend confirm that the private sector, both here and in the host countries, is being consulted at an early stage?

[Baroness Verma]

My noble friend is absolutely right. Like her, I congratulate the vision of the Prime Minister and the Secretary of State for DfID, who have led the charge in encouraging others to look at the long-term planning for a lot of economic investment and jobs not just for refugees but for people in the host countries. It was very evident when we were talking to people from Syria that that is exactly what they were looking for. I know that we will encourage that and work both across Whitehall and with other countries to ensure that investment does go in so that it gives confidence, hope and opportunity to not just the refugees but all of those very generous, very kind host countries which are taking so many of the people fleeing. The private sector is going to be key and it played a key role in the conference, particularly around the education agenda.

Female Genital Mutilation: International Action

Baroness Verma Excerpts

Thursday 4th February 2016 Lords Chamber

[Lord Chidgey]

To ask Her Majesty’s Government what assessment they have made of the effectiveness of current campaigns and programmes sponsored and executed by western governments and international non-governmental organisations aimed at eliminating female genital mutilation and cutting practices in African countries.

[The Parliamentary Under-Secretary of State, Department for International Development (Baroness Verma) (Con)]

My Lords, since 2008, the UN estimates that 13,000 communities representing 10 million people have declared that they will abandon FGM. DfID is the largest ever donor on FGM, investing £35 million over five years, and that support is accelerating the progress we have seen since the PM co-hosted the Girl Summit. Across Africa, women, politicians, young people and religious leaders are campaigning for a change, and we stand strong in our support.

[Lord Chidgey (LD)]

My Lords, I thank the Minister for that reply. Since 1965, 24 of the 29 countries in which FGM practices are concentrated have enacted decrees or legislation related to outlawing them. Yet nearly 50 years later in Guinea, for example, 96% of girls and women between the ages of 15 and 49 are still suffering FGM, while 80% are victims in a further eight countries. In all, some 125 million girls and women born since 1965 have been abused in this manner. Given the overwhelming case for the abandonment of these practices at all levels and recognising the legal, social and moral norms that control them, what specific action are the Government taking to support UNICEF and other in-country programmes with human and financial resources?

[Baroness Verma]

My Lords, the noble Lord will be aware that in 2014 we co-hosted the Girl Summit with UNICEF. At that summit we secured 500 signatories to a charter and more than 170 commitments from Governments, civil society and individuals. We are putting £35 million in place over the next five years, but this is a deeply bedded social norm. It has been there a long time. It will take time for people to come to terms with removing it. We have seen progress. Since our summit, there have been summits in Bangladesh, Ethiopia and Uganda, and last year there was an African Union-led summit in Zambia.

[Baroness Cox (CB)]

My Lords, is the Minister aware that I worked as a nurse in Sudan? I saw the horrific effects of the most radical form of FGM, with agonising complications. I saw how many women, offered some amelioration—for example, following episiotomy for childbirth—refused help in terror of their husbands’ and families’ reactions. What more can be done to ensure that these DfID programmes effectively reach local communities and families, who are critical to the eradication of FGM? At present, many of these programmes do not reach grass-roots level.

[Baroness Verma]

My Lords, I know of the experience of the noble Baroness and the work that she does in this area. It is right and proper that we work with the countries where this is prevalent. If we are to change social norms, we need local communities on board with us. All our programmes in all the countries in which we operate put girls and women at the centre of everything we do.

[Baroness Gardner of Parkes (Con)]

My Lords, I remind the House of the work done by the noble Baroness, Lady Trumpington, who introduced the first legislation on this issue. Baroness Rendell then picked up the fact that people were being taken abroad outside our jurisdiction. She did wonderful work and put through the next part of the legislation.

I followed the noble Baroness, Lady Trumpington, on the United Nations Commission on the Status of Women, which is where the work started. It is clear from the time that she and I spent there that it takes a long time to change cultural attitudes—even in this country, which was the first to pass an equal opportunities Act. It all takes time but we must not give up. The young Kenyan girls who took a court case in their own country set an outstanding example.

[Baroness Verma]

My Lords, I pay tribute to my noble friends Lady Gardner and Lady Trumpington, and to Lady Rendell. By raising these issues consistently we are able to achieve some of the changes and an acceptance that we must do much more to get rid of this heinous crime. My noble friend Lady Gardner is absolutely right; we must continue to try to change something deeply embedded.

[Baroness Kinnock of Holyhead (Lab)]

My Lords, does the Minister share my concern about the efforts made by UN member states to minimise the number of SDG indicators, possibly eliminate the FGM target altogether and retain the current restriction on measuring FGM in only what they call “relevant countries”? Does she agree that, if the FGM indicator is limited only to specific countries or eliminated completely, millions of women and girls will remain invisible? Data on the targets will not be collected and no one will know if states are making progress towards ending this vile process.

[Baroness Verma]

The UK fought hard for the universal acceptance of human rights—that they are for everyone—and this is a human right. The noble Baroness will therefore be aware that we will continue to ensure that there are indicators to reflect FGM.

[Baroness Northover (LD)]

My Lords, as the Minister will know, the Girl Generation was set up in 2014 by my noble friend Lady Featherstone, when she was a DfID Minister, to combat FGM in 17 countries—initially in Kenya, Zambia and Nigeria. What targets have now been set for the Girl Generation and how is DfID supporting them? What is DfID now doing to ensure that the targets are achieved given how important it is to protect these girls?

[Baroness Verma]

My Lords, I pay tribute to the noble Baroness, Lady Northover, for her work as a Minister to champion the issue of violence against women and girls. It is absolutely right that we continue to pursue this hard by monitoring, evaluating and finding ways of working to help Governments to enforce and put in place legislation, frameworks and policies. That will assist the work that was done by the noble Baronesses, Lady Featherstone and Lady Northover.

Zika Virus

Baroness Verma Excerpts

Tuesday 2nd February 2016 Lords Chamber

[The Parliamentary Under-Secretary of State, Department for International Development (Baroness Verma) (Con)]

My Lords, with the leave of the House, I will repeat in the form of a Statement the Answer to an Urgent Question given earlier today in the other place by my honourable friend the Parliamentary Under-Secretary of State Nick Hurd. The Statement is as follows.

“The World Health Organization is working with the Governments of the countries worst affected to lead the response to the Zika virus. We welcome the recommendations of the WHO emergency committee on Zika and the UK Government are assessing our response.

The UK has been at the forefront of global efforts to ensure that the WHO has the funding, expertise and systems to respond to emerging disease threats such as Zika. As the second-largest national funder of the World Health Organization, the Department of Health met the UK’s £15 million commitment to WHO core funding in 2015, alongside political and technical support to strengthening the organisation and its preparedness. In addition to this, the Department for International Development made a discretionary contribution of £14.5 million in 2015. As part of the UK effort to strengthen global health security, DfID contributed an additional £6.2 million to the WHO’s contingency fund for emergencies, which can be used for the management of Zika.

In response to this outbreak, the first thing to say is that the risk to the UK population from the Zika virus remains extremely low. We have already taken a number of steps to ensure that the UK public are protected, but, of course, we are not complacent and we will review our approach in the light of the WHO’s decision, both in terms of actions to mitigate the risk to the UK and considering what additional support the UK could offer to the countries and regions affected.

The Department for International Development is working with Department of Health and colleagues across government on our response at the highest level”.

That concludes the Statement.

[Lord Collins of Highbury (Lab)]

My Lords, I thank the noble Baroness for repeating the Answer to the Urgent Question. I welcome, too, the Government’s response, working with Public Health England and the Department of Health to ensure that the public in this country receive clear and proper guidance, particularly those who travel. However, our thoughts must be with those affected, with 16,000 cases of microcephaly occurring. There is no test, no cure and no vaccine. People are facing a life of disability and poverty.

Ebola has shown the limitations of the global community’s approach to heath emergencies and it triggered a huge debate on how we should reform the WHO to make it fit for purpose. While I, too, welcome the speed of the emergency committee’s response to Zika, what steps have the Minister’s department taken in pressing for a review of the international approach to health emergencies, incorporating the function, structure and funding of the WHO? I am particularly concerned about the expectations and role of major donors. I note what the Minister said about Britain’s contribution but our part in this must be to encourage others to do more. This crisis also underscores the importance of investing in a strong system of research and development for global health. We had a debate on neglected tropical diseases in which we highlighted this issue. On a point of clarification, in relation to the additional funds being made available through the Ross fund and the Gates Foundation, it was not clear whether there would be additional money for the development of vaccines. I would be grateful for an answer on that.

[Baroness Verma]

My Lords, I am grateful to the noble Lord for welcoming the work that DfID is doing in responding to this outbreak. He referred to the response to Ebola and the lessons we have learned from that: for example, that health systems on the ground needed to be strengthened. Since then, we have worked to ensure that there is strong reform of how the WHO responds.

The noble Lord also referred to funding. While the UK plays its role, other major donors must also raise their own contributions. As the noble Lord is aware, we work very closely with partners to ensure that we get appropriate funding. We have learned many lessons. Part of that was ensuring that people on the ground are able to respond fully, with trained people in place. Therefore, we have concentrated on looking at how the systems are responding, particularly in Brazil, where we have seen the larger outbreak. This outbreak has elevated itself into people’s minds. The Zika virus is well known in Brazil. Research is being undertaken in a number of areas. Public Health England has offered support through the Pan American Health Organization. We are waiting for that offer to be taken up. The Ross fund, to which the noble Lord referred—the £1 billion that was announced by the Chancellor—will provide funding for research and development. Included in that will be the UK vaccines network, which will have £120 million of funded support and will be headed by the chief scientific adviser from the Department of Health, Professor Chris Whitty. The UK is doing a range of things and is responding. We know very well that we do not have antiviral for this virus at this moment in time. Those exercises are currently taking place.

[Baroness Walmsley (LD)]

My Lords, 80% of those infected show no symptoms. However, a test is about to be made available all over Brazil. It is effective as long as it is given within five days of infection. Therefore, will the Government ensure that the test is available immediately for any pregnant woman returning from one of the 24 infected countries who thinks that she may have been exposed? Is the UK planning to follow the US by banning anyone who has travelled to one of the infected countries from donating blood until it can be determined that they are not carrying the virus?

[Baroness Verma]

My Lords, on the issue of testing when pregnant ladies come back, if anyone has a concern—whether they are travelling to or from the country—the best advice is to go and see their doctor. It is really important that people who have a concern go and see their doctors. However, the actual virus does not travel well because the climate in the UK is not consistent with its doing so; nor is it passed from person to person. So the risks in the UK are low, but my advice would be to see a GP if there are concerns.

I do not have a response to the noble Baroness’s second point about blood donors. I will have to find out the answer.

[Lord Patel (CB)]

My Lords, the virus, having been found in 1947 with low infectivity to humans, has now gradually spread to larger populations. Three things are important. The first is surveillance: what surveillance measures need to be undertaken to identify where the disease is spreading? The second is vector control. It is a daytime mosquito, so insecticides and self-protection are important. However, in the long term, the vector itself must be controlled and this is where Britain has an important role to play. While vaccines will take a long time to develop, modern techniques of gene editing and gene modification of insects are the way forward. Britain leads the world in this science and Brazil is the next country that has expertise in it. The two countries can work together to produce, in a very short time, modification of these mosquitos so that the incidence of the disease is reduced. Will the Ross fund be used to help our scientists do this?

[Baroness Verma]

My Lords, as I have said, the Ross fund will be used for research and development. On the noble Lord’s point about doing research with Brazil, only last week the UK announced a £400,000 Newton fund Zika research project between Glasgow University and Fiocruz in Brazil, which is in the hotspot area of the outbreak.

[Lord Trees (CB)]

My Lords, Zika is the latest of a series of infectious diseases to have emerged in recent years in humans and animals. Some 75% of new infectious diseases emerging in humans are derived from animals. Does the Minister agree that, at this time, when our biosecurity is threatened by globalisation, we need to strengthen national surveillance capabilities for infectious diseases in humans and animals?

[Baroness Verma]

My Lords, the wider point is, as the noble Lord, Lord Patel, said, that the rate of spread of this particular virus is low. However, I agree with the noble Lord that we need to understand better why this virus and others are suddenly increasing at a greater rate than the normal pattern in the past. The UK is showing leadership by putting money behind research and development. Working with countries where outbreaks are taking place will not just benefit our own understanding but will build resilience for those countries.

[Viscount Ridley (Con)]

My Lords—

--- Later in debate ---

[Baroness Verma]

My Lords, I am aware of that research.

Neglected Tropical Diseases

Baroness Verma Excerpts

Monday 1st February 2016 Lords Chamber

[The Parliamentary Under-Secretary of State, Department for International Development (Baroness Verma) (Con)]

My Lords, I, too, start by thanking the noble Lord, Lord Trees, for securing this debate and all noble Lords for their thoughtful contributions. I think that we should be proud of the role that the UK continues to play in its work on neglected tropical diseases, which I shall now refer to as NTDs. Her Majesty’s Government remain strong in their commitment to fighting these diseases, which, as my noble friend Lord Sheikh and the noble Baronesses, Lady Warwick and Lady Hayman, and others, said, affect the poorest of the poor. Every year neglected tropical diseases affect the lives of more than 1 billion people, causing disability, disfigurement, stigma and an estimated 500,000 deaths.

As noble Lords will be aware, at the high-profile London Declaration on Neglected Tropical Diseases in 2012, we made a commitment to spending an additional £195 million on NTDs, and last year the Chancellor announced the new £1 billion Ross fund, which has been mentioned by all noble Lords. I am pleased to inform the House that that includes support for NTDs—both for research into new drugs and diagnostics and for the implementation of programmes. These commitments are a clear indication of our continuing commitment to improving the lives of the poorest people in the world and to the principle of leaving no one behind that is at the heart of the global sustainable development goals.

I want to make two important points, one on results and the other on resources. I also want to congratulate the noble Lord, Lord Crisp, and the organisation Sightsavers International on their work, along with DfID, on the mapping of trachoma, a disease that results in blindness. As the noble Lord said in his remarks, it was the largest mapping programme in the world and has provided us with valuable information on the geographic distribution of the disease so that we can target resources where they are most needed.

Our support for tackling bilharzia—I may have pronounced that wrongly—which is a disease that often kills young people in young adulthood, is also yielding real results. Our programme here, as noble Lords have said, is delivered through Imperial College. It has already delivered 60 million treatments and aims to deliver a total of 200 million by 2018. Our support for combating elephantiasis, which is managed by the Liverpool School of Tropical Medicine, is also showing results. This is a disease which results in abnormal enlargement of parts of the body, causing pain, severe disability and social stigma. At least 24 million treatments are provided annually through the UK’s support, and 17 of the 73 elephantiasis-endemic countries are now able to stop treatment as they are thought to have achieved elimination. This is a huge achievement and the result of much effort by endemic countries and partners such as DfID.

Later this week, as the noble Lord, Lord Trees, alluded to in his opening remarks, former US President Jimmy Carter, who has led the international campaign for the eradication of guinea worm, will be speaking in the Robing Room. Over recent years the UK has been the second largest donor to the eradication effort after the Bill and Melinda Gates Foundation. In 1986 guinea worm disease affected 3.5 million people. In 2015 there were only 22 cases. Noble Lords will agree that this is an enormous achievement, but many challenges, as has rightly been pointed out, remain before we can consign this disease to history. I agree with the noble Lord, Lord Crisp, and others that we need to remain vigilant and push commitment to ensure that we can consign it to history.

Coming to my point on resources, the UK is the second-largest donor to support the implementation of the NTD programmes. At present, the donor base is far too narrow and the UK actively encourages efforts to raise additional funding from other partners. We are doing our bit, and as my noble friend Lord Sheikh said rightly, the 0.7% commitment demonstrates that the UK is delivering and is committed to what the UK firmly believes in—but we need others to do much more.

I agree with the noble Lord, Lord Trees, that it is important that we recognise the very substantial contribution of the pharmaceutical companies. Most of the medicines used for neglected tropical diseases are donated. Without that vital contribution, our progress would be much slower and much more costly. For the period 2014 to 2020, pharmaceutical companies have pledged drugs valued at $17.8 billion.

Of course, national government leadership in endemic countries is essential and domestic resources must increase if progress on NTDs is to be sustained. In turn, we will continue to show leadership in our health system strengthening work, supporting health worker capacity and access to essential medicines and equipment.

The noble Lord, Lord Stone, asked if I would meet him and others. I am always happy to meet noble Lords with their interested groups. I very much take the view that sharing best practice is a good way of learning how we can better our own strategic and effective delivery. The noble Lord will just have to do what noble Lords do: contact my private office. I am sure that that meeting will be put in place.

I shall now respond to some of the questions that were asked. If I run out of time, as always, I will write to noble Lords. The noble Baroness, Lady Barker, and others asked about the Global Fund replenishment. As one of the largest and longest-standing donors to the Global Fund, we are working hard to ensure a successful replenishment for 2017 to 2019, but we will make our own decision on the contribution in a few months’ time, after we have seen the outcomes of the multilateral aid review that is currently being undertaken by the department.

The noble Lord, Lord Crisp, the noble Baroness, Lady Hayman, and a number of other noble Lords asked how we are integrating NTD programmes with other sectors such as water sanitation. It is absolutely right that we look at integration across sectors, with water and sanitation being very important. We are increasingly doing so. We also have to encourage our partners to do the same. I hope that noble Lords who are involved in a number of organisations will take that message out because it is very important that we speak with one voice on these issues.

The noble Lord also asked how we are supporting the development of health systems in developing countries. I am pleased that DfID is a leader in supporting countries to strengthen their health systems. The noble Lord, Lord Collins, and a number of other noble Lords spoke about Ebola, where we saw that the response was slow in the beginning because of the weakness of those health systems. It highlighted to us that we need to make sure that we not only provide the funding but ensure that the capacity on the ground can respond to the issues and challenges that those people face. So it is essential that we ensure that they have the proper capacity and access, and proper medicines and equipment.

The noble Lord, Lord Patel, the noble Baroness, Lady Hayman, and others asked whether the Ross fund would be used to support clinical trials. The £1 billion Ross fund will include funding for research, including funding to develop, test and deliver a range of new products, including drugs and vaccines.

The noble Baroness, Lady Warwick, asked what further steps the UK can take in research, including product development partnerships. We support the Drugs for Neglected Diseases Initiative, or DNDi, a product development partnership developing new drugs for a range of NTDs, but we also support product development partnerships for new diagnostics. So it covers a wide range, not just of products with partners but the diagnostics behind them.

My noble friend Lord Sheikh rightly spoke about his experiences. He has vast experience in Africa. I am glad that he reminded us all of our commitment to 0.7%. Working with the Gates Foundation, we have demonstrated our joint ambition to see an end to malaria. My right honourable friend the Chancellor of the Exchequer made that announcement very recently.

All noble Lords said that we need to encourage others to step up. I absolutely agree. These issues and challenges will never be dealt with by individual countries or individual organisations. Part of our undertaking as a department is to make sure that we press at different fora and conferences for others to step up. We worked at the recent G7 meeting, which committed to address NTDs, and we are also working with developing countries to encourage them to commit domestic resources.

I have fast run out of time. I still have a couple of responses, but I will finish by saying that while much progress is being made, millions of people still need treatment and do not get it. The international community sees DfID as a global leader in tackling NTDs, but we cannot and must not be complacent. We need to continue to strive to have a transformational impact on the lives of the most vulnerable people across the world, ensuring, as we deliver our promise of leaving no one behind, that no one is left behind.