Nuclear Research and Development
Debate between Baroness Verma and Lord Patel
Baroness Verma
The noble Lord is absolutely right. He will be aware that our own Dr Mike Weightman was very involved in the work going on after Fukushima. We remain closely involved with Japan’s nuclear work. I think that we meet about twice a year bilaterally, but we are always talking with Japan in international forums.
Lord Patel
My Lords, is the Minister aware that the UK currently ranks 15th out of 16 in its spend on nuclear fission research, spending one-tenth of what Belgium does and half of what Finland spends? What should the UK spend?
Baroness Verma
My Lords, the noble Lord would draw me into providing a figure but I am not prepared to do so at this stage. However, we take our research and development very seriously and we are investing an awful lot of money in research and development, but it is also about the quality of research, not just the quantity of money being spent.
Malawi
Debate between Baroness Verma and Lord Patel(12 years, 11 months ago)
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Baroness Verma
The noble Baroness will know that I am not able to answer on each individual country at this moment in time, but I will get someone to write to her. The reductions are a result of our bilateral and multilateral reviews, where we saw that we needed to ensure that whatever moneys we were giving through aid via DfID were being well spent. The noble Baroness shakes her head, but she will know that during her time she faced the same sort of difficulties in ensuring that such programmes were both fully funded and fully scrutinised by the programmes we had in place. Governments needed to build up on good governance, which some were failing to do.
Lord Patel
I am sure that the Minister is well aware that Malawi has one of the highest maternal mortality ratios and one of the highest incidences of obstetric fistula. What impact assessment have the Government made of how programmes to deal with these will be affected by the redirection of aid?
Baroness Verma
I come back to my original Answer. I reassure the noble Lord that we have not cut back on aid but are redirecting the aid that was going through budget support to the health and education sectors, so we will be providing even more support by directing the aid to those sectors and having better oversight of where that money is being spent.
Open Public Services White Paper
Debate between Baroness Verma and Lord Patel(12 years, 11 months ago)
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Baroness Verma
The noble Lord raises a number of interesting points. I did say that we are building on what the previous Government were doing. We are trying to make it a build-on that will be a bit more directed and focused on what the outcomes are going to be. I think that we are still in that mode of debating. It is important that we debate and discuss the best possible ways of delivering. These conversations do not stop just because a paper is produced. Consultation is an ongoing process, but it is also very important that we do not become so blinkered that we decide that the White Paper is not going to deliver anything. The White Paper is already able to deliver a lot, because we are building on what was already in place.
The structures will, of course, have areas that we will need to fine-tune and to look at how things can be made much tighter, but the Government are making sure that we have continuity plans and safety nets in place so that we can ensure that, when people make those choices, they are not left without support mechanisms. That is why we want to encourage champions to come forward through organisations such as Which? or HealthWatch and also make sure that there are ombudsmen for each sector, so that everyone knows that there is a line of recourse if they face difficulties.
Lord Patel
My Lords, on the face of it, allowing patients a choice as to where they wish their care to be delivered seems a good idea, except that there are several problems. One is the quality of information we have: if that choice is to be based on outcomes, it is pretty poor.
The second is that the outcome is not based on one treatment: it is the quality of the journey of care of a patient that delivers the best outcome. For instance, poor outcomes in cancer may well be, and are, related to late referrals of cancer patients. How does a patient know what quality of information they will be given that will allow them to make a choice as to how they wish their care to be provided, based on these outcomes?
Another issue is that the best quality might be far away from where the patient can go or have access to. So how would they make that choice? Most importantly, if we are going to do this—and the idea seems good—it should be based on what we have learned from pilots. Have there been any pilots done that will tell us how this will work?
Overseas Aid: Famine Relief
Debate between Baroness Verma and Lord Patel(12 years, 11 months ago)
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Baroness Verma
The noble Lord is right. We have to work on a long-term plan, but we also have to react and respond to the crisis at the moment. The noble Lord will be aware that we have just had a review of the way we distribute humanitarian aid and we want to build on the recommendations of my noble friend Lord Ashdown so that there is resilience in the system as well as responding in the short term.
Lord Patel
My Lords, on the basis that famines do not occur overnight and that conditions exist for some time before the crisis develops, would it not be better if the Government were able to have some plans that they could put into action in order to be ahead of the curve, so that the effects of the famine, or other crisis, could be mitigated?
Baroness Verma
The noble Lord, Lord Patel, is right. Following on from the previous question, it is about ensuring that we have warning systems in place. We are also working hard to build long-term resilience by providing assistance on how to develop economic growth and by ensuring that populations are better educated in healthcare in order to be able to respond to the needs themselves.
Burundi
Debate between Baroness Verma and Lord Patel(13 years, 2 months ago)
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Noble Lords
Lord Patel
My Lords, given that Burundi is one of the worst performers as regards millennium development goal 5, what plans do the Government have to help Burundi to achieve that goal?
Baroness Verma
My Lords, we believe that our funding through the EU programme that takes on the role of looking at maternal and child mortality will assist through an agency that is better placed to deliver that.