International Development and Disability

Debate between Desmond Swayne and Jim Shannon

Wednesday 26th November 2014 Westminster Hall

[The Minister of State, Department for International Development (Mr Desmond Swayne)]

I will not be alone in congratulating the hon. Member for Heywood and Middleton (Liz McInnes) on making her mark on this vital subject so early in her parliamentary career. It is a subject in which her predecessor took a particular interest, and I am confident that she will fulfil that role.

As you said, Mr Havard, the hon. Lady occupied the Front Bench inadvertently for a few moments, but I am confident that if merit had anything to do with occupation of the Front Bench she would be on it by right. I am certain that after today’s performance that is just a question of time. I hope that I can reassure her on all the concerns that she has raised, and I hope to reassure the hon. Member for Strangford (Jim Shannon), who is rightly always in his place for these important debates, on the point that he raised. I pay tribute to the Minister for Crime Prevention, my right hon. Friend the Member for Hornsey and Wood Green (Lynne Featherstone) who, when she held this brief, was a real champion for disabled people. She has much to be proud of in her record.

The hon. Member for Heywood and Middleton is right. Of the world’s 1 billion disabled people, 80% live in developing countries. One in seven of the world’s poorest people are disabled. She quoted the figure from Sightsavers for extreme poverty, which is one in five, although I am not sure whether the figure is even higher. The unemployment figure for Burma is 3.5% among the population at large, but 80% of disabled people have no means of providing for themselves. I do not believe that there is any prospect of a reduction in the number of disabled people. Indeed, the thrust seems to be in the opposite direction, and with increasing disasters, more violence, particularly targeting civilians, and ageing populations, we need to take more cognisance of the needs of the disabled.

The hon. Lady was right to say that an opportunity was missed with the millennium development goals and that we must not miss that opportunity again when we review the post-2015 development agenda. I am glad that when the Prime Minister chaired the UN working group on that agenda, it came up with the essential principle that we can eradicate poverty within a generation if, and only if, no one is left behind in respect of their ethnicity, their gender, where they live or their disability. That must be the key principle driving us forward. No one must be left behind. We cannot tackle extreme poverty, or even poverty, without tackling disability. That will be the guiding principle.

Let us assume that we now have a goal to pursue. We will not be able to pursue that goal effectively unless we have data to measure our progress. The hon. Lady pointed out that we only recently had an internationally agreed definition of disability. We are seriously short of data to disaggregate the figure, which we must do to see how people of different ethnicities, in different geographical regions, with disabilities or of different genders are affected. That must be measurable and the singular contribution of my right hon. Friend the Member for Hornsey and Wood Green was driving forward that data revolution. Last month, she co-hosted the UN a conference here in London on that subject. We have been the driving force for that agenda.

Let us assume we have a goal and that we have developed the data to pursue it. What should be the motor? I believe it must be inclusion. Inclusion must be our guide at all times. For too long, disabled people have suffered from a stigma and that must be eradicated. That inclusion, as the hon. Member for Heywood and Middleton said, must include consultation with disabled people on the formulation of the very policies in which they will be included. It is absolutely right that we work with the advocacy groups, and we have done so. “Nothing about us without us” must be the principle for consultation. I am glad that the Department works with the Disability Rights Fund, ADD International and some 400 disability groups.

I was once told quite forcefully and bluntly by a constituent who was severely disabled but nevertheless was organising a community project that she did not want my pity; she wanted help. She wanted help not just so that disabled people could fend for themselves, but so that they could contribute to the community. Our ambition must be that disabled people are not a burden but are an asset to our communities. That gives rise to four implications for policy.

First, prevention remains important. If we can prevent people from becoming disabled, we will be able to concentrate more resources on those who are disabled. The hon. Lady drew attention to the vital issue of maternal health. For every mother who dies in childbirth, 30 will suffer severe disablement. Maternal care and sexual reproductive health is a vital ingredient of the agenda, as is the prevention of disease.

One of my first meetings after assuming my present role was to meet Bill Gates to discuss the GAVI—the Global Alliance for Vaccines and Immunisation—programme to which we are the largest contributor. In 2012-13, we put £139 million into work on preventable disease. It is our objective that from 2011 to 2015 we will have vaccinated 80 million children against preventable diseases and the 2014 report shows that that objective is on track.

Secondly, we must design programmes aimed specifically at disabled people—I make no apology for that—that fit within our overall strategy. For example, in Mozambique, there are resource centres for 24,000 children with special needs, and in Ethiopia, Braille products are being produced for 10,000 children between the ages of four and 17. Our funding to the International Committee of the Red Cross in 2012 allowed it to provide 240,000 people with prostheses, orthoses, wheelchairs and physiotherapy.

Thirdly, having developed programmes specifically for the disabled, we must tailor all our programmes for everyone, so that they take account of the needs of the disabled. The hon. Lady was particularly strong in her remarks about what we need to do in education. I take her point. Accessibility for schools is vital. I am glad that we made our announcement in 2013, and I share her disappointment that that is an agenda that we have got on to only lately, but it is right that we pursue it. It right that we pursue accessibility not just when dealing with schools, but when dealing with water and sanitation, so that disabled people have access.

We are working closely with the Global Partnership for Education, UNICEF and others to ensure that when we are taking forward the education agenda disabled people and their needs and special needs are included, so that they can be identified and assisted.

[Jim Shannon]

Is the Minister aware of the campaign that goes on in probably every constituency’s schools for an education for every child? We take petitions to the Prime Minister at 10 Downing street every year. Primary and secondary school-age children show great interest in and knowledge of education provision throughout the world. Does the Minister recognise how good that campaign is?

[Mr Swayne]

I do; I have participated in it every year. I have been to schools and collected those petitions. What is more, when I was the Prime Minister’s Parliamentary Private Secretary at Downing street, I was on the receiving end, ensuring that the Prime Minister saw the petitions and responded. Some of them were fantastic art works and quite intricate.

One of the most heartening and enjoyable things to me about my constituency duties is going to schools in June and July to collect those petitions. There is usually a fantastic presentation by the pupils. Each time I go, I tell them that I am heartened and encouraged by their concern for their fellow pupils throughout the world who may either not go to school or go for only part of the day but instead must work or go elsewhere. I tell the pupils that I want them to go home and give their parents the same enthusiasm; because it is taxpayers who, more often than I would want, write to me to complain about the level of international development funding. The children have bought into the idea that the hon. Member for Strangford has raised, and we need their parents to do so as well.

Ebola

Debate between Desmond Swayne and Jim Shannon

Wednesday 5th November 2014 Commons Chamber

[The Minister of State, Department for International Development (Mr Desmond Swayne)]

I thank my hon. and learned Friend the Member for Sleaford and North Hykeham (Stephen Phillips) for bringing this issue to the attention of the House this evening. He is right in his analysis that this is a very severe problem. I estimate that by the end of October, we will already have had some 14,000 cases and approximately 5,000 deaths. The current rate of infection 1.7: in other words, for every one patient presenting with the disease, 1.7 people are going to catch it. That will lead to a doubling of cases within four weeks. So we have had some very alarming suggestions. I believe that the United States Centres for Disease Control and Prevention predicted just short of 1.5 million cases in January.

This is absolutely unprecedented in the history of the disease of Ebola. In the past, Ebola has burnt itself out within a few weeks in isolated settlements. It is therefore essential that we isolate it, and for that we need large numbers of foreign medical teams in order to secure that isolation and treatment of the disease. That is why we are stepping up our efforts, and taking a leadership role in encouraging other countries to do the same, and we will not stop: we will carry on until we have beaten this disease.

On the United Kingdom’s response, we are working in partnership with the Government of Sierra Leone. It is a long partnership, one established when that country came out of conflict. We have sought to encourage it from that conflict, and with economic development; but now, we are in partnership with the Government of Sierra Leone in order to beat this disease.

So what is our response? My hon. and learned Friend said that we have committed £125 million; actually, it is £230 million so far, including the previously announced aid matching of the first £5 million of the appeal launched by the Disasters Emergency Committee. We are deploying some 800 military personnel, together with the Royal Fleet Auxiliary Argus and its three Merlin helicopters.

Our strategy can be summed up as: beds, burials and communities. The hospital in Kerry Town opened for business today. Our ambition is that it will treat some 8,800 patients within six months. We are making available 700 beds. We anticipate that within a few weeks, the Kerry Town facility will provide 80 beds for people in the country, with 20 beds reserved for health care workers. It is essential, if we are continue the flow of health care workers, that they be guaranteed British standards of care.

Some 83 burial teams have been established, with our support, and they are making a profound difference in Freetown. Only a few weeks ago, just 30% of victims were being buried within 24 hours, but we have now reached 100% and that experience is going to be rolled out throughout Sierra Leone. A constituent wrote to me to say that he believed that Ebola was being spread by zombies. I had to disabuse him of his belief in zombies, but the irony is that people are most infective when they are dead. One problem is that certain burial traditions involve intimate skin-to-skin contact and the washing of bodies that are highly infectious. We are therefore having to drive social change so that people can understand how they can honour their dead without being infected by them.

We are driving that social change, which leads me to the subject of communities. It is essential to have community care centres where people with symptoms can present and be isolated until we can establish exactly what they have got. For every, say, eight people who present with symptoms, perhaps only one will need to go to an Ebola treatment centre, having been established as having the disease. The others will recover from a bout of malaria, or whatever it was, and go home. We are currently staffing five community centres, and learning the lessons. Within a few weeks we will have 10 of them up and running and, thereafter, it is our ambition to establish 200.

[Jim Shannon]

I made the point earlier that the Territorial Army soldiers and members of the medical corps who are going out to Sierra Leone from the United Kingdom of Great Britain and Northern Ireland to help to deal with the Ebola outbreak were concerned because they had not been given full training to ensure that they, too, did not catch the disease. Can the Minister reassure us that our TA soldiers are going to be safe?

[Mr Swayne]

We have 250 personnel who are going out on the Argus specifically to provide the training, so I am confident that the question of training has been addressed. They are going to deliver that training themselves, so I certainly believe that this has been done. If I have got that wrong, I will write to the hon. Gentleman and correct it. This operation is driving social change; it is also a huge logistical operation. It is motivating social change and bringing about the necessary logistical changes to drive the isolation of the disease.