Diabetes

Debate between Jim Shannon and Rehman Chishti

Wednesday 9th January 2013 Westminster Hall

[Jim Shannon]

Yes, I agree. When people make interventions, I always wonder whether they have read my script—preventive medication is the very next issue on it.

In my doctors surgery in Kircubbin and, indeed, across Northern Ireland preventive measures are in place. There are diabetic surgeries, and the matter is taken seriously. The UK strategy that we have had for the whole of the United Kingdom of Great Britain and Northern Ireland and that will come to a conclusion this calendar year has made significant progress towards reducing the potential numbers, but diabetes has increased over the same period. There are some 100 diabetics in my doctors surgery in Kircubbin.

[Rehman Chishti]

The hon. Gentleman talks about the United Kingdom strategy. Does he accept that certain people from different ethnic backgrounds are more likely to get diabetes? For example, according to the Wellcome Trust, 50% of people from south Asian and Afro-Caribbean backgrounds would have diabetes by the age of 80. Any UK strategy would therefore have to take ethnic composition into account, because such people are affected differently.

[Jim Shannon]

That is an excellent point, and I am sure that the Minister will address it in her response. There are groups in the whole of the United Kingdom in which diabetes is more prevalent, and we need to look at those target areas.

There are 3.7 million people in the UK diagnosed with type 2 diabetes. I was diagnosed four years ago. With me, it was down to bad eating habits, stress and the fact that there were no set hours to my job. I ate whatever was quickest, and that was Chinese, usually with two bottles of coke, five nights a week. That was why I was 17 stone. I am now down to 14 and a half stone because I no longer do that. The issue is eating and living styles—eating what is quickest rather than what is best.

Edwin Poots, the Minister at the Department of Health, Social Services and Public Safety in Northern Ireland, is very aware of the ticking time bomb that is diabetes. I am aware of the key initiatives in operation in Northern Ireland, and I know that the Minister here today has had discussions with the Minister in Northern Ireland. They are doing a great job, including setting aside funding to employ additional diabetic staff—specialists, nurses, dieticians and podiatrists. That is providing all the help that a diabetic needs, but it is still not enough.

We need a concerted effort across the United Kingdom, through the media, and even perhaps through the TV soaps. I am not a soap watcher. I could not tell anyone what happens in “Emmerdale” or “Coronation Street”, but my wife could. She knows everyone in them—what they are doing this week and what will happen to them next week. Could we not perhaps use the soaps to make people more aware of the issue? I understand that plenty of issues are brought up in them regularly, so perhaps we should try this one.

It is great that our children are taught about diabetes in school. It is surprising what a five or 10-year-old knows about food that their mum and dad do not. Who is educating the mums and dads at home who are making the dinner and buying the shopping? The hon. Member for Blaenau Gwent (Nick Smith) made a point about how the food coming into the house is controlled by the parents. Diabetes UK Northern Ireland is taking part in an organisation-wide campaign entitled “Putting Feet First” to raise awareness of amputations among people living with diabetes and to work to prevent unnecessary amputations.

The Minister might want to comment on the new medications that are available. In the press this week, there was talk about a new diabetic medication in tablet form that could replace—not totally but partially—type 1 injections. The figure used was a cost of £35 per month. It would be good if we could get some feedback about whether the new medications will be available across the United Kingdom and whether everyone will be able to take advantage of them.

In Northern Ireland last year, 199 diabetes-related amputations took place, and the “Putting Feet First” campaign highlights that an estimated 80% of lower- limb amputations are preventable. There must be a UK strategy to reduce diabetes-related amputations by 50% over the next five years. What can we put in place in this Chamber to highlight and support the campaign? How can we use our influence to see the number of cases of type 2 diabetes dropping, instead of this steady rise?

The links between type 2 diabetes and obesity are firmly established, and it is clear that, without appropriate intervention, obesity can develop into diabetes over a relatively short time. For instance, the risk of developing type 2 diabetes is about 20 times more likely in obese, compared to lean, people. A newspaper recently stated that academic sources have estimated that the predicted rise in obesity rates over the next 20 years will result in more than 1 million extra cases of type 2 diabetes, and that is really worrying. Can that go unchallenged, when it is within our power, as parliamentarians, to do something about it, at least by putting a strategy in place or by beefing up the ones that we already have? When the current UK-wide strategy ends, it will perhaps be time to do something more.

I live the life, as do many others, of testing my blood every day, of feeling unwell when my blood sugar is out of control and of worrying that the next visit to the doctor will bring worse news, which can be the case if we do not discipline ourselves and ensure that we do things right. That is not the life that I want to have, or the life that I want my family, friends or constituents to have. The way to take on the issue is to continue with the UK-wide strategy, with dedicated funding and with all the regions working together, which will save money in the long run and, more importantly, improve the quality of lives across the United Kingdom.

I urge the Minister to take the initiative. I believe that she will and that her response will be very positive, because she understands the issues. I urge her to work with the devolved bodies, in coming together to disarm the ticking time bomb of diabetes—the cost of which some people indicate will be £10 billion—before it explodes. Type 2 diabetes is preventable, and we must do all that we can to prevent it. Education, with attention paid by everyone in this Parliament and the regional assemblies, is the way to do that.

Unmanned Aerial Vehicles

Debate between Jim Shannon and Rehman Chishti

Tuesday 6th November 2012 Westminster Hall

[Rehman Chishti (Gillingham and Rainham) (Con)]

It is a pleasure to serve under your chairmanship, Sir Roger. May I welcome the Minister to his post? I have great admiration and respect for him in his current role, and the same was true when he was in his previous role. I hope that he has had a chance to read my speech, which I sent over yesterday, and particularly the 10 specific questions I will be asking him to address.

In recent years, we have witnessed the proliferation of the use of unmanned aerial vehicles, better known as drones. These remotely piloted aircraft are predominately used by states to conduct intelligence and surveillance, and, increasingly, to carry out armed strikes. This debate looks at the military use of armed drones by the United Kingdom and the United States.

It appears that the Government see drones as having an ever greater role in our armed forces. According to the vice-chief of the defence staff, General Nicholas Houghton, we may see a tipping point by the mid-2020s, when the UK will

“move away from manned fast jets to Unmanned Combat Aerial Vehicles and missiles”.

The Government recently announced that the number of Reaper drones the UK operates in Afghanistan was to double to 10 and that operations were, for the first time, to be conducted from RAF Waddington, in Lincolnshire. Currently, the UK’s five Reaper drones are operated by British personnel from Creech air base in Nevada, and the latest figures show that those drones have flown 40,000 hours and fired 345 missiles in Afghanistan.

Although drones offer the potential to target insurgents without having to put our armed forces in harm’s way, we need to ensure that all steps are taken to prevent civilian casualties. Despite the growing significance of drones, there has been little debate about this issue, and the time is right for a review into how they are used and how they may be developed and deployed in future.

The first question I would like the Minister to address is, what is the Government’s policy on the use of drones, particularly in Afghanistan and Pakistan? My second question is, how many civilians have been killed by UK drone strikes in Afghanistan? My third question, which is linked to that, is, does he agree that the death of civilians in Afghanistan undermines the aim of winning hearts and minds, and feeds anti-west feeling? If civilians cannot be protected, does he agree that we should consider suspending the use of drones?

Earlier this year, I visited Pakistan, having been a former adviser to Benazir Bhutto, and I met President Zardari, senior Ministers and many local people. Everywhere I went, concerns were raised about the use of drone strikes in Pakistan by foreign countries. There were real concerns that such strikes would feed into the anti-west attitude played on by radical elements.

Although the UK has operated drones only in Afghanistan, the United States has used them as part of its counter-terrorism strategy in Pakistan, Somalia and Yemen. According to reports, that has resulted in hundreds of civilian causalities. The Bureau of Investigative Journalism believes that more than 350 strikes have taken place in Pakistan since 2004, and 3,378 people may have been killed, including 885 civilians. That has fed into anti-west feeling, with 74% of Pakistanis now seeing the US as an enemy, and only 17% supporting its use of unmanned strikes.

One victim was Daud Khan, a local tribal elder from Datta Khel, who was killed in March 2011, along with 40 other people, while attending a jirga, which is a peaceful council of elders. His son, Noor Khan, has launched legal proceedings in the United Kingdom, alleging that the British Government provided locational intelligence to the CIA about individuals of interest to the United States and that this intelligence is then used to direct drone attacks in Pakistan. The legal statement for the case asserts that if Government officials assisted the CIA to direct armed attacks in Pakistan, they are, in principle, liable under domestic criminal law. Such allegations damage our relationship with Pakistan, which will draw its own inferences from the Government’s refusal to confirm or deny whether intelligence has been shared with the United States.

[Jim Shannon (Strangford) (DUP)]

I thank the hon. Gentleman for bringing this matter to the House. Does he agree that, while we regret the loss of civilian lives, the drones’ military objective of taking on terrorism is vastly important? Is it not better to use them to save British Army lives?

[Rehman Chishti]

I thank the hon. Gentleman. That is an important point. I am not against the use of drones, but it has been asserted that the United States operates drone strikes not simply against known targets, but against suspects, and that is completely unacceptable when somebody may or may not be an insurgent. Drones have their place; if they can be deployed, and the intelligence is good, of course we have to look at using them. However, in Pakistan, there have been 885 fatalities in 3,330 strikes, which is completely unacceptable. I am therefore asking the Minister for assurances that we will ensure that drones are linked to proper intelligence. If steps can be taken to avoid civilian casualties, drones can, of course, be used to target known militants, as they have been.