United Nations World Humanitarian Summit

Lord Collins of Highbury Excerpts

Tuesday 12th April 2016 Lords Chamber

[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

Lord Collins of Highbury Excerpts

Tuesday 22nd March 2016 Grand Committee

[Lord Collins of Highbury (Lab)]

My Lords, I, too, thank the noble Earl, Lord Selborne, for initiating this extremely timely debate. As he indicated, the Sendai Framework for Disaster Risk Reduction is a 15-year, voluntary, non-binding agreement which recognises that the state has the primary role to reduce disaster risk but that the responsibility should be shared with other stakeholders including local government and the private sector.

Last week, as the noble Earl indicated, was the first anniversary of the framework, which was adopted in 2015 in Japan. Sendai also held the 2016 Symposium for Disaster Risk Reduction and the Future this month.

When I was thinking about this debate this morning, I was listening to Radio 4 and I heard Professor Jim Al-Khalili, presenter of “The Life Scientific”, introduce the environmental scientist Professor Carolyn Roberts. In doing so, he mentioned that barely a month goes by without news of another catastrophic flood somewhere in the world: we had the Boxing Day tsunami in 2004, the flooding in New Orleans and Hurricane Katrina a year later, and the typhoon in the Philippines in 2013, with the role of climate change being strongly mooted. Jim also reminded us of the events here this winter when, once again, flood victims were caught in a cycle of despair and anger as they tried to make sense of why their homes were flooded and what could be done to prevent it happening again.

I immediately tuned in to the radio, bearing in mind the potential for the Sendai framework to structure how all communities, both locally and globally—I am sorry for the interruption, but I cannot decide which glasses to wear at the moment. I have a slight problem with cataracts and I am finding it difficult to focus. As I was saying, I tuned in to the radio, bearing in mind the potential for the Sendai framework to structure how all communities, both locally and globally, are able to respond and protect people when disasters occur, and for science and technology to contribute. Professor Roberts applies water science in particular to work out why such events occur and the role that we humans play in them. One thing she mentioned that I thought had huge resonance for today’s debate was her recollection of a local politician, who was responsible for planning policy in a council, asking what a flood-plain was. What this brought home to me—and to her; this is the point she was making—was the importance of bringing a better understanding of science to the public and ensuring that public policy development works hand in hand with scientific progress.

The Sendai framework recommends that national and local government work closely with the private sector in their area across the four priorities for action, benefiting from industry expertise—the examples given in the framework are insurance and risk sharing, as well as lessons in good practice such as resilient building codes, and resilient tourism and the business community.

My noble friend Lord Hunt of Chesterton has stressed how the Sendai framework and its priorities for action have been developed based on the 10-year experience of implementing the Hyogo framework and the ones that went before that. These priorities are key to enabling disaster management agencies to move beyond improved disaster management to address the underlying disaster risks. However, as my noble friend stated, it is also important that government agencies and the research community are encouraged to improve the technologies of prediction and warning, especially where the current methods fail, such as the warnings for earthquakes, as highlighted by my noble friend, and for certain kinds of typhoon, such as that which occurred in the Philippines.

I am also pleased to see that we have here today Professor Virginia Murray, head of extreme events and health protection at Public Health England. I read the extract from her excellent blog in the briefing that we received from the Library in which she illustrated how Public Health England works internationally alongside other Governments and in partnership with organisations such as the WHO, and, of course, collaboratively with DfID. She pointed out that through the Sendai framework Public Health England would be able to build a structured response using a greater level of detail and clarity, and to consider the potential for science and technology to contribute.

My noble friend also mentioned the role of the EU, which has, of course, strongly supported the Sendai framework’s extension of the traditional focus on natural hazards to include man-made hazards and associated environmental, technological and biological hazards, which brings it in line with progress made at a European level in recent years. What contributions have the Government made to the development of the EU action plan on the implementation of the Sendai framework?

As Professor Murray highlighted, the Sendai framework also includes targets to reduce damage to infrastructure and disruption to basic services, including health and education facilities. In recent times we have seen a particular impact in Africa from epidemics and other risks. Some disaster experts have said that the lack of a firm commitment in the agreement to ramp up international aid for risk reduction would undermine poorer countries’ efforts to make progress on the SDGs.

In February a special session on the gender-related dimensions of disaster risk reduction and climate change was convened in Geneva by the UN Committee on the Elimination of Discrimination against Women. Countries were urged to act on the emphasis that the Sendai framework placed on gender issues. What efforts are the Government making to reflect this and to work with disaster-prone countries to ensure that women are involved in the disaster risk decision-making process and resource management, and to ensure that they have access to social protection measures, education, health and early warnings?

As the noble Earl, Lord Selborne, has already mentioned, in response to a Written Question from the noble Lord, Lord Crisp, last November, the noble Baroness the Minister said that the department remained committed to supporting the most vulnerable countries to better withstand and recover from the impact of disasters. However, she indicated that DfID was still assessing the full implications of the Sendai framework for its programmes.

Disaster risk is costing countries more than $300 billion a year. If disasters strike in developing countries, they can wipe out 20% or more of GDP. Many experts argue that if we want to address sustainable development, disaster risk has to be incorporated in development planning. Evidence shows that Governments are failing to incorporate disaster risk in the planning of their economic development. What measures are the Government taking to address this, and will they highlight the importance of this issue at the next session of the Global Platform for Disaster Risk Reduction in 2017?

What efforts are the Government making to promote the need to integrate disaster risk reduction and climate change adaptation efforts, particularly given that 90% of disasters are now climate-related? Can the Minister indicate what the Government’s current priorities are in the vital area of disaster risk reduction?

Health: Ebola

Lord Collins of Highbury Excerpts

Wednesday 9th March 2016 Lords Chamber

[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.

Sudan

Lord Collins of Highbury Excerpts

Monday 29th February 2016 Lords Chamber

[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

Lord Collins of Highbury Excerpts

Thursday 11th February 2016 Lords Chamber

[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

Lord Collins of Highbury Excerpts

Monday 8th February 2016 Lords Chamber

[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.

Zika Virus

Lord Collins of Highbury Excerpts

Tuesday 2nd February 2016 Lords Chamber

[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.

Neglected Tropical Diseases

Lord Collins of Highbury Excerpts

Monday 1st February 2016 Lords Chamber

[Lord Collins of Highbury (Lab)]

My Lords, I, too, thank the noble Lord, Lord Trees, for initiating this important debate on neglected tropical diseases. Although the most common infections among the world’s poorest communities, they receive little public attention. As we have heard from many noble Lords, while not always fatal, their effect on individuals and communities can be devastating, the brunt of which is often felt by women and children, and act as a serious impediment to economic development in many countries.

The third progress report on the London declaration highlighted the dramatic health and economic benefits from investing in combating NTDs. The positive returns of relatively inexpensive programmes are significant, with an economic rate of return of 15% to 30%. As the noble Lord, Lord Trees, highlighted, NTDs are now recognised in the SDGs through Goal 3, which relates to healthy lives, and are explicitly included in Target 3.3. This is a major step forward for the profile of NTDs and a global commitment towards ending these diseases. Continuing this momentum through to national implementation strategies and national action plans will be critical to achieving the WHO NTD road map targets.

Global coverage is increasing, with around 43% of at-risk populations being reached by at least one drug, compared with around 35% in 2008. As the noble Baroness, Lady Barker, said, individuals with NTDs are at higher risk of contracting or not recovering from HIV/AIDS, malaria and TB because they weaken the immune system. Will the Minister take forward for Global Fund board discussion an assessment of the value of strengthening HIV/AIDS, TB and malaria investments through collaboration with national NTD programmes?

The risks to achieving the WHO targets remain not least the wars and conflicts that we have seen, and vector control. There are risks to promoting mass drug administration as highlighted by the noble Baroness, Lady Hayman, which include undermining already fragile healthcare systems. Ebola has shown us the devastating effect that infectious diseases can have on countries with weak and underfunded health systems. Investment in new diagnostics and treatments must be matched by investment in strengthening health systems. I, too, welcome the launch of the £1 billion Ross fund with the Gates Foundation. Like other noble Lords, I hope the Minister can clarify how much of the £200 million announced for NTDs through the fund is new funding and how much is existing allocated resource.

I should also like to know what steps are in place to ensure that money allocated from the Ross fund for research is complemented by investments in health system strengthening and efforts to deliver treatments and care to the people who are most in need. Finally, what steps will the department take to measure the impact of its NTD funding on women and girls, who disproportionately suffer from these diseases and the stigma attached to them?

Bilateral Aid Review

Lord Collins of Highbury Excerpts

Wednesday 27th January 2016 Lords Chamber

[Baroness Verma]

My Lords, of course we are extremely concerned about the ongoing political unrest in Burundi and its humanitarian consequences. The UK is the second largest bilateral donor to the regional appeal, after the USA. We are monitoring the situation closely, and we may consider additional funding for the region. As I said to the noble Lord, Lord McConnell, we are reviewing everything we are doing to see whether we are best placed as we currently are or whether we need to increase or decrease in certain places.

[Lord Collins of Highbury (Lab)]

My Lords, with DfID increasingly working in fragile and conflict-affected states requiring complex programmes, the department is likely to rely increasingly on contractors and local partners. Is the Minister satisfied that the department has the capacity to manage such projects? The danger is that we will end up with consultants managing contractors, thereby risking vital lines of accountability.

[Baroness Verma]

My Lords, the noble Lord is of course aware that most of the work is delivered through DfID staff and DfID programmes on the ground in the countries concerned. Of course, we also work with multilaterals where they have a specialism that enables them to deliver better as a multilateral force rather than individually, on bilateral terms. However, where we do need specialist advice or information, we reach out to consultants, and that is right and proper. But it would be discourteous to say to all DfID members of staff that they did not have the right capacities. We of course need to build on those, but we should not be discourteous about their actual strengths.

[Baroness Verma]

Yes, my Lords, and the noble Baroness is absolutely right to say that, when we are working in places where there is conflict—and they are incredibly fragile places—we should work to ensure that people living in those circumstances are seeing signs of hope. That is why we took the decision to work very closely in the region when we were dealing with the Syrian crises. I am really pleased that the Syrian conference is coming up on 4 February, where countries such as Kuwait and the UK are coming together to make sure that we actually address the needs of the people, particularly in the region.

[Lord Collins of Highbury]

My Lords, I was not suggesting for one moment that DfID staff do not have the capability: my question related to capacity. Clearly, given the reviews that have been undertaken, the number of DfID staff is being substantially reduced. My question relates to the capacity to deliver management to these programmes, particularly in difficult states. That is what I want the Minister to address.

[Baroness Verma]

My Lords, the noble Lord is assuming that he knows the outcomes of the reviews. Those outcomes have not yet taken place.

Syria: Refugees

Lord Collins of Highbury Excerpts

Wednesday 20th January 2016 Lords Chamber

[Baroness Verma]

My Lords, my noble friend raises a very important and concerning issue. However, we work with local partners and faith communities on the ground and we provide support to people regardless of their religious background or ethnicity. We just need to focus on the most vulnerable; that is where we must target our support. However, this issue has come to me on a number of occasions and I have asked noble Lords to engage with us to see how we can better reach those vulnerable communities.

[Lord Collins of Highbury (Lab)]

My Lords, last November the summit in Valletta focused on gaining more co-operation from key origin and transit countries. While there, the Prime Minister announced a £200 million package of development and humanitarian support for Africa. What steps is DfID taking to monitor this spend in meeting the objectives and goals set at Malta, specifically on enhancing the protection of refugees while in transit countries?

[Baroness Verma]

My Lords, the Government keep a continuous watch on these situations and monitor them, but we need to find longer-term solutions and to ensure that the countries in the region where there is the greatest number of refugees are well supported. The Prime Minister has been very much focused on leading the way in getting other donor partners to contribute fully, so that we support those who are in the region—there are more than 4 million—and those who have come and transited across, so that we can make sure that those people are safe and have the support they need. Ultimately, however, what we need to do is provide long-term solutions.