Thursday 6th November 2014

(10 years ago)

Lords Chamber
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Lord Fowler Portrait Lord Fowler (Con)
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My Lords, I congratulate the noble Baroness on that quite excellent speech, with which I very much agree. Quite apart from the present effort to deal with the Ebola crisis, I will emphasise just two points on future policy.

The first is that the Ebola crisis again illustrates how deficient the health systems are in so many countries, not least in Africa. There is a lack of doctors and nurses; there is a lack of equipment and of modern buildings. Their health systems are under enormous pressure in what could be termed normal times, let alone abnormal times. Nothing is more urgent than that British aid policy should be directed here. That will also have the effect of tackling other scourges such as AIDS, which even today accounts for more than 1.5 million deaths a year, many of which are, of course, in Africa.

My second point is that if we are to help further, we need to look again at our policy of recruiting medical staff for the National Health Service from some of the poorest countries in the world. The latest figures that I have are that 21,000 National Health Service staff had their primary medical qualification in Africa, including almost 600 from Sierra Leone. This is in no way a criticism of them but we should examine our policy to see that we are not taking medical staff from countries which have trained them and whose need is much greater than our own here. Our aim should be to be self-sufficient and for us to provide more training in those countries which are undoubtedly in the greatest need around the world.