Commonwealth Heads of Government Meeting 2018

Lord Kakkar Excerpts

Thursday 22nd March 2018 Lords Chamber

[Lord Kakkar (CB)]

My Lords, I join in congratulating and thanking the noble Lords, Lord Ahmad of Wimbledon and Lord Howell of Guildford, for the splendid way in which they introduced this important debate. I also join other noble Lords in congratulating the noble Lord, Lord Geidt, on his excellent maiden speech. In so doing, I remind noble Lords of my own entry in the register of interests, particularly in the area of healthcare, and my association with the Commonwealth Enterprise and Investment Council and the Queen’s Commonwealth Trust.

The set theme of the summit—to focus on issues of fairness, sustainability, security and prosperity—might well be addressed in some measure through trying to achieve universal access to healthcare throughout all Commonwealth countries. There is a substantial burden with regard to disease, which is different, of course, in different parts of the Commonwealth because of the different economies and geographical locations, but the reality is that there is great disparity. In parts of Africa, the average life expectancy is under 50 years; in Australia, it is some 82 years. A lady in Sierra Leone is 300 times more likely to die of the complications of childbirth than one in Singapore. When one looks at the availability of healthcare resource, one sees that the number of doctors per 100,000 of the population is 300 times greater in Malta than it is in Tanzania. There is much to be done.

An initiative in which I had the privilege of being involved was an attempt—regrettably, it did not go forward—to utilise the Commonwealth family, through the good offices of the Commonwealth Secretariat and its new capacity through the Commonwealth Hub cloud mechanism, to bring together a global community of healthcare professionals among the 53 Commonwealth countries to share all that we currently know. There is a huge store of knowledge and information already available to be applied to the best practice of medicine and the best provision of healthcare. That, appropriately and responsibly shared across 53 Commonwealth nations, providing the opportunity for front-line staff and those responsible for the delivery of the healthcare system to learn from what is already known, would have had the capacity to be transformational. That community—globally—of healthcare professionals, privileged to be responsible for the care of one-third of the world’s population, would have been quite remarkable. That might happen in the future.

There are, however, as we have already heard in this debate, important and impressive examples of a focus on healthcare delivering substantial outcomes for Commonwealth citizens. One of the most important is the work of the Queen Elizabeth Diamond Jubilee Trust and its relentless focus on the question of eye disease, improving eye health and improving healthcare education in that area. The remarkable work has focused principally on the elimination of avoidable infectious eye diseases that lead to blindness, such as glaucoma. It also makes use of very impressive technology through an organisation called Peek Vision to screen the eye health of children in its first iteration in Kenya, but now proposed for all children in Botswana, performed principally using a smartphone and the good offices of teachers to assess the eye health and intervene early in respect of those children where there is a risk of vision loss. That is a very impressive achievement of the diamond jubilee trust. There has also been an impressive focus on education through the London School of Hygiene & Tropical Medicine, which has developed programmes of education across the Commonwealth to deal with community eye health and, of course, the prevention of eye diseases.

As part of the Commonwealth Summit week we have the Commonwealth Business Forum, where there will be a session on life sciences and the potential application of other technologies across Commonwealth nations to achieve the greatest impact on driving healthcare opportunities, improving access to healthcare using technology and, of course, important opportunities for education. That, coupled with the impressive initiative of the Queen’s Commonwealth Trust to focus on driving opportunities for young people to come forward with projects and to drive change, opportunity and improvement for the lives of their fellow citizens in their own communities, provides an important chance to bring together technology and the enthusiasm of the young in their individual communities, and to apply technology not only to deal with established illness but to use the whole area of health tech to drive improvements in the capacity of those communities to protect their own health. Through doing that, achieving better health and more equitable access to healthcare across the Commonwealth nations, and sharing what we have learned through decades of research and application successfully in our own remarkable healthcare system, the National Health Service, but also in healthcare systems in other mature Commonwealth economies, we have the greatest opportunity to make a contribution, not only to the sustainability and prosperity of communities but to the very security of those communities and, of course, fairness.