(5 years, 6 months ago)
Commons Chamber
The Prime Minister
Clearly, the most important thing is that the R should get below 1.
Seasonal flu deaths for the past two years have been relatively light, which means that, in the normal course of things, we would expect a hard winter, noting that in 2014-15 there were 26,000 deaths and in 2017-18 there were 28,000. I appreciate that the Government are doing everything they can to increase the number of vaccinations, but given that we can vaccinate against that disease, unlike covid, will the Prime Minister redouble his efforts to ensure that those who are vulnerable this winter get the flu vaccine that they need?
The Prime Minister
My right hon. Friend is entirely right. That is why I encourage everybody who is vulnerable to get a flu vaccine now, and that is why we have 30 million available.
(5 years, 8 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
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I thank the hon. Gentleman for that constructive point. Let me be clear: I am absolutely happy to amend the legislation on the suggestion of any hon. Member to get it right, but it has to be based on fact and reality. The armed forces compensation scheme has a seven-year limit on it anyway. The Limitation Act 1980 also limits the time in which claims can be brought. If hon. Members want to discuss that more widely, clearly that is a broader issue. All we are doing is bringing into line our military personnel and veterans’ experiences.
I will be honest that I cannot, off the top of my head, think why individuals would be diagnosed and choose not to do anything about it, then choose to do something about it much later. I have not come across that in all my experience in the field, but I am happy to learn. If that is the case, I am happy to change the Bill, but that is not what experience shows us. I urge hon. Members to come up with constructive criticism and debate, so that we can really work on the Bill to get it right, because we all agree that we need to do it.
I welcome the spirit of the Bill. To congratulate the Minister, I will send him a copy of my book, “Tommy This an’ Tommy That: The military covenant”. He has done well to bring it thus far, but it is tipped to be heavily amended as it progresses through this place, not least because of Judge Jeff Blackett’s remarks. I press the Minister to look again at part 2, because it seems to me that the “no disadvantage” enjoinder within the military covenant is in danger of being overlooked. I know that he would not want to see that.
I am more than happy to look at any part of the Bill, but as I am also bringing in legislation to make the armed forces covenant law and make it actually mean something, it would be quite bizarre for me to bring in another Bill that reduced it. I will, of course, look at that, but I do not accept that the Bill brings any disadvantage to those who have served.
(5 years, 9 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
It is precisely because we do want a good deal that negotiations are being intensified. That decision was taken by the Prime Minister and by the Presidents of the European Commission, the European Parliament and the European Council. We all wish those involved bonne chance.
I very much welcome the appointment of David Frost, who is well qualified for the roles that my right hon. Friend has outlined. At the weekend in a Government press release, David Frost is said to have said that he is particularly exercised by the importance of the integrated review and the formation of the new Foreign, Commonwealth and Development Office. What role does my right hon. Friend envisage for David Frost in the formation of that very welcome new Department? When will the new permanent secretary be appointed to the Department? Does my right hon. Friend agree that he or she has to be an excellent change manager? What relationship will David Frost have to the new perm sec?
That is a very thoughtful set of questions from a very successful previous Minister in the Foreign Office. It is right that the integrated review should look at how diplomacy, aid, and defence and security mesh. He is right that David Frost’s experience equips him well for that role. There will be no single individual who will be reviewing these matters. There will be a range of people, including existing civil servants. I should add that one of those is also involved as another political appointee in the Prime Minister’s policy unit—a biographer of Clement Attlee. I am sure that the hon. Member for Torfaen (Nick Thomas-Symonds) would agree that that is a qualification for high office.
(5 years, 10 months ago)
Commons ChamberI do not think we need an extension to make the processes work. We just need good will on all sides.
The arrangements that my right hon. Friend has described are potentially good news for businesses and consumers in Northern Ireland and a great opportunity but may I press him on what he describes as very minimal checks? Does he mean the 4% of imports that are currently checked coming into the United Kingdom and the 1% that are physically checked? Does he mean more or less than that? Clearly, the European Union thinks that substantial checks will be required, presumably exceeding those levels, because it is setting up a bureaucracy in Belfast to cope with it.
My right hon. Friend makes a very good point about the number of checks that are currently required as goods move into the United Kingdom, often from jurisdictions that do not have such high SPS standards as we uphold. We will continue to have high SPS standards, so the proportion of physical checks required is almost certain to be fewer than are currently required for goods coming from outside.
(6 years, 1 month ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
The hon. Gentleman makes an excellent and important point, which he and I discussed when we were on the armed forces parliamentary scheme last year.
As we know from recent publicity, last week Commonwealth veterans took legal action against the Home Office and the Ministry of Defence over a systematic failure to assist them properly with complex immigration rules. Many of those veterans, sadly, now fear deportation. The claimants allege that the Government failed to follow their own duties at discharge, meaning that little guidance was given about their immigration status. Under current Home Office rules, a Commonwealth veteran with a partner and two children would have to pay—can you believe this?—nearly £10,000 to continue living in the UK.
Why do I raise that point in a debate on mental health support? Imagine someone risking their life for a country only to find out that they will have to pay just to live there when they retire. I cannot begin to think how stressful it would be for someone on a military pension to try to pay the Home Office’s extortionate visa fees. When the Home Office makes such decisions, they tap into the general problem, which has already been alluded to. Mental health support for veterans is not just a matter for the Ministry of Defence or the Department of Health and Social Care: it is also a matter for the Home Office, the Ministry of Housing, Communities and Local Government, the Department for Work and Pensions and many others.
Just last week, Craig Bulman, who served in 2 Para, the Red Devils freefall team and the Household Cavalry, contacted my office and told me about his experience with the Child Support Agency. Again, it is not an issue that would immediately strike us as relating to mental health. However, Craig told me:
“I am currently helping with 13 cases, mostly veterans. Of those, I have four veterans who are suicidal due to their experiences with the CSA. In a couple of these cases, it triggered their PTSD.”
I do not know a huge amount about those cases—in fact, I know little, and there is a lot more to the story—but I would be grateful if the Minister would agree to meet me to discuss Craig’s experience in more depth. I think it would be useful for the Ministry of Defence, as it would for the people Craig is helping. I bring it up again today to reiterate the simple point that we require a more collaborative and holistic approach to improving mental health support for veterans.
I have listened with great interest to the hon. Gentleman. As a veteran, I defer to no one in my admiration of our veterans, or my desire to ensure that their mental health is promoted. However, for credibility, it is only fair to point out that many other public servants are at least as badly affected by some of the traumas to which the hon. Gentleman referred. If he is trying to create a system in which we prioritise the management of particular groups, he needs also to consider the police service, for example, which today loses more frontline people than the armed forces. Otherwise, his case kind of falls apart. I wonder whether he agrees.
I absolutely accept the point and can think, off the top of my head, of a number of policemen in my part of the far north of Scotland, who, most unfortunately, are leaving the service. That is something we do not want to happen.
I spoke earlier about the highlands’ very own Mark Lister, and it is true that constituencies such as mine face an additional challenge with regard to access to public services. Transport is not good, health services are patchy and we have a housing shortage, as I am sure nearly all constituencies do. I stress again that improving mental health support for veterans requires Government Departments to work together, possibly with other services such as the police, and it requires the Treasury to find the money and put it where it is needed.
The big ask that I want to conclude with is my hope that the Minister and the Government will look closely at my Bill, the National Health Service Expenditure Bill, which has received support from across the House. I am grateful to Members of all parties for what I take as a great expression of support. Second Reading is scheduled for Friday 26 June, the day before Armed Forces Day. I hope that Members recognise that I do not intend to let the matter drop.
I thank my hon. Friend, who knows the impression he left on me in my formative journey into this place. I think that I am speaking for him at a dinner tonight, where we can take the matter further. I shall come on to the question of funds for specific charities in a minute.
The Minister is of course right that service in the armed forces is positive, generally speaking, in terms of mental health, and veterans probably have better mental health than a non-serving cohort would. However, does he agree that that slightly misses the point, because if PTSD is service-attributable, then in accordance with the military covenant and “no disadvantage” we have an obligation to do what we can to resolve any problems that may have been caused as a result of service? I pointed that out in my report, “Fighting Fit” about 10 years ago.
My right hon. Friend is absolutely right to point out that it is no good sitting down with the widow of somebody who has taken their own life, or with their family, and saying, “Actually, statistically, we are in a pretty good place in this country when it comes to suicide.” The reality when it comes to figures and so on is that we are—the rate of suicide in the service community is eight in 100,000; in the civilian equivalent cohort it is 32 in 100,000. People who have served in the military are less likely to take their own life. However, he is absolutely right that each one of these suicides is a tragedy not only for the individual and their family, but for us as an institution, because we owe this unique debt of gratitude towards those who serve.[Official Report, 16 March 2020, Vol. 673, c. 6MC.]
We are beginning to really shift the debate. We have invested a lot of early money in data. We started from a very low point when it came to veterans’ data and data on suicide. We have put money into a cohort study, looking at 16,000 people from the beginning of the Iraq process through to where they are now. Clearly, most of them are civilians, but we are watching what happens in their lives, the cause of death if they die and so on. We are marrying that with an exercise in the MOD, going over the records of every individual who served who has died since 1991—almost three quarters of a million people —to have a look at the cause of death and the incidence rates. We have just signed the contract to give some money to the University of Manchester to look at cases in which veterans take their lives, to undertake a comprehensive study of the events in their life in the 12 months leading up to that, to answer the question whether we could or should have done anything more to intervene. I totally accept that the Government have not started from a strong start point when it comes to data around suicide and what we have done on it, but I want to make clear this morning that that is changing.
When it comes to this strategic shift in healthcare provision for our service people, I start by paying tribute to the service charities. They have done an amazing job—there are no two ways about that. When Combat Stress started, and throughout the period where mental health really was a Cinderella service—we talk now about winning that battle on the stigma of mental health, but 30 years ago that was not the case—Combat Stress held a candle for this stuff and was the only port in a storm. It has done an incredible job over the years.
However, for a long time Combat Stress and others have talked about the increasing presentation and understanding of mental health versus a decline in giving from the public. That has presented a unique challenge about what we do now. I am very clear, as is the Prime Minister, that that basic underlying mental health provision is owed to those people by this country and the NHS must step forward to provide that. With the problems with Combat Stress that have come to light recently, which everybody knows about, I have brought forward a third service to try to fill the mental health provision gap for our veterans. We have the complex treatment service, which was introduced last year and has been very successful, and we have the TIL—transition, intervention and liaison—service to speed up access to talking therapies and so on, but there is a requirement for a high-intensity service to look after some of our most poorly people on the NHS. I have brought that commissioning forward. The bidding process is going through now and in April I will be launching that. We will have those three services—CTS, the high-intensity service and TILS. That will be the framework through which this Government will see through their commitment to veterans on mental health.
The NHS requires people to deliver those services, and that is where the charities are absolutely critical. They have bid into the services and they are indeed running CTS and TILS in other parts of the country. We have had a lot of bids for high-intensity service. Those charities are going to go through a change as they fit in around this framework and leadership, which they have asked us for for a long time. The challenge then is to make sure that every single veteran and every service member in this country when they leave service knows about the programme of mental health care, so that they cannot honestly look me in the eye and say to me, “I did not know where to turn.” That is the challenge I am absolutely determined to meet. I will come on to talk about funding for that at the moment.
(6 years, 1 month ago)
Commons ChamberI am absolutely committed to 0.7% and I am committed to spending it in value-for-money terms for the British taxpayers who are funding it and, most importantly, to ensuring that we help those countries that are most fragile and most in need of aid and then development, so that they can become strong independent countries themselves. Getting to that point involves doing lots of things, and not necessarily in the way we have done them before. We need to ensure that we have a long-term investment perspective to help those countries to become self-sufficient. I do not want countries always to be dependent on UK and international aid; I want them to be self-sufficient, proud countries that can stand on their own two feet.
Given the likely effect of covid-19 on populations that DFID works with, what plans exist to establish contingency funding to deal with mitigation for those populations and to shift funding to the development of a vaccine, which is a global equity?
I thank my right hon. Friend for his question, and for the enormous amount of work that he has done in previous iterations of his posts in this Department and others. He is absolutely right; the challenge of finding a vaccine for covid-19 is something that we are actively involved in, and we have already supported £5 million to the World Health Organisation. I was speaking to Dr Tedros yesterday to find out what other support we could bring, not only in cash terms but in expertise such as the skills of epidemiologists and logisticians, which could help the WHO to drive forwards in the weakest health systems across the world to ensure that they have the support they need.
(6 years, 2 months ago)
Commons ChamberThe hon. Lady is right to raise this matter. I am pleased to say that the UK leads the world in our support to the Africa-led movement to end FGM. In 2018, we announced a further £50 million in UK aid to tackle FGM over the next five years, including £15 million for our programme in Sudan, which is now in its second phase.
I am grateful to the Minister for that answer. He will of course be aware that the International Day of Zero Tolerance for Female Genital Mutilation is next week. In that context, and given some of the discussions around the potential reorganisation of DFID, he will understand why some in the sector are worried about whether funding will be retained up to 2025. The relationships underpinning those programmes take time to embed, so will he please give us that guarantee?
Notwithstanding what may happen with the machinery of government, as my right hon. Friend the Secretary of State just said, I remind the hon. Lady that we are committed—indeed, we are legally obliged—to spend 0.7% of GNI. That is a firm commitment, and she should be in no doubt about it.
We, like her, look forward to the International Day of Zero Tolerance for Female Genital Mutilation on 6 February. We wish it well and entirely agree with its theme of “unleashing youth power”. Following DFID’s success in helping to achieve legal change in partner countries, we look forward to making another further important announcement about how we will work with international partners to strengthen laws, policies and systems to respond to FGM.
As my right hon. Friend knows, the UK is committed to making progress towards a negotiated two-state solution. Meanwhile, UK aid to Palestinians helps to meet immediate needs, deliver key services and promote economic development. It supports stability in the development of a capable and accountable Palestinian Authority who can act as an effective partner for peace with Israel.
UK taxpayers’ aid pays the salaries of teachers in Palestinian Authority schools, yet at least 31 official PA schools are named after terrorists who killed innocent citizens. Does the Secretary of State share my concern that the children studying in those schools are being taught that it is honourable to commit violent acts against Israelis? Does he agree that, instead of prolonging the conflict by supporting such rhetoric, we must do more to press the Palestinians to stop glorifying terrorists and to use our aid as it is meant to be used?
My right hon. Friend is right to raise this matter. We are clear with the Palestinian Authority on how we expect UK aid to be spent. Last week, I had a further meeting with the Palestinian Authority Education Minister, Professor Awartani, following our meeting in Ramallah last year. He expressed his commitment to the EU’s review of teaching materials, as well as to the PA’s own review, which will be available before the start of the academic year.
Education means hope, and we need to be careful about removing hope from the OPTs, because hope is what is preventing people from falling into the arms of those with mischievous intent for the future of that part of the world.
The UK is at the forefront of the fight against hunger, giving £461 million to humanitarian food assistance in 2018 through the World Food Programme. We will take a leadership position as a global influencer and convener, alongside Germany, at the SDG2 summit in Berlin in June and at other events leading up to the New York food systems summit and Japan’s nutrition for growth summit.
Malnutrition is the No. 1 risk factor for TB, the world’s deadliest infectious disease. A quarter of the 10 million new cases last year were caused by undernutrition, and treatment is less effective for those who are unable to access a good diet. What steps are the Government taking to ensure that fewer people fall ill with TB and to improve access to nutritional support for those who do fall ill?
The hon. Gentleman is right to link TB and malnutrition, and I hope he approves of the UK’s contribution to the Global Fund to Fight AIDS, Tuberculosis and Malaria last year. That was a huge effort on behalf of this country. I think he will also approve of the GAVI replenishment, which this country will be hosting in London in June.
I most certainly do join my hon. Friend in paying tribute to the Kurdistan Regional Government and other Governments in the area, including those of Jordan, Lebanon and Turkey, who are helping. I am not aware of any delays to the allocation to which my hon. Friend refers, but I am happy to look into the matter.
(6 years, 8 months ago)
Commons ChamberYemen remains the world’s largest humanitarian crisis, with 80% of the population requiring humanitarian assistance, which is not helped by the fact that the operating environment for humanitarian organisations is exceptionally difficult. We call on both parties to the conflict to comply with UN Security Council resolution 2451 by facilitating safe, rapid and unhindered humanitarian access.
Last month’s ruling by the Court of Appeal that the Government’s continued licensing of the exporting of military equipment to Saudi Arabia is unlawful offers real hope to the people of Yemen—despite the Government’s hypocrisy in calling for peace while selling arms to the Saudis to bomb and to kill, hampering the work of aid agencies on the ground. What representations will the Secretary of State make in Cabinet finally to end that shameful conduct?
The hon. Gentleman will know that our checks and balances on the export of arms are among the world’s finest—he must know that. He also knows that we apply the EU consolidated criteria rigorously. He will also, I hope, have noted the Divisional Court’s view that our process was “rigorous, robust, multi-layered” and that those advising Ministers were “keenly alive” to the possible violation of international humanitarian law. He will also know that the UK Government intend to appeal against the judgment.
Women and children have been disproportionately affected by the conflict, so what is the Minister doing to involve women in the process? Further, what work is he doing with organisations such as the Mothers of Abductees Association, which points out that 1,496 people in Yemen have been forcibly disappeared, which causes people huge concern about the whereabouts of their relatives?
The hon. Lady is absolutely right to be concerned about those who have disappeared. Along with multilateral organisations, the United Kingdom is at the forefront of mechanisms geared towards ensuring that we know where crimes are potentially being committed and, in the fullness of time, that we are able to follow up on that. I hope that she will approve of the level of support that this country is giving as the penholder and as a major financial contributor to the humanitarian situation in Yemen.
What action is my right hon. Friend taking to ensure that humanitarian aid actually reaches the people who need it and is not being held back by the warring factions in Yemen?
My hon. Friend will probably be aware that we have had discussions on that with the World Food Programme, which is a major operator in the situation in Yemen. We support the intent of the World Food Programme, in particular its director David Beasley, to ensure that aid gets to where it is supposed to go, rather than into the pockets of Houthis and others. That process is in its early stages, but it looks like it is being successful and will restore the full effect of the World Food Programme to Sana’a and other areas as soon as possible.
Mr Speaker
The House wishes to hear the Minister’s mellifluous tones, so if he could face the House, that would be excellent.
My hon. Friend is right to highlight this, and I am pleased to say that the conflict, stability and security fund has been used to help the Turks and Caicos repair its radar, so that it is able to detect boats that may be carrying people trying to access the islands. He may be aware that early in 2018 the Royal Fleet Auxiliary vessel Mounts Bay was also deployed in order to provide a deterrent to those who wish to make that perilous crossing. We will consider other ways of using the CSSF in this region in the future.
(7 years ago)
Commons ChamberOh, rub out, rub out. I suggest that the right hon. Lady looks at the moves that the Government have already made in a number of areas that have been requested by Members across this House.
The Government, Leo Varadkar, Michel Barnier and Angela Merkel have all said that there will be no hard border even in the event of no deal. So can we now put the idea of a Northern Ireland forever backstop out of its misery and work on mitigating an up-front customs union if a customs union is the price of Labour support for getting something approximating Brexit over the line?
I have talked with a number of those my hon. Friend has cited in relation to the border, but the European Union has absolutely been clear that the rules of the European Union must be applied at the border in the event of no deal. Some of the other comments have been taken out of context in the interpretation that has been given to them. I come back to the position that I set out earlier on the issue of a customs union. We want to see the benefits of a customs union—that is in the political declaration—no tariffs, no quotas and no rules of origin checks. We also want to see, and this was reflected in the political declaration, an independent trade policy. The Labour party has a position of the benefits of a customs union with a say in trade policy. We are very clear that the benefits of a customs union can be obtained while ensuring that we have the freedom to make those trade deals around the rest of the world that we want to make as an independent country.
(7 years ago)
Commons Chamber
Mr Speaker
Order. There is a lot of noise. Let us hear the hon. Member for South West Wiltshire (Dr Murrison).
I thank my hon. Friend for raising this issue, and for highlighting the fact that we are bidding to host COP26. The issue of incineration is crucial, particularly in certain local areas. We want to maximise the amount of waste that is sent to recycling rather than to incineration and landfill. Waste plants continue to play an important role in reducing the amount of rubbish that is sent to landfill, and we welcome the efforts to drive it down further. but if wider policies do not deliver our waste ambitions in the future—including those higher recycling rates—we will consider introducing a tax on the incineration of waste, which would operate in conjunction with the landfill tax and would take into account the possible impact on local authorities.