Medical Aid During Conflict

Catherine West Excerpts

Monday 2nd December 2024 Commons Chamber

[The Parliamentary Under-Secretary of State for Foreign, Commonwealth and Development Affairs (Catherine West)]

We have had an excellent debate, led by my hon. Friend the Member for Glasgow South West (Dr Ahmed). I congratulate him on securing this debate, on his work in the national health service, on his ongoing commitment as a surgeon, and on his deep expertise in this issue. I am also grateful for the interventions of other Members present, and I will try to respond to the points raised.

This debate takes place at a timely moment, because the Minister for Development, my right hon. Friend the Member for Oxford East (Anneliese Dodds), is actually in Cairo as we speak. She is at the Gaza humanitarian conference, discussing—among other issues —the importance of ensuring that aid workers, including medical workers, can operate effectively and that civilians have access to the services they need. The Foreign Secretary, alongside his French and German counterparts, has also written this week to the Government of Israel to urge stronger action.

I begin by paying tribute to the extraordinary work that aid organisations and health workers are doing in some of the harshest conditions around the world. As Members would expect, the UK firmly supports all efforts to prevent conflict in the first instance, but where conflict does occur, those affected must have access to medical services. Medical workers and facilities must be protected in line with international humanitarian law. Access to medical services includes routine care for pregnant women, safe delivery of babies, child vaccinations and primary healthcare for all. Those services are always important, but they are especially so when people are desperate to reach a safe place; when food and clean water are scarce; and when sexual violence is an increased threat, as is so common during conflicts. The tragic loss of life among health workers, including in Gaza and Sudan, is a stark reminder of the dangers faced by those who deliver lifesaving medical assistance during conflict and crisis.

Let me now turn to how the UK is helping. In short, we are acting on three key fronts. First, we remain committed to promoting compliance with international humanitarian law and encouraging all parties to armed conflict to respect it. We are working to minimise impacts on civilians by protecting health workers and medical facilities, by working with the United Nations and the Red Cross to ensure that those affected by the conflict have access to the help they need, and by signing up to the political declaration on strengthening the protection of civilians from the humanitarian consequences arising from the use of explosive weapons in populated areas. We reaffirm long-standing and ongoing efforts to protect civilians in this regard.

Secondly, we are targeting our aid towards those most in need, whether by providing medical supplies, helping to train medical staff, or ensuring that those medical staff have safe access to patients.

[Iqbal Mohamed]

Can the Minister inform the House how much of the aid provided by the UK is actually getting into Gaza, and to the people who need it?

[Catherine West]

The most recent figure in open sources from the weekend is that, of the usual 500 lorries going into Gaza, about 67 got in. That was in the press at the weekend. I am very pleased that my hon. Friend the Member for Glasgow South West talked about the importance of aid getting in. We have redoubled our diplomatic efforts in imploring that access be improved, so that we can get aid in. We have tripled the aid, but what is important is that we gain access. That is the case whether it is in the Gaza conflict, in Sudan or in helping desperately ill people in Myanmar. All across the globe where that is an issue, we are making access a key issue in our diplomatic work. Sometimes we are more successful at that than at other times, but we try to work across international organisations to ensure that crucial access for patients.

The FCDO is also funding partner organisations within countries, such as the World Health Organisation, UN agencies and the Red Cross, to help them to prepare for and respond to conflicts effectively. We are supporting a range of specialist non-governmental organisations and local partners to deliver critical medical services at the frontline, especially where no other partner can deliver. The key strength of locally led organisations is that they are staffed by people from the affected areas and the communities themselves.

The third way we are helping is by deploying specialist medical teams on the ground, of which my hon. Friend has a great deal of knowledge.

[Douglas McAllister (West Dunbartonshire) (Lab)]

Will the Minister join me in commending my hon. Friend the Member for Glasgow South West (Dr Ahmed) for securing this Adjournment debate? He will be too modest to highlight his considerable skill and knowledge on this subject, but before taking his place in this House, he practised as a transplant surgeon in my constituency of West Dunbartonshire and my home town of Clydebank, where he worked in the Golden Jubilee hospital. Does the Minister agree with me that the situation in Gaza is catastrophic, that Gazans are in desperate need of food, shelter and medical support with the onset of winter, and that the UK should be the lead voice in ensuring real world humanitarian solutions?

[Catherine West]

I thank my hon. Friend for highlighting the expertise of our hon. Friend the Member for Glasgow South West. Very modestly, our hon. Friend also mentioned another colleague from Scotland. It is these professionals who make such a difference on the ground, and I know the whole House is thankful to them for their work. I am sure my hon. Friend the Member for West Dunbartonshire (Douglas McAllister) is excited to have these experts in his constituency.

We know that there are times when the health system of a country is so depleted during conflict that there simply is not the capacity to help people despite international support. That is why we invest in the UK’s official emergency medical team, so we can deploy specialist medical staff to help save lives. As my hon. Friend the Member for Glasgow South West will be aware, the team are made up of highly qualified medics from around the UK and beyond our shores. They are trained to deliver high-quality surgical and specialist rehabilitation care to save lives and reduce disability. For example, the British emergency medical team have recently started providing services in Lebanon, treating patients with burns and other injuries. The same team have helped alleviate suffering in Gaza this year. Until now, they have provided 275,000 patient consultations across a wide range of medical services. He mentioned the winter, and there is a new term in the world of aid, which is winterisation, where aid organisations club together to address the specific issues that come up at this time of year.

I am sure hon. Members will agree that this is an extraordinary accomplishment under the most challenging of circumstances, yet perhaps one story captures the impact of all strands of our work better than anything else. I would like to share with the House the story of a three-year-old girl called Razan from Gaza. In the early morning hours of 1 September, a bullet passed through the thin fabric of the family’s tent. It went through her mother’s hip and lodged in the neck of her child. The child was rushed to a hospital run by UK-Med and funded by the FCDO, and the mother was taken to another facility for her own life-threatening injury. The little three-year-old girl was in surgery for three hours in a tented field hospital surrounded by fighting, fear and uncertainty. Miraculously, the bullet had narrowly missed her spinal cord, and thanks to the skilled work of the UK surgical team, it was removed and she has recently been discharged. That is only one story among a quarter of a million patient consultations seen by the British team, and it brings home the importance of the trained medics, critical supplies, and safe access that we talked of earlier.

Let me respond specifically to the point raised by the hon. Member for West Dunbartonshire (Douglas McAllister) about evacuations. We all know that the plight of sick and injured people in Gaza is deeply distressing, but we have tried to work closely with Israel, asking it to engage with partners urgently to establish sustained safe and timely passage for patients who need medical or surgical interventions that are not available in Gaza.

We recently announced £1 million for the Egyptian Ministry of Health and Population, delivered through WHO Egypt to support medically evacuated Palestinians from Gaza, because it is close to the region. The UK is also supporting the provision of essential healthcare to civilians in Gaza, including support to UK-Med for operating its field hospital. There are provisions that allow Palestinians to come to the UK for private medical treatment under the immigration rules. Where a relevant application is made, consideration will be given to exceptional circumstances, or where there are compelling or compassionate grounds. The Government are keeping all options under review in response to events in Gaza.

In conclusion, the UK remains fully committed to protecting medical workers and ensuring that people have access to medical aid during conflicts. While those actions are making a tangible difference on the ground, there is of course more to do. That is why we will continue to advocate for the protection of the most vulnerable, address barriers to accessing medical services, and strengthen our own medical and surgical capabilities to deploy in conflicts.

Question put and agreed to.