US Global Public Health Policy

Chris Coghlan Excerpts

Tuesday 11th February 2025 Commons Chamber

[Dr Chambers]

I thank the hon. Gentleman for his intervention. He makes a hugely important point.

Economic pressures demand efficiency, but let there be no doubt: withdrawing support from the World Health Organisation is a false and dangerous economy. By stepping away instead of seeking reforms from within, the US has thrown global health security into turmoil. This is about not just principles, but consequences. A withdrawal on this scale damages health diplomacy and erodes trust. It allows adversarial states to step in and use disinformation and strategic influence to reshape the global health landscape to their advantage. If the World Health Organisation is weakened, its ability to track, contain and fight disease is also weakened, and that makes us all more vulnerable. Other nations are already considering following suit; Argentina is voicing similar intentions. If more countries withdraw, we risk a domino effect that could collapse the framework we rely on to monitor and respond to health threats.

[Chris Coghlan (Dorking and Horley) (LD)]

My hon. Friend is making a powerful speech. Does he agree that one lesson from the pandemic is that the last thing countries should do is withdraw from organisations such as the World Health Organisation and reduce international co-operation, given the risk of a future pandemic at some point?

[Dr Chambers]

I could not agree more. My hon. Friend is completely right. The World Health Organisation is at the heart of international disease surveillance, co-ordinating early responses to outbreaks of deadly diseases such as Ebola and highly pathogenic avian influenza, both of which have been in the news in the last couple of weeks. In today’s interconnected world, speed is everything. Without robust early warning systems, outbreaks that might have been contained could spiral into pandemics, just as my hon. Friend said.

We also cannot ignore the worsening impact of climate change on global health. Due to changing temperatures, diseases that were classed as tropical when I was at university are now being seen in other parts of the world. The US withdrawal from the Paris agreement has already slowed efforts to tackle climate-driven diseases; now, its retreat from global health co-operation leaves us even less well prepared to handle the consequences. The UK must remain firm in supporting the WHO’s role in pandemic preparedness, not only because it is morally right, but because it is in our national interest.

This crisis affects more than just emergency outbreaks; it threatens our ability to manage persistent health threats here at home. Take seasonal flu. Every winter, the NHS faces immense pressure from influenza. Our ability to develop effective vaccines depends on international collaboration, including data from US research centres. If those partnerships are disrupted, how will we prepare for the 2025 flu season? The same applies to broader scientific research. The UK and US have worked closely on the One Health Initiative, studying how animal, human and environmental health intersect. Hundreds of these projects have now stalled, cutting off vital knowledge that could have helped us understand future pandemics. We must explore ways to sustain these collaborations. That includes securing funding for key research programmes and ensuring that our world-class universities remain engaged in global health security efforts. If we do not do those things, we risk falling behind in disease surveillance, vaccine development and pandemic preparedness.

I have spoken in this House before about the urgent threat of antibiotic-resistant infections to the NHS. Alongside the UK, the US has been a strong supporter of WHO-led efforts to tackle antimicrobial resistance, which experts warn is one of the greatest global health challenges of our time. Antibiotic resistance does not respect borders. Drug-resistant bacteria and fungi travel with people and goods across the world. Without global surveillance, the consequences will be dire. More people will die in NHS hospitals from infections that we can no longer treat. This is not a distant problem; it is happening now. The UK has been helping Ukraine tackle antimicrobial resistance worsened by war. Despite severe funding challenges, collaborations between Chelsea and Westminster hospital, Great Ormond Street hospital, University College London and Ukrainian institutions have made progress. This proves that even in difficult circumstances, proactive partnerships can make a difference. We must apply these lessons to protect our own health security. I pay tribute to the laboratory team and Professor Inada-Kim in our hospital in Winchester, who are helping to lead the national effort to tackle AMR in our NHS.

The UK has a proud history of leading on global health. It was here that Sir Alexander Fleming discovered penicillin, revolutionising modern medicine. Edward Jenner’s smallpox vaccine laid the foundation for immunisation efforts that have saved hundreds of millions of lives. British researchers helped eradicate rinderpest in cattle, the only other disease besides smallpox to be wiped out completely. Today, smallpox is gone. Rinderpest is gone. One day, we hope to say the same about polio, but that vision is now at risk. I recently visited the rotary club in Winchester and learned about the long involvement of rotary clubs worldwide in supporting polio eradication over a period of many years. The US withdrawal forces us to consider how we reaffirm our leadership in global health.

Children’s Wellbeing and Schools Bill

Chris Coghlan Excerpts

Wednesday 8th January 2025 Commons Chamber

[Chris Coghlan (Dorking and Horley) (LD)]

As a father of three little girls, I find much to welcome in the Bill. Part 1 speaks to improving children’s social care and I particularly support the provisions on accommodation for looked-after children.

The whole country was saddened and shocked by the murder of Surrey child Sara Sharif. Sadly, there are other stories in Surrey that also need to be heard. Jennifer Chalkley, from Bookham in my constituency, started college in September 2021. She was 17 and had been diagnosed with autism and ADHD. One month later, she was dead from suicide. Last year, her coroner concluded that her death was avoidable. It had been a multi-agency failure, including a failure by the children, families and lifelong learning department at Surrey county council, according to the coroner’s report,

“to ensure that Jennifer’s Education, Health and Care Plan contained sufficient and updated information about…her risk of suicide”.

Oskar Nash, another Surrey child with autism, was 14 when he walked on to a railway line near Egham in January 2020. Last year, his coroner concluded that his death was avoidable. Again, it was a multi-agency failure, including a failure by the children, families and lifelong learning department at Surrey county council, again, according to the coroner’s report,

“To ensure that Oskar’s Educational, Health and Care Plan contained sufficient…information”

about his suicidal thoughts.

Then there is Sara Sharif, who was murdered in 2023 by her father and stepmother. The executive director at the children, families and lifelong learning department at Surrey county council dismissed any accountability, saying in a statement that

“the perpetrators went to extreme lengths to conceal the truth from everyone.”

There were bruises and burn marks, and reports of a child being punched all over her body. There were 15 reports over 10 years to Sara’s school and to social services. How is that going to “extreme lengths” to conceal the truth from anyone?

[Mr Forster]

I thank my hon. Friend and all others in the House who have mentioned my constituent, Sara Sharif, today. Does he agree that the provisions in the Bill that would not just encourage but force local authorities to share that data could have saved Sara from Woking and could save vulnerable children going forward?

[Chris Coghlan]

I pay tribute to my hon. Friend as Sara’s MP for raising the horror that has taken place. Of course, I agree that data sharing between public authorities is vital to ensure that such a case does not happen again. But it is not enough, and, alone, it will not prevent the catastrophic and systematic negligence of Surrey county council. This is the same department that had the highest number of statutory breaches relating to children reported to the Local Government and Social Care Ombudsman for over two years. The department covered information up from its own county council and scrutiny committee for more than 14 months, and only disclosed it when my five Liberal Democrat Surrey MP colleagues and I publicly called it out.

Surrey county council objectively contributed to the deaths of Jennifer Chalkley, Oscar Nash and Sara Sharif by ignoring existing legislation.

[Dr Al Pinkerton (Surrey Heath) (LD)]

I am grateful to my hon. Friend for giving way, especially during such a powerful and meaningful speech. One of my constituents, whom I shall refer to as Claire in order to protect her identity, is only 16 years old and has attempted to take her own life 12 times. Her desperate mother has had to take Surrey county council to a tribunal 10 times to try to secure the appropriate educational, therapeutic and social care that she needs. Does my hon. Friend agree that, while we welcome the tightening of legislation presented in the Bill, it is only as good as the willingness and ability of schools and councils to implement it?

[Chris Coghlan]

I fully agree with my hon. Friend. Surrey county council failed to abide by existing legislation, so how on earth are we meant to believe that new legislation alone will be enough? I share his concerns about Claire. I know from my constituents that there are children in Surrey who are at risk right now. That is why I am speaking today.

This morning, Jennifer Chalkley’s mother, Sharon, texted me to say:

“Even though you didn’t get to meet Jen, her story is a powerful one and needs sharing to save other young lives. I raised Jen to be the change you want to see in the world and she’s still doing this.”

I replied, “She will be”.

I ask the House to consider this: is this Bill alone enough to save our children’s lives, or does the children, families and lifelong learning department at Surrey county council also need root and branch reform immediately?