(7 years, 7 months ago)
Commons ChamberAction has been taken on the issue in relation to women’s pensions. The Government took action to ensure that the number of people who were affected and the period for which they were affected would be reduced, and money was put in to ensure that that was possible. If the hon. Gentleman looks at the new structure that is being put in place for pensions, he will see that women will actually be some of the greater beneficiaries of the new structure.
My hon. Friend raises an important issue, which was of course alluded to earlier in this session of Prime Minister’s questions. We are investing more in mental health than ever before—we are spending a record £11.4 billion a year—and it was of course the Conservative-led Government that introduced parity of esteem between mental and physical health, but as I said earlier, there is more for us to do in ensuring that appropriate care is available for people. I cited an example earlier of where I saw excellent work being done to provide care and support for people in the community, which was relieving pressure on accident and emergency, but also ensuring that people were getting the best possible care for them, and that is obviously what we want to see.
(7 years, 10 months ago)
Commons ChamberI know that a couple of questions have been asked by Members who have served on the Committees—
I am aware that the right hon. Member for Leicester East (Keith Vaz) is familiar with a report in which the Business, Innovation and Skills and International Development Committees called for an independent United Nations-led investigation and a pause in the sale of arms exports until that had taken place. Does he agree that that could only assist in alleviating the humanitarian crisis?
(8 years, 2 months 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
I wholeheartedly agree with the hon. Gentleman. I will come on to that point in a minute. The money is transforming lives around the world, and we should be very proud of that fact.
I will take one more intervention and then I want to make some progress.
I have previously had the good fortune of sitting on the International Development Committee, and I have visited countries where I have seen housing, governance and health programmes working. My hon. Friend talks about leadership. Can he also explain how our leadership in this country encourages other countries to support international development?
I suspect that is a matter for the Minister far more than it is one for me, but I wholeheartedly agree that this country is providing the leadership and setting the trend on international development. We should be incredibly proud of that and hope other countries follow our lead.
(12 years, 2 months 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
It is an honour, Mr Williams, to serve under your chairmanship.
I declare an interest as the chairman of the all-party group on neglected tropical diseases. NTDs are a group of diseases that affect more than 1 billion people around the world. They do not have the high profile of malaria, HIV/AIDS or TB—hence the word “neglected”—but they result in disability and death. Even for those who are less seriously affected, they bring chronic conditions that mean loss of income. Such diseases include worms or helminths, schistosomiasis or bilharzia, trachoma, lymphatic filariasis or elephantiasis, and leprosy.
Almost without exception, NTDs are diseases of the poor. They are also curable. The World Health Organisation’s 2010 report found that approximately 90% of their burden can be treated with medicines administered only once or twice a year, and that can sometimes be achieved for as little as 50 US cents. Treating and eradicating those diseases must be at the heart of any programme to tackle poverty. Yet as the title of the debate makes clear, they have been neglected for many years. Institutes such as the Liverpool and London Schools of Tropical Medicine, Imperial College London and the Antwerp Institute of Tropical Medicine, working with researchers and institutes in developing countries, have made great strides in the understanding and treatment of NTDs.
I congratulate my hon. Friend on securing this important debate, not least because his knowledge of the matter is well recognised. Does he agree that Members of Parliament have a role in highlighting neglected tropical diseases, making the public, the media and policy makers aware of them, and ensuring that we reduce them because they kill millions of people every year?
I am most grateful to my hon. Friend for making that extremely important point. I will come to the reasons why it is important—particularly with regard to efficiency in the use of aid money, which is a major public policy question.
In recent years, Governments, principally in the UK and the USA, have begun seriously to fund work on NTDs. In the UK, this began under the previous Government with an allocation of £50 million. Earlier this year, the Department for International Development announced a further £240 million over four years, which will supply more than four treatments every second for people in the developing world. I pay tribute to the Secretary of State and his predecessor for recognising the importance of this work. We are especially fortunate because the Minister—I am delighted that he will respond to this debate—has been a champion in the fight against NTDs, both when he was chairman of the all-party group and subsequently as Minister.
Drug companies have also made a great contribution, working with bodies such as the Bill and Melinda Gates Foundation. On the day when the UK announced a fivefold increase in its funding commitment to tackle NTDs as part of a global partnership, all drug companies with NTD drug donation programmes pledged to sustain, extend or increase their programmes to the end of the decade.
For example, GlaxoSmithKline has already donated nearly 2 billion tablets of albendazole for lymphatic filariasis and will continue until elimination is achieved. It is also providing 400 million tablets a year free of charge until 2020 to de-worm school-age children in Africa. Johnson and Johnson is increasing its annual donation of mebendazole to 200 million tablets every year—again, to tackle worms. Novartis is continuing its commitment to providing multi-drug therapy against leprosy in a final push against the disease. Pfizer will continue its donation of drugs for blinding trachoma until at least 2020, as well as donating the drug and a placebo for a study on the reduction in mortality of children treated with that drug. Sanofi, Merck and various other companies are also providing major drug donations.
It is not only drugs that are important, but vaccines. The Sabin Vaccine Institute, in which I declare an interest as a trustee of its UK charitable body, is developing vaccines to treat NTDs around the world.
We have come a long way in tackling such diseases in the past decade. The number of new cases of leprosy reported to the WHO has fallen every year since 2002 from 620,000 to 249,000 in 2008. The number of new cases of human African trypanosomiasis reported to the WHO worldwide fell from 37,000 in 1998 to 10,000 in 2008. However, there is still much to do—and it can be done. Three things are essential. The first is to keep up funding. In the 1960s, malaria was on the retreat, but the world took its eye off the ball and it came back with a vengeance in the 1980s and 1990s. Malaria is now again being tackled, but at a cost of $5 billion to $6 billion a year and after millions of unnecessary deaths.
The lesson is that we need consistency and determination. The UK has rightly decided that eradicating NTDs is one of the best ways to tackle poverty, and we should make that part of our work each year until the work is done. I am not asking for more money. DFID has committed a substantial amount each year for the next four years. However, there should be no uncertainty about future funding. DFID should continue to be a reliable partner over several Parliaments.
At the same time, I should like DFID to encourage other countries to begin or increase support for the work. The USA has been a reliable funder, for which we are grateful. It would be most welcome if it, too, could commit to stable amounts over several years. Then there are donors who have yet to contribute to the work. Will the Minister report on what he is doing to encourage others into the fold?
Secondly, we need to support the countries in which NTDs are endemic, to strengthen their health systems. The most important thing I have learned in the past year as chairman of the all-party group is that it is only through effective grass-roots health systems with committed, trained staff, often backed by community volunteers, that the fight against NTDs is sustainable. One-off treatment campaigns can be effective, and are necessary where systems are weak or do not exist, but the effects will fade unless they are backed up by permanent staff and clinics.
The UK has considerable expertise in working with developing countries to strengthen their health systems, but it is vital that the countries themselves meet their commitments, under the Abuja declaration, to spend 15% of their total budget on health. Few are doing that. I would like the Minister to let hon. Members know what the Government are doing to encourage our partner Governments in those countries to keep to their commitment under the Abuja declaration.
Finally, we need to support research. I have been heartened, as chairman of the all-party group, to see both how closely involved and how generous several pharmaceutical companies have been in tackling NTDs in the way I have outlined. However, we need to work closely with them and the research institutes in the UK and elsewhere to ensure that there is a pipeline of effective drugs for all the relevant diseases. Developing drugs and vaccines and bringing them to market is costly; those who suffer from NTDs cannot afford prices that reflect the cost of the research and development. However, although the market may not justify the cost of R and D, common humanity does, and that is where the British people, through DFID, can make a huge contribution.
We often speak about DFID doing this or the British Government doing that, but it is not they but the British people who are making the work possible, by their commitment to international development. I know that the voices raised against are often loud, but in my constituency of Stafford I have met thousands of people who give up their time and money to support projects around the world—schoolchildren, scouts, guides, community groups, churches and others. When the British people see that it is their support, through donations and taxes, that is helping to improve the lives of millions suffering from NTDs, they should know that they are an essential part of that great endeavour.
(12 years, 7 months 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
My hon. Friend is absolutely right, and I hope that the Minister will take advantage of his intervention to bring the House up to date with what the Government are doing to drive progress towards meeting the education millennium development goals.
Some countries have achieved all the millennium development goal targets, and others will have made significant progress by 2015. Clearly, not all countries will achieve all the goals, and some of the poorest—usually but not exclusively those that are, or have been, affected by conflict—are a long way from achieving them. Significant shortfalls remain in the delivery of international commitments to support the achievement of the goals. However, a joint report by the Overseas Development Institute and the Millennium Campaign on progress on the MDGs concluded that although it is not uniform across all countries,
“the rate of progress in reducing poverty and in increasing access to basic health, education, water, and other essential services is unparalleled in many countries’ histories.”
Britain undoubtedly played a significant role in galvanising the progress made towards meeting the MDGs through its ministerial support for, and engagement in, the process that saw the MDGs adopted. It maintained pressure for progress up to and beyond the 2005 G8 summit at Gleneagles, and in the UN General Assembly discussions in 2008 and 2009. That support has continued in more recent years, and I acknowledge the role that the Minister and his colleagues have played while in office.
Britain played a crucial role in keeping European aid directed at achievement of the millennium development goals, with the European development framework clearly targeted at the needs of the poorest.
I congratulate the hon. Gentleman on securing this debate. In the spirit of co-operation that he has shown in his work with me on my private Member’s Bill, does he agree that four years is a very short time in international politics, and that it is crucial that the UK starts to lead the debate on the formation of post-2015 goals for global development, and particularly on putting more emphasis on millennium development goal 8?
Order. That is a long intervention. Does the hon. Gentleman have a question?
Does the hon. Member for Harrow West (Mr Thomas) agree that particular attention should be paid to goal 8, which is specifically about creating better governance so that we maximise the impact of aid spending and ensure that the gains that we make are not undermined by poor planning and corruption?
I agree with the hon. Gentleman. Governance is crucial, and I believe strongly that it needs to be part of a post-MDGs framework. The key question for this debate is what comes after the millennium development goals, from 2015 onwards. Where do Ministers stand on that agenda? Do they support the UN Secretary-General’s ambition for a new generation of sustainable development goals, and if they do, what action are they taking to make such an agenda happen?
The Minister will be cautious, understandably, about saying today what should be included among a new set of international goals, but Ministers could help to galvanise the process of agreeing an accord by supporting and encouraging international debate on what a post-MDGs agenda might look like. To date, we have heard remarkably little from the Secretary of State on this issue. Has a policy team of civil servants been set up within the Department to corral ideas, and to engage with those in civil society, the UN and other national Governments, particularly in Europe, to drive the UK’s involvement in the preparation of such an agenda?
Elsewhere in the UK, among the Catholic Fund for Overseas Development, the Overseas Development Institute, the Institute for Development Studies, Christian Aid, and the Beyond 2015 coalition of non-governmental organisations, there has been real interest in the question. Indeed, the Beyond 2015 coalition has published an interesting and thoughtful set of essential must-haves for a new global development framework, focusing on how a process might work and stressing the importance of the MDGs review summit next year, and the Rio plus 20 process in June this year. That interest in UK civil society is mirrored by a growing interest throughout civil society in developing countries.
Both CAFOD and the excellent Overseas Development Institute have noted how significant the “how” will be in reaching an agreement, and the importance of “what”—that is, what such an agreement should contain. I would welcome hearing how the Minister thinks an agreement could be reached, and what he plans to do to assist.
Civil society interest is clearly key in framing debate, and in involving those in developing countries and developed countries, but Governments must reach agreement. Vital to that is active dialogue within Government, between Governments and their civil society groups and, crucially, at intergovernmental level. That is where the British Government could do more. Although in recent years the G20 has become more prominent, discussions between G8 leaders still matter hugely. Britain will chair the G8 next year in the run-up to the review summit, and it could put a post-MDGs agreement at the centre of the debate between the richest nations in the world.
International negotiations require considerable time and effort, and they make progress only when leaders and national politicians are engaged. A G8-driven agenda to replace MDGs is likely to stir up scepticism and concern, so any agreement must be—and I believe will be—UN-led. It would, however, be a mistake to think that an agreement will be reached without the richest nations on board. As a result of its record and its forthcoming role, Britain is uniquely placed in the G8 to support the UN more visibly in working towards a post-MDGs accord.
There have been a series of initiatives to consider the post-2015 framework. Early suggestions included the roll-over of existing MDGs to 2020 or 2025, or an “MDG plus” agreement that could take some existing core goals in education, health or nutrition, and add three or four new, locally defined, goals. The so-called one world approach would have new goals based on issues such as resilience and climate change. More recent proposals include a gross national happiness index, such as that currently used by Bhutan, for measuring national progress; the UN General Assembly has expressed qualified interest in that. Measuring happiness has begun to be of interest in the UK and in France, and in a series of state governments in the US. A Sri Lankan economist has proposed a series of consumption goals to target under-consumption by the poorest countries and over-consumption in richer countries. The Colombian Government have proposed a series of sustainable development goals that I understand also have the support of Brazil. Those are due to be discussed at the forthcoming Rio plus 20 meeting in June, and focus on addressing global climate change and development. I would be interested to know what the Minister thinks about those ideas.
The Overseas Development Institute has suggested three principles for a new post-MDGs agreement. First, the principle of universality and inclusiveness goes with the grain of existing anti-poverty measures in developing countries such as Mexico, Kenya or Sierra Leone that deal with social protection, education and health care. Such measures create minimum standards of provision that are now within range of many more developing countries than was the case when the MDGs were originally conceived.
The ODI’s second principle is that of building resilience and reducing vulnerability. That could provide a focus for the use of renewed G8 and G20 development interest in growth and infrastructure to help tackle inequality and address issues such as capital flight and tax avoidance, as well as other critical environmental issues such as climate change, which reduce a community’s resilience and increase vulnerability. Finally, the ODI suggests a principle of building national economies—a key concern of Governments in developing countries, and one that increasingly reflects debate in many developed countries about what should be the priorities for overseas aid.
Perhaps the most interesting specific proposals come from the International Committee of the Red Cross and the Centre for International Governance Innovation. They have proposed 12 new goals that seek to build on existing MDGs while reflecting the changed international context, and they include new methods for devising targets and accounting for progress. As well as arguing for the inclusion of further indicators to improve the living standards of the poor, reduce diseases, eradicate hunger and ensure access to safe water supplies, they also suggest new indicators concerning access to and quality of education—that point will be of interest to my hon. Friend the Member for Workington (Tony Cunningham). They urge a new focus on the reduction of violence, particularly against women and children, the promotion of gender equality, and better access to basic infrastructure, such as energy, information and financial services. They also support indicators of environmental sustainability, access to justice, trade rules and the transparency of Government budgets—that will be of interest to the hon. Member for Warwick and Leamington (Chris White).
At the moment, that list contains too many suggestions to achieve the simplicity that has helped to drive the continuing appeal of the MDGs, and there is perhaps not enough focus on job creation and growth. In my view, however, the proposals merit further serious debate and attention, and in that spirit, I commend them to the House.
Time is ticking, and a new post-MDGs agreement would be a huge prize, with regard to our efforts to tackle global poverty and improve sustainability. Britain could—and I believe should—once again occupy a pivotal place in the debates, and I look forward to hearing the Minister’s plans to achieve that goal.
(13 years, 6 months ago)
Commons Chamber11. What progress his Department is making on transferring aid from middle-income states to developing countries in greatest need.
We have a clear responsibility to ensure that we target our aid where it is most needed and where it will have the greatest impact. I will shortly announce to the House the outcome of our major root and branch review of bilateral aid, which looked in detail at each country.
Although I strongly support the Government’s decision to stop aid to China, can my right hon. Friend explain what impact that will have on his ability to engage with China on development issues?
My hon. Friend is right to say that the coalition made it clear on day one that we would end all aid to China and Russia, but we need to have a powerful and reinvigorated partnership with China on development issues, not only in the areas where we share deep concerns, such as on freeing up the trading system and on climate, but in working in third countries. For example, Britain is working with China now in the Democratic Republic of the Congo on a major infrastructure roads programme. We are doing that work together and it is extremely effective and successful.
(14 years, 1 month ago)
Commons ChamberThank you, Madam Deputy Speaker. I will keep it brief.
I congratulate my hon. Friends the Members for Wirral West (Esther McVey) and for Stevenage (Stephen McPartland), and the hon. Member for Rochdale (Simon Danczuk), on their excellent and thoughtful maiden speeches.
More than 60 years ago, the Beveridge report was published. It identified the five giants that threatened Britain in the wake of post-war reconstruction: want, disease, ignorance, squalor and idleness. It showed a country scarred by the events of the great depression—one of the worst financial disasters that the world has ever witnessed—and sought to find a way in which to bring about a fairer society. Perhaps now, in the wake of the most recent recession—the deepest since the 1930s—we should reflect on how to reconstruct a fairer global community.
Fortunately, in our own country we have made great strides in tackling each of the five giants that Beveridge identified. Elsewhere across the world, people have not been so lucky. The facts and figures may be over-told, but they still make for sobering reading. According to the most recent millennium development goals report from the United Nations, 1.4 billion people live on less than $1.25 per day, while it is believed that more than half the world lives on less than $10 per day; 17% of the world are undernourished; 11% of the world’s children still do not receive a primary school education; 74 out of every 1,000 children die before they are five years old; 536,000 women and young girls die every year across the world as a consequence of complications in pregnancy; despite falling infection rates, about 2 million people die of AIDS every year; and 36% of people in the developing world live in poor housing. The statistics go on and on.
As we enter a new decade, has the time not come for the developed world to put an end to rhetoric and meet the fundamental challenges that confront the world in dealing with global poverty? The most important of those challenges is economic development, an issue that has been brought further to the fore by the global economic crisis. It is believed that, as a result of that crisis, nearly 100 million more people have remained in poverty than would otherwise have been the case.
According to the United Nations, while productivity—a primary indicator of economic development—has steadily risen in the developed world, productivity in the developing world has been sluggish. Between 1998 and 2008, output per person employed—measured in 2005 United States dollars—rose from $60,000 to $71,000 among those working in the developed regions, while in the developing regions output per person rose from $8,000 to $11,000. That is just over a quarter of the growth of the developed world. Limited increases in productivity indicate that an economy has little potential to create new jobs. Moreover, that can lead to stagnant wages, which keep hundreds of millions in poverty and prevent the creation of the stable domestic markets that are essential to further economic progress.
The link between economic development and reducing poverty seems obvious, but while a great deal of the focus has been on aid, it ignores the necessity of encouraging growth in developing countries. That is less eye-catching and more difficult to achieve, but in the long term it will produce better results.
A report published in 2006 by USAID, the United States Agency for International Development, highlighted the position of South Korea and Ghana. In 1950, South Korea’s per capita income was $770. Ghana’s was slightly higher, at $1,222. By 2000, however, South Korea’s per capita income had risen to $14,000, while Ghana’s remained at around $1,280. The figures for life expectancy, literacy and infant mortality have improved dramatically in South Korea since 1950, but the problems continue to dog Ghana. That is despite the hundreds of millions of pounds given to Ghana by Britain alone over the past few decades.
Although I do not doubt the necessity of aid to assist people in developing countries who live in poverty, we must not allow ourselves to mistake aid for the cure. Aid must be used as a short-term means in order to achieve economic development, which is the long-term end. Schools and hospitals, the beginnings of a solid infrastructure, are the things that aid can help to achieve. However, the real work of lifting people out of poverty will be done only by a growing economy, with the creation of jobs and rising wages.
That work can be done enough through encouraging a fiscal and administrative reform. Countries can, thus, be helped to adopt tax systems that are fairer, easier to implement, less vulnerable to corruption and less distorting to economic activity, in order to help to develop transparency. We also need to ensure that strong monetary frameworks are in place. I am glad, therefore, that the Government have taken such a keen interest in ensuring that economic development is placed at the heart of our poverty-reduction strategy. I welcome, for example, our support for a pan-African free trade area, which we hope will lead to the greater development of markets within developing countries and help to generate a cycle of prosperity.
Moreover, an issue that goes hand in hand with economic development is that of governance. As was worryingly reported only a few years ago by the National Audit Office, aid is often open to abuse. Poverty reduction budget support—that is money given directly to the Governments of recipient countries—represents more than £1 billion of DFID’s budget and is the preferred method of distribution. That comes with the risk of funds going missing and being misdirected for the private gain of individuals within Governments. We must ensure that Governments that receive this aid do not do this, and I welcome the coalition’s commitment to supporting the development of local democracy and civil society in order to create the environment necessary for stable governance to follow. Moreover, the commitment to ensuring that there is full transparency in aid and to publishing details of all UK aid spending is also a step in the right direction.
Aid given by this country has the potential to help tens of millions of people across the world and, as part of larger multilateral packages, to help hundreds of millions. However, I am reminded of the fact that the Department that deals with reducing global poverty is called the “Department for International Development”. That title recognises the simple truth that development—in particular, economic development—holds the key to reducing and eventually eliminating global poverty. As we look forward to tackling the great giants of global poverty, we should ensure that we place long-term economic development before eye-catching spending commitments. I am glad that the Government seem to be taking that course, and I hope that they continue in that direction.