Terminally Ill Adults (End of Life) Bill

Christine Jardine Excerpts
Friday 16th May 2025

(3 weeks ago)

Commons Chamber
Read Full debate Read Hansard Text Read Debate Ministerial Extracts
Rebecca Paul Portrait Rebecca Paul
- Hansard - - - Excerpts

I am sorry, but I do not have much time and I wish to get through my points.

How can we be happy with a process that does not exclude such reasons? Instead of providing the support that is actually needed, the state is content to put them on a pathway that leads to their death. I hope that the House will recognise that, whether one supports assisted dying in principle or not, it is morally bankrupt not to have some kind of best interests test to protect those who are not seeking death to alleviate pain from a terminal illness.

Another group that is particularly vulnerable is those with eating disorders. In Chelsea Roff’s oral evidence, she set out that

“at least 60 people around the world have been euthanised or assisted in suicide”

with

“anorexia nervosa listed by name as a terminal condition.”––[Official Report, Terminally Ill Adults (End of Life) Public Bill Committee, 29 January 2025; c. 139, Q175.]

To paraphrase her, these were young women who were not terminally ill and had decades of life ahead of them. It is important to make the point that someone suffering—

--- Later in debate ---
Meg Hillier Portrait Dame Meg Hillier
- Hansard - - - Excerpts

I thank the hon. Lady.

Christine Jardine Portrait Christine Jardine
- Hansard - -

Will the hon. Lady give way?

Meg Hillier Portrait Dame Meg Hillier
- Hansard - - - Excerpts

I need to get into the arguments for my two new clauses, so I will not take any more interventions for the time being.

I believe that there is a serious risk that terminally ill patients, who are already vulnerable, could feel pressured into ending their lives sooner than they would wish to. We know of examples of patients who felt suicidal and low at the point of diagnosis, and at that point they are vulnerable—this is not the debate in which to make points about that—but often, with good care and pain relief, they can move away from that decision. There is also the issue about the burden on family.

Christine Jardine Portrait Christine Jardine
- Hansard - -

Will the hon. Lady give way?

Meg Hillier Portrait Dame Meg Hillier
- Hansard - - - Excerpts

I must make progress.

I also want to talk about how the teenage brain works. The Bill would apply to a young person at the age of 18. A month or so after they reach that age, they could undertake an assisted death. Let me highlight some of the good conversations that I have had with people who have generously given their time to speak with me about these important issues, which I am worried have not been addressed at any point in the Bill’s passage, except for a short and important discussion in Committee.

--- Later in debate ---
Meg Hillier Portrait Dame Meg Hillier
- Hansard - - - Excerpts

I have said no—I need to explain the issues, and give due credit to the people who have assisted me in raising them.

Adolescents’ brains develop differently. From the age of puberty, there is a rapid change in how young people make decisions. As adults, we have the experience to imagine what the future might look like, but younger people, up to about the age of 25, often cannot plan or predict their future because that part of the brain has not developed well, and they are not good at understanding regret. The comparisons are different for adults. Role models and social groups matter a great deal.

Christine Jardine Portrait Christine Jardine
- Hansard - -

I appreciate the hon. Lady giving way, given the time constraints. Does she acknowledge the concern that many of us have about not telling patients all the options, particularly young people who are now so social-media literate? Their automatic reaction is to Google everything; in fact, we all do it. The danger is that, if they are not told all the options and given the guidance that is available, they will go to Google and see yet more of the dangerous suicide attempts that we see at the moment.

Meg Hillier Portrait Dame Meg Hillier
- Hansard - - - Excerpts

I do not have time to completely unpick the hon. Lady’s points, but to have something positively suggested is a big issue for young people, so the social media aspect is important.

The social network matters. At the point of puberty, teenagers will look to their social group, which will massively influence their behaviour in a way that their families will not. Adolescents are more likely to take risks: their neurodevelopmental underpinnings are different, and pathways between the rational and the emotional parts of the brain are not fully developed. In “a hot situation”, where there is a lot of emotion, they take more risks, particularly because they do not have the ability to think about the counterfactual. In this case, the counterfactual is not being here anymore; that is a very difficult thing for a lot people to understand, particularly young people.

The ability of young people to think flexibly and change their minds is in the front of the brain, which does not always react to the—

--- Later in debate ---
Tom Gordon Portrait Tom Gordon
- Hansard - - - Excerpts

I will make a little progress, as I was in the middle of a quotation. It continues:

“Unless you are actually affected by something as desperate as MND, you cannot understand what it really means to have such an option.”

My constituent is right. We can debate legal safeguards, ethics and precedents all day in this Chamber, but for those who are living with devastating diseases, this is not theoretical; it is personal, it is urgent and it is real.

Christine Jardine Portrait Christine Jardine
- Hansard - -

This is a very personal one for me, because much of my motivation for supporting the Bill comes from having watched a member of my family die of motor neurone disease. Although perhaps it would have been preferable if motor neurone disease and other degenerative diseases could have been included, I accept that we do not want to go down the slippery slope. However, there is a difference between extending the Bill to degenerative diseases such as motor neurone disease and extending it to other conditions. Perhaps we could consider supporting that, because I would not want anyone to go through what I witnessed, without the choice to end it without going through more pain.

Gavi and the Global Fund

Christine Jardine Excerpts
Thursday 15th May 2025

(3 weeks, 1 day ago)

Westminster Hall
Read Full debate Read Hansard Text Read Debate Ministerial Extracts

Westminster 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

None Portrait Several hon. Members rose—
- Hansard -

Christine Jardine Portrait Christine Jardine (in the Chair)
- Hansard - -

Order. I remind Members that they should bob if they wish to be called in the debate. Unfortunately, because of its popularity, I will have to impose a time limit of three minutes from the beginning. I intend to go to the Front Benchers at 2.38 pm.

--- Later in debate ---
None Portrait Several hon. Members rose—
- Hansard -

Christine Jardine Portrait Christine Jardine (in the Chair)
- Hansard - -

We are going to struggle to get everybody in, so can Members please keep any interventions brief?

--- Later in debate ---
Tim Roca Portrait Tim Roca (Macclesfield) (Lab)
- Hansard - - - Excerpts

It is a pleasure to serve under your chairship, Ms Jardine. I thank my hon. Friend the Member for Milton Keynes Central (Emily Darlington) for securing the debate. I want to speak in strong support of continued investment in these organisations, but particularly the Global Fund to Fight AIDS, Tuberculosis and Malaria. As my hon. Friend said, it is one of the most impactful partnerships in global health history.

Since its founding in 2002, the Global Fund has saved more than 50 million lives. That is 50 million mothers, fathers and children who are alive today because of international collaboration, targeted investment and shared resolve. The death rate from AIDS, TB and malaria has been halved in the countries where the fund operates. That is a success that we should all be proud of. In an era when, as colleagues have mentioned, global co-operation seems to be going out of fashion, that is a living, breathing example of it working.

The UK has played a major role in that success but, as hon. Members have said, with the next replenishment fast approaching, we must reaffirm our commitment. The needs remain urgent and the case for investment remains overwhelmingly strong. I am proud that the fund has been a cross-party endeavour, but I want to acknowledge, as my hon. Friend the Member for Milton Keynes Central did, the crucial role that Labour has played in establishing and supporting it. Under Tony Blair, the UK helped to found the fund in 2002, recognising that tackling the world’s deadliest diseases required global leadership. Under Gordon Brown’s leadership, both as Chancellor and, later, as Prime Minister, the UK strengthened its support, with a focus on long-term funding and international co-operation. That legacy of action, compassion and multilateralism is one we will all want to uphold.

Like colleagues, I want to speak about my constituency’s role in this issue. I am proud to represent Macclesfield, which people will know is a thriving town, with a brilliant grassroots arts and culture scene, nestled on the edge of the Peak district. But it is also a key centre for UK life sciences, with AstraZeneca, the major employer in the town, playing a vital role in the production and distribution of life-saving medicines. However, AstraZeneca’s contribution goes beyond local jobs, and it has supported the wider global health agenda, particularly through working on the covid vaccine and other initiatives to improve treatments in low and middle-income countries. We know that our life sciences sector across the country, anchored by companies such as AstraZeneca, benefits from the innovation, data sharing and global networks that initiatives such as the Global Fund foster. This is what is called win-win.

Let us not forget that the diseases we are talking about have not gone away. As has been pointed out, TB is one of the world’s deadliest infectious diseases. Malaria continues to kill a child nearly every minute. Although AIDS is more manageable, it still devastates millions of families. Our support is therefore as important as ever. I urge all Members, and especially the Government, to continue to recognise the fund’s enormous value. From the laboratories of Macclesfield to the clinics of Malawi, let’s continue to make a difference.

Christine Jardine Portrait Christine Jardine (in the Chair)
- Hansard - -

Apologies, but I will have to reduce the time limit to two minutes.

Oral Answers to Questions

Christine Jardine Excerpts
Tuesday 13th May 2025

(3 weeks, 3 days ago)

Commons Chamber
Read Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Catherine West Portrait Catherine West
- View Speech - Hansard - - - Excerpts

The Foreign, Commonwealth and Development Office’s humanitarian framework sets out our long-term approach through three policy priorities: providing humanitarian assistance for those in greatest need; protecting people at risk in conflict and crises; and preventing and anticipating future shocks and building resilience. When it comes to building resilience, the people most at risk are often women and young girls who fail to have access to education. The indices of educational attainment will be the basis on which many of these decisions are made.

Christine Jardine Portrait Christine Jardine (Edinburgh West) (LD)
- Hansard - -

6. Whether his Department plans to introduce a statutory right to consular assistance.

Iain Duncan Smith Portrait Sir Iain Duncan Smith (Chingford and Woodford Green) (Con)
- Hansard - - - Excerpts

18. What discussions he has had with Cabinet colleagues on introducing a statutory right to consular assistance.

Hamish Falconer Portrait The Parliamentary Under-Secretary of State for Foreign, Commonwealth and Development Affairs (Mr Hamish Falconer)
- View Speech - Hansard - - - Excerpts

We are committed to strengthening support for British nationals abroad, including introducing a right to consular assistance in cases of human rights violations. The Department is considering a package of measures, which we will announce in due course, alongside options for stakeholder consultations.

Christine Jardine Portrait Christine Jardine
- View Speech - Hansard - -

Every year, an estimated 5,000 British citizens are arrested abroad, many of them under false pretences. Many are used as hostages and denied access to legal representation, and their families are left without information, not knowing what has happened to them. High-profile cases at the moment include those of Alaa Abd el-Fattah in Egypt and of Jagtar Singh Johal in India. None of these people has an automatic right to support, as is the case with other countries such as the United States, so can the Minister give us more details about exactly what the consular assistance will be and whether it will be automatic for everyone?

Hamish Falconer Portrait Mr Falconer
- View Speech - Hansard - - - Excerpts

The safety and security of British nationals overseas is a top priority for the Government. This is a complex area of policy—the hon. Lady has described the wide range of different consular cases that the Foreign Office responds to, from kidnap cases to more routine cases. As I set out to the Foreign Affairs Committee, given the complexity of these issues we will come back to Parliament in due course with options for consultation.

Gaza: Israeli Military Operations

Christine Jardine Excerpts
Wednesday 2nd April 2025

(2 months ago)

Commons Chamber
Read Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts

Urgent 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

Hamish Falconer Portrait Mr Falconer
- View Speech - Hansard - - - Excerpts

I can assure my hon. Friend, who has been a doughty campaigner on these issues, that we have raised both the risks of returning to war and indeed the settlements he refers to directly with the Israeli Government, and we will continue to do so.

Christine Jardine Portrait Christine Jardine (Edinburgh West) (LD)
- View Speech - Hansard - -

I welcome the Minister’s reply to the urgent question, but I am sure he will forgive me when I say that we have heard all this before. There is a sense of hopelessness in this place at the downward spiral we seem to be on, but it must be nothing compared with the hopelessness being felt by the Gazans and also the Israeli population. The Israeli regime is not listening to us or to its own population, who are protesting and simply want the hostages home. The region needs some hope, and it has already been suggested that if we are to go down the route to a two-state solution, we need a breakthrough. That breakthrough might come if this Government recognise Palestine as a state.

Hamish Falconer Portrait Mr Falconer
- View Speech - Hansard - - - Excerpts

I recognise the hon. Lady’s remarks. The sense of hopelessness must be acute in Gaza, and I say to all those watching in the region that the UK will continue to do everything it can, no matter how hard it is, to try to return to a ceasefire. I have addressed the question about the recognition of a Palestinian state. There must be a breakthrough. We need to get back on the path that both sides were on before if stability is to return to the region.

Nutrition for Growth Summit

Christine Jardine Excerpts
Tuesday 25th March 2025

(2 months, 1 week ago)

Westminster Hall
Read Full debate Read Hansard Text Read Debate Ministerial Extracts

Westminster 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

Christine Jardine Portrait Christine Jardine (in the Chair)
- Hansard - -

Because of our delayed start, the debate may now continue until 4.47 pm. I call David Mundell to move the motion.

David Mundell Portrait David Mundell (Dumfriesshire, Clydesdale and Tweeddale) (Con)
- Hansard - - - Excerpts

I beg to move,

That this House has considered the Nutrition for Growth Paris Summit 2025.

It is a particular pleasure to serve under your chairman- ship, Ms Jardine. I am grateful for the opportunity to propose this motion and to make the case for a strong, ambitious and well-targeted UK commitment at the Nutrition for Growth summit, which takes place in Paris this Thursday and Friday, and which I am pleased to be able to attend alongside my friends the hon. Members for Exeter (Steve Race) and for Worthing West (Dr Cooper).

It is more than three years since we last gathered in Westminster Hall to debate the previous Nutrition for Growth summit, held in Tokyo in December 2021. This debate comes at an important moment for global nutrition, especially in the light of recent decisions in the US and here in the UK about spending on aid and international development. It also comes the week after the publication of the report of the International Development Committee, on which I serve as a member, “The Government’s efforts to achieve SDG2: Zero Hunger”.

We all know that access to good nutrition is foundational to development. It plays a critical role in health, education, gender equality and economic advancement. It is essential to achieving so many of the other sustainable development goals.

For pregnant women, good nutrition in pregnancy leads to healthier mothers, fewer complications in childbirth, less chance of stunting in children and a greater chance of children reaching their educational potential. Proven, cost-effective interventions, such as providing expectant mothers with multiple micronutrient supplements can make the world of difference to a child’s start in life.

For children, good nutrition makes vaccines more effective, reducing the risks of infectious diseases, which can spread rapidly and which do not respect borders. A well-nourished child is 11 times less likely to die from common infectious diseases such as pneumonia than a severely undernourished one.

Good nutrition also reduces the risk of obesity, cancer and other non-communicable diseases such as diabetes and cardiovascular disease, which are on the rise in many low and middle-income countries. Without good nutrition, individuals and communities cannot develop to their full potential, economic productivity and development are constrained, and stability and security are undermined.

Studies have shown that combating malnutrition can raise per capita GDP by up to 11%, helping to break the cycle of poverty, inequality and food insecurity. In addition, investments in nutrition are proven to be low cost and high impact, representing one of the highest-value development initiatives. According to the World Bank, for every $1 invested in nutrition, $23 is returned to the local economy. Conversely, malnutrition costs African economies between 3% and 16% of GDP annually. Yet, despite all we know about the importance of good nutrition, malnutrition is still the leading cause of death in children under five, claiming the lives of 2 million children under five every year.

In 2022, an estimated 45 million children under the age of five suffered from wasting, 148 million had stunted growth and 37 million were overweight. In 2023, an estimated 733 million people globally faced hunger. Around 200 million more people face acute food insecurity this year compared with pre-pandemic levels. Conflicts and humanitarian crises, including in Sudan, the Democratic Republic of Congo, Syria and Gaza, are causing global hunger to soar. Up to 1.9 million people are estimated to be on the brink of famine.

The UK has a long and proud history of global leadership and action on nutrition. The UK was the founder of the Nutrition for Growth summit in 2013, when more than 100 stakeholders pledged more than $4 billion in new nutrition-specific projects, and a further $19 billion in nutrition-sensitive projects. Our excellent civil servants in the Foreign, Commonwealth and Development Office are world-class thought leaders and conveners on innovation regarding malnutrition, and the UK is home to world-leading scientists and researchers who are making strides to advance technologies and nutrient-dense, drought-resistant crops, supporting communities all over the world to have more secure and nutritious diets.

The recent cuts to official development assistance could have devastating impacts on the global hunger and malnutrition crisis. The nutrition budget was disproportionately impacted by the cuts to ODA in 2021; research conducted by Development Initiatives for the FCDO indicated that nutrition spending was cut by more than 60%. The Government must not allow this further reduction in spending to exacerbate the existing global crisis or to damage our reputation globally.

This week’s Nutrition for Growth summit is a real opportunity for the Government to show continued UK leadership and commitment to global nutrition. This Thursday and Friday, the Government of France, led by President Macron, will convene Governments, philanthropists, non-governmental organisations and business leaders at the summit to commit finances and make policy changes that will help to end malnutrition.

It will be the fifth Nutrition for Growth summit since it was launched by the UK in the margins of the 2012 Olympic and Paralympic games. The previous summit in Tokyo mobilised $27 billion through commitments made by 181 stakeholders across 78 countries. Unfortunately, the previous UK Government were not able to make a commitment at the Tokyo summit in 2021, which sparked widespread criticism from partner countries. Thanks, I believe, to the great efforts of my right hon. Friend the Member for Aldridge-Brownhills (Wendy Morton), who was then a Minister in the FCDO, that decision was reversed two months later and the UK made a £1.5 billion pledge. We still hope that this year the UK will play its full part in ensuring the summit is a success.

The Paris summit is a crucial opportunity to build on that momentum and a critical step in turning the tide against the scourge of malnutrition. It will also put nutrition at the heart of the sustainable development agenda, recognising that nutrition is foundational to development—as indeed it is to the UK’s wider development aims—and will make the fight against all forms of malnutrition a universal cause. Since 2013, the Nutrition for Growth summit has been a key event for driving greater action towards ending malnutrition, mobilising the international community and placing nutrition higher up the development agenda.

This year, the commitments made will be more important than ever in elevating the fight against malnutrition. The summit’s outcomes will have a lasting impact on the health, development and economic potential of millions of people worldwide, especially women and children. We welcome the fact that the new Minister for International Development will represent the UK at the summit, but I hope the Minister here today will be able to confirm that the UK will demonstrate its commitment to leadership on sustainable development goal 2 by doing everything we can to ensure that the summit is a success. I also hope that he will commit to a strong, ambitious and well-targeted UK pledge at the summit—or, if that requires the spending review to be completed, that that pledge will come after the spending review.

In addition, I hope the Minister can reaffirm the recent commitment to integrating nutrition across all aspects of development at the summit to make meaningful progress in tackling the underlying causes of malnutrition. As the International Development Committee inquiry report recommended, as well as a generous pledge at the summit, I hope the Minister will commit to

“a new reach commitment on nutrition and food security within the next six months”,

which would

“focus efforts and improve accountability.”

The all-party group on nutrition for development, which I co-chair alongside the hon. Member for Exeter, is calling for the UK to invest at least £500 million in nutrition-specific interventions by 2030. I hope the Government can confirm that they will begin this journey by investing £50 million in the child nutrition fund this year. That would give us an opportunity to maximise our investment by leveraging domestic resources and philanthropic funding, with the potential to transform a £50 million contribution into up to £500 million-worth of impact.

Whatever colleagues’ views on the overseas aid budget, I am sure we all agree that taxpayers’ money should be spent as impactfully as possible. Therefore, we must prioritise nutrition and use summits such as the Nutrition for Growth summit to maximise our contribution at a time of restricted finances, and we must co-ordinate our approach with other countries to maximise the impact even further. It is vital that low-cost, high-impact nutrition-specific interventions, such as MMS and ready-to-use therapeutic food, are protected and prioritised. They can pull young children back from the brink of starvation in weeks.

I hope the Minister will set out an ambition to reach at least 50 million children, women and adolescent girls with nutrition-related interventions by 2030, and commit to reporting yearly on how many people are reached with nutrition-specific interventions. I also hope the UK Government will support global accountability efforts by funding the global nutrition report to enhance the nutrition accountability framework, which is a critical tool to ensure that Governments follow through on their Nutrition for Growth commitments. Finally, I hope the Government will ensure that partnerships with local civil society organisations are strengthened, so that they can advocate more effectively for nutrition to their own Governments.

To conclude, let me give just one example of the difference that such commitments can make by speaking about Hanzala. Hanzala struggled with pneumonia and malnutrition before he could even sit up on his own. Born in a remote village in Afghanistan, his mother was unable to access care, with the nearest clinic being more than 40 km away. That was until 2023, when World Vision Afghanistan opened a health centre supported by the FCDO in Hanzala’s village.

Hanzala’s mother rushed him to the clinic, where he was found to weigh just 6.8 kg, well below the 9.2 kg that a healthy 13-month-old boy should weigh. Hanzala was immediately enrolled in the out-patient department for severe acute malnutrition programme, receiving ready-to-use therapeutic food. His mother received nutritional counselling and a sanitation kit to improve their living conditions. I am sure that everyone will be pleased to learn that only four months later Hanzala had made a full recovery and was able to play like any other child—a direct result of decisions made by the UK Government and the support of organisations such as World Vision.

Let us grasp the opportunity that the Nutrition for Growth summit this week affords. Let us continue to wield our convening power as the UK and play a leading role as a key global nutrition partner, driving this agenda and working alongside other donors and high-burden countries to ensure that global nutrition investments are prioritised and deliver maximum impact. I look forward to the rest of the debate and to the Minister’s positive response.

--- Later in debate ---
On resuming
Christine Jardine Portrait Christine Jardine (in the Chair)
- Hansard - -

We have 42 minutes left for this debate. I call Liberal Democrat spokesperson Monica Harding to continue, please.

Monica Harding Portrait Monica Harding
- Hansard - - - Excerpts

It is still a pleasure to serve under your chairmanship, Ms Jardine. As I was saying, driven by spreading conflict, worsening climate change and the disruption of the pandemic years, the number of those suffering from malnutrition has risen by 150 million in five years. At this moment, we have a broader challenge. The Government have chosen not to redouble efforts to fight hunger, but to slash the official development assistance budget to its lowest level this century. We believe that that is a moral and strategic mistake that will exacerbate food insecurity and render all of us here in the UK less safe. Since the Prime Minister’s announcement in February, there has been little clarity about UK development priorities or about what existing promises this Government intend to honour.

The Nutrition Action for Systemic Change report published last year found that the Government were then tracking to meet our nutrition for growth commitment, made following the 2021 summit in Tokyo, of spending £1.5 billion on nutrition objectives between 2022 and 2030. Just one week before the development budget was cut by 40%, the then Minister for Development, the right hon. Member for Oxford East (Anneliese Dodds), again affirmed the UK’s commitment to that £1.5 billion figure. Will the Minister today repeat that pledge and assure us that the UK will not renege on the resources promised by multiple Governments to fight hunger?

In addition to worsening levels of hunger, the overall nutrition picture is growing increasingly complex. The so-called triple burden of malnutrition, obesity and vitamin deficiency requires solutions that combat all three issues together. Those solutions must encompass ready-to-use therapeutic food, vitamin A supplementation as well as other nutrients, and health interventions targeting obesity. Will the Minister share the specific steps that the FCDO is taking to ensure that UK nutrition policy addresses all dimensions of that triple burden, including by requiring that the development finance investments made by arm’s length FCDO bodies align with UK nutrition goals?

Nutrition-specific ODA, often delivered in a context of urgent humanitarian need, is indispensable. It is regularly the difference between life and death for some of the world’s poorest. As we speak, the UN World Food Programme is closing offices in Africa. That agency received about half its funding last year from USAID—the United States Agency for International Development— so is now facing acute financial pressures, cutting the delivery of lifesaving RUTF and other supplies.

The impact of USAID’s gutting is already devastating. In the coming year, reduced food assistance could result in as many as 550,000 deaths, according to The New York Times. We Liberal Democrats believe that there is a moral imperative for the UK to act in the face of that looming catastrophe. We believe that filling some of the funding gaps left by the retreat of USAID will require the UK to play a vital convening role, so could the Minister inform us of what conversations the UK is having and leading with partner nations, NGOs and other philanthropic organisations, aimed at catalysing targeted nutrition interventions?

At the same time, we must recognise that highly focused, specific interventions are capable of addressing only about 30% of the most persistent nutritional challenges, such as child stunting and child wasting. Progress on the other 70% requires progress on a wide range of nutrition-sensitive development areas, including maternal health, agricultural productivity, WASH—water, sanitation and hygiene—and climate change, and vice versa. A pregnant mother experiencing malnutrition and unable to access multiple micronutrient supplements is far more likely to give birth to a stunted child. Even vaccines are less effective when delivered to children experiencing malnutrition.

As the International Development Committee argued in its most recent report—as a Committee member, I must declare an interest—nutrition and food security are cross-cutting themes across UK ODA programming, so success requires not only highly targeted interventions, but a strategic approach that integrates nutrition throughout development work. I know that this integration is a priority for the FCDO, and I am pleased that the Minister will be championing a global compact on nutrition integration in Paris. However, according to the NASC’s 2024 report, from 2021 to 2022, the nutrition-sensitive share of the FCDO’s ODA spend actually declined. For humanitarian spending it fell from 27% to 22%, for health spending it fell from 11% to 5%, and for education spending it fell from 4% to just 1%. What concrete steps is the FCDO taking to reverse that trend and to model nutrition integration going forward? Moreover, what accountability mechanisms will be tied to the global compact on nutrition integration such that it changes behaviour and produces results?

There may be no area of development linked as closely to nutrition as conflict. The World Food Programme found that conflict was the key driver of food insecurity last year, and it showed that two thirds of those facing acute food insecurity did so in fragile or conflict-affected locations. Not only do violence, conflict and instability lead to displacement and migration, and create a breeding ground for terrorism that can threaten us here in the UK, but they undermine our professed nutrition objectives. Yet the integrated security fund, which addresses acute national security threats and is partially funded through ODA, is facing significant cuts due to the Government’s decision to slash aid. Will the Minister therefore assure us that the Government’s development cut will not result in cuts to the ODA-funded portion of the ISF?

I am also concerned that the cut will mean a further hollowing out of the UK expert capacity. When the Department for International Development was merged with the Foreign Office in 2020, it was expert teams that gave Britain the know-how on how to lead on areas such as nutrition, which were chronically under-resourced. Our capacity suffered as a result, and I urge the Minister to prioritise protecting the UK’s health and nutrition expertise, embedded in-country and in the FCDO.

I am very pleased that the UK will be represented by a Minister at the Nutrition for Growth summit. I give our envoy all our support and encouragement in convening and corralling support for a compact on nutrition integration, yet it is difficult to lead on global nutrition policy when we are stepping back from funding nutrition. I remain deeply disappointed that no new financial commitments will be announced by the Government to mark the summit.

Nutrition is foundational for development. Investments in nutrition are low cost and high impact, representing one of the highest value development initiatives. We also know how to do it. Indeed, we have achieved remarkable success, halving the proportion of people suffering from undernourishment in developing regions between 1990 and 2015. We have led that, but we are now in retreat. I urge the Government to renew that ambition, because nutrition is foundational. Without it, progress on global health, gender equality and peace building is nearly impossible, and the need for that is greater than ever.

Middle East

Christine Jardine Excerpts
Thursday 16th January 2025

(4 months, 3 weeks ago)

Commons Chamber
Read Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Christine Jardine Portrait Christine Jardine (Edinburgh West) (LD)
- View Speech - Hansard - -

I echo those who have thanked the Foreign Secretary for the tone that he has taken, and the way in which he has reflected the relief of the whole House that there is at last some hope for the families of the hostages, members of which are here today, and for the population of Gaza. He spoke of the need for a political process to ensure that the deal succeeds, and of the hope that needs to be part of eradicating extremism in the middle east. Does he agree that this is perhaps the appropriate time that he has talked about for holding out hope of a two-state solution, and that now might be the perfect time for the Government to recognise a state of Palestine?

David Lammy Portrait Mr Lammy
- View Speech - Hansard - - - Excerpts

The hon. Lady is right that a two-state solution is the only way to a stable peace. She knows, too, that recognition in itself does not achieve that. It has always been my view, and that of important international partners such as France, that this is an important issue. If we are serious, and achieve that political process, recognition might properly be part of it, to cement the two states that are necessary. This Government, and I suspect previous Governments, fully understand the importance of the UK’s role in applying that at the appropriate moment, precisely because we have the distinguished responsibility of having a seat on the United Nations Security Council.

Detained British Nationals Abroad

Christine Jardine Excerpts
Thursday 5th December 2024

(6 months ago)

Commons Chamber
Read Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Iain Duncan Smith Portrait Sir Iain Duncan Smith (Chingford and Woodford Green) (Con)
- View Speech - Hansard - - - Excerpts

I beg to move,

That this House is concerned by the number of arbitrarily detained British nationals at risk of human rights abuses abroad and the apparent lack of active support for those detained; and calls on the Foreign, Commonwealth and Development Office to provide regular reports on when it last raised the cases of those people with its international counterparts.

I am enormously pleased that the Backbench Business Committee agreed to find sufficient time to debate this issue. Too often, the issue of British citizens detained abroad gets washed away in all the other debates, no matter who is in government. As I have said before, regardless of who is sitting on the Government Benches—be they Conservative, Labour or whatever—I tend to find myself in opposition on issues such as this, as do many Members here. We have serious concerns that the issue is not raised enough, and cases are locked behind a wall of silence. I want to change that today.

My intention is to call on the Government, first of all, to provide regular reports—something they never do —on when the Foreign, Commonwealth and Development Office last raised the cases of British nationals who are arbitrarily detained abroad and at risk of human rights abuses. Individuals detained abroad are particularly vulnerable to torture, ill treatment and other serious human rights violations from the moment that they are detained. At least 100 UK nationals are tortured or ill treated abroad every year. In 2023, the FCDO received 188 new allegations of torture and mistreatment from British nationals overseas. It goes on and on.

Arbitrary detention and hostage-taking are devastating, but are practised by a number of regimes, chief among those being Iran. That is devastating for the individuals affected and their families. Survivors bear the physical, psychological and socioeconomic scars of their captivity. Survivors’ families also endure significant psychological distress, often facing vicarious trauma as they fight for their loved ones’ release and feeling that they are fighting a losing battle against even the establishment here in the United Kingdom.

The support that the British Government can provide to their nationals in these harrowing circumstances is crucial. They are sometimes the only link between the individual and the outside world.

Christine Jardine Portrait Christine Jardine (Edinburgh West) (LD)
- Hansard - -

The right hon. Member mentioned support from the British Government. Does he agree that that support is not always as consistent across the globe as we might like and as many members of the public would imagine it to be? There is no guarantee or legal right imposed on the UK Government to do it in the way that there is, for example, on the American Government. Does he think that the situation is unsatisfactory and, if so, what does he think the Government should do about it?

Iain Duncan Smith Portrait Sir Iain Duncan Smith
- Hansard - - - Excerpts

I completely agree. I have no problem agreeing on this matter. It has been a long-standing issue for families and Members of Parliament that, somehow, the FCDO puts a cloud of obscurity in the way of real knowledge about what is going on. For families, that can be incredibly difficult.

China: Human Rights and Sanctions

Christine Jardine Excerpts
Monday 28th October 2024

(7 months, 1 week ago)

Commons Chamber
Read Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts

Urgent 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

David Lammy Portrait Mr Lammy
- View Speech - Hansard - - - Excerpts

I assure the hon. Lady that I met with Alaa Abd El-Fattah’s family just a few weeks ago, and I raised the issue once again with the Egyptian Foreign Minister in a subsequent call.

Christine Jardine Portrait Christine Jardine (Edinburgh West) (LD)
- View Speech - Hansard - -

Like every Member, in my constituency I receive hundreds of representations from Hongkongers in this country who are concerned about their own safety—I have experience of it myself: I was filmed by a drone while speaking at a Hong Kong protest in Edinburgh—but they are also concerned about their families at home. What assurances can the Foreign Secretary give us about the safety of Hongkongers in this country, and more importantly about plugging the gaps in the British national overseas scheme?

David Lammy Portrait Mr Lammy
- View Speech - Hansard - - - Excerpts

The national security law is of great concern, which is why I raised it with the Foreign Minister. Of course Hong Kong nationals should be assured of their safety in this country. Our police and security services keep these things under close scrutiny.