Oral Answers to Questions
Desmond Swayne Excerpts(9 years, 3 months ago)
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Chi Onwurah (Newcastle upon Tyne Central) (Lab)
2. What support her Department has provided to Commonwealth multilateral agencies since May 2010; and whether she plans to change the funding her Department provides to those organisations.
The Minister of State, Department for International Development (Mr Desmond Swayne)
Since 2009, DFID has provided £180 million to six Commonwealth organisations. The budget is some £50 million this year and it will remain so in the next financial year.
Chi Onwurah
The diversity of the Commonwealth of nations is part of its strength. Programmes such as the Commonwealth scholarships and the Local Government Forum build on that by supporting education and the exchange of best practice among Commonwealth citizens and Governments. Does the Minister agree that at a time of rising extremism, both political and religious, in a number of Commonwealth countries, the contribution of those programmes should be celebrated and extended to build shared values and understanding?
Mr Graham Allen (Nottingham North) (Lab)
3. What steps she is taking to target humanitarian assistance at the poorest children in the developing world.
The Minister of State, Department for International Development (Mr Desmond Swayne)
We work with agencies such as UNICEF and Save the Children to meet the immediate needs of children, but our key agenda is to link humanitarian assistance with long-term development.
Mr Allen
Getting food and shelter to children is essential, but will the Minister consider the global investment that is necessary in the social and emotional rehabilitation of children? That will make them less traumatised by their experience; enable them to raise good families of their own and to rebuild their cultures; and, perhaps above all, make them more resistant to political and religious fundamentalism.
Mr Swayne
Yes; absolutely. I pay tribute to the hon. Gentleman’s work in driving forward that agenda. He is right that people will not achieve their potential while they are traumatised and do not have education and proper support. One third of refugee children are without primary education and some three quarters are without secondary education. It is for that reason that we have more than doubled our budget for education in conflict-affected and fragile states. We are determined to drive forward that agenda internationally.
Mr James Gray (North Wiltshire) (Con)
An outstandingly good charity in my constituency, Alive & Well, ships essential equipment such as water purification equipment to some of the poorest children in the world, particularly in Sierra Leone. The next shipment was due to go on 24 February, but the charity has discovered that the import duties that are being applied by the Government of Sierra Leone, which are up to 100% of the value of the goods, will make it impossible. Will the Minister take up the matter with his opposite number in the Sierra Leonean authorities to reduce the unfair import duties?
Mr Gregory Campbell (East Londonderry) (DUP)
Almost 5 million children die every year across the globe, principally because of malnutrition. What targets are being set internationally to ensure that that figure reduces year on year?
Mr David Jones (Clwyd West) (Con)
4. What steps her Department is taking to support children affected by the conflict in Syria.
Sustainable Development Goals
Desmond Swayne Excerpts(9 years, 3 months ago)
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The Minister of State, Department for International Development (Mr Desmond Swayne)
This debate has, to a large extent, been wrested from the Opposition Front-Bench team and rescued by the many excellent contributions we have heard. We began with the right hon. Member for Dulwich and West Norwood (Dame Tessa Jowell), who rightly pointed out the importance of pre-school education, and then my right hon. Friend the Member for Eddisbury (Mr O’Brien) brought the benefit of his expertise in stressing the need for security. I always welcome the experience and wisdom of the right hon. Member for Coatbridge, Chryston and Bellshill (Mr Clarke), who made an excellent point about development education. I hope the project that our schools go through every summer, Send My Friend to School, spreads to parents, because the children’s enthusiasm for the agenda is an example to us all.
I thank the right hon. Member for Gordon (Sir Malcolm Bruce) for his excellent speech. He hit the nail on the head, as one would expect from a Select Committee Chairman of 10 years, and I shall return to his speech shortly, if time allows, because it was a seminal contribution. The hon. Member for East Lothian (Fiona O’Donnell), who rightly concentrated on malaria, made some important points, and my right hon. Friend the Member for Arundel and South Downs (Nick Herbert) concentrated on tuberculosis and brought the benefit of his long experience, as did my hon. Friend the Member for Stafford (Jeremy Lefroy), who has long been committed to these issues.
The hon. Member for Llanelli (Nia Griffith) concentrated on the importance of our taking a lead and asked several questions about TradeMark Southern Africa. The Independent Commission for Aid Impact, which we set up specifically to examine what was going on, drew attention to the problems with the project, and, as a result, my right hon. Friend the Secretary of State cancelled it. The hon. Lady also mentioned the PIDG, which, I recollect, was set up in 2002—perhaps when the hon. Member for Cardiff South and Penarth (Stephen Doughty) was in the Department. However, we will attend to the issues raised in the NAO report. I share some of the concerns, but we need to bear in mind the huge leverage of the PIDG in getting private finance into poor countries. In her short, but pithy speech, the hon. Lady also asked about the ILO, as did other hon. Members. We took the decision we did following the multilateral aid review, but we still work closely with the ILO—in Bangladesh, for example.
I thought the remarks of the hon. Member for Cardiff South and Penarth on fair trade were particularly pithy. He rightly drew attention to the false dichotomy between security and defence, and development; they are intimately connected. My right hon. Friend the Member for Banbury (Sir Tony Baldry) gave us the advantage of his 30 years’ experience, including as a Minister, and rightly drew our attention back to climate change and sustainability. The hon. Member for Stoke-on-Trent North (Joan Walley) highlighted the important report from the Environmental Audit Committee and asked several detailed questions. I offer her a trade. I have every intention of reading her report, but perhaps she will read this report: “A New Global Partnership: Eradicate Poverty and Transform Economies through Sustainable Development”. It is all in here: exactly how every single one of the targets has to be permeated with the key issue of sustainability. We are confident that the goals will be universal and we are ready to play our part: we have a strong cross-Government approach to this agenda, which is crucial to ensuring that all Departments are engaged and that the UK will be well placed to deliver these goals—it says.
My hon. Friend the Member for South Derbyshire (Heather Wheeler) raised our sights and our ambition, pointing the debate back to the millennium goals. The hon. Member for Edinburgh North and Leith (Mark Lazarowicz) focused our attention back on the Environmental Audit Committee report, but also made an excellent point about the international citizen service. He is right to praise that excellent initiative, which we are now considering what we can do to expand. I hope I have been able to reassure him on that point.
The hon. Member for Bristol East (Kerry McCarthy) brought her long experience and knowledge of nutrition to this debate, but when she went on to climate change there was an element of criticism. I would point out that we were one of the few countries that constantly tried to get a specific reference to the 2° target back into the goals.
This has been a very good debate in many respects—[Interruption.] Yes, there is a “but”. I want to return to the opening of the debate. We have a motion before us that seeks to divide the House. I have sat here and listened to all these excellent speeches and searched for the issue of substance that divides us. What have we got in the motion that seeks to divide us? The 0.7% target? We were all in the same Division Lobby on 0.7%. The only gripe is one of process—what kind of Bill it was.
We are also absolutely united in our approach to the importance of health. I pay tribute to the last Labour Government, who increased the bilateral spend on health. We have continued that; so much so that in the last seven years, bilateral health expenditure has doubled and now represents almost a quarter—23%—of our spend. We have already heard about the £1 billion commitment that has been made to the global fund. That will fund life-saving treatment for an additional 750,000 people with AIDS. There is no issue between us on health. [Interruption.] The hon. Member for Luton South (Gavin Shuker) asks, “What about the SDGs?” We canvassed hard and we have succeeded in getting specific targets and goals on health care.
When it comes to climate change, there is again no division of substance between us. On equality, there is the principle of no one being left behind before a target can be met. Again, there is absolutely no division of substance between us.
I come back to the speech by the Chairman of the Select Committee. He pointed out that we now have some 17 goals and 169 targets, when it was the ambition of the Secretary-General that we would have something small and understandable—something that we could all get behind and campaign on, something that we could measure and something that we could hold Governments to account on. That is what we should have been talking about tonight: how we get behind that agenda. They wasted the opportunity—
International Development
Desmond Swayne Excerpts(9 years, 5 months ago)
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Michael Fabricant
My right hon. Friend will know that it is hard enough, with some notable exceptions, to get women involved in entrepreneurial activities in this country. What is he doing to encourage women entrepreneurs in developing countries?
Mr Swayne
We have provided some 29 million women with access to financial services, and we are supporting the provision of some £26 billion in commercial loans to some 50,000 businesses led by women. Last year at the conference we announced that we would provide support for mentoring for 100 women across north Africa.
[Official Report, 17 December 2014, Vol. 589, c. 1391-2.]
Letter of correction from Mr Swayne:
An error has been identified in the answer I gave to my hon. Friend the Member for Lichfield (Michael Fabricant) during Questions to the Secretary of State for International Development.
The correct response should have been:
Mr Swayne
We have provided some 26.9 million women with access to financial services, and we are supporting the provision of some £1.25 billion in commercial loans to some 50,000 businesses led by women. Last year at the conference we announced that we would provide support for mentoring for 100 women across north Africa.
Oral Answers to Questions
Desmond Swayne Excerpts(9 years, 5 months ago)
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Richard Burden (Birmingham, Northfield) (Lab)
3. What recent assessment she has made of the humanitarian situation in Gaza.
The Minister of State, Department for International Development (Mr Desmond Swayne)
Given that unemployment is at over 40%, nearly 60% of people have no secure access to food and three quarters have no access to safe water, 19,000 people still reside in United Nations Relief and Works Agency shelters, and 100,000 have been rendered homeless, the situation is dire.
Richard Burden
Am I right in thinking that in October the Minister at the donor conference said that a return to the status quo in Gaza was not an option? According to the latest Oxfam report, however, the number of truck-loads going in with essential materials to do the rebuilding he talks about is now less after the summer’s conflict than before. Is Israel in breach of UN resolution 1860 on Gaza access, and if so what will the Government do about it?
Mr Swayne
The Gaza reconstruction mechanism, in which we have invested heavily, had a faltering start and only 46 truck-loads were delivered in October. We are now up to 302 as of the beginning of this month. It is not good enough, and we are working for more, but it is the only game in town.
Andrew Percy (Brigg and Goole) (Con)
The situation in Gaza is of course made more dire by the actions of Hamas, which misappropriates hundreds of thousands of tonnes of concrete and uses it to construct 32 terror and murder tunnels. Can the Minister tell me what he is doing to ensure that Hamas does not similarly misappropriate aid that should be going towards ordinary Gazans?
Richard Fuller (Bedford) (Con)
5. What projects her Department is supporting in Nigeria to counter the effects of Boko Haram.
The Minister of State, Department for International Development (Mr Desmond Swayne)
My recollection is that we take this matter very seriously indeed with respect to—sorry, I have misappropriated the question. [Interruption.] I apologise, Mr Speaker
Boko Haram can only be defeated by action by the Nigerian Government on a security front and on a development front and by provision of leadership. We in DFID have doubled our programme of investment in the north-east of Nigeria and are working to that end.
Richard Fuller
I thank the Minister for that reply. The active targeting of schools by Boko Haram, and also in Peshawar this week, shows that there is no limit to the barbarism and depravity of such extremists. In tackling such extremists it is important that the security forces maintain civilised standards. Is my right hon. Friend aware of the investigations by Amnesty International and can he assure the House that no DFID projects inadvertently or indirectly harm people by lowering the standards of the security forces?
Mr Swayne
We take that report very seriously indeed. Human rights abuses exacerbate insurgencies. I can give my hon. Friend that assurance that we do not fund or support in any way the security forces that are responsible for those actions. Indeed, our programme of Justice for All—J4A—ensures that all Nigerians can have access to better justice and human rights.
Mr Tom Clarke (Coatbridge, Chryston and Bellshill) (Lab)
The Nigerian military have made considerable territorial gains in recent weeks. How can we build on that situation to ensure that there are free and proper elections next year?
Mr Swayne
We have a deepening democracy fund through which we are providing support for those elections next year. With respect to the advance of Government forces, we are providing intelligence and direct tactical training to the Nigerian army. The elections themselves must be a matter for the Nigerians, but we are providing the funding and the technical support.
Jeremy Lefroy (Stafford) (Con)
We heard recently in the all-party group on malaria and neglected tropical diseases, which I chair, of a very important DFID programme to counter severe malaria in northern Nigeria. Can my right hon. Friend assure me that this programme will be continued and that efforts by Boko Haram to stop such development work will not be countenanced?
Ann Clwyd (Cynon Valley) (Lab)
What happened to the 700 women and children who were abducted some months ago? There was a big fuss about that in the Chamber. What has happened to them and what is your Department doing about it?
Mr Speaker
My department is doing nothing about the matter, but I think the Minister’s is.
Mr Swayne
Of the girls who were abducted in Chibok, 219 remain missing. Since then another 300 have been abducted elsewhere. We are providing a joint intelligence cell, together with our allies in France, the United States and Nigeria, based in Abuja, and all the technical assistance that we can give.
Fiona O'Donnell (East Lothian) (Lab)
7. What steps she is taking to support the UN goal to end the use and recruitment of children in armed conflict by the end of 2016.
Michael Fabricant (Lichfield) (Con)
8. What steps her Department is taking to reduce aid dependency by promoting small business start-ups in developing countries; and if she will make a statement.
The Minister of State, Department for International Development (Mr Desmond Swayne)
We are providing support for small and medium-sized enterprises and micro-businesses across our areas of responsibility, because they contribute so much to both employment and economic development.
Michael Fabricant
My right hon. Friend will know that it is hard enough, with some notable exceptions, to get women involved in entrepreneurial activities in this country. What is he doing to encourage women entrepreneurs in developing countries?[Official Report, 18 December 2014, Vol. 589, c. 5-6MC.]
Mr Swayne
We have provided some 29 million women with access to financial services, and we are supporting the provision of some £26 billion in commercial loans to some 50,000 businesses led by women. Last year at the conference we announced that we would provide support for mentoring for 100 women across north Africa.
Mark Lazarowicz (Edinburgh North and Leith) (Lab/Co-op)
It is important that businesses big and small across the world pay their workers a decent wage, yet Conservative MEPs in the European Parliament voted against the global development programme because it included a minimum wage. Is that the policy of the Government as well?
Mr Graham Allen (Nottingham North) (Lab)
T1. If she will make a statement on her departmental responsibilities.
Health Systems (Developing Countries)
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Anas Sarwar
I thank the hon. Gentleman for that intervention. I recall our many travels and our debates on many issues. I pay tribute to his first-hand experience of development issues and the work he did in Tanzania before he became a Member of this House. He is absolutely right to point to the positive interventions that the Nigerian Government were able to carry out because of their pre-planning and their thought leadership in advance, which enabled them to deal with the Ebola crisis. Sadly, Liberia and Sierra Leone were not able to do that, but the lessons from Nigeria and Rwanda can be learned by other countries.
Universal health coverage not only helps to prevent outbreaks and improve health outcomes, but can help to reduce inequality and tackle the fact that 100 million people a year fall into poverty. That is why universal health coverage matters, and why the UK must make it a top priority. The UK must use the opportunity of the 2015 negotiations on the sustainable development goals to push for universal health coverage to be a key element of those goals. I say gently to the Minister that we must be an active, vocal advocate for that agenda and use our experience, expertise and our influence with multilaterals and institutions to make our case. The report makes it clear that the Committee is frustrated that the Department and the Government are not using the strength of our voice to make that case on the global stage. I hope the Minister will address that point. I ask him to outline what advocacy work the Government have done on universal health coverage.
As DFID’s budget increases, more money is going to multilaterals, at the expense of the budgets of many bilaterals; I will return to that point. A World Bank study showed that the economic cost of Ebola could be as high as $33 billion over the next two years if the virus spreads to neighbouring countries in west Africa. Although I welcome the support given to multilaterals such as the World Bank, the Committee said in the report that it does not believe that many of our international partners give the same priority to the development of health systems as the UK. When they do, the same priority is often not given by the recipient Government. Let me give a practical example: only $3.9 million out of $60 million of EU health sector support given to Liberia was passed on by the Liberian Finance Ministry to the Health Ministry over a two-year period, leaving the Liberian health system struggling.
The Minister of State, Department for International Development (Mr Desmond Swayne)
I have looked into that criticism; the EU denies that it happened, and it has checked in Monrovia. I have asked for that matter to be reinvestigated.
Anas Sarwar
I thank the Minister for that helpful intervention. In the spirit of transparency, and to ensure that we do not darken the name of any Government and that we have the strong trust of the people on every penny spent by the UK Government and by our EU partners, I encourage him to share any information gleaned from those investigations with the House and the Committee.
Anas Sarwar
The Chair of the Committee mentions an important issue, and it is right that the Committee raised it and that the Minister has looked into it. I think we would all welcome that information and clarity, but it also highlights an issue in recipient countries, where perhaps that information is not shared between Departments. That undermines both the way in which Departments can operate and the state-citizen relationship in recipient countries. That information should be shared with the Committee, and there should be a way to share that information with a recipient country’s Government, and particularly its Department of Health.
It would be interesting to hear what indicators are in place to measure how much of the money spent through multilaterals is used specifically on strengthening health systems, and in which countries, and how the success of that spending is measured. Transparency is again the key issue, in terms of gaining the public’s trust. That same principle should be reflected in our bilateral agreements, ensuring that where we do give budget support, an emphasis is put on universal health coverage by recipient countries. Aid should never be a blank cheque. Recipient countries must make a commitment to medium-term goals and take responsibility for long-term health system development. We should never be afraid to take a tough line with Governments who do not adhere to that principle.
However, we must not fall into the trap, as we often do, of believing that our biggest impact comes just from the money that we spend and the global influence that we exert. There must also be a recognition, as has been made clear by many Members today, that through our NHS, we have built up expertise, and if we share that, we can help shape global systems. We have the talent among our health workers to develop strategies and plans, to provide professional and personal development, and to manage and learn in a meaningful two-way relationship with recipient countries. That is why we should encourage volunteering, as the hon. Member for Congleton (Fiona Bruce) suggested.
I push the Minister to respond more thoroughly to the Committee’s recommendation to build schemes that are more co-ordinated, structured and scaled up. That should include detail on how the Government would support those people who choose to volunteer with specific benefits and entitlements. Such schemes would help to promote the good work that the Department and this country do on development and would also help build public support and trust at a time of public cynicism.
Linking that to the Ebola crisis, I want to re-emphasise the question that my hon. Friend the Member for York Central asked. We know that 650 NHS front-line staff and 130 public health staff have volunteered to work in Ebola-stricken west Africa, but how many have actually gone? We still do not have a specific figure from the Government, and I hope that the Minister will have an answer for us today. We should not shy away from giving all the support that we can to the people who are bravely volunteering their expertise and putting their lives on the line, in many senses, to go and protect the lives of others. We should absolutely support them.
Mr Swayne
Rather than wait, I can give the figures now. Thirty NHS staff flew to Sierra Leone on 22 November. A second wave of 25 arrived on Sunday 7 December. They will work on a rotation pattern of four to six weeks; then they will be replaced by others. Many more volunteered, but after negotiations with NHS trusts and others, the actual numbers travelling are somewhat lower. That is the picture so far.
Anas Sarwar
I thank the Minister for that response; I am sure that the Committee and many of the non-governmental organisations will be happy to hear that information. It would also be interesting to get information about the number of volunteers and health workers, or people with health expertise, who are not linked to the NHS, but are none the less based in the UK and who have gone to Sierra Leone and other territories specifically to help on the Ebola crisis, perhaps through NGOs or other schemes. I hope that the Minister can look into that for us.
The International Development Committee raised the important issue of the NHS pulling health workers away from Sierra Leone. In particular, my hon. Friend the Member for York Central made a powerful case about the no-harm principle that should be applied to the way in which we operate our education system and NHS system in the UK, so that we do not harm daily the very countries that we are seeking to help.
Sierra Leone is one of five African countries with an expatriation rate of over 50%, meaning that more than half the doctors born in Sierra Leone are now working in countries of the OECD. I have already mentioned the shocking doctor-population ratio. We can never find that situation acceptable. The right to migrate is not in question, of course, but it is unacceptable that a country with one of the weakest health systems in the world is, in many ways, subsidising the country with one of the strongest, if not the strongest.
Mr Swayne
I accept entirely what the hon. Gentleman and the hon. Member for York Central (Hugh Bayley) said. It is a very difficult issue, because some countries export health workers and draw remittances from them as a positive in their balance of trade, or certainly their balance of payments. However, I recognise that difficulty and I shall surprise the hon. Member for York Central: we are commissioning a review of NHS use of foreign workers in exactly the way that he challenged me to.
Anas Sarwar
Excellent. I think we all welcome that announcement from the Minister; it is amazing what people can achieve when they think on their feet. It would interesting to know when that will be reporting and what impact assessment is being done on that, in terms of our health service here in the UK.
To give an illustrative example, 27 doctors from Sierra Leone are believed to be working in our NHS. The data do not record a level at which they are working, so let us assume, for argument’s sake, that all 27 are junior doctors. It costs the NHS just under £270,000 to train a junior doctor. It would represent a saving of £7.3 million to the UK if those doctors were trained in Sierra Leone and came to work in our NHS. The Committee noted that the UK Nursing and Midwifery Council register lists 103 nurses who were trained in Sierra Leone. It costs the UK £70,000 to train a nurse in the UK, so that is a saving of £7.2 million. Together, that would represent at least a saving of £14 million—if not more, if many of those doctors were GPs or consultants.
I welcome the Government’s agreement that the NHS needs to review overseas recruitment, and the fact that the Department of Health endorses the World Health Organisation global code of practice on the international recruitment of heath personnel, and implements it through the UK code of practice for international recruitment. It is important, as the Minister has outlined, that the Department of Heath works closely with DFID on reviewing the definitive list of developing countries that should not be targeted for recruitment of health care professionals.
[Andrew Rosindell in the Chair]
Turning to the specifics of DFID spending, I think that it is unfortunate that DFID is cutting bilateral support, especially at a time when its budget is increasing and particularly after the historic vote last week, when, with support from hon. Members on both sides of the House, we were able to enshrine our 0.7% commitment in law. I note, though, that there were more Labour MPs supporting the Bill than MPs from all the other political parties combined.
Sierra Leone is a good example. In 2014-15, DFID reduced its bilateral budget for Sierra Leone by 18.6% relative to its commitment in 2013-14. That was central money that could have been used to strengthen health care systems. Since then, the UK has been the lead donor in Sierra Leone on the Ebola crisis, pledging £230 million of additional support as well as logistical support from the Ministry of Defence. That is of course to be welcomed. However, given that that crisis will have a lasting impact, will the Minster today consider reinstating the bilateral budget on a long-term basis?
It was unacceptable that, as the Select Committee found, DFID and the previous Minister—not the current Minister—did not know the total annual expenditure in Sierra Leone. I am sure that the current Minister would love to intervene to tell us the specific amount being spent annually in Sierra Leone. Equally, I am sure that if he cannot, he will, as with other things, go and investigate and report to the Committee how much we spend every year, not just in Sierra Leone but in every other country, in the spirit of transparency and accountability. I notice that he has gone slightly more silent than he was a moment ago.
Anas Sarwar
Also, how will DFID act on its commitment to develop indicators—knowing that they will be reviewed in 2015—and other mechanisms that allow it to track its investments in and impacts on health system strengthening in new programmes from 2015, both for use in its own work and to feed into global processes?
As we know from our UK experience, building an effective health care system requires sustainable revenue streams, if Governments are to fund these vital services. That is why greater tax transparency is crucial. Many of these countries suffer from the so-called resource curse: there is vast mineral resource, but that is not turned into a nation-building positive agenda. In 2011, Sierra Leone spent more on tax incentives than on its development priorities, and in 2012 it granted $224.3 million in tax exemptions. That is eight times the budget allocated for the health sector, which is $25.7 million. In addition, many of the tax incentives are negotiated between Government and companies behind closed doors, making the negotiation process extremely opaque and open to accusations of corruption.
To encourage domestic growth through tax collection, the National Revenue Authority of Sierra Leone needs to be fully involved in the negotiation and design of the exemptions. That is why DFID must make sure that its work with the National Revenue Authority links with its work with the National Minerals Agency, to ensure that Sierra Leone’s natural resource wealth is used to help to meet development objectives and not just for the benefit of a few international investors.
Finally, I want to deal with a couple of other key issues raised by the Select Committee. I see the Minister looking at me. He should not worry: I am almost done, and I am sure that he will be robust and succinct in his reply. A couple of other very important issues from the report have not been mentioned so far, but are worthy of comment.
First, there is the huge issue of female genital mutilation, which Sierra Leone is one of the worst countries for. I know that it is a politically sensitive issue in Sierra Leone, but that does not prevent the UK Government from doing something, or at least trying to do something about it. That is why it is important that the UK Government work with the victims and survivors of FGM to see what they can do to have a more meaningful programme and combat FGM in Sierra Leone.
The other important issue raised by the Select Committee was unemployment, particularly youth unemployment and the lack of formal jobs being created in the economy of Sierra Leone. Three million people out of a population of six million are unemployed, but only 90,000 formal jobs are available in the economy. An estimated 800,000 young people are actively searching for employment. It would be interesting to hear from the Minister what work is being done to try to improve the availability of jobs and employment in the country, especially as DFID set itself a target of creating 30,000 jobs in Sierra Leone by 2015. How many jobs have been created so far? Does DFID expect to meet the target in the next three weeks? How is it helping to create jobs? What measures are in place to ensure that the jobs created are in line with the International Labour Organisation definition of decent work? How many jobs have been created using small business enterprises in-country, and have any British companies benefited from any of the investment to create employment in Sierra Leone?
I thank the International Development Committee again for its very thorough and rigorous report and for its continued work. We look forward to working with the Committee as it pursues the issues that are of interest to it and to the wider British public. I look forward to hearing the Minister’s reply. I know that I asked several specific questions, but I can tell from the way he has conducted himself already that he has very good answers for us.
The Minister of State, Department for International Development (Mr Desmond Swayne)
It is a pleasure to follow such a well informed, if interrogative, speech from my opposite number, the hon. Member for Glasgow Central (Anas Sarwar). I thank hon. Members for their constructive, measured, informed and, if I may say so, welcome criticisms. They stand in some contrast to those made in other proceedings that have taken place at Westminster today—although this debate is not about Ebola, it is certainly stalked by and informed by Ebola.
I am glad that the Chairman of the Select Committee, the right hon. Member for Gordon (Sir Malcolm Bruce), referred to the flags being out in Freetown, because I believe we have a record of which we can justifiably be proud. We have launched an operation with military precision. We have put 850 military personnel on the ground, in addition to the NHS workers whom I have already mentioned, to support 750 beds, of which 282 are for treatment and 468 are the key, important beds for isolation. We have isolation centres in which people can be isolated while we determine whether they have Ebola. Seven out of eight patients will go home after what was just a bout of fever, for example; the others will go on to receive treatment for Ebola. It is a remarkable operation, costing £230 million, of which we have already disbursed £125 million, and people should not be critical of it. In Kerry Town, we already have 52 operational beds.
Hugh Bayley
I strongly support what the Government and the military are doing, and tomorrow I will visit the Army medical training centre at Strensall to see the hospital that has been created there, in which people are trained to deal with infectious diseases such as Ebola in a tropical climate. It is not just UK military medical personnel who are trained in that centre; military medical personnel from other countries, including the United States, use it because it is a centre of excellence.
Mr Swayne
As I said, there are 468 key isolation beds. We are supporting more than 100 burial teams—both the logistics and training, and their fleet. That has had a remarkable impact on the incidence of the disease. As I said in an earlier debate, people are almost most infective once they are dead. Removing bodies and dealing with local burial customs has been one of the main drivers of the disease. In the western part of Sierra Leone, in which a third of the population lives, we are achieving 100% burial within 24 hours, which will make a key difference.
Of course, the criticism will be made that we acted too late; that we should have spotted the problem earlier. Hindsight is the most exact of sciences, but when the Committee went to Sierra Leone in June, it was not obvious that the problem was going to be of the scale we have now discovered. Actually, in January DFID had already begun refocusing our effort in Sierra Leone to deal with the emerging problem. In July and August we started to pump in more money to deal with that. I was making telephone calls, I think in the latter part of July, to the chief officers of UNICEF, the Office for the Co-ordination of Humanitarian Affairs and the World Health Organisation to try to ginger up their response. Many of those organisations are in need of reform. I have some sympathy for the World Health Organisation, which does not have at its centre the levers of power to bring about immediate change in the regions and countries in which it operates.
Equally, we must remember what was happening in the humanitarian community at the time. First, we were distracted by the terrible events in Gaza. Then, we moved swiftly on to rescuing people from Mount Sinjar, and all the time we had the ongoing crisis in Sudan. It has been a busy playing field for humanitarian organisations and workers to deal with.
Starting from where we are now, we certainly have a proud record. Clearly, there are lessons to be learnt, but, having looked at both the reports we are considering, there is no doubt that both Sierra Leone and Liberia are among the poorest countries in the world and that they were so even before they were struck by this disaster. Our aid reflects that: Sierra Leone remains one of the largest per capita beneficiaries of UK aid. In 2010-11 it received £51 million in bilateral aid, and £68 million in 2013-14. Owing to Ebola, I anticipate that that figure will inevitably fall next year—I suspect by about 30%—as a consequence of being unable to spend on the programmes we had identified. Of course, that will be completely augmented by the £230 million we are spending on Ebola.
I hope that 90% of our programmed spend on health will continue, but there will be instances where we will be unable to distribute bed nets in the way my hon. Friend the Member for Stafford (Jeremy Lefroy) described. There will be an effect on our programmes, but we will seek to minimise that.
Jeremy Lefroy
I am grateful to my right hon. Friend for giving way and for his powerful remarks. The Committee concluded that, after a period of terrible civil war, Sierra Leone had made tremendous progress and was on the cusp of being able to go much further, when the Ebola tragedy struck. Will he commit the Government to being there for Sierra Leone as it emerges from the Ebola tragedy and seeks to build on its recovery from that terrible civil war? This is not the time to give up, but to reinforce our co-operation with and support for Sierra Leone.
Mr Swayne
Absolutely, I give my hon. Friend that reassurance. We have already established the post-Ebola team to take that work forward once we have got on top of Ebola. Of course, it will have to consider how we develop the programme on jobs and employment opportunities.
I was as surprised as the Committee, and indeed the former Under-Secretary, at the lack of a programme for female genital mutilation, as highlighted in the report. It is not within my bailiwick to commit to such a programme, but I accept that the Department has placed great importance on that issue, as our girls’ summit earlier this year demonstrates.
Sir Malcolm Bruce
One of the survivors in Sierra Leone, a brave and beautiful campaigning lady, told us that, the day before she met us, she received a phone call from a senior Government Minister threatening her if she continued to speak out against FGM. That indicates the scale of the problem. These secret societies in Sierra Leone have a powerful hold on the political class. We do understand how difficult the challenge is, but I agree with everyone who said that that is not a reason for not trying.
Mr Swayne
I agree entirely and take on board exactly what my right hon. Friend says about the secret societies and the role that senior females—the “cutters”—have in them. Given the priority that the Secretary of State has attached to gender and the role of women and girls, it is vital that we do not shy away from this challenge and put it in the “too difficult” box. We must deal with it.
Anas Sarwar
I completely support the Minister’s comments about FGM. He seemed to skirt quickly over the issue of jobs and employment, and he did not say whether he accepts that the commitment made to create 30,000 jobs by 2015 has not yet been met and will be reviewed after the Ebola crisis—or has that commitment been met?
Mr Swayne
I would be very surprised if it has been met, but I cannot answer that question now. Given what has happened, it is unlikely to be met, but it remains vital that we continue our work on employment, which should be taken forward by the post-Ebola team; however, much of that work has undoubtedly been disrupted by Ebola.
Anas Sarwar
Of course, Ebola has taken away the emphasis from much of the work going on in Sierra Leone. The Minister seemed to suggest that, after the Ebola crisis, the budget reduction in the bilateral agreement between Sierra Leone and the UK Government will be restored in full. We should remember that that budget was cut before the Ebola crisis, so is he suggesting that we will go back to the pre-crisis levels?
Mr Swayne
What I said—I hope I was not misunderstood—was that I expect the spend to fall next year, simply as a consequence of Ebola preventing us from fulfilling our planned programmes. Of course, we will be spending much more in Sierra Leone as a consequence of our commitment to dealing with Ebola, but I will come on to how we spend our money, whether bilaterally or multilaterally, shortly.
First, I want to deal with the questions the report raised about centrally managed programmes and how we co-ordinate with bilateral and multilateral programmes. The approach should work precisely as I described to the Committee a fortnight ago, when we discussed parliamentary strengthening: it must be context-driven. The country team, within the context it faces, examines exactly what is required and what our programmes are to be, and then goes shopping to find the best fit. That best fit might be a bilateral programme. I made clear then—I stick by what I said—that my prejudice is in favour of bilateral programmes and bilateral aid, not least because I want to see it badged with the logo: “UK aid from the British people.” That is important to me and, I submit, to our constituents.
However, it is clear that, in some cases, international organisations must have a role. If we are dealing with malaria, for example, which takes no cognisance of international borders, we will have more leverage if we deal with a large organisation that is dedicated to dealing with such problems. Equally, there will be times when it is desirable to take account of international expertise that might not be available bilaterally, or to use economies of scale, through working through a large global or regional organisation. They clearly have a place, and in my view it is for the country teams to work out what is the best fit.
I entirely agree with the Committee that it is completely unacceptable that the country team should almost be left out of the equation, and not know under precisely what terms the bilateral aid is being delivered, or what the projects are. So we are introducing a new protocol, to ensure that the country team will be involved in the specification, design and monitoring of any multilateral programme that affects their country. I believe that is fundamental. I retain my prejudice for acting bilaterally, but if we are going to involve multilaterals we must have that intimate connection with the programmes.
I was as shocked as the Committee was disappointed when I discovered that it is not immediately obvious how much money is being spent in a particular country. When I asked those questions, about countries for which I am responsible, I found it hard to understand that a straight, easy answer could not be given. Having now looked at the problem I can understand that to an extent we are at the mercy of the time-lag reporting of large multilateral organisations, or of the fact that it is not entirely clear how much of the administrative, scientific and research costs of a large multilateral programme are allocated to each country, or how that is done.
I understand the problems, but clearly we must be able to address those, so that we know and I can say with confidence “Yes, we may have reduced the bilateral budget to Sierra Leone, but actually we are spending more there because I am confident that with what we have put into a multilateral programme we will be spending a clear and understood amount in the country.” So things are changing. We have already begun a system of mapping expenditure from the multilateral organisations back to the country, so that we can have a clear idea of what has been spent. I understand that that is a largely administrative, manual process. We are looking for a much better solution to the problem towards the end of next year, but it strikes me as vital to address that.
What happened in Sierra Leone and Liberia was a powerful illustration of what happens when a country does not have robust health systems. That leads to a question, as well as a criticism: we are the largest bilateral donor, and have been working for many years in Sierra Leone and spending a significant amount of money on health—so why were the systems so lacking in robustness and so quickly overwhelmed by the crisis? We have been investing in important health care options in Sierra Leone. We have been training staff, providing for drugs and spending money on infrastructure, but we have also spent a lot of money on a programme to deal with malaria. We should remember that many more people in the region will die of malaria this year than will die of Ebola.
Anas Sarwar
That very issue has been raised with me by various NGOs working on the ground in Sierra Leone. They fear that issues such as malaria have taken a back seat, despite malaria costing more lives than the Ebola crisis. They fear that the funding that was going to those issues—or even the priority given to them within the country—has fallen down the scale. Does the Minister accept that, and, if so, what is being done to make sure that more lives will not be lost because of it?
Mr Swayne
None of us should accept that. We must be vigilant to prevent that from happening to our focus on important long-term development issues, and I will certainly make it my business to prevent it.
The investment that we have put into Sierra Leone has, I believe, made a significant difference; but we started from a very low base. The figures given to us—the statistics on doctors and nurses per head of population—are very low, and well below the regional average. I think the figure is 1.7 nurses to every 10,000 of population—I do not have it to hand; that is from memory—against a regional figure of 12. It is a very low base, and, frankly, it would have been a lot worse had we not done the work we did.
Building robust health care systems is vital; but what does success look like? What is a strong health care system? I believe that, ideally, it is a free one. The hon. Member for Glasgow Central challenged me and asked what we were doing about advocacy for universal free health care. I am glad to tell him, in case he was not aware, that tomorrow is universal health coverage day. We are making a presentation and speaking at an important event tomorrow—when I say “we” I do not mean myself personally, but DFID—promoting exactly that.
Mr Swayne
The hon. Gentleman is very kind; but quite right.
Clearly, it is important that health care, if not free, should be affordable—it should not impoverish the recipient—and available within a reasonable distance. When people arrive for treatment there should be someone there who will treat them and is trained to do so and able to deliver health care, whether by means of drugs or equipment, or anything else. That implies a level of funding to cover trained people who can distribute the drugs, of which there should be a guaranteed supply, and the availability of equipment. Also, taking up that health care should not make someone worse than they were when they sought the treatment. That implies sanitation, a water supply and electricity.
Anas Sarwar
I am aware of the time, so I promise that this will be my last intervention. The Minister mentioned the Government’s presentation tomorrow, but my point was different. I was asking about advocacy not for what will happen but for what has happened. What advocacy are we carrying out on the international stage to demonstrate that we are the global lead on universal health coverage, and to make sure that it forms a key part of our sustainable development goals?
Mr Swayne
We have been negotiating with respect to the post-2015 agenda. We are, I think, by virtue of the fact that we have the largest free, universally provided health care system in the world, among the lead players. However, we have been in this business now for more than 30 years. We spend a quarter of our development budget on providing such health care, and it is vital that we drive forward that agenda.
How do we do that? It is horses for courses. Every country is different. When we create strong health care systems, we must recognise that countries require different kinds of support, depending on the state they are in. The Committee was right to say that we do not have effective measures to chart our success. We are leading funders in the field to identify such measures. We are funding high-quality studies and research to come up with ways to chart improvement in health care. The hon. Member for York Central (Hugh Bayley) drew attention to the QALY measure, which is used by DFID, NICE and NICE International. Clearly, there has to be much greater knowledge about what works, particularly in low-resource economies. We have invested, and continue to invest, considerable resources into such study.
Health care strengthening requires a number of partners, and I acknowledge that that involves a tension, to which the Committee has drawn attention and which has been evident in the debate. One accusation levelled at large vertical funds, such as Gavi and the Global Fund, is that they do little or nothing to strengthen underlying fundamental health care systems. I understand that criticism, and I think there are elements of truth in it. I am less persuaded by the argument that because the targets and deliverables of the large vertical funds are so much more measurable, deliverable and reportable, we skew our budgets away from fundamental health care strengthening and into vertical funds. There must be an element of synergy. I was interested to hear my hon. Friend the Member for Stafford draw attention to the fact that bed nets were delivered by large international organisations through existing health care systems. The same thing can happen with immunisation. We must do better at negotiating with the funds to ensure that is the case, but we must recognise that that is not their primary objective and that they have a significant input into world health.
I agree that we must work harder at making our own experience and expertise count in the councils of the world. We are shy, to an extent, as the Committee has pointed out, and we need to take more of a lead. We will explore with the Department of Health new ways of making better use of what the UK has to offer. I have already dealt with the point about recruitment in an intervention. We must not allow the agenda of health care strengthening to slip backwards; it is fundamental that we drive it forward. I accept the Committee’s challenge on providing global leadership. To that end, I accept the recommendations that we have accepted. Most importantly, we will develop a framework to support health care strengthening, to tie all those things together and drive the agenda forward.
Disability and Development
Desmond Swayne Excerpts(9 years, 5 months ago)
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The Minister of State, Department for International Development (Mr Desmond Swayne)
I begin by dealing with the points raised about prevention. I agree entirely that it is highly appropriate. One principal area not touched on in the debate is the fact that for every birth that results in the death of either the mother or the child, 20 result in disability, so our emphasis on maternal health, and the health of women and girls, is fundamental to this. I agree with my hon. Friend the Member for Stafford (Jeremy Lefroy) about the importance of dealing with disease. We continue our commitment to eradication of disease, including polio, and our work with Sightsavers. On roads, in Nepal we are putting barriers on to roads to reduce the number of accidents; that is an issue that we are alive to. With regard to conflict—my hon. Friend mentioned Afghanistan—we are putting significant funds into the International Rescue Committee to deal with rehabilitation and prostheses. This is an important part of the agenda.
I join the Committee Chairman, the right hon. Member for Gordon (Sir Malcolm Bruce), in paying tribute to my right hon. Friend the Member for Hornsey and Wood Green (Lynne Featherstone). This was a brief that she felt passionately about, and she made a singular contribution to it. She drove forward the issue of data and the ability to disaggregate. Just in October, she chaired a conference jointly with the United Nations on how we drive forward that agenda. My hon. Friend the Member for Congleton (Fiona Bruce) asked about the progress we are making on data; I largely put down the progress we have made to the impetus that my right hon. Friend the Member for Hornsey and Wood Green gave to that.
We are prioritising national data systems. We have just managed to get the Washington Group questions on disability incorporated into our programmes in Burma and Yemen. We are developing new guidance on disaggregating data at programme level, and we have an important new commitment to disaggregating data on humanitarian support and disability. It is true that if disabled people cannot be counted, the temptation is to think that they do not count. We have to be able to count them and disaggregate.
On the issue raised by the hon. Member for Stretford and Urmston (Kate Green) about the post-2015 millennium development goals, she is absolutely right: we should not lose the gains in the language from the output of the open working group and the debates that surrounded that. I am not convinced that we need a specific goal on disability, although I understand that I may have implied that in an answer to a recent parliamentary question. The reason why we do not necessarily need that specific goal relates to the difference between what constitutes a strategy and what constitutes a framework. The strategy is that no one should be left behind. It is about inclusivity, an end to stigma and all moving forward to the same place. The framework is about how we deliver that. Of course we will have to paddle under the water a lot faster for our disabled people to get them moving forward at the same rate.
The Chair of the Select Committee is absolutely right: it is fundamental that we cannot tackle poverty, including extreme poverty, unless we tackle poverty among disabled people. “No one left behind” is the key strategy behind what we are attempting to do. We have made considerable progress on inclusivity. We have a number of separate programmes that deal specifically with the disabled, but equally we have programmes where we are having to incorporate the needs of disabled people. In 2013, we announced that any schools that we fund have to be accessible. This year, we have new sectoral commitments on water supply and humanitarian programming, but there is no doubt that the International Development Committee set us some challenging goals. We have doubled the number of people working on the team and appointed a new champion, but in my estimation, overwhelmingly the most important thing we have done is produce the framework document.
I am surprised by the criticism levelled at the discussion with and involvement of disabled groups. We work very closely with disabled groups. The Department works with some 400 disability groups. In drawing up the disability framework, discussing it and getting it to the state it is in, we worked with disabled people’s organisations, including organisations of disabled people—not people representing the disabled—in Rwanda and Mozambique. In this country, we worked with disabled people’s organisations, but also—this, I suspect, is where the tension comes in—with the Bond Disability and Development Group. We included both.
Kate Green
I want to clarify exactly what I was suggesting. Based on what I was told in Rwanda, I absolutely recognise what the Minister said. Rwanda was one of the consultee countries in preparing the framework, and civil society organisations were able to have input. My point was that that needs to be replicated in how those organisations are facilitated and enabled to work with their national Government. From my observation, that is not happening in Rwanda. DFID has a role in thinking about how it uses the framework to replicate what he says was done in its preparation here.
Mr Swayne
The hon. Lady is absolutely right. The framework is not only to inform us, but to inform how we work with our partners, be they Governments or multilateral organisations. It is our key response. It was published on 3 December and will be published every year. The Chair of the Committee asked for an annual stocktake. The framework is a living document, and we will change and update it all the time to ensure that it works, but clearly we need an annual review as well. I would have thought that the ideal way to deal with that would be to have an annual session with the Select Committee, in which it interrogates the performance and the progress made.
There are not any targets in the document, as the Chair said, but that is because it is the first one and we are feeling our way, to an extent. It would be wrong to put targets in until we have bedded the thing down and seen the progress that we have made. We will use the document to build understanding of disability into every single member of staff, so that every single member of staff can take responsibility for ensuring that the principle of “No one left behind” is built into every one of our programmes. We will work with our multilateral partners to ensure that, and to make sure that they are taking account of disability. As part of that, we will develop the disaggregation of data.
There will be special provision for the agenda for women and girls who are in double jeopardy as a result of disability and being female, and the stigma that attaches to that. We will continue to prioritise research and evidence on what works in low-resource economies. The Chair of the Select Committee drew specific attention to mental health, and that is an area where we have to raise our game with the agenda. To that end, we have launched a study called the Programme for Improving Mental Health Care, in which we work specifically to see what we can do on mental health issues in low-resource economies.
I believe fundamentally that the framework is one of the most important things on our agenda, and it is vital to drive it forward. I recall having a conversation with a constituent who was disabled. She was giving advice on what was needed for a particular project. She said to me bluntly that people did not want our pity; they wanted our help, not only so that they could be self-sufficient and do what other people do, but so that they could be contributors to their community. The ambition of “No one left behind” has to be that disabled people become an asset to their communities and not a burden on them.
International Development (Official Development Assistance Target) Bill
Desmond Swayne Excerpts(9 years, 5 months ago)
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Gavin Shuker
Forgive me for teaching the hon. Member how this place works, but we vote for the principle of the Bill on Second Reading and then we go into Committee and vote for amendments that allow for the Bill to enact that principle. We viewed, on a cross-party basis, that this was the best way to go forward, and so I will move on.
On the calculation of ODA and GNI, the amendments deal with the time frame of calculation, opportunities to synchronise aid reporting with financial accounting, and the detail of which payments should be included within the calculation of ODA. Given hon. Members’ widely acknowledged preference for turning back the clock, I suppose we should not be surprised by the amendment changing the calculation for ODA to be based on the UK’s GNI from 1975—when, I am assured, a packet of Spangles cost just 2p. I was more perplexed by the move from the internationally accepted calendar year as the calculating period to the financial year of April to March, and of course in their amendment 19, their redefinition of “financial year” to a period of little over 100 days. I am sure the House will be relieved to hear that, again, the terms of this calculation form part of the same internationally agreed covenant.
That concern led to arguments on which payments should be included in the calculation of ODA, and specifically hon. Members’ contention that this 0.7% figure should include payments to the EU, welfare benefits paid to foreign nationals and welfare benefits to UK nationals living abroad, among others. I am afraid ODA is officially defined and therefore this amendment would clearly frustrate the will of the Bill and the principle moved on Second Reading.
Finally, I come to the applicability and expiry of the Act and other technicalities, and the amendments concerning a public referendum, implementation once we have achieved budget surplus, and a sunset clause that limits this Bill to a period of just five years. I do not know whether hon. Members are experiencing a personal crisis of confidence in their own representative capabilities, but they might be interested to know that 29.5 million of the British public give charitably each month, and that on average the British public believe we should give not 0.7%, but around 1.5% of our nation’s wealth to help development. I hope that will reassure the hon. Member for Shipley (Philip Davies) in particular, who worries this Bill enjoys the support of only
“a few middle-class, Guardian-reading, sandal-wearing, lentil-eating do-gooders with a misguided guilt complex”
and helps them to
“feel better about themselves”.—[Official Report, 12 September 2014; Vol. 585, c. 1232.]
I can also reassure him I have never voluntarily eaten a lentil.
Moving to the five-year time limit, the hon. Gentleman may be surprised to learn that I, too, want to reach a time where we are able to repeal this Act, not because I aspire to living in a UK that is less generous, but because I aspire to living in a world which is more equal, and where each country has the resources, institutions and industry that it needs to be independent of foreign aid. With the greatest respect, when this moment arrives it will be dictated by the humanitarian need that remains, not the diktat of a few Members of Parliament determined to frustrate the passage of this Bill.
We reject these amendments. It is time to pass this Bill.
The Minister of State, Department for International Development (Mr Desmond Swayne)
The Bill places a simple duty on a Minister to report to this House. The amendments fall into four categories. The first is those that seek to negate or reduce that reporting duty, or indeed place the burden of that reporting duty on somebody else—a new body or the OBR, or, indeed, make it subject to judicial review. I, however, prefer the simplicity and the authority of reporting to this House.
The amendments in the second category seek to change the means of calculation on which the report is based, either by changing from a calendar year to a financial year, by adopting a figure of 0.35%, by using the preceding year’s gross national income or by including other payments, such as those made to the EU. I, as a Minister, would find a couple of those amendments quite convenient, but I do not believe that it is the purpose of this House to make Ministers’ lives more convenient. As the hon. Member for Luton South (Gavin Shuker) has said, these matters are defined internationally. The purpose of the Bill is to meet an international commitment, and to mess about with the calculation would be to undermine the fundamental purpose of the Bill.
The amendments in the third category are those that are mischievous—namely, those that would seek to reduce the salaries of Ministers if we were to fail to meet the commitment. We know, however, that those who have tabled those amendments would be glad that Ministers had not met the commitment—indeed, they would probably wish to pay them more for not having met it. The amendments in this category also seek to provide for a referendum, a sunset clause or some other such impediment to implementing the Bill.
The amendments in the fourth category are those that are, frankly, trivial. Those who have tabled them would have us argue today about the meaning of commonly understood terms such as “value for money” and “reasonably practical”. It is my estimate that none of the new clauses or amendments would improve the Bill. Indeed, they all seek to undermine it. I call on those hon. Members to withdraw them and, if they do not do so, I call on the House to reject them.
Philip Davies
I want to begin by saying how regrettable it is that the Minister and the shadow Minister have treated the House with such contempt this morning by making no attempt at all to engage with the debate. Basically, they think they have a right to just come along, stand up and sit down without offering any explanation of the Government’s position or that of the official Opposition, in an attempt to railroad through the House a Bill that has very little public support. They really should be ashamed of themselves for treating the House with such contempt today. We are no wiser about the position of the Government or the Opposition on the amendments, or about their arguments for or against them, even though they supported some of them on Second Reading and supported the money resolution passed in the House. It is unfortunate that the Minister and shadow Minister have chosen to adopt this tactic today; it does neither of them any credit. I will attempt to fill in some of the gaps that they have left unfilled today.
If you will allow me, Mr Speaker, I will go through the new clauses and amendments tabled in my name first. Then I will comment briefly on those tabled by my hon. Friends. New clause 3 deals with the relevant period for annual reporting. The international agreement, which we keep being told makes the Bill so essential, actually dates back to the mid-1970s, yet all of a sudden it has become a matter of urgency that, in 2014, we should implement something that was agreed back then. That agreement included provisions for reporting on a calendar basis, and the Bill proposes that the target should be reported and calculated on that basis. However, we do not work on that basis in this House. We have a financial year. We could end up with some unintended consequences with this legislation, whereby it tries to put into a calendar year what this House does in a financial year. The Office for Budget Responsibility, the Treasury and all Departments calculate things on a financial year basis—all departmental budgets operate on that basis. So it is just not practical to decide that one Department should be able to opt out of that framework and have its budgets determined on a calendar basis, unlike every other Department.
Mr Swayne
The Government support the Bill, and I believe that, in the face of an enormous humanitarian crisis across the world, it is a very timely Bill, and a Bill that meets our long-term commitments and the commitments we made at the last general election.
I want to pay tribute to my right hon. Friend the Member for Berwickshire, Roxburgh and Selkirk (Michael Moore) for his dedication and his co-operation in Committee, but I also want to pay tribute to my right hon. Friend the Member for Sutton Coldfield (Mr Mitchell), because I do not believe that I as a Minister in this Government would be at this Dispatch Box giving support to this Bill if it were not for the work he did, principally in opposition but then in the Government as Secretary of State. We owe him a tremendous debt of gratitude for the work he did.
My right hon. Friend the Member for Sutton Coldfield did something else as well. I believe we have improved this Bill since it came to us on Second Reading. In Committee we took out what was the old clause 5, and now the Bill requires the Secretary of State to report to this House. It underlines the primacy of this House. She is under a requirement to show how she has established that the calculation of whether we have reached the 0.7% commitment is independently verified. His singular contribution in creating the Independent Commission for Aid Impact put in place this independent mechanism that measures our aid, scrutinises it and ensures that it is of the highest standard. That will also be the body that will establish the independently verified figures, so I twice commend him on what he has done.
This is an excellent and timely Bill, and I hope it will be passed today.
Mark Reckless
I do accept that spirit, and I believe that people deserve great credit when they give voluntarily, out of their own resources. What I object to is Members of this House forcing people to give their money to overseas aid through the force of law, when only 7% of our electorate support that course of action.
Mr Swayne
The last opinion poll I saw showed that when people were asked what they thought we were giving in international aid, they said 15%. So perhaps there will be dancing in the streets of Rochester when the hon. Gentleman returns and tells his constituents that we have cut it to 0.7%.
Mark Reckless
I thank the Minister for his intervention. It reveals the extent of the weight he attaches to the views of our constituents. Members are voting in large numbers to increase and put into law the 0.7%, which represents a rising amount of output, as though they were doing something on behalf of their constituents, when they know that the vast majority of their constituents do not want them to do that.
International Development and Disability
Desmond Swayne Excerpts(9 years, 6 months ago)
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The Minister of State, Department for International Development (Mr Desmond Swayne)
I will not be alone in congratulating the hon. Member for Heywood and Middleton (Liz McInnes) on making her mark on this vital subject so early in her parliamentary career. It is a subject in which her predecessor took a particular interest, and I am confident that she will fulfil that role.
As you said, Mr Havard, the hon. Lady occupied the Front Bench inadvertently for a few moments, but I am confident that if merit had anything to do with occupation of the Front Bench she would be on it by right. I am certain that after today’s performance that is just a question of time. I hope that I can reassure her on all the concerns that she has raised, and I hope to reassure the hon. Member for Strangford (Jim Shannon), who is rightly always in his place for these important debates, on the point that he raised. I pay tribute to the Minister for Crime Prevention, my right hon. Friend the Member for Hornsey and Wood Green (Lynne Featherstone) who, when she held this brief, was a real champion for disabled people. She has much to be proud of in her record.
The hon. Member for Heywood and Middleton is right. Of the world’s 1 billion disabled people, 80% live in developing countries. One in seven of the world’s poorest people are disabled. She quoted the figure from Sightsavers for extreme poverty, which is one in five, although I am not sure whether the figure is even higher. The unemployment figure for Burma is 3.5% among the population at large, but 80% of disabled people have no means of providing for themselves. I do not believe that there is any prospect of a reduction in the number of disabled people. Indeed, the thrust seems to be in the opposite direction, and with increasing disasters, more violence, particularly targeting civilians, and ageing populations, we need to take more cognisance of the needs of the disabled.
The hon. Lady was right to say that an opportunity was missed with the millennium development goals and that we must not miss that opportunity again when we review the post-2015 development agenda. I am glad that when the Prime Minister chaired the UN working group on that agenda, it came up with the essential principle that we can eradicate poverty within a generation if, and only if, no one is left behind in respect of their ethnicity, their gender, where they live or their disability. That must be the key principle driving us forward. No one must be left behind. We cannot tackle extreme poverty, or even poverty, without tackling disability. That will be the guiding principle.
Let us assume that we now have a goal to pursue. We will not be able to pursue that goal effectively unless we have data to measure our progress. The hon. Lady pointed out that we only recently had an internationally agreed definition of disability. We are seriously short of data to disaggregate the figure, which we must do to see how people of different ethnicities, in different geographical regions, with disabilities or of different genders are affected. That must be measurable and the singular contribution of my right hon. Friend the Member for Hornsey and Wood Green was driving forward that data revolution. Last month, she co-hosted the UN a conference here in London on that subject. We have been the driving force for that agenda.
Let us assume we have a goal and that we have developed the data to pursue it. What should be the motor? I believe it must be inclusion. Inclusion must be our guide at all times. For too long, disabled people have suffered from a stigma and that must be eradicated. That inclusion, as the hon. Member for Heywood and Middleton said, must include consultation with disabled people on the formulation of the very policies in which they will be included. It is absolutely right that we work with the advocacy groups, and we have done so. “Nothing about us without us” must be the principle for consultation. I am glad that the Department works with the Disability Rights Fund, ADD International and some 400 disability groups.
I was once told quite forcefully and bluntly by a constituent who was severely disabled but nevertheless was organising a community project that she did not want my pity; she wanted help. She wanted help not just so that disabled people could fend for themselves, but so that they could contribute to the community. Our ambition must be that disabled people are not a burden but are an asset to our communities. That gives rise to four implications for policy.
First, prevention remains important. If we can prevent people from becoming disabled, we will be able to concentrate more resources on those who are disabled. The hon. Lady drew attention to the vital issue of maternal health. For every mother who dies in childbirth, 30 will suffer severe disablement. Maternal care and sexual reproductive health is a vital ingredient of the agenda, as is the prevention of disease.
One of my first meetings after assuming my present role was to meet Bill Gates to discuss the GAVI—the Global Alliance for Vaccines and Immunisation—programme to which we are the largest contributor. In 2012-13, we put £139 million into work on preventable disease. It is our objective that from 2011 to 2015 we will have vaccinated 80 million children against preventable diseases and the 2014 report shows that that objective is on track.
Secondly, we must design programmes aimed specifically at disabled people—I make no apology for that—that fit within our overall strategy. For example, in Mozambique, there are resource centres for 24,000 children with special needs, and in Ethiopia, Braille products are being produced for 10,000 children between the ages of four and 17. Our funding to the International Committee of the Red Cross in 2012 allowed it to provide 240,000 people with prostheses, orthoses, wheelchairs and physiotherapy.
Thirdly, having developed programmes specifically for the disabled, we must tailor all our programmes for everyone, so that they take account of the needs of the disabled. The hon. Lady was particularly strong in her remarks about what we need to do in education. I take her point. Accessibility for schools is vital. I am glad that we made our announcement in 2013, and I share her disappointment that that is an agenda that we have got on to only lately, but it is right that we pursue it. It right that we pursue accessibility not just when dealing with schools, but when dealing with water and sanitation, so that disabled people have access.
We are working closely with the Global Partnership for Education, UNICEF and others to ensure that when we are taking forward the education agenda disabled people and their needs and special needs are included, so that they can be identified and assisted.
Jim Shannon
Is the Minister aware of the campaign that goes on in probably every constituency’s schools for an education for every child? We take petitions to the Prime Minister at 10 Downing street every year. Primary and secondary school-age children show great interest in and knowledge of education provision throughout the world. Does the Minister recognise how good that campaign is?
Mr Swayne
I do; I have participated in it every year. I have been to schools and collected those petitions. What is more, when I was the Prime Minister’s Parliamentary Private Secretary at Downing street, I was on the receiving end, ensuring that the Prime Minister saw the petitions and responded. Some of them were fantastic art works and quite intricate.
One of the most heartening and enjoyable things to me about my constituency duties is going to schools in June and July to collect those petitions. There is usually a fantastic presentation by the pupils. Each time I go, I tell them that I am heartened and encouraged by their concern for their fellow pupils throughout the world who may either not go to school or go for only part of the day but instead must work or go elsewhere. I tell the pupils that I want them to go home and give their parents the same enthusiasm; because it is taxpayers who, more often than I would want, write to me to complain about the level of international development funding. The children have bought into the idea that the hon. Member for Strangford has raised, and we need their parents to do so as well.
Andy McDonald (Middlesbrough) (Lab)
The Minister is making a powerful case and I agree with all he is saying, but before he moves off education, I wonder whether he will help me to reconcile his strong attitude in favour of assisting disabled people overseas with recent UK domestic pronouncements about the disabled students allowance. A completely different message is being sent about our support for people who need access to education and assistance in overcoming disability.
Mr Swayne
Unfortunately, I do not speak on domestic affairs—my remit is, with respect, international development —but I shall ensure that I get a quality answer to the hon. Gentleman’s question and pass it on to him.
The fourth implication from the principle of inclusion is that there is a gap in our knowledge, to which the hon. Member for Heywood and Middleton rightly drew attention, with respect to mental health. We lack knowledge about what works in countries without the resources that we have in the developed world to attend to some ailments, disabilities and mental health issues. We pay for international studies all the time, and we have launched PRIME—the programme for improving mental health care—which is a significant study of what works in mental health in low-resource economies.
The hon. Member for Strangford asked for my reassurance about how we take things forward. The Select Committee on International Development set us a challenging task in its report on our response to disability, which was published during the previous Session. We accepted virtually all its recommendations, and the principal one, in my view, was that we should publish a framework setting out exactly how we would make progress with the issues and informing DFID staff of how they should react to and take account of disability in all they do; we should appoint a disability champion in the Department and double the number of its staff working on disability. That framework was drawn up with enormous consultation with stakeholders, particularly disability organisations. It will be published on the international day of people with disability on 3 December, and thereafter it will be a living document, to be revised in line with what works and the representations that are made. It will be republished every year.
I look forward to the reflections of the hon. Member for Heywood and Middleton and other hon. Members on that document, because the agenda is one we must take forward together. I thank the hon. Lady again for drawing our attention to it by obtaining this important debate.
Ebola
Desmond Swayne Excerpts(9 years, 6 months ago)
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The Minister of State, Department for International Development (Mr Desmond Swayne)
I thank my hon. and learned Friend the Member for Sleaford and North Hykeham (Stephen Phillips) for bringing this issue to the attention of the House this evening. He is right in his analysis that this is a very severe problem. I estimate that by the end of October, we will already have had some 14,000 cases and approximately 5,000 deaths. The current rate of infection 1.7: in other words, for every one patient presenting with the disease, 1.7 people are going to catch it. That will lead to a doubling of cases within four weeks. So we have had some very alarming suggestions. I believe that the United States Centres for Disease Control and Prevention predicted just short of 1.5 million cases in January.
This is absolutely unprecedented in the history of the disease of Ebola. In the past, Ebola has burnt itself out within a few weeks in isolated settlements. It is therefore essential that we isolate it, and for that we need large numbers of foreign medical teams in order to secure that isolation and treatment of the disease. That is why we are stepping up our efforts, and taking a leadership role in encouraging other countries to do the same, and we will not stop: we will carry on until we have beaten this disease.
On the United Kingdom’s response, we are working in partnership with the Government of Sierra Leone. It is a long partnership, one established when that country came out of conflict. We have sought to encourage it from that conflict, and with economic development; but now, we are in partnership with the Government of Sierra Leone in order to beat this disease.
So what is our response? My hon. and learned Friend said that we have committed £125 million; actually, it is £230 million so far, including the previously announced aid matching of the first £5 million of the appeal launched by the Disasters Emergency Committee. We are deploying some 800 military personnel, together with the Royal Fleet Auxiliary Argus and its three Merlin helicopters.
Our strategy can be summed up as: beds, burials and communities. The hospital in Kerry Town opened for business today. Our ambition is that it will treat some 8,800 patients within six months. We are making available 700 beds. We anticipate that within a few weeks, the Kerry Town facility will provide 80 beds for people in the country, with 20 beds reserved for health care workers. It is essential, if we are continue the flow of health care workers, that they be guaranteed British standards of care.
Some 83 burial teams have been established, with our support, and they are making a profound difference in Freetown. Only a few weeks ago, just 30% of victims were being buried within 24 hours, but we have now reached 100% and that experience is going to be rolled out throughout Sierra Leone. A constituent wrote to me to say that he believed that Ebola was being spread by zombies. I had to disabuse him of his belief in zombies, but the irony is that people are most infective when they are dead. One problem is that certain burial traditions involve intimate skin-to-skin contact and the washing of bodies that are highly infectious. We are therefore having to drive social change so that people can understand how they can honour their dead without being infected by them.
We are driving that social change, which leads me to the subject of communities. It is essential to have community care centres where people with symptoms can present and be isolated until we can establish exactly what they have got. For every, say, eight people who present with symptoms, perhaps only one will need to go to an Ebola treatment centre, having been established as having the disease. The others will recover from a bout of malaria, or whatever it was, and go home. We are currently staffing five community centres, and learning the lessons. Within a few weeks we will have 10 of them up and running and, thereafter, it is our ambition to establish 200.
Jim Shannon
I made the point earlier that the Territorial Army soldiers and members of the medical corps who are going out to Sierra Leone from the United Kingdom of Great Britain and Northern Ireland to help to deal with the Ebola outbreak were concerned because they had not been given full training to ensure that they, too, did not catch the disease. Can the Minister reassure us that our TA soldiers are going to be safe?
Mr Swayne
We have 250 personnel who are going out on the Argus specifically to provide the training, so I am confident that the question of training has been addressed. They are going to deliver that training themselves, so I certainly believe that this has been done. If I have got that wrong, I will write to the hon. Gentleman and correct it. This operation is driving social change; it is also a huge logistical operation. It is motivating social change and bringing about the necessary logistical changes to drive the isolation of the disease.
Pauline Latham
One problem in those communities is that they do not have clean water. We often have water and sanitation programmes in those countries. Can the Minister assure me that he is continuing those programmes to help to keep people clean, because that is one of the key things they need to do?
Mr Swayne
My hon. Friend is right; water and sanitation are important, and that will indeed be part of our emphasis.
We are seeking to mobilise social change, but it is also vital—as my hon. and learned Friend the Member for Sleaford and North Hykeham rightly pointed out—that we motivate the rest of the world. The United States is taking responsibility for Liberia, and France is taking responsibility for Guinea and the surrounding francophone zone. We are working closely with the United Nations to help it to address the situation, and we have contributed some £20 million to its trust fund. We are also working with the African Union, not only to secure funds but to ensure a supply of health workers. We are working with other international institutions as well.
On 2 October, my right hon. Friend the Secretary of State chaired a conference in London that secured a further £100 million of funding. The Prime Minister then went to the European Council and came back having motivated those there to double the EU contribution to some €1 billion. The High Representative has been dispatched to draw up a programme, return and report at the next Council meeting.
Last week, we signed a memorandum of understanding with New Zealand. It will be supplying some 200 technical and health staff to a base camp in Sierra Leone, and my hon. and learned Friend rightly pointed out that yesterday we heard from the Australians that they will supply 100. My understanding is that it is 100 personnel, but I will write to him to correct that if I have it wrong. It is essential that we proceed to isolate and treat the disease. We are clearly going in the right direction now, but there is much work to be done and a long road to go. It is vital that we continue to secure volunteers and international teams of medical staff to drive this disease down and provide us with the capability to isolate it, because isolation is the key.
My hon. and learned Friend raised a number of concerns about non-governmental organisations on the ground. I seriously do not believe that representatives of, and workers from Save the Children, are living it up in the place at Kerry Town. I understand that they are sharing rooms and that they have negotiated a special price of some £60 a night in order to secure that place proximate to the hospital in which they are working. I am confident that we are taking the right measures to secure the proper expenditure of British taxpayers’ money in order to wipe out this dreadful disease.
Question put and agreed to.
Oral Answers to Questions
Desmond Swayne Excerpts(9 years, 6 months ago)
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Chris Heaton-Harris (Daventry) (Con)
4. What steps her Department is taking to ensure that people with disabilities benefit from UK aid programmes.
The Minister of State, Department for International Development (Mr Desmond Swayne)
First, may I say that my right hon. Friend the Member for Hornsey and Wood Green (Lynne Featherstone) was a champion for this brief and for disabled people in the most vulnerable countries in the world? We are publishing a framework on 3 December, because we are determined that disabled people will benefit from UK aid.
Chris Heaton-Harris
I am delighted to hear that we are going to publish the disability framework on 3 December. How will it ensure that disabled people—particularly those with learning and intellectual disabilities —are systematically and consistently included in UK aid programmes?
Mr Swayne
I ask my hon. Friend to show some patience until 3 December. What I can tell him is that we have consulted widely and undertaken to quadruple the number of staff working on this. We have also appointed a senior management champion. With respect to mental health and disability, we are funding a major study in Asia and Africa to see what works in poorly resourced countries.
Mr Tom Clarke (Coatbridge, Chryston and Bellshill) (Lab)
Will the Minister assure the House that the Department for International Development will continue to focus on supporting excellent advocacy groups such as the one I met in Angola, where people are suffering from the effects of land mines? That is a very useful thing to do.
Mrs Caroline Spelman (Meriden) (Con)
Our troops have been withdrawn from Afghanistan, but there remains a legacy of unexploded ordnance and many disabled Afghans. Will the Minister tell the House what DFID will be doing to help those who suffer disability as a result of the armaments left by several conflicts in that poor country?
Fiona O’Donnell (East Lothian) (Lab)
I welcome the Minister’s commitment to improving the lives of people with disabilities in developing countries. To that end, will he support the proposal for a stand-alone goal on inequality in the post-2015 framework?
Kerry McCarthy (Bristol East) (Lab)
5. What recent discussions she has had with her international counterparts on including climate justice in future sustainable development goals.
Mr John Spellar (Warley) (Lab)
6. What support her Department is providing to Tunisia and the new Government of that country.
The Minister of State, Department for International Development (Mr Desmond Swayne)
DFID delivers its assistance on developing a more inclusive and democratic Tunisia through the Arab Partnership.
Mr Spellar
I thank the Minister for that answer. As I am sure he will recognise, last week’s welcome election result showed that Tunisia, where the Arab spring started, is a beacon of hope in the region. Will his Department prioritise support for Tunisia, to help it to make further progress and provide a working example of how real change can take place in that region?
Mr Swayne
I entirely endorse the right hon. Gentleman’s description of the progress Tunisia has made, and it is important that we keep that progress going. We have spent some £10 million in Tunisia since 2011, the European Union has a budget of €169 million this year, and there is money from the International Monetary Fund and other sources. We will continue to watch this brief.
Crispin Blunt (Reigate) (Con)
Some excellent work has been done to support politics in Tunisia, particularly by an organisation called Forward Thinking. I hope that that would come within the remit of the Department’s funding scheme.
Mr Gregory Campbell (East Londonderry) (DUP)
There are particular issues affecting the people of Tunisia that do not affect other north African countries. Does the Minister agree that we should build on bilateral relationships between Tunisia and the UK, and strengthen those links between the two nations?
Sir Tony Baldry (Banbury) (Con)
T1. If she will make a statement on her departmental responsibilities.