(9 years, 7 months ago)
Commons ChamberYes, I can. The Ebola crisis has shown why the work that we do in development is so important. We saw that countries in parts of west Africa that had better developed health care systems were able to withstand this unprecedented Ebola outbreak. However, in the case of Sierra Leone and Liberia particularly, which had experienced terrible civil wars and comparatively recently come out of them, although their health systems had dramatically improved, they were still at a nascent stage and were unable to withstand such an unprecedented outbreak. I can assure my hon. Friend that the UK will play a leading role, particularly in our relationship with Sierra Leone, which is unique.
I join my hon. Friend in paying tribute to the bravery of the Sierra Leonean community, who were the ones on the front line, many of them volunteers, who ran towards the crisis and were part of the effort to tackle it, at the very time when most people would have wanted to run in the opposite direction. They were overwhelmingly the ones who helped get the crisis under control, but I am proud of the UK effort in supporting that.
I thank the right hon. Lady for her statement, affording the House the opportunity to say thank you and to pay tribute to all those who have played their part in tackling this appalling disease, not least the staff of the isolation unit in the Royal Free hospital in my constituency and everyone in that hospital. I was delighted to hear that the Secretary of State is prioritising the next great step that will be needed—the restoration of health services in the countries affected—and addressing the issue of orphans. I welcome her commitment to working with the international community on these issues. Will she also commit to ensuring that all the voluntary agencies, NGOs and charities begin to work together rather more positively than they have done in the past?
The Royal Free hospital has provided world-class treatment for the patients whom it has looked after, and I pay tribute to it. On the restoration of health services, it is important that there is a Government-owned strategy in Sierra Leone on health care priorities. Perhaps some of the most pressing priorities right now are malaria—we are about to enter another rainy season, which is a high risk—getting vaccinations back up to combat diseases such as measles, and maternal health, making sure that women are able to give birth safely.
I had a chance to visit a hospital that just about managed to keep going through the crisis, but we know that teenage pregnancy, which is partly due to the fact that children have been out of school, has been a huge problem that will need to be addressed. It is important that the NGO community works as part of that overall Government of Sierra Leone-owned health care strategy and we will play our part in helping to deliver it. It has to focus on some short-term imperative deliverables and look at the longer term. That includes making sure that the Ministry of Health in Sierra Leone has the capacity to continue to develop policy.
(12 years, 9 months ago)
Commons ChamberI would argue that we cannot afford not to do this. The cost to the taxpayer will start once Crossrail has finished. On the overall costs, High Speed 1 was brought in on time and to budget, and our costing includes a substantial allowance for so-called optimism bias, because we know that such projects tend to grow in cost. If anything, I would aim to bring it in under the amount we have budgeted for, but we have allowed for some optimism bias, as we do for these projects.
While thanking the right hon. Lady for switching on the green light, I note that she referred in her statement to “a package of measures to reinforce confidence in properties above tunnels”. That issue affects many of my constituents. When and to whom should my constituents make representations to have their concerns calmed?
I will be writing today to all the people affected directly by HS2, and that will include making sure that people in areas that will have tunnels underneath them will receive all the details they need to understand how this process will work.