(6 days, 2 hours ago)
Commons ChamberThe 27 partners that we orchestrated—including Australia, Belgium, Canada, Denmark, Estonia, Finland, France, Germany, Iceland, Ireland, Italy, Japan, Latvia, Lithuania, Luxembourg, the Netherlands, New Zealand, Norway, Portugal, Slovenia, Spain, Sweden and the EU—are a coalition of the willing. Our diplomats did that in the past few days. Yes, we will carry out airdrops if necessary, working particularly with our Jordanian partners, but the right hon. Gentleman knows that airdrops are not the way to feed the people of Gaza at this point—it is by ending the blockade.
I, too, welcome the statement from the Foreign Secretary and the change in tone. However, I am disappointed to note that the actions announced relate to new trade deals. Last week was the 77th anniversary of the Nakba—Arabic for catastrophe—which commemorates the murder of over 15,000 Palestinians and the illegal forced displacement of more than 750,000 Palestinians from their homes during the establishment of the state of Israel. The Nakba was not a one-time historical event. It accelerated a process of dispossession, erasure, violence and ethnic cleansing against the Palestinian people which began under British colonial rule. The current genocide in Gaza is just the latest in that process. Will the Foreign Secretary now take this opportunity, on the 77th anniversary of the Nakba and amid the ongoing starvation of 2 million people today, to end all existing military, economic and diplomatic support for Israel as a matter of legal obligation, to ensure that the UK is no longer complicit in Israel’s great violations of international law?
As I said before and will say again, the Palestinian cause is a just cause and that is why we are opposed to the further displacement of the Palestinian people, and to those in the Israeli Government who talk about cleansing and driving people out from their land. I repeat that we stand by a two-state solution.
(1 week, 3 days ago)
Commons ChamberIt is a privilege to speak in this place on such an important Bill. Having been part of the Committee that scrutinised it line by line, and, on some occasions, word by word, for several months earlier this year, it is a pleasure to see so many of my colleagues from Committee Room 10 present today—a reunion of sorts. I am here, as always, with the intention of improving the Bill, so that if it does indeed pass, vulnerable people are as protected as they can possibly be from unintended consequences.
It is important to remember that on Report and Third Reading we are not voting on whether we agree with the principle of assisting someone to end their own life. Our role is to vote on the law in front of us—on whether the words on the page are clear and do what is intended, on whether the statutory process is safe, and ultimately on whether the provision of assisted dying benefits our community.
I am not against assisted dying in principle, but I am against this Bill. I am happy to put it on the record now that I have no personal religious beliefs; I am against the Bill for the simple reason that it will harm far more people than it will help. The people who will be harmed are the most vulnerable in our communities, and I am not willing to accept that collateral damage.
Today is important, because we have the opportunity to improve the safeguards in the Bill so that some of those groups are better protected. I urge Members to take that opportunity to the full. It requires very little skill to draft law that works for 90% of cases, but there is much skill in ensuring that the other 10% is catered for as well. I urge everyone to set the highest standards today and think about how we can ensure that those unordinary and unexpected cases are adequately protected, too. It really is life and death, so please do not accept anything that is not good enough.
Does the hon. Member agree that one of the greatest risks in this Bill is around coercion? It is not just about coercion from family members or friends, but about societal coercion and circumstances. The current state of palliative care in our country is among the worst in the developed world. Without adequate palliative care, patients might feel pressure to go down the assisted dying route instead.
I wholeheartedly agree.
There is much to discuss today and there is little time, so I will start at the beginning of the Bill, at the point at which the criteria for eligibility for an assisted death are set. It is there that important safeguards are needed to ensure that those who should never be eligible are excluded. We should not make the mistake of assuming that a doctor will always make the right decision or that they are infallible. It is incumbent on us to put in place law that makes it harder for them to get it wrong—that makes it harder for someone vulnerable to fall between the cracks.
(1 week, 4 days ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
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It is a pleasure to serve under your chairship, Ms Jardine. I congratulate my hon. Friend the Member for Milton Keynes Central (Emily Darlington) on securing this debate. I refer Members to my entry in the Register of Members’ Financial Interests.
I am proud to co-chair the all-party parliamentary group on nutrition for development, alongside the right hon. Member for Dumfriesshire, Clydesdale and Tweeddale (David Mundell). Nutrition and immunisation are closely linked. Children with poor nutrition are often those who are most vulnerable to infectious diseases and need protection from vaccines, yet vaccines are less effective in malnourished children and often do not trigger strong immunity.
The children whom specialised immunisation programmes are trying to reach are also the least likely to have access to food and nutrition services. Immunisation has the most impact when it is delivered alongside other interventions and integrated into primary health systems. By addressing under-nutrition and under-immunisation simultaneously, we can significantly improve health outcomes and vaccine efficacy, as well as provide interventions in the most cost-effective way.
I saw this for myself on a recent visit to Isiolo in Kenya, hosted by UNICEF and organised by United Against Malnutrition and Hunger. We saw how in rural areas, nutrition interventions are delivered alongside vaccinations, healthcare education and maternal healthcare, to ensure that people have wraparound healthcare interventions that save lives. That was funded by UK development assistance and delivered by partners including Action Against Hunger. If a woman walks for 20 km or more with her children once a week for nutrition, they are less likely to walk the same distance, at a different time, to a different place, for vaccines. Integrating the services is paramount to good healthcare.
This February, ahead of the Nutrition for Growth summit, I met the chief executive officer of Gavi, Dr Sania Nishtar, to discuss the important role that Gavi is playing in delivering these integrated services. Dr Nishtar spoke about the new $30 million programme to integrate nutrition and immunisation interventions in Ethiopia through the UK-founded Children’s Investment Fund Foundation, as well as UNICEF Ethiopia and Gavi, with support from the UK through Gavi’s matching fund mechanism.
Ethiopia has one of the highest numbers—a staggering 1.1 million—of zero-dose children, who have not received a single dose of routine vaccines. That statistic is exacerbated by the covid-19 pandemic, conflict and displacement. The pilot programme aims to reach around 140,000 of those zero-dose children in areas with the highest dual burden of malnutrition and infectious disease, providing cost-effective and efficient interventions to help children to survive and thrive.
Does the hon. Member agree that even before the devastating cuts to UK foreign aid, there was instability in funding for global vaccination programmes? We have already heard that over 1.5 million children die from preventable diseases. Does he agree that the reduction in UK foreign aid will have a devastating impact on the ability to provide vaccines to these children, and will end up costing lives?
I will let the Minister answer that question, but I hope there will be an impact assessment to properly map our interventions in future.
Integration costs money and Gavi cannot do it without financial support. I hope that when the Minister is assessing our contribution to this year’s Gavi replenishment, he will look at including support for nutrition integration. What plans does his Department have to integrate nutrition and immunisations more widely?
I want to touch on one issue briefly. The UK’s contribution to Gavi has not only helped to save lives but contributed to the UK’s health security by reducing the risk of global health emergencies and pandemics. It has brought money into the British economy through reputational research returns, and it showcases the UK’s leadership on the global stage.
In my constituency, the Medical Research Council-funded Centre for Medical Mycology at the University of Exeter works closely with Gavi, carrying out world-leading research into deadly fungal diseases and developing vaccines for some of the most widespread causes of death and disablement in developing countries. Does the Minister agree that the UK’s continued participation in Gavi and the Global Fund not only is the right thing to do because it saves lives around the world, but is strategically sound, as it supports our growth strategy and is an important part of delivering both our industrial strategy goals and our national health goals?
The hon. Member talks about vaccine inequality in women and girls, but would she agree that the global Gavi programme helps to address the inequalities that people face? During the covid pandemic, it was clearly reported that richer and more affluent countries had priority for vaccines when compared with low and middle-income countries. Gavi is essential to help to perpetuate equality.
I totally agree with the hon. Member. In fact, what we have seen with Gavi is that countries that were primarily recipients before have now becomes donors, such as Indonesia. Gavi is a clear pathway for countries to transition into different roles in the global economy as well.
Other Members have mentioned brilliant examples of science and innovation in their constituencies. I want to mention the John Innes Centre at the Norwich Research Park, which is not technically in my constituency, but is in Norwich. It is doing pioneering work, particularly around malaria. As we have heard, that work is helping to save lives internationally, as well as creating jobs at home and generating economic growth.
We need a new architecture for international development. We have to accept the world that we are in, but we also have to challenge ourselves as to why some of the public support for aid has been lost—although, some of the polling shows there is a lot of support for lifesaving interventions such as vaccines. Both Gavi and the Global Fund show us what that new architecture could look like: working together globally through multi- lateral institutions and pooling our resources to maximise our impact.
This is not the time to take our foot off the accelerator. We have made huge progress in this area, both in tackling disease and protecting our own health security. I am sure that the Minister will reaffirm our commitment to improving the health of some of the poorest communities in the world and to delivering a safer and more prosperous future for us all.
It is an honour to serve under your chairship, Ms Jardine, and I congratulate the hon. Member for Milton Keynes Central (Emily Darlington) on securing this debate. This year, as both Gavi, the Vaccine Alliance, and the Global Fund conduct their funding replenishments, it is more important than ever that we consider the indispensable value of their work, both for Britain and the world. Since its inception at the beginning of the millennium, Gavi has immunised more than 1 million children and saved in the region of 20 million lives.
The UK was one of the alliance’s founders and has since constituted its largest single sovereign donor. In its short existence, the Global Fund has succeeded in driving down the death rates across AIDS, TB and malaria by 61%, saving 65 million lives. That is close to the entire population of this country and would not have been achieved without British support. That manifested most recently in a £1 billion pledge to the Global Fund’s seventh replenishment. That money is likely to avert around 1 million deaths. We have made so much progress, eliminating many diseases in some countries and reaching the edge of success in others.
However, the work of Gavi and the Global Fund is being placed at risk by short-sighted cuts to international development spending. President Trump has gutted USAID, shattered the fund that fights HIV and AIDS and is poised to eliminate much American funding for global immunisation efforts. Following that playbook, this Government have decided to slash British development spending to 0.3% of our GNI, its lowest level this century.
I, like many others, still remember the optimism of the last Labour Government, who pledged to make poverty history and funded Gavi and the Global Fund when they were created. This Government have rejected so much of the proud 1997 legacy, and they must not do so when it comes to global health. I hope that they put money behind their pledge to prioritise global health and vaccinations. There are so many strong and resonant moral arguments for Britain, but at the same time, the fight against disease serves concrete British interests.
The war against infection is currently facing an alignment of factors that make victory more challenging than ever. Climate change is amplifying disease risk. Higher temperatures are opening up regions to mosquitoes, and the incidence of dangerous weather conditions is on the rise. Pakistan’s catastrophic 2022 floods, for example, have since led to almost 7 million additional malaria cases. At the same time, the disturbing spread and intensification of conflict across the globe is impeding efforts to treat and prevent disease. Increasingly, civilian populations are being deliberately cut off from aid, while healthcare facilities are being not only disrupted, but targeted. Consequently, we are seeing the return of once-controlled diseases like polio and upticks in those like cholera, which emerge from degraded sanitary infrastructure.
Why does this matter for Britain? It is because, as we have heard, disease does not respect borders. Since covid, we are all only too aware that disease can reach our shores, putting both our NHS and our health security at risk. Resistance, particularly in strains of TB and malaria, is also an increasing threat. Both Gavi and the Global Fund are working on the development and deployment of new generations of TB vaccines, even in the face of these new headwinds. Existing interventions for fighting malaria are also seeing their efficacy decline in the face of insecticide and drug resistance. Better, sharper tools have been developed. The challenge now is getting them to where they are needed, and for that we need the Global Fund.
Before I came to this place, I worked in the pharmaceutical industry in safety, efficacy and regulatory compliance. Does the hon. Member agree that the leadership role that the UK has played to date is not just limited to financial contributions and support, but has ensured that the vaccines that are rolled out in third world and low and middle-income countries are as safe as they can be?
Gavi relies heavily on philanthropic foundations, notably the Gates Foundation, but there are concerns that they may have a disproportionate influence on setting the priorities for global vaccine programmes. Does the right hon. Lady agree that any reduction or pulling back of the UK’s support of those programmes could exacerbate those concerns?
The hon. Gentleman is absolutely right that Gavi has the ability to pull in many different donors, but perhaps the specific questions following the ODA cut should be directed to the Minister. Gavi is a good example of how partnership can deliver for the benefit of the most vulnerable.
Conservative Governments made significant interventions that contributed to the UK’s reputation as a global health leader. In 2015, we pledged £1.44 billion to Gavi over five years, and in 2020, when we hosted the global vaccine summit, we committed a further £1.65 billion. During the last two Global Fund replenishments, we pledged £1 billion in 2022 and £1.46 billion in 2020. Those pledges to Gavi and the Global Fund were just one part of our leadership and efforts to strengthen global health, and an incredibly important one at that.
I note from responses to my written questions that Ministers are often quite keen to highlight our record on global health, but I would like to take this opportunity to ask some questions about the Government’s record to date. Following the reduction in ODA to 0.3% of GNI, I ask the Minister: what does global health now look like from the strategic level of the Foreign, Commonwealth and Development Office? It would be helpful to know where the priorities are and whether the Government plan to continue the emphasis on multilateral NGOs such as Gavi and the Global Fund, or whether other models are to be considered.
Although the approach to global health may be changing under this Labour Government, the replenishment periods for Gavi and the Global Fund are rapidly approaching—in fact, Gavi’s is literally weeks away. I would therefore welcome some clarity from the Minister on the discussions he has had with representatives of both funds and other donor nations. I want to press him a little about the absence of any UK pledges to date. I have previously had no luck getting an answer on that through my written questions, so I will have another go today. Has he considered the impact of the UK’s apparent delay in pledging on our international reputation and our standing as a leader in global health?
I absolutely will. It is referenced throughout my briefings because of the important partnership and contacts that we have with Unitaid. I have seen its work as well.
We are delighted to be co-hosting the Global Fund’s eighth replenishment with South Africa. We aim to attract and deepen investor engagement, sustain collective investments, and collaborate with the private sector on financing, innovation and supply chain support. We will do everything possible to ensure the success of that replenishment. Last month, the Children’s Investment Fund Foundation made an impressive first pledge of $150 million, a fivefold increase of its previous investment. That extraordinary commitment underscores the significant role of private philanthropy in advancing global health equity and highlights the power of partnership. As countries work to increase domestic financing, we must stand together and strive for success in those replenishments. We know this is an incredibly important moment for all these issues.
Many Members have rightly asked me about financial commitments—I have heard the voices around this room. Members will understand that we cannot make any financial commitments for the next replenishment until after the spending review is complete, but I assure them that we will continue to champion the Global Fund and Gavi and the people they serve, as well as the issues that have been raised today. Members’ voices and those of their constituents have been heard. None of us want to make decisions about cuts to the ODA budget, not least because of our record of success on these issues, but when I look at some of the things I do every day, I can say that they are the right choices, although difficult. We remain committed, however, to international development and particularly to global health. The number of interventions on these issues have made that very clear across the House.
I will reply briefly to some specific points made. My hon. Friend the Member for Milton Keynes Central spoke about the wider benefits not only to the economy, but in terms of our research and the links to the covid vaccine research. I saw some of the pioneering RNA vaccine research in visits with the all-party group years ago. To then see that expertise used to combat a deadly pandemic was extraordinary.
The right hon. Member for Dumfriesshire, Clydesdale and Tweeddale (David Mundell)—my successor on the all-party parliamentary group on HIV, AIDS and sexual health—rightly talked about this being investment, not charity. I think there is a consensus across the House on the proven track record of the Global Fund, Gavi and Unitaid.
My hon. Friend the Member for Exeter (Steve Race) mentioned his visit to Kenya and the links with nutrition as well. He knows the Government’s commitment to the global compact on nutrition and the work that was done around the summit and indeed the research in his own constituency. I thank the hon. Member for North East Fife (Wendy Chamberlain) for her contribution. Her constituency is a place I know well, having done my masters at the University of St Andrews. Important work is being done at that university and at many institutions across the UK.
My hon. Friend the Member for Norwich North (Alice Macdonald) asked important questions about women and girls. I can assure her that women and girls remain at the heart of our global health work. Gavi supports countries with vaccines that directly benefit girls and women, for example those against HPV, which we know is one of the leading causes of cervical cancer. Shockingly, over 85% of cervical cancer deaths are in low-income countries, and it is the main cause of death among many young women in Africa. Women and girls therefore remain at the heart of these partnerships going forward.
The hon. Member for Strangford (Jim Shannon), who is no longer here, as ever spoke passionately on the issues. My hon. Friend the Member for Ashford (Sojan Joseph) spoke about the importance of work on TB. We are absolutely committed to this, whether through the Global Fund, Stop TB Partnership or our work with the TB Alliance. We are doing many pieces of research and operations work.
My hon. Friend the Member for Macclesfield (Tim Roca) spoke about malaria, as did others. On that, there is really remarkable process being made on vaccines. Some of the early findings from the malaria vaccine implementation programme show that an additional one in eight children can be prevented from dying if they receive vaccines in combination with other malaria interventions. We are carrying on the important work on anti-malarial bed nets and other interventions.
My hon. Friend the Member for Gedling (Michael Payne), another of my successors in the APPG on HIV/AIDS, again spoke of the importance of the Global Fund, and I completely agree with him.
My hon. Friend the Member for Gravesham (Dr Sullivan) spoke about her experience working at the Francis Crick Institute, another leading institution doing incredible work. We should be very proud of our academics and researchers in this country for what they do.
My hon. Friend the Member for Bishop Auckland (Sam Rushworth), a powerful voice for his constituents, also spoke of his own personal experiences in sub-Saharan Africa.
I will not, because we are about to run out of time and I need to leave time for my hon. Friend the Member for Milton Keynes Central to wind up.
The shadow spokespeople raised a number of choices. I do have to gently say to the hon. Member for Esher and Walton (Monica Harding) that we are not in 1997. We are in a very different set of world circumstances. That is tough, but I believe in being honest with this House about the challenges we face. That does not mean we lose our commitment to development or global health, as is clear from what the Government are setting out, and I have listened carefully to what Members have said today.
Not only did the right hon. Member for Aldridge-Brownhills (Wendy Morton) serve as the Minister; we also served on the International Development Committee together. She rightly talks about the important role that IFFIm and others can play—I might write to her more specifically on the plans on IFFIm. She asked me lots of questions about the spending review. I would love to be tempted into answering her, but I cannot, so I refer her to my previous answers.
The UK will continue to champion global health at a critical moment. We will work hard, together with our partners. We have heard about some fantastic work we have been responsible for and about some fantastic organisations. I can assure Members that the Government hear all of those voices, and they will be contemplated as we make some challenging but important decisions over the weeks and months ahead.
(1 week, 4 days ago)
Commons ChamberMy hon. Friend raises important and serious issues. She knows that we have repeatedly condemned the extreme rhetoric of far-right Israeli Ministers. We have taken action against violent settler groups in the west bank. We are regularly supporting the humanitarian response in Gaza, whether that is through the £129 million of humanitarian assistance, the medical treatment and food, the work we have done with Jordan to fly medicines in or the work with Egypt to treat medically evacuated civilians and with Kuwait to support UNICEF. There is a range of measures, but she will understand that I will not comment on future designations.
The UK rightly has imposed sanctions on Russia for its illegal invasion of Ukraine and on Putin for war crimes. The UK has imposed sanctions on officials in Syria for breaches of international humanitarian law, for targeting hospitals, schools and aid convoys and for obstructing humanitarian aid, as well as for the use of chemical weapons and the indiscriminate bombing of civilians. How do the Government therefore justify the absence of similar sanctions on senior members of the Israeli Government, when there is clear evidence of Israel perpetrating the same violations? What actions have the UK Government taken to comply with their obligations specified in the International Court of Justice advisory opinion from July 2024 to withdraw all political, economic and diplomatic support that helps perpetuate Israel’s unlawful occupation of Palestine?
The hon. Gentleman raises a number of questions, and it might be helpful if I get the Minister for the middle east, my hon. Friend the Member for Lincoln (Mr Falconer) to respond to him directly on a number of them. We have repeatedly been clear, as I have just said, in condemnation of the extreme rhetoric of far-right Israeli Ministers. We have been clear about the horrific situation that we see in Gaza. We have been clear about the support we are providing to make a difference on the ground. We have been clear in our support for a ceasefire and clear in our calls for immediate humanitarian access. As I have said repeatedly, he will understand that I do not comment on future designations.
(1 week, 5 days ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
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I do understand the frustration of constituents; as I said earlier, that frustration is shared in Lincoln and across the country. Everybody in this House and everybody across the country wants to see an end to the awful scenes on our television screens.
The Minister has stated that the legality of the UK’s F-35 exports is currently being tested in the courts. In the High Court, the Government have made submissions that
“No evidence has been seen that Israel is deliberately targeting civilian women or children”,
and that there is
“also evidence of Israel making efforts to limit incidental harm to civilians.”
If the Government need to be shown evidence that Israel is deliberately targeting civilians, I suggest the Minister and his colleagues review the footage captured by the BBC of yesterday’s bombing of Gaza’s European hospital, the footage emerging from the Nasser hospital, the millions of hours of livestreamed footage available since 7 October, or the thousands of reports and articles published since. The past 18 months have seen a total war on all of Gaza, with acts of ethnic cleansing and extermination, according to the UN. Does the UK deny the existence of that evidence, and if so, have the Government committed perjury?
It is obviously inappropriate to try to rehearse submissions that are currently being heard by the court.
(1 week, 6 days ago)
Commons ChamberAs I said to the right hon. Member for The Wrekin (Mark Pritchard), we are taking action—not just rhetoric, but action—to try to address the situation in Gaza. That includes calling the Security Council to an urgent session this afternoon, alongside our partners. We will continue to take the action that we think is needed to ensure that the people of Gaza get what they need.
We hear about the actions that the Government are taking, but unfortunately none of them are leading to the prevention of the starvation and killing of innocent civilians. The latest numbers, which are only an estimate, show that over 60 children have died of starvation according to official records. We do not know how many have died but have not yet been recorded. There is one step that the Government have not taken. I welcome the aid, but when it stands on the other side of a crossing and cannot get to the people who need it, it is useless. Some 10 or 11 months ago, aid was airdropped into Gaza. Why are the Government not airdropping aid or providing it by sea, and will they condemn the bombing on 2 May of the freedom flotilla, which went to provide aid?
As I think the House knows, I am familiar with the impediments to getting aid into Gaza—I went to the Gaza-Egypt border to see the restrictions for myself. We have made these points in public and in private, and we will continue to do so. We are talking to our Jordanian partners and others—many in the region understandably have real concerns about the lack of aid getting in. Although we are considering, with Jordan and others, what the alternatives may be, I must be plain with the House: there is no alternative to a land route if aid is to get in at the scale that is required, so we must be clear with the Israeli Government and all partners in the region that opening those crossings is critical.
(2 weeks, 5 days ago)
Commons ChamberMy hon. Friend is a doughty champion for her constituents. We have been updating the travel advice and I can confirm that my Department has taken steps to be able to respond as fully as possible to the concerns of our collective constituents who are in the region. Foreign Office travel advice will be the first and best place for constituents across the country to be looking.
I thank the Minister for his statement, and I associate myself with all Members of the House in the condemnation of the terror attack in Pahalgam. I want to express my concern at the military escalation between nuclear-armed neighbours, which has already resulted in the killing of 26 innocent people. I have thousands of Kashmiri and Indian constituents—I myself am of Indian heritage—and they are absolutely terrified by what they saw last night. They have been glued to their screens worrying about their loved ones. The Minister has already explained what diplomatic steps the UK is taking to de-escalate the situation, but will he reassure my constituents that those steps will be neutral and impartial, will not favour one country over the other, and will prioritise peace and stability in the region?
I thank the hon. Gentleman for his question and for his acknowledgment of the importance of de-escalation. I confirm that we will prioritise regional stability, the reasonable interests of both countries and, indeed, the UK’s interest in the region, which includes stability between two great friends of this country.
(3 weeks, 5 days ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
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It is a pleasure to serve under your chairship, Ms Lewell, and I extend my gratitude to the hon. Member for Cheadle (Mr Morrison) for securing this extremely important debate. Like others who have spoken, I cannot think of a more noble profession than that of humanitarian aid workers. These are the people who go into areas that everyone else is trying to flee; their work is driven by compassion, courage and commitment to the most desperate and vulnerable. That work is simply indispensable. It is all the more shocking that conflict zones have become deadlier for those trying to help. Aid workers have been kidnapped, injured and killed while performing their duties. Hospitals, paramedics and aid convoys, clearly marked and protected under international law, have been deliberately targeted or caught in the crossfire.
In some places, providing aid has become as dangerous as fighting in the war itself. The statistics speak for themselves. In Gaza, at least 418 aid workers have been killed since October 2023, almost all Palestinian, but including at least eight internationals. At least 1,400 health workers have been killed, although there may be some overlap with the previous number, but that includes health workers and aid workers such as those in the Palestine Red Crescent Society. At least 42 aid workers have been killed so far in 2025.
In Lebanon, Israel has killed over 200 aid workers. Last week I attended a viewing of a documentary called “Under Fire: Israel’s War on Medics”, in which we learned the tactic chillingly called the “double tap”. The double tap is where an invading force will attack a building or location, and wait until the aid workers, paramedics and first responders arrive. After they have arrived, it will then attack the same place again. That has resulted in the death and maiming of many, many aid workers.
The hon. Gentleman makes an interesting point, which rang an alarm bell in my mind. What he is describing are the same tactics being used by the state of Israel, or at least its Government, as were exhibited by the IRA back in the 1980s: a bomb would be set off and once help had arrived, a secondary device would be set off at the point of evacuation. Does he recognise that as terrorism, as I do?
That is the classic definition of terrorism, in my view. Some of the killings, such as the murder by Israel earlier this year of 14 emergency workers and a UN worker on 23 March, are reported, but many are not. In Gaza, the lives of those aid workers are casually and brutally taken by the Israeli regime, destroying the entire infrastructure of civilised life in Gaza, and especially the healthcare system. They are targeting and have deliberately targeted the healthcare system as a tactic in war, and to achieve their aims of ethnic cleansing. Their policy is to make life simply unliveable for the Palestinians.
I am not the only one who is struck by the contrast in how the Government respond to humanitarian outrages in Ukraine, with their calls for more sanctions and measures on Russia, and their apparent fatalism when such attacks take place in Gaza. Apparently, for this Government, some lives are more equal than others. That is not the case under international humanitarian law: a Palestinian life is equal to an Israeli life, which is equal to a Ukrainian life and every other life on this planet.
International law considers that all parties to a conflict are obligated to protect aid workers and ensure safe access to civilians in need. We must call for and provide greater accountability for those who target aid workers. We must support stronger security measures and better co-ordination in dangerous areas. Most of all, we must never normalise these attacks.
To that end, I support the calls from the humanitarian charity Islamic Relief for the Government to urge all parties to a conflict to comply with international law, including obligations that relate to the passage of humanitarian supplies, equipment and personnel, and respecting and protecting aid workers; to lead efforts and strengthen commitments to protect aid workers, finalise the political declaration on the protection of humanitarian workers initiated by the Australia-led ministerial group, and commit to concrete actions that go beyond rhetoric, including reporting mechanisms and the monitoring of compliance; and to increase the funding for international and local humanitarian organisations that operate in conflict zones, to ensure they have the resources and protection needed to deliver aid safely.
I was absolutely flabbergasted when the Government decided to slash the aid budget to redirect funds towards the purchase of more bombs, bullets, tanks and drones. Will the Minister share the assessment of the impact of that decision on the safety and security of aid workers? Will it result in a risk of more conflict and wars than there would be if we actually supported the people in need?
It is a pleasure to serve under your chairmanship, Ms Lewell. Let me start by congratulating the hon. Member for Cheadle (Mr Morrison) on securing this debate. It is fair to say that hon. Members who have contributed today have demonstrated their knowledge and the conversations they have had with the sector. I think we all agree that those who work in the humanitarian aid sector, especially in conflict zones, do an incredibly important job under very challenging circumstances.
From multilateral to localised grassroots organisations, there are so many in the sector to acknowledge, but in the interests of time I will be brief. First, I should like to thank the International Committee of the Red Cross, the ICRC, which the shadow Foreign Secretary, my right hon. Friend the Member for Witham (Priti Patel), and I have met recently. Its expertise and neutrality enables it to reach some of the most difficult areas, and it works in more than 90 countries. I also thank Foreign, Commonwealth and Development Office staff, who I know work on the UK’s humanitarian programmes; they are highly dedicated individuals, who often work around the clock. We are grateful for their efforts.
Mine Awareness Day was 4 April, and I pay tribute to the HALO Trust and Mines Advisory Group. Those are examples of Great British organisations that work globally to lead efforts in de-mining and restoring land in post-conflict communities. There are some remarkable achievements, but as HALO and MAG demonstrate, there is so much more to do if we are to reach a mine-free world.
Provisional ODA spend figures for 2024 show that £1.4 billion of bilateral ODA was spent on humanitarian assistance—an increase of 60% from 2023. That really underlines the impact of global crises and conflicts. In the 2023 international development White Paper, we outlined tackling conflict and state fragility as a priority. Part of our vision for 2030 was greater emphasis on improving foresight and conflict prevention.
It is also worth remembering that the UK is uniquely placed to be a leader in this area, with our groundbreaking data science, AI, machine learning, and open-source intelligence capabilities. That new technology can be used to expedite forecasting of conflict and mass atrocity risks, buying time for a response from a few months to a few years in advance. There are some specific questions I would like to ask the Minister today. Could he update us on what his Department is doing to continue that work, and what discussions has he had with the UK science, technology, and research sectors to leverage expertise into conflict prevention abroad?
As well as the clear humanitarian need of civilians in conflict zones, colleagues are right to raise concerns about the safety of humanitarian workers delivering aid. I would like to press the Minister on a few of those conflict zones.
First, I will turn to Ukraine. In January 2025, the UN Office for the Co-ordination of Humanitarian Affairs estimated that there are 12.7 million Ukrainians in need, of which 6 million will be targeted by aid agencies in 2025. Can the Minister reassure us on what steps he is taking to support the safety of aid workers operating near the frontlines? Disinformation, including Russian disinformation, is another challenge that can compromise the safety of aid workers. What assessment has the Minister made of the impact of disinformation on the ability of humanitarian agencies to function in Ukraine? What steps is he taking to counter it?
In Sudan, millions of innocent people have been affected by the appalling conflict and the humanitarian need is dire. It was regrettable that the Foreign Secretary’s conference in London failed to settle on a final communiqué among the parties present to agree a long-term political solution. Clearly, a transition to a truly inclusive civilian-led Government is crucial and we should not lose sight of that. On the ground, we know that aid access and delivery is an enduring challenge. What assessment has the Minister made of incidences of aid blocking in Sudan? What steps are being taken to protect humanitarian workers trying to deliver that aid?
In the middle east, we are in a very difficult moment with a breakdown of the ceasefire agreement in Gaza. We need this Government to ensure that the UK is a proactive participant in efforts to find a way through. On aid access, can the Minister update us on the practical efforts he is making to unblock the current situation, including updating us on recent engagement with the Government of Israel on this? What is his assessment of the amount of UK-funded aid that is getting through?
In the earlier part of the current conflict, where aid was blocked, there were air drops from different nations in the UN. I am not aware of the participation of the UK Government. Does the right hon. Lady agree that there is an immediate need for every single channel through which aid can get into Gaza to be put in place and used?
I am grateful to the hon. Gentleman. I will leave the specific point of air drops to the Minister, and perhaps he will pick up on that. Wherever the conflict is, it is incumbent on all players to do the utmost to make sure that aid gets through where it is needed. That is why those of us on the Opposition Benches often do, and will continue to, press the Government when it comes to that important issue of access, as I have done this afternoon.
I would also be grateful for an update on the Minister’s discussions following the deaths of the 15 aid workers in Gaza in March, and on the need for effective deconfliction in this conflict. Can he also tell us how his Department is working with the ICRC and other agencies to help ensure they can operate safely and to minimise the risks?
Finally, in Myanmar, despite a ceasefire agreed by the warring parties following the devastating earthquake, fighting has reportedly continued. We understand that it is a very hostile environment for traditional aid agencies operating in Myanmar, so the FCDO has opted for a grassroots approach to aid delivery. What recent assessment has the Minister made of the effectiveness of that approach in getting aid to where it is needed, and importantly, protecting aid workers? Has the earthquake affected the balance between working with localised grassroots organisations and more traditional humanitarian agencies? If we are working with more multilateral agencies, what steps is he taking to ensure they can operate safely?
There are too many good humanitarian organisations, and sadly too many conflicts, to name and discuss them in the short time we have today, but I want to be clear that that in no way diminishes their importance, or the impact on civilians and humanitarian workers grappling with their consequences. As I bring my remarks to a close, I want to again put on record our thanks to all those who put themselves at risk to deliver life-saving support to people in desperate situations. We are living in a more dangerous world and there are more competing demands for humanitarian assistance. It is essential that these brave individuals can work safely and without fear, so they can focus on supporting the most vulnerable.
It is a genuine pleasure to sit under your chairpersonship today, Ms Lewell, and I thank the hon. Member for Cheadle (Mr Morrison) for securing this debate and highlighting the grave threats facing aid and humanitarian workers around the world. I say that with genuine sincerity, having spent many years working for humanitarian non-governmental organisations and the former Department for International Development, and as a former member of the International Development Committee, along with a number of hon. Members in this room. I have witnessed the courageous work of humanitarian workers, as well as that of staff from the FCDO—formerly the FCO—and DFID, in extremely challenging situations around the world. They have always operated in dangerous environments, but the threats they face today, as has been highlighted so powerfully, are escalating to intolerable levels, with many paying the ultimate price. Their protection is essential for agencies to operate, for our obligations under international law, and for our shared humanity. I welcome the International Development Committee’s ongoing inquiry on this topic. Its focus on the safety and protection of those courageous individuals is timely and vital. We will engage with the Committee fully on that and consider its findings.
As I said, these issues are deeply personal to me. Along with the late and missed colleague of ours, Jo Cox, I have worked with many people, and I still have friends who are working in some of these environments and agencies, including in some of the circumstances that have been described. This is deeply personal for me. As colleagues will understand I obviously will not go into the details, but having worked with Oxfam, World Vision and many other organisations, I have seen this for myself.
It is absolutely right that Members highlighted that last year was the deadliest year for humanitarian personnel, with the situation in Gaza providing the most dangerous context. More than 400 air workers have been killed there since October 2023, including three British citizens serving with World Central Kitchen. In March, attacks on a UN facility and a Palestinian Red Crescent Society convoy showed that Israel must do much more to prevent further tragedies, and I will come on to some of the specific comments on that in due course. Reports from Sudan highlight the tragic deaths of aid workers in the Zamzam camp. As has been highlighted, those losses are part of a global trend driven by the scale, complexity and urbanisation of armed conflicts, but behind every incident is a family shattered, a team destabilised, and often a community and extremely vulnerable individuals left without assistance.
Fatalities are, of course, only part of the tragic picture. Aid workers face rising levels of injury, abduction and detention, with an immense psychological toll. They sometimes question whether their humanitarian logos and emblems help to distinguish them from parties to conflict, or increase their risks. Those workers must have basic assurances of protection, and they must not be targeted. The UK is committed to promoting compliance with international law, including international humanitarian law, and supporting mechanisms that protect those working in the world’s most dangerous environments.
The hon. Member for Cheadle gave a powerful testimony as context for the debate and the wider risks, and he highlighted many of the contexts. I assure him that those workers are absolutely not forgotten. Importantly, he highlighted the volunteers, often locals, who are involved in these contexts, and raised a number of important questions. He specifically asked about mental health, and I assure him that the FCDO has funded additional mental health support for partners where there is an identified gap in available service provision.
The hon. Member for Strangford (Jim Shannon), as always, spoke powerfully and passionately, and I commend, as he did, the work of church groups in his constituency, and indeed all faith groups. We know that many faith groups in our constituencies, including my constituency of Cardiff South and Penarth, have partnerships with NGOs, and faith groups and others are crucial in responding in these circumstances. They are often the first responders and the first on the ground. The hon. Gentleman specifically asked me about Afghanistan. He will know that humanitarian operations in Afghanistan face serious access challenges, particularly for women, due to the Taliban ban on female aid workers. Despite those challenges, we have supported partners to negotiate local and case-by-case exemptions to continue the work and respond to the needs of women and girls.
The hon. Member for West Dorset (Edward Morello) spoke about the convictions and values that drive humanitarian aid workers. I have seen that myself repeatedly, and we hugely value their personal duty and service. He asked some specific questions about the humanitarian medal. That has been awarded to those who responded to the Moroccan earthquake, the Libyan floods and the Gaza crisis, and we are still working through the consideration of other humanitarian emergencies. I appreciate his raising the point about eligibility. I will endeavour to come back to him on that, and I or one of my ministerial colleagues will write back to him in due course.
The hon. Member for Dewsbury and Batley (Iqbal Mohamed) raised the important issue of kidnappings and other incidents. The issue is not just those who die in attacks but those who are kidnapped and detained, and the psychological, and often physical, toll that that takes on them. He rightly highlighted a number of contexts, from Gaza to Lebanon. I do not accept his comparison with Ukraine, not least because I was in Ukraine a few weeks ago, under bombardment, and saw what was happening to civilians there. The actions of my ministerial colleagues in relation to Gaza, Ukraine, Sudan and many other crises are substantial and sincere.
I certainly will not apologise for the difficult decisions we have had to take about ODA to keep the people of this country safe from the many threats that we face, and I will come on to that point in due course. The hon. Member for Dewsbury and Batley asked me specifically about Lebanon, and we use our diplomatic levers to press all parties to honour and respect the humanitarian notification system, which is a deconfliction mechanism to ensure that the location of humanitarian facilities and movements is entitled to protection under international humanitarian law. We are working to make sure that humanitarians are protected in that conflict and many others.
There were many other important contributions, including that made by the hon. Member for Mid Dunbartonshire (Susan Murray). I will highlight a few points in response to some of those comments. It is important to note that we have seen not only state-on-state violence and other conflicts but non-state armed groups growing in number. That has increased the risk and complexity of many humanitarian environments, including across the Sahel. In 2023, according to the Aid Worker Security Database, non-state groups remained the most frequent perpetrators of incidents globally, but the proportion of incidents involving state actors increased. There are a whole series of factors at play here. We watch all of them closely and try to respond in the best way that we can.
On Gaza specifically, the Foreign Secretary spoke to the UN emergency relief co-ordinator, Tom Fletcher, on 14 March. The Minister for the middle east, my hon. Friend the Member for Lincoln (Mr Falconer), spoke with him on 17 March. The Foreign Secretary spoke directly to Israeli Foreign Minister Sa’ar on 15 April and directly raised concerns about the humanitarian situation in Gaza and the urgent need to restore the flow of aid. We are obviously appalled by recent attacks on aid workers, including that on the UNOPS guesthouse on 19 March, and the killing of rescue workers and paramedics, including at least eight Palestine Red Crescent medics, on 23 March. Our thoughts are very much with the victims and their families.
I am going to try to respond to all the comments; I will then, perhaps, take some interventions.
We expect those responsible for the killing to be held to account, and we expect that to be done transparently. The Foreign Secretary has pressed Foreign Minister Sa’ar to conclude the Military Advocate General’s consideration of the World Central Kitchen incident, including determining whether criminal proceedings should be initiated. Indeed, the Foreign Secretary and my hon. Friend the Minister for the middle east have met the families of those killed in the attacks and assured them that the Government will continue to support their calls for justice. On 28 March, the UK and France called an urgent UN Security Council meeting to discuss the risks facing humanitarian aid workers in Gaza. That work is substantial and it is going on at many levels. We have also called for the Palestine Red Crescent Society incident to be investigated fully at the Security Council on 5 April. On 21 March, an E3 Foreign Ministers’ statement made clear that the UN and its premises should be protected, and should never be a target.
Hon. Members asked about arms exports. We have been clear; Members will have heard the Foreign Secretary and the Minister for the middle east speak about this on many occasions. We suspended certain licences to export to Israel for use in military operations in Gaza following a review that concluded that there is a clear risk that items might be used to commit or facilitate serious violations of international humanitarian law in Gaza. On the wider situation, over the past few days the Foreign Secretary and the Minister for the middle east met Prime Minister Mustafa and discussed the humanitarian situation in the west bank and in Gaza. We announced a £101 million package of support for the Occupied Palestinian Territories, and that will be dedicated to humanitarian relief, support for Palestinian economic development and strengthening Palestinian authority, governance and reform.
I was asked, on many occasions, about the support that we give specifically for the protection of aid workers. That includes support to the Aid Worker Security Database, core funding to UNOCHA and the International NGO Safety Organisation, and funding at the country level in many contexts. For example, in Ukraine we support the Humanitarian Action through Volunteers, Enablers and Networks consortium to provide a duty of care package. We also provide funding to the ICRC and UN-managed country-based pooled funds, and we are keeping all our ODA priorities under review. I can assure hon. Members that humanitarian response remains absolutely crucial to what we are doing, particularly in the contexts that have been mentioned most today: Ukraine, Gaza and Sudan. There are many other contexts but those three in particular have been highlighted by the Prime Minister.
The shadow Minister asked about disinformation. We are absolutely aware of that challenge. We worked at the UN on resolution 2730, which condemns disinformation targeting aid workers, and we are working on a number of programmes in that regard. She asked about the aid workers in Ukraine and I have mentioned the HAVEN programme. We are also providing personal protective equipment, individual first aid kits and so on through that scheme. That is crucial.
We constantly take work through the UN. We called for a series of measures in the circumstances that I identified and we also co-chaired a UN event demanding the release of aid workers detained by the Houthis in Yemen. We support a new political declaration by Australia to strengthen global commitments to protect aid workers, which will complement UN Security Council resolution 2730. We respond to direct incidents at the highest levels—I have identified some of those in relation to Sudan—and, of course, we condemned the reported attacks on aid workers and pressed for investigations. We recently hosted the London Sudan conference alongside the African Union, the EU, Germany and France to galvanise co-ordinated action. We must use our momentum to keep applying pressure to all the parties there to comply with their obligations.
We are also working very closely with organisations working to support female aid workers who face particular issues with restrictions, threats and sexual violence. The UK invests in safeguarding and directly supports women’s rights organisations to help mitigate those risks. My ministerial colleagues and I try to take account of all of the specific and granular risks that workers face, but it is about more than just those specific circumstances. It is about a wider commitment by the United Kingdom to the protection of aid workers and to humanitarian principles. I can assure Members that we will continue to uphold those principles and stand up for them in the work that we do.
I thank hon. Members for their contributions today, which have been passionate and sincere. I have heard what has been said and I will certainly communicate that to ministerial colleagues. I once again thank the hon. Member for Cheadle for sponsoring the debate in the first place.
(3 weeks, 6 days ago)
Commons ChamberMy hon. Friend asks important questions. The Foreign Secretary and I, and the whole ministerial team, are engaged with our international partners. We have made a number of statements with European partners; with the Qataris on Sunday, when the Foreign Secretary travelled to Qatar; and in Oman, to which the Foreign Secretary and I travelled recently. We are engaged with many other important partners in the region, including Egypt, Israel and many others.
We have heard Members across the House ask about recognition and sanctions. Yesterday, I joined a private briefing organised by the Palestinian NGO Network, Medical Aid for Palestinians, Oxfam International, Save the Children, the Norwegian Refugee Council and the Association of International Development Agencies. The message I took away, which is burned into my brain, was that, on the ground, food, water and medicines—the essential of life—have all run out, as the Minister said. Baby milk and the water needed to make it are not available. Would the UK Government’s response be the same if the people who were starved, and denied water and medicine, were in Ukraine, God forbid, and if Russia was the perpetrator?
The UK seeks to play its full role in every humanitarian crisis. We have conducted important conferences on Sudan, and have attended to issues in Ukraine and the Occupied Palestinian Territories. We act wherever we can to try to avert humanitarian suffering.
(3 weeks, 6 days ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
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I set out the Government’s position on the core dispute in Kashmir in the previous answer. I repeat that we encourage the Pakistanis to co-operate fully with the Indian Government in their efforts to investigate and we hope that they will provide assistance. This obviously remains a time of great heightened tensions, so direct dialogue on these issues is particularly important.
I join the Minister and other Members in my unequivocal condemnation of this heinous and cowardly act of terrorist violence. My heart goes out to the families and the victims. We stand in full solidarity with them, as well as with the civilian populations of India, Kashmir and wider Pakistan. As has been highlighted, the killings have heightened tensions in the subcontinent. At present, both nuclear-armed countries, India and Pakistan, are on a war footing. The escalation in military action will have ramifications globally, especially in the UK where reactionary bigots and far-right politicians are sowing division among British Kashmiris, Indians and Pakistanis. My Kashmiri diaspora and my Indian family and friends and I would like to know what specific steps the UK Government are taking to help de-escalate the heightened tensions in the region and the increased tensions within our borders.
As I said, we are seeking to play our full diplomatic role to help manage the heightened tensions between India and Pakistan, and the concerns of the region. It is vital that all of us in positions of influence at a community level here in the UK do everything we can to ensure that those tensions do not play out on British streets.