Disability and Development

Jeremy Lefroy Excerpts

Thursday 11th December 2014 Westminster Hall

[Jeremy Lefroy (Stafford) (Con)]

It is a pleasure to serve under your chairmanship, Mr Rosindell, and it is also a great pleasure to follow the hon. Member for Stretford and Urmston (Kate Green). I reiterate what she has just said, because we can learn from what we see of practice in developing countries.

I say that because one of the most memorable visits that I have ever made while I have been on the International Development Committee was to a hospital in Kabul that was run by the International Committee of the Red Cross. It was an outstanding place that cared for people with disabilities, substantially those who suffered from injuries caused by the conflict in Afghanistan. However, what was so remarkable about that hospital was that an extremely high percentage—the right hon. Member for Gordon (Sir Malcolm Bruce), the Chairman of the Committee, will correct me if I am wrong, but I think it was more than 90%—of the several hundred hospital staff, including the chief executive, themselves had disabilities. They were an outstanding group of people doing absolutely great work. Sometimes we in this country could learn from the way in which the ICRC had organised that hospital, so that people with disabilities were not just on the sidelines but were absolutely at the heart of providing services to other disabled people.

Disability is also a fairly personal issue for me, because my father was disabled. It was only after his death that I discovered that our family nearly emigrated to Australia because, as a disabled man, he could not find work in this country. Fortunately, at the last minute he became a clerk in holy orders; a church in London offered him the role and he served there for 25 years. However, it took him a long time to find that role, because in the 1960s disabled people were, to some extent, marginalised in this country. It is tremendous that we have moved on so far in this country, although we still have considerably more to do.

I will focus on two aspects of this debate. The first is jobs and livelihoods. I have already mentioned the hospital in Kabul. However, 1 billion jobs are required in the world in the next 10 years, so sometimes the temptation can be to think, “Well, it’s difficult enough to create jobs and livelihoods for people who are able-bodied. How on earth are we going to be able to do so for people who are disabled?” But that is absolutely not the point. The point is, as the DFID framework recognises, that the issue of disability must be integral to every programme; it must not be an add-on. If we just leave things as an add-on, they will be parked in the “too difficult” place; we will be so engaged with the sheer process of trying to create jobs and livelihoods that anything on top of that will be too difficult to deal with. That must absolutely not happen.

The second aspect I will focus on is prevention. I chair the all-party group on malaria and neglected tropical diseases. We referred to NTDs in the first debate today. They affect the poorest people on this planet—something like 1.4 billion people in the course of a year. By NTDs, I mean worms, the so-called soil-transmitted helminths, Guinea worm, lymphatic filariasis—sometimes known as elephantiasis—onchocerciasis and trachoma, leishmaniasis and indeed leprosy, which my hon. Friend the Member for Congleton (Fiona Bruce) referred to. In fact, NTDs not only affect the poorest people and cause morbidity and sometimes mortality, but they often cause disability. And they are eminently curable, or at least eminently preventable, often by very cheap interventions.

That is why I was thrilled that the last Government decided to make NTDs a priority, and this Government, through the London declaration on NTDs in January 2012, has continued that work, providing, I think, £240 million in total, including the money committed by the last Government, over a four-year period. I ask the Minister to ensure that that commitment to the prevention and treatment of NTDs is continued, because it has a huge impact on disability and the prevention of disability.

HIV/AIDS is another area where a lot of progress has been made, particularly in negotiations over the use of drugs, so that they are made available at a cheap price and so that countries’ health systems can afford to provide the antiretrovirals that were not available in the past. That must continue; there must be no let-up in the fight against HIV/AIDS or in providing support for sufferers in developing countries. There can be no two-tier world where we in the west have access to drugs that people in developing countries cannot access.

The Chairman of the Committee has talked about road safety. I am glad that in 2010-11 the Government had what I think was a change of heart on the provision of funding for road safety and decided to continue that funding. We were delighted about that, because the number of deaths on the roads in developing countries is enormous; it is in the millions. There are also tens of millions of disabilities caused by road accidents. I would like to hear from the Minister what progress is being made to ensure that all road programmes, whether we are talking about main trunk roads or rural roads, have a strong road safety component built into them.

When the hon. Member for York Central (Hugh Bayley) and I were in Dodoma a couple of weeks ago, we met the Tanzanian Minister responsible for rural roads and DFID staff who were implementing an excellent rural roads programme in Tanzania. The point we made was that when roads, even rural roads, are in a poor state, people can travel on them at perhaps 10, 15 or 20 kph. If someone causes an accident on those roads, they might cause some form of injury. However, if roads are upgraded so that people can travel at 60, 70 or 80 kph along them, and if children—indeed, everyone—along the route are not educated about what is happening and the danger that the road now poses to them if they treat it as they did when it was full of potholes and only traversable by vehicles at 10 kph, we will see a tragic rise in injury and death from something that at the same time is bringing development. I ask the Minister to comment on that.

Finally, there is the question of armed violence. I have already referred to the violence in Afghanistan, which has caused so much disability there and, of course, among members of our brave armed forces who have been injured there. However, there are many conflict states in which DFID is rightly engaged and spending up to 30% of its budget. I stress the importance of this issue, and ask what work is being done, or continuing to be done, to ensure that the kind of things that cause disability, such as improvised explosive devices, are dealt with, because conflict is probably one of the single biggest causes of disability. With that, I conclude my remarks.