(10 years, 6 months 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.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Before the hon. Lady intervenes, I clarify that interventions are acceptable with the agreement of the hon. Member for Birmingham, Ladywood (Shabana Mahmood) but speeches are not acceptable unless the hon. Lady and the Minister have agreed. The Chairman should also be informed.
Thank you, Mr Dobbin. I will make an intervention.
My hon. Friend the Member for Birmingham, Ladywood (Shabana Mahmood) mentioned our visit to Bangladesh, and it is clear from that visit that, across the board in the garment industry, people face a threat to their life every day in such places. That was highlighted by the most appalling tragedy last year in the Rana Plaza accident.
My question is both to my hon. Friend and to the Minister. I seek progress and pressure from our Government to ensure that the issues with labour standards and building regulations that we found in our report are addressed quickly so that we see no further tragedies. Does my hon. Friend agree that the Government should put more pressure on companies that have not paid compensation? Only $15 million of the $40 million has been paid. Will the Minister support the “No more fashion victims” campaign led by Labour Behind the Label and Katharine Hamnett, which seeks to apply such pressure?
I thank my hon. Friend for that intervention, which highlighted a number of important issues. I will come to building standards a little later.
As I was saying, I did not feel that even what I accepted was a good factory represented a safe environment in which I would happily rock up for work, do my shift and go home without thinking that I had taken my life in my hands. That is a stark reminder, if one were needed, that even with minimum standards in place—there has been a lot of good work on getting standards in place for the sector in Bangladesh post-Rana Plaza—there is a long way to go, first to meet those standards in the first place and then to get the kind of working conditions in that part of the world that workers in many other parts of the world, particularly in this country, enjoy.
(10 years, 11 months 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.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I congratulate the hon. Gentleman on securing this debate. I also warmly applaud the Government on the contribution and the commitment that they have made to the global health fund, which continues the work of the previous Government.
The hon. Gentleman mentioned the HIV position paper, which in fact was published only moments ago. He may be disappointed to note that the Government appear not to be putting quite as much emphasis on ensuring that they make the connection between HIV and TB. Will he insist that the Government continue a commitment to TB REACH and other programmes that address that serious problem?
Order. I suggest that when we have interventions, they are short.
Thank you, Mr Dobbin, and I thank the hon. Gentleman for his contribution. I am sure that the Minister will reflect on his point when he responds to the debate. It reinforces the point that I made earlier about the importance of the Government taking the opportunity to co-ordinate their efforts in relation to both HIV and TB, and the Minister will have heard those points.
Order. We have five speakers left, and I intend to call the shadow Minister at 3.40 pm.
It is a pleasure to serve under your chairmanship, Mr Dobbin; I thank you for giving me the time to speak in the debate. I congratulate my hon. Friend the Member for Scunthorpe (Nic Dakin) on securing the debate, which is close to my heart, as I am the co-chair of the all-party group on global tuberculosis. I also congratulate and thank the many agencies and non-governmental organisations that work in this field, which have helped to raise the issue and bring it to the top of the world agenda.
There is an urgent need to address TB worldwide, but we must not forget that it is still a big concern in the UK, where the rate of TB cases is the highest in western Europe, with 9,000 cases last year alone. My constituency has the second highest rate in the country—156.8 cases per 100,000 people, roughly six times higher than the UK average and equivalent to the rate in Tanzania. It is important to remember that TB is very much a public health threat in parts of the UK, and that it affects people’s health every day, often with long-lasting consequences.
One of the key barriers to treating and eliminating TB in this country is stigma. TB is an airborne, infectious disease, which is deemed incurable and is associated with poverty. Many people are reluctant to tell their families, partners and community when they have the disease, which means they are much less likely to be treated. In the UK, stigma is a barrier that prevents people from seeking treatment when they start to feel ill. It also makes it difficult for health workers to identify other people who might have been exposed, because patients are often reluctant to admit to the possibility of their having infected others.
We cannot afford to ignore TB. It needs to be prioritised and talked about so that people do not feel marginalised and ashamed. We need to ensure that they are aware that TB can be treated and that they seek treatment when they fall ill.
We have a great health centre in Southall that offers TB screening, diagnosis and treatment. However, a third of patients in the area had a delay of more than three months between symptom onset and diagnosis. Although the proportion of people completing treatment was similar to the London average, slightly more were lost to follow-up.
We need to support social outreach projects in high-risk areas as a means of engaging directly with the community, rather than wait for people to come to the health services. That will help to raise awareness and stymie stigmatising, and will enable us to diagnose and treat TB earlier in at-risk communities. Case finding needs to be an active process to ensure that cases of TB do not fall between the cracks and remain untreated.
On a local and community level, outreach projects are crucial, but it is essential that we also have a national strategy on TB. The all-party group on global tuberculosis led the way in calling for a national strategy on TB. It is encouraging that Public Health England is currently developing such a strategy, which will be published in 2014. The national strategy will drive best practice throughout the UK’s clinical and social care for TB, but we must ensure that it is closely integrated with other Government policies on TB, including those of the UK Border Agency and the Department for International Development.
An interdepartmental ministerial group on TB performed that task at the turn of the century, but unfortunately it produced only one report before folding. That group should be revived. TB affects a wide range of Departments, and efforts must be made to enhance co-operation and co-ordination across their policies and interventions to provide the most effective response to TB in this country. A formalised, recognised structure with appropriate support is the best way to make that happen.
TB has been neglected for too long. It is a disease that people do not talk about and have forgotten, which increases stigma and reduces the likelihood that those in need will receive treatment and care. The UK does not need to commit finances to make a difference to how the disease is perceived, but it does need to show leadership and commitment domestically and abroad. It can do that by reaffirming that TB is a serious threat and a priority, and by committing to a local community strategy accompanied by a national, co-ordinated interdepartmental approach.
I have enjoyed the debate very much. In a former life, I worked in an infectious diseases hospital, specialising in TB.
(11 years ago)
Commons ChamberWe all want to see the post office network survive and thrive. Unlike the last Government, who saw nearly a third of the rural post office network close, we have committed that no post office will close in this Parliament. I absolutely hear what my hon. Friend says. The current arrangements for collecting pensions and benefits at post offices will remain in place at least until 2015, and the Department for Work and Pensions and the Post Office are discussing an extension to 2017.
Q4. A total of 1.5 million people in the UK are addicted to the benzoates diazepam and “Z drugs”. I know of one individual who has been on those products for more than 45 years—a total life ruined. They are not drug misusers; they are victims of the system of repeat prescriptions. Will the Prime Minister advise the Department of Health to give some guidance to the clinical commissioning groups to introduce withdrawal programmes in line with the advice from Professor Heather Ashton of Newcastle university, who is the expert in this field, to give these people back their lives?
First, I pay tribute to the hon. Gentleman, who has campaigned strongly on this issue over many years. I join him in paying tribute to Professor Ashton, whom I know has considerable expertise in this area. He is right to say that this is a terrible affliction; these people are not drug addicts but they have become hooked on repeat prescriptions of tranquillisers. The Minister for public health is very happy to discuss this issue with him and, as he says, make sure that the relevant guidance can be issued.
(11 years, 11 months ago)
Commons ChamberI congratulate the hon. Member for Belfast East (Naomi Long) on choosing this subject for the debate. I should also like to thank the Minister, who I am sure has okayed my contribution this evening.
I speak as the co-chair of the all-party parliamentary group on child health and vaccine preventable diseases. The other co-chair is Lord Avebury. I tabled an early-day motion recently on this subject, and it now has quite a number of signatures. I am also vice-chairman of the Council of Europe public health committee.
Diarrhoea is the most common cause of childhood illness and kills about 760,000 children each year. Around 90% of those deaths are caused by a lack of access to safe water, adequate sanitation and hygiene. Those deaths are preventable. Vaccines against rotavirus, the most common and severe diarrhoea in children, are critical, and their availability is a major development in public health. However, those vaccines should not be seen as a silver bullet for tackling diarrhoea; nor can they address the other health impacts of a lack of sanitation.
Reducing deaths from the top killers of children requires the prioritisation of interventions across different sectors, including health, nutrition, hygiene, water and sanitation. We must apply the package of prevention and treatment solutions that we know to be effective, and this must be built on solid collaboration between health systems and the water and sanitation sector.
This was reinforced last year when I visited health care facilities in Bangladesh and Kenya, where we were launching a programme of vaccination. I witnessed extremely successful vaccination programmes in both countries, which were helping to protect children against terrible diseases such as pneumonia. During my visit, however, I was struck by the poor levels of basic sanitation and access to clean water at many of the health care facilities we visited. This emphasised to me how important it is to ensure that preventive measures such as vaccines are coupled with improvements in sanitation and access to clean water.
I also saw on these visits small wards packed with up to 25 children, with the mothers in the same ward. I saw three babies in one incubator, and I saw a single oxygen cylinder with five or six lines coming out of it. It is all the basic stuff that is missing there. The vaccination was great—it is absolutely superb—and the efforts of the medics and nursing staff in each of these hospitals was just brilliant. The common basic hygiene and sanitation, however, are just not there.
It so happens that I will be in Geneva tomorrow with the Earl of Dundee, who is the chairman of my Council of Europe committee. We are going to be in discussions with the World Health Organisation, UNESCO and the Global Alliance for Vaccines and Immunisation. The issue of sanitation is one that we want to raise, because this is a global problem that needs to be tackled globally. I wanted to make only a short contribution; I will be interested to hear the Minister’s response.
(12 years ago)
Commons ChamberI am always happy to talk to colleagues about this issue, as are, I know, the Ministry of Defence and the Secretary of State. As my hon. Friend knows, we have had to make difficult decisions to put in place the future structure of the Army, with 82,000 regular soldiers and a larger reserve of 30,000 Territorial Army soldiers. I think that is the right approach. Clearly we have had to make some difficult decisions about regiments and about battalions, and in that we were guided by trying to save as many regiments and cap badges as possible. I think that the proposals have taken that into account and are right, but of course the Defence Secretary will go on listening to representations.
Q13. Will the Prime Minister confirm that the overall cost of the changes to child benefit, which are due to be introduced next January, will be more than £100 million?
The changes that we are making to child benefit, where we are taking child benefit away altogether from those people earning over £60,000, are going to save around £2 billion. It is necessary to take tough decisions in order to deal with the massive deficit—bigger than Greece’s, bigger than Spain’s—that the hon. Gentleman’s party left us. I have to say that I find it completely inexplicable that the Labour party, which says that it wants those with the broadest backs to share some of the burden, opposes the idea of taking child benefit away from people who earn over £60,000, £70,000, £80,000 and £90,000. I do not see why those on the Opposition Front Bench should go on collecting their child benefit when we are having to make so many other difficult decisions.
(12 years, 3 months ago)
Commons ChamberI quite understand why my right hon. Friend wants to speak up for people in his constituency who want a better train service. What I can say to him is that as part of the new rail franchise in East Anglia, which will be let in the summer of 2014, we will be asking bidders to propose affordable investment aimed at improving services. I am sure that they will listen carefully to what he has said today.
Q7. The Government rightly donate millions in overseas aid to developing countries, including India, to eradicate poverty and disease. Despite that, the Canadian Government, including the Government of Quebec, are to invest 58 million dollars in an asbestos-producing mine; this is not for use in Canada, of course, but to export to developing countries, including India, which will put thousands of poor people at risk from deadly asbestosis and mesothelioma. Will the Prime Minister and the International Development Secretary encourage international communities, including the World Health Organisation, to oppose this quite outrageous decision?
I will be seeing the head of the WHO later today, so I can raise this issue with them. As the hon. Gentleman knows, asbestos is banned in the UK, in the EU and in a number of other countries. We are totally opposed to its use anywhere and would deplore its supply to developing countries. The Department for International Development does not provide funding to projects that encourage developing countries to import asbestos from any country or for any purpose. We are not aware that DFID funds have been used in that way at all and I would take urgent action were they to have been, but he makes a strong point about the Indian situation.
(12 years, 11 months ago)
Commons ChamberI very much hope that all councils will take up the offer of a council tax freeze, because in this year of all years, when people face economic hardship, it is important that we help where we can. That is why we have cut the petrol tax. That is why we have allowed the council tax freeze to go ahead. So my advice to people in the hon. Gentleman’s constituency would be to support parties that back a council tax freeze.
Q7. Since the Education Act 1944, successive Governments have supported subsidised travel for students who live 3 miles or more from the faith school of their choice. Some local authorities are beginning to cut back on that financial support, and I do not think any Member in this House wants to see that happen. Can the Prime Minister encourage local authorities to embrace the spirit of the 1944 Act on this particular issue?
The hon. Gentleman asks a very important question. I support school choice—parents having the ability to choose between schools—and I also support faith schools. Indeed, I have chosen a faith school for my own children. So I will look very carefully at what he says and at what local authorities are doing, discuss it with the Education Secretary and see what we can do to enhance not only choice, but the faith-based education that many of our constituents choose.
(13 years, 8 months ago)
Commons ChamberAs part of the Government’s fulfilment of our historic pledge, we have set out specifically how climate change funding will rise as part of the overall budget.
Will the Secretary of State congratulate the Government of Kenya, the Global Alliance for Vaccines and Immunisation and all its funding partners, which include the United Kingdom, on the roll-out of their programme of pneumococcal vaccine on Monday? It will save thousands of children in Kenya and across Africa. We hope that it will be a rolling programme across the developing world.
The hon. Gentleman is absolutely right to underline the tremendous success of the vaccination programme. When we announce the results of the multilateral aid review, we shall show how Britain will give a real impetus to vaccination. As the Under-Secretary has just said, we shall host the GAVI conference in London in June and it will be opened by the Prime Minister.
(14 years, 5 months ago)
Commons ChamberWe are not really surprised, not least because of the letter that we got from the former Chief Secretary to the Treasury. I am glad to see that he has apologised for the letter, although he has not yet apologised for the legacy. My hon. Friend makes a good point. In addition, we have discovered that £320 million was spent on hotels, £1.5 billion on consultants and—this really did amaze me—one Department spent more than £140 per person on cut flowers and pot plants. Perhaps we could have a lottery to find out which one it was.
Q4. Four high schools in my constituency are in the last throes of the Building Schools for the Future programme: Matthew Moss high school in Castleton, Siddal Moor sports college, Holy Family—a new joint-faith school—and Middleton technology college in Middleton. Can the Prime Minister guarantee that that programme will be seen through to its completion, which would also help many of the construction workers in my constituency?
I know that the hon. Gentleman will be pleased to see that in making the £6 billion in-year reductions—many warnings were given about what that would mean—we have protected the schools budget, and ensured that schools and Sure Start are protected. In terms of building schools for the future, let me be clear: our plans—and our passion, when it comes to education—are to ensure that new schools are provided so that we have real excellence, in the secondary sector in particular. That is what it is about. Building schools for the future is exactly what our plans involve.