International Development (Official Development Assistance Target) Bill

Debate between Lord Fowler and Baroness Northover

Friday 6th February 2015 Lords Chamber

[Baroness Northover]

I understand what my noble friend is saying. I can totally refute that. If the noble Lord were to look carefully at what the Global Fund manages to achieve, because it is a large-scale operation that is able to assist in the poorest of countries with the greatest need, or if he were to look at Gavi, which deals with vaccines and vaccine research, he would see that our supporting vaccinations directly through our bilateral programmes may not be the best way to go. Working with Gates and others in a very large enterprise brings down the prices, invests in research and takes forward vaccination, which has saved millions and millions of children’s lives.

[Lord Fowler]

Would my noble friend also agree that the Global Fund is probably one of the most cost-effective organisations in the world in bringing aid? That is value for money that the British taxpayer gets.

[Baroness Northover]

I am extremely happy to endorse that.

Health: HIV

Debate between Lord Fowler and Baroness Northover

Monday 17th November 2014 Lords Chamber

[Lord Fowler]

To ask Her Majesty’s Government what is their latest estimate of the number of men, women and children around the world who have contracted HIV.

[The Parliamentary Under-Secretary of State, Department for International Development (Baroness Northover) (LD)]

My Lords, according to the UNAIDS Gap report published in July 2014, globally it is estimated that 2.1 million men, women and children became newly infected with HIV in 2013, which is down from 3.4 million in 2001. It is estimated that 35 million people are now living with HIV.

[Lord Fowler (Con)]

My Lords, is not the worst feature of that figure of 35 million people living with HIV around the world that half of them are undiagnosed, and the principal reason is that people are prevented coming forward for testing because of the prejudice and fear that surrounds this area? As we approach World AIDS Day in about a week’s time, will the Government renew their efforts to persuade a change of policy in the 80 countries around the world, several of which are in the Commonwealth, where homosexuality is still a criminal offence?

[Baroness Northover]

I start by paying tribute to my noble friend for his outstanding work in this field, and not least for his new book, which I have been reading with great interest, AIDS: Don’t Die of Prejudice. He makes a very strong case not only for action in the United Kingdom—which, of course, he led on, and which I hope he will agree we have maintained—but for very active work overseas. It is by being inclusive, not stigmatising, and by making sure that prevention, treatment and care are all taken forward for everybody that we will indeed turn this around.

Marriage (Same Sex Couples) Act 2013

Debate between Lord Fowler and Baroness Northover

Wednesday 30th July 2014 Lords Chamber

[Lord Fowler]

To ask Her Majesty’s Government whether they are satisfied with the enactment and operation of the Marriage (Same Sex Couples) Act 2013.

[Baroness Northover (LD)]

My Lords, the first marriages of same-sex couples took place on 29 March—sooner than we had originally thought possible. We intend to bring the remaining elements of the Act into force on 10 December, enabling couples in a civil partnership to convert it into a marriage, and couples to stay married, if they wish to do so, when one or both of them changes legal gender.

[Lord Fowler (Con)]

I congratulate the Government on their progress but perhaps I could raise one point. Canon Jeremy Pemberton married his partner in April, as a result of which he has had his permission to work as a priest in Nottinghamshire revoked and been banned from seeking a new post as a chaplain and bereavement manager. Given that there are other clergymen at similar risk, will the Minister, as a matter of good will, look at the position and see whether anything can be done to help reconcile the difficulties?

[Baroness Northover]

My Lords, I thank the noble Lord for his thanks to the Government on this. I was a guest at a same-sex marriage very recently and found it extremely moving. The couple had had to overcome so many hurdles to get to a point that so many of us simply take for granted. My noble friend will know that the Bill sought to protect the position of religious organisations and that this is a matter for the Church of England. We hear what he says, and it is worth also bearing in mind that things can evolve. For example, it is good that we should soon see women bishops.

Global Fund to Fight AIDS, Tuberculosis and Malaria

Debate between Lord Fowler and Baroness Northover

Tuesday 3rd December 2013 Lords Chamber

[Baroness Northover]

The noble Lord is right that a generation affected by HIV is growing up. He will also know that a lot of work has gone into trying to make sure that there is no mother-to-child transmission of the disease, and that is very important for these young people. The global fund is well aware that there is a young population whose needs it has to address.

[Lord Fowler (Con)]

I wonder whether my noble friend saw the BBC “Panorama” programme on the global fund last night, with the best tabloid title “Where’s Our Aid Money Gone?”. Over the past 18 months, I have been to more than a dozen countries looking at the HIV position. Is my noble friend aware that, without the help of the global fund and the President’s fund in the United States, the world would be in a desperate position, with escalating disease? Although there have been exceptions, overwhelmingly this money has been well spent and has resulted in millions of lives being saved. Would it not be nice if “Panorama” reported that?

[Baroness Northover]

My noble friend is absolutely right. Cambodia, for example, which was highlighted in the programme, has seen an 80% decline in malaria deaths, a 45% fall in TB and a 50% decline in HIV cases. I pay tribute to what my noble friend has done to highlight the challenge of HIV/AIDS and to his fight for the global fund, which has been transformative in this area.

DfID: Tied Aid

Debate between Lord Fowler and Baroness Northover

Monday 11th March 2013 Lords Chamber

[Baroness Northover]

The Afghan Government chose to gain their legal advice in the way that I indicated. Consultancies are subject to open competition, so the noble Lord can be reassured in that regard.

[Lord Fowler]

I agree with what my noble friend set out as her department’s general policy. I have a specific question about the statement by the former Secretary of State that new money, extra money, would be going to the global fund for HIV and other diseases. Will that pledge be kept?

[Baroness Northover]

I am going to have to write to my noble friend to clarify that. I know that the Global Fund had some problems, with which he will be extremely familiar. I also know that DfID was working extremely closely with the Global Fund, because it had been so effective in the past, to bring it back to that position. I have not had the most recent update. I will make sure that he gets it.

Health and Social Care Bill: HIV/AIDS Programmes

Debate between Lord Fowler and Baroness Northover

Wednesday 21st March 2012 Lords Chamber

[Baroness Northover]

I assure the noble Baroness that the current high level of care and commissioning will continue. The reason the Commissioning Board is taking responsibility nationally is that this is a costly disease to treat and its prevalence is varied around the country, so it makes sense if the board has overall responsibility for that. As the noble Baroness knows, public health has moved to the local authorities, which is why it is appropriate for prevention to be placed at that level. With regard to joining up care, as she knows, the health and well-being boards locally will do a great deal to ensure that they look at the needs of the population in that locality and that care is delivered appropriately in their local area.

[Lord Fowler]

My Lords, in preventing the spread of HIV, does my noble friend agree that the most important step taken in the process of the health Bill was the Government’s decision that free HIV treatment should be made available for everyone in this country? When I withdrew my amendment, it was on the understanding that the Government would introduce their own statutory instrument. When will that happen, and when does my noble friend expect the new system to be in operation?

[Baroness Northover]

I thank my noble friend Lord Fowler for all that he has done in this area, not least on this particular change, which we were very happy to announce we would be taking forward. The important thing here is the protection of our population. The House of Lords Select Committee had rightly flagged that if some overseas visitors who were not currently covered were left in that situation, there would be an increased risk to our population. I am extremely glad to say that we have extended treatment to cover that group so that we can look after our population. We are on course for the timetable that we laid out before, and this should be introduced in the autumn.

Health and Social Care Bill

Debate between Lord Fowler and Baroness Northover

Wednesday 7th December 2011 Lords Chamber

[Baroness Northover]

My Lords, I am very grateful to my noble friend Lord Fowler for the constructive way in which he has raised this amendment and I pay credit, as others have to done, to his continuing, enormous commitment to improving HIV services for all. I also pay tribute to other noble Lords who contributed to this debate and to this long battle over many years. I will commit to having considered by Report the arguments and proposals set out by my noble friend.

The Department of Health is indeed currently concluding an internal review of the current policy to charge some people for HIV treatment. We will be concluding this review by the new year, including any discussions with the other government departments which will have an interest. The review has considered many of the issues raised by noble Lords today. These include the increasing evidence of the public health benefits of early diagnosis and the role of HIV treatment in reducing onward transmission of HIV.

In the UK, around 25 per cent of people with HIV are unaware of their infection, which means they are unable to benefit from effective treatment and risk transmitting HIV to others. Promoting HIV testing to reduce undiagnosed HIV and late diagnosis remain important priorities for HIV prevention. We would be very concerned if our current policy were to deter people from testing for HIV, even though testing has always been free of charge to all. Those already entitled to free HIV treatment and care include asylum seekers and, from 1 August this year, failed asylum seekers receiving specific support packages from the UK Border Agency. Further, failed asylum seekers who are already receiving HIV treatment when their asylum application and any appeal fails continue to receive free HIV treatment up to the point that they leave the country, regardless of whether or not they receive the UK Border Agency support.

However, I acknowledge that a small number of vulnerable people will not be covered by the current exemptions and they may be deterred from accessing HIV testing services because they cannot afford treatment or are confused about the entitlement to free NHS treatment.

The world has made huge progress against the HIV epidemic in the 30 years since AIDS was first identified. Globally, new infections have fallen, and nearly 7 million people are on ARV treatment. While there is currently no significant evidence of health tourism in relation to HIV, in considering any changes to our current policy we must make sure we that we do not create an incentive for people to come to the UK for the purpose of free HIV treatment, without compromising our overriding responsibility for public health. I stress again that our overriding responsibility is to public health. As my noble friend Lord Fowler said, the Select Committee on HIV examined the issue of health tourism.

In conclusion, the department's review identified and considered many of the issues raised today. We are now looking urgently at how these can best be addressed. I assure my noble friend that we will provide a clear position in time for Report. I hope that in the light of this he will feel able to withdraw his amendment.

[Lord Fowler]

My Lords, I thank the Minister for that very sympathetic and understanding reply. We obviously understand that a review is taking place and take comfort from the fact that it will be complete by Report. She will have noticed that support has come from all parts of the House. I think that it would have come from the Liberal Democrats; I know that they share this view. Therefore, every party, including the Bishops' Bench—for which I am very grateful—is represented. Perhaps I may say that the House has left its visiting card on the issue. We look forward to Report and to the statement of policy that I am sure will come by then. Given the Minister’s assurance, I beg leave to withdraw the amendment.