NHS: Global Health

Lord Patel Excerpts

Monday 20th December 2010 Lords Chamber

[Lord Patel]

My Lords, the noble Lord, Lord Dholakia, exaggerates my contribution to Ethiopia or anywhere else but I thank him for that.

On 5 May 2009, Barack Obama, in announcing a $63 billion programme of global health, said:

“We will not be successful in our efforts to end deaths from AIDS, malaria and tuberculosis unless we do more to improve health systems around the world, focus our efforts on child and maternal health, and ensure that best practices drive the funding for these programs”.

The noble Lord, Lord Crisp, to whom I am grateful for initiating this debate, remarked that the USA and certain other countries are well ahead of us in developing global health as a universal programme of the country. That is not to say that many universities in our land have not embraced the issue of global health. I declare an interest. I am affiliated with the University of Dundee in many ways. I am proud that the university has a module in year two of medical students’ training that gives them knowledge and some experience of global health. We run a summer school on a yearly basis that advances epidemiology and global health issues and we also have a major research programme in the university for developing drugs for the less well known tropical diseases.

There are also other universities, including UCL and KCL, which have also started such programmes. We need to do the same as the United States has done and drive this further, to develop a university consortium of global health in the United Kingdom that promotes learning, education, scholarships and also research. That is something we need to address and it could be addressed by the Department of Health because it is primarily a health issue.

Both our research organisations, the Medical Research Council and the Wellcome Trust, have major research programmes and fellowships that drive them. My college, the Royal College of Obstetricians and Gynaecologists, has programmes for global health but the constraint has been the ability to find funding for trainees who wish to take part in overseas training as part of their training. Both the Royal College of Obstetricians and Gynaecologists and the Royal College of Paediatrics and Child Health have such programmes. The modules that these trainees undertake overseas are accredited on a case by case basis. The funding, however, is not available and neither is there flexibility in specialist training. That is something that again the Department of Health can assist with.

I am privileged to be associated with an international organisation that has developed training and service in areas of obstetric fistula from which some 2 million women worldwide suffer. The noble Lord, Lord McColl, has worked in this area and he referred to his commitment to working with Mercy Ships. He deserves the gratitude of those women in areas in which he has worked for years. We have developed a curriculum for training in this area of obstetric fistula which has now been accepted by all the obstetric fistula surgeons worldwide.

The organisation also works with the Bill & Melinda Gates Foundation, receiving funding from them of more than $10 million over a period of five years to develop a strengthened health system across the United Kingdom. In that respect, Scotland has a programme with which the University of Dundee is heavily involved, including a programme in Malawi for health systems. Our fifth-year medical students go there for attachment for a period of six weeks on a yearly basis.

There are good things being done in this country, but both DfID and the Department of Health can help develop these educational training programmes further. I hope that the Minister will comment on that.