Sustainable Development Goals
Phillip Lee Excerpts(8 years, 8 months ago)
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Dr Phillip Lee (Bracknell) (Con)
I congratulate my hon. and learned Friend the Member for Sleaford and North Hykeham (Stephen Phillips) on securing this debate. I am struck that, over the course of my short life, the population of the globe has doubled. In looking at the rather numerous sustainable development goals, I note that there is no mention of population and the control thereof, by which I mean families and countries living within their means in terms of their populations. In view of the fact that population growth drives many of the problems that we are admirably seeking to deal with, it is a notable exception.
I was struck at first by the number of goals and the additional notes attached to those goals. Quite an industry seems to have grown up around the conversations that we have about the challenges that we all face. It concerns me that there has been such a growth in that industry and in the level of bureaucracy. I think we can all agree that a number of the goals are admirable and that we should seek to achieve them, but it worries me that we have ended up with 17 goals and more than 100 additional notes. If the Chamber will indulge me I will seek to try to slim down the number of goals that we should aim to achieve. I will do so not because I think anybody will necessarily implement Phillip Lee’s approach to development, but because it will highlight the fact that if we had more clarity and simplification, we may be much more successful in achieving our goals.
It is also noticeable that there is no mention of individual responsibility or of the word “opportunity”. Equality is all very well in some contexts in terms of outcomes, but we also need to emphasise that we need to see opportunity—the opportunity to be able to earn enough money to pay for food and a home.
Oliver Colvile (Plymouth, Sutton and Devonport) (Con)
Does my hon. Friend recognise that it is incredibly important to have good governance in those countries so that we can spend the money properly?
Dr Lee
Of course, and that is why I have never been particularly enthusiastic about setting a spending goal for international development funding. I would happily come here and vote to spend 1% of GDP if I thought that it would be spent effectively in countries with good governance. The problem is that there is a litany of development expenditure projects in countries where there is poor governance and where the money has not been spent appropriately or had the desired impact.
One of the goals on which I would concentrate is on healthy lives, but why not just have the simple goal of eradicating infectious disease? It is not simple to achieve, but it is simple to say and quantify. To eradicate infectious disease we must know where it is. I got into some trouble a couple of years ago for pointing out that we needed to know who had HIV and hepatitis among the migrant population. Unless we know where the disease is, how can we seek to eradicate it? I think eradicating infectious diseases such as HIV and hepatitis would be an admirable goal and shared by significant numbers of people in South Africa and the near vicinity.
My second goal would be to achieve gender equality. When I look at some communities in this country and some countries around the world, the absence of women in positions of power and female role models in communities and families is, in part, why those communities have problems. For example, I strongly believe that if we emancipated women in Pakistani, Somali and Bangladeshi communities in this country, they would be less likely to have problems with extremism and young men going on jihadi holidays to Syria and elsewhere.
My third goal would be to live within the means of the planet, which I think encompasses at least half a dozen of the goals that the report has sought to detail. If we live within the means of the planet we do not need to start talking about carbon dioxide emissions or anything else. If we live within the means of the planet we will be doing just that: the environment will be stable, biodiversity will be protected and we will all have access to sustainable energy and the like. Living within the means of the planet is complicated but something we can achieve, but let us keep the words simple so that we know what we are seeking to do.
My fourth goal would be to reduce inequality between countries, not within countries. If everybody was equal within a country, where would be the desire to better oneself? I do not believe in economic equality; it does not exist. We must have a sense of seeking to better ourselves and for our children to have a better life. That is human nature and part of the natural order of things. Inequality between countries is in part what is causing the current migration crisis. In fact, it is probably about inequality between continents. Anyone could have predicted 10, 20 or 30 years ago that there would be migrant pressure from Africa into Europe. It is economic migration because the population of Africa is growing at a much faster rate than that of Europe. If someone is born into Senegal, Ivory Coast, Nigeria or wherever, they will migrate for a better life, job, house and future for their families. That is a statement of the obvious and among the recent migration flux, which undoubtedly has something to do with war, significant numbers of people are also travelling from Africa for a better life.
Peter Grant (Glenrothes) (SNP)
I agree with the hon. Gentleman’s comments about some of the reasons why people in parts of Africa want to migrate to Europe. Was it deliberate or an oversight not to mention the idea that some or most of those people are migrating here to take advantage of the benefit system? Did he not mention that because he knows it is not the case?
Dr Lee
That intervention seeks to put words into my mouth that I did not say in an attempt to score a political point. Congratulations. I am not even going to address that point. The bigger picture is that people will move for a better life, and if there are more people on one continent and it is not as rich as another, it seems obvious that that will happen. That challenge will transcend not just my political lifetime but others to come, and it is something that we should discuss more.
My final goal would be to seek and disseminate knowledge. All these challenges require knowledge, understanding, innovation and invention. The challenges of peace and the stabilisation of the middle east and Africa require the dissemination of information to people there. If we are to have one goal above all it should be to seek new knowledge and disseminate it more widely.
Mrs Helen Grant
The goals are broad, but does my hon. Friend agree that their breadth is helpful to campaign groups in national countries so that they can bring Governments to account based on those extensive goals?
Dr Lee
That may well be the case, but my broader point is that if we have a shorter list and more clarity, we are more likely to achieve those goals.
It is admirable to think long term and strategically, and to address the big challenges, but I crave some simplicity and clarity so that we can all achieve what we want, which is a sustainable planet.
Refugee Camps
Phillip Lee Excerpts(9 years, 10 months ago)
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Lynne Featherstone
I will try and get through the points that all the Members have raised, and if I have time, I will come back to the hon. Gentleman.
Gaza was mentioned. Currently, only UNRWA, the International Committee of the Red Cross and the Palestinian Red Crescent Society have sufficient access even to respond. DFID is funding both UNRWA and the ICRC, and we have increased funding to both in response to the crisis. More than 100,000 people are now taking shelter in schools and communal buildings under the aegis of UNRWA. The Secretary of State announced £2 million of funding yesterday to the flash appeal, which was launched by UNRWA, but it is a moving situation, as I am sure my hon. Friend the Member for Bradford East appreciates. It is relatively new.
On the Palestinian refugees from Syria, many of them have fled Syria to Lebanon, Jordan, Egypt and elsewhere. They receive assistance from UNRWA in Lebanon and Jordan, and from the UNHCR in Egypt, because UNRWA does not have a mandate in Egypt. There are reports that the Palestinian refugees are finding it increasingly difficult to cross the borders out of Syria, which is a cause for concern. The UK has so far provided £25.5 million to UNRWA to assist it in Syria, Lebanon and Jordan.
Dr Lee
Has the Minister’s Department made any assessment of the need for additional medical services, particularly in the Zaatari camp in Jordan? I say that in the context of a debate I held a few months ago in the House, which was on a mobile army surgical hospital facility that Britain could build up and deploy in a place such as Zaatari.
Lynne Featherstone
If the hon. Gentleman will forgive me, I will write to him on that, because it adds a whole new area to the debate and I have only three minutes left.
The gateway protection scheme was mentioned by the hon. Member for Hackney South and Shoreditch. We want to focus our assistance on the most vulnerable people, rather than subscribing to a quota scheme. We have a vulnerable persons relocation scheme, which runs in parallel to the UNHCR’s own Syria humanitarian admission programme. We are determined to ensure that our assistance is targeted where it can have the most impact on the most refugees and those at the greatest risk. Our programme focuses on individual cases where evacuation from the region is the only option, and in particular, we are prioritising help for survivors of torture and violence and women and children at risk. The gateway protection scheme is operated by the UK Visas and Immigration partnership, as the hon. Lady knows, because she was a Home Office Minister. That is the Department from which the immigration side comes. It offers a legal route for resettlement for up to 750 refugees to settle in the UK each year.
We continue to be very concerned about the plight of the Syrian refugees. That crisis is not abating, and the UK has been at the forefront of the humanitarian response. The UK’s total funding for Syria and the region is now at £600 million, which is three times the size of its response to any other humanitarian crisis. My fear is that there are protracted crises looming, all coming together at a time when the world’s humanitarian effort is at its greatest, and resources are being severely stretched.
The UK tackles these issues in three ways. The first is at the global level, by providing support to the UNHCR to fulfil its mandate. In 2013, 43 million people relied on UNHCR assistance. We have a strong engagement with the UNHCR and participate in its executive committee. We also provide predictable and flexible global funding that allows the organisation to respond to the most urgent need.
The second way is through engagement on international humanitarian reform and, together with the Foreign and Commonwealth Office, international advocacy on the rights of refugee and other vulnerable populations. I can assure hon. Members that there is a real debate—for a long time the humanitarian effort was stuck, but I think that is moving now and the debate is opening up. The third way is at the country level, where the UK is engaged in many of the world’s most severe crises.
Effectively meeting the needs of growing refugee and other forcibly displaced populations is placing ever-increasing demands on stretched host states and the humanitarian system. The majority of those needs are concentrated in protracted crises in fragile and conflicted states. Access is a nightmare in many countries, and the situation is terrible. I appreciate the difference between the camps, but I think it is explicable by the circumstances in which those camps arrive—
Oral Answers to Questions
Phillip Lee Excerpts(10 years, 3 months ago)
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Duncan Hames (Chippenham) (LD)
5. What recent assessment she has made of the humanitarian situation in Syria; and if she will make a statement.
Dr Phillip Lee (Bracknell) (Con)
6. What steps she is taking to improve the co-ordination of humanitarian support for Syria and the surrounding region.
The Secretary of State for International Development (Justine Greening)
The humanitarian crisis in Syria has reached catastrophic proportions. In July last year, the United Nations estimated that more than 100,000 people had been killed. More than 9 million people in Syria now need humanitarian aid, 6.5 million of whom are internally displaced, and 2.4 million Syrians have fled the country. In Syria, 2 million children are out of school. The UK has led efforts to improve the co-ordination of the humanitarian response and the development of the “no lost generation” strategy, which is focused on helping the children affected by the crisis.
Justine Greening
We certainly will, and we have been pressing for access for many, many months. Of course, the sort of actions my hon. Friend describes are a breach of international humanitarian law.
Dr Lee
Does the Secretary of State agree that mobile Army surgical hospital units, which can be built in the UK, funded by DFID and deployed within 24 hours by our military, would be a further effective way of Britain providing humanitarian support to the people of Syria and the surrounding region?
Justine Greening
I know that my hon. Friend has held an Adjournment debate on this subject. Clearly, in Syria we are seeking to provide medical support, and although his idea may not be appropriate for Syria, it does have potential applicability for other humanitarian crises.
Mobile Army Surgical Hospital
Phillip Lee Excerpts(10 years, 7 months ago)
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Dr Phillip Lee (Bracknell) (Con)
I never thought I would see the day when the words “Mobile Army Surgical Hospital” would be the title of a debate of mine. I grew up watching the television series “MASH”, which partly inspired me to become a doctor. I want to make a serious proposal about a capability that this country should be able to deploy abroad. I started thinking about the issue following the Syria vote in August. I voted against both motions before the House that day. After that, I thought that I should come forward with a constructive suggestion for our engagement with the crisis in Syria. This is my suggestion.
I will present a history of field hospitals in general—just a brief one; don’t worry—and discuss the humanitarian response capability that we need. I shall then mention the challenges of bringing that about and, perhaps more importantly, the details of the facility.
I became a doctor for a number of reasons, but a couple of things spring to mind. One is a book called “The Red and Green Life Machine” written by a commander in the Royal Navy, a chap called Rick Jolly. The title refers to a field hospital in the Falklands war, set up in a disused abattoir in San Carlos bay. I read the book when I was about 13. I watched every single episode of “MASH” and developed desire and ambition—initially, to become a trauma orthopaedic surgeon. I subsequently went to medical school and decided that I would be a GP. What inspired me was the desire to do something to help people in distress.
However, I stress that I am no pacifist. I did not vote in August against the intervention lightly; in fact, I am in favour of quite significant intervention if it is well thought through, coherent and backed up with a strategy for the region. However, I am against the wilful, somewhat reckless destruction of assets in a small way because that can breed more problems going forward.
We are experiencing the ongoing crisis in Syria through our TV screens. I first visited the country in 1998 and I went back as vice-chairman of the Conservative middle east council in February 2011, about three weeks before the civil war started. I have a sense of association with the country. I enjoyed both my visits—particularly the first one, when I was backpacking around as a medical student. I visited Homs, Hama and the beautiful parts of Aleppo that I fear are no longer intact. When I came back from my second visit, I was gripped with a sense of foreboding that trouble was about to start, although not as quickly as it did. I also felt the sense that Britain’s engagement with the country in its crisis should be constructive and trying desperately to bring about a peaceful end to the war.
The problem is that since then there have been more than 100,000 deaths and more than 2 million people have migrated away from the chaos. There has been one public use of chemical weapons, and it has been suggested that there have been others. We have all had to endure some pretty appalling footage of death and destruction, primarily affecting innocent civilians—women and children. It is pretty shocking to have to endure it.
Our response should be multi-pronged. We could foresee a situation in which hard power is wielded, but soft power should also be considered. This is where I come to the MASH or mobile surgical hospital facility that I envisage for Britain. The history of field hospitals goes back to the Napoleonic wars and the gentleman called the father of combat medicine, Baron Dominique Jean Larrey. From that concept of forward surgical hospitals bringing medical support to combatants at the front line, things developed slowly. I guess that the fastest development took place during the Korean war in the early 1950s; the “MASH” TV series is based on that war, although it was always associated with the Vietnam war because of when it was made. During the Korean war, major developments were made in pushing field hospitals closer to the front line. There was the famous image of a Bell helicopter with two casualties strapped into stretchers on either side, with the purpose of bringing people back to be treated very quickly. The dictum was, “Life takes precedence over limb, function over anatomical defects.”
Since then, there have been massive advances. I have not yet visited the hospital at Camp Bastion in Afghanistan, but I am told that it is a remarkable facility delivering the very best trauma care. Of particular note to Britain is our experience in Kosovo in 1999, where the British Army managed to create, in effect, a tented village for a load of refugees as well as medical facilities. It was a fantastic success, and proof of what our military are capable of.
Jim Shannon (Strangford) (DUP)
I congratulate the hon. Gentleman on bringing this innovative idea to the House for consideration. I have a Territorial Army ambulance unit in my constituency and they are renowned for the good work that they have done and can do. Does he see the MASH unit being staffed by regular soldiers or TA soldiers, because I believe that both could do the job equally well?
Bob Stewart (Beckenham) (Con)
I had a field surgical team under my command in Bosnia in 1992-93. It was absolutely vital, and it was operated by a mixture of regulars and territorials. We must not think that this is necessarily soft power, because it needs security and it needs to be guarded.
Dr Lee
I thank my hon. Friend, who of course has a wealth of experience in the field in this matter. I was also going to come to the need for security. In the discussions I have had since I first mentioned this at Defence questions, there has been some disagreement about the level of security required.
The broader point is that this is about the re-tasking of our armed forces. Clearly a lot of change is going on at the Ministry of Defence and there are some cuts to regiments and to forces, but there is also a need to reconfigure forces so that they are interested in delivering not just hard power but softer power. Ultimately, in any response to a crisis—it could be a natural catastrophe such as an earthquake as well as the civil war in Syria—there needs to be joined-up thinking across all the parts of Government that would be involved.
Jonathan Lord (Woking) (Con)
I congratulate my hon. Friend on securing this debate and on the excellent idea that he is putting forward, which has my full support. There have been big increases in the budget for our international development funds but quite severe decreases in the defence budget. Perhaps this is a question for the Minister rather than my hon. Friend, but is there not a strong argument that when the Army is deployed on humanitarian grounds the money should come out of DFID’s budget rather than the Ministry of Defence’s budget?
Dr Lee
Yes, I was going to come to that. There should be a DFID-funded capability.
The capability needs to be constructive. A friend of mine has talked about having blue overalls, not blue helmets. In other words, we have a United Nations force with blue helmets, so why do we not have a force of people in blue overalls? Our intervention should not necessarily be military in appearance—we can also intervene in other ways. The capability should be resourceful. We are good at this stuff. We can draw on our experiences in the Balkans and the Falklands—I mentioned Rick Jolly’s field hospital—and prior to that. We are very good at this; we have the clinical expertise, in particular. The capability should be able to be expeditionary—that is, to go abroad. In the case of Syria, I foresee a situation where it could be located in a friendly country such as Jordan. It should also have a domestic application. God forbid that there is ever a chemical attack in this country, but the facility could also be deployed here.
The core goal should be to try to develop a stable world that we all appreciate, and that can be brought about by making friends and influencing people. The Arab street is not necessarily with the British or the Americans. We need to persuade civilians on the ground that we do not always have a malign, vested interest—a sense that we are just doing it for ourselves—in our approach to the middle east, but that we are there to do constructive and good things and to genuinely help people.
Turning to details and capacity, as a result of the conversations I have had I envisage a facility with at least 50 beds, perhaps more. If it is as successful as I think it will be I suspect we will extend it, but 50 beds is a good starting point. I think it should include a CT scanner, which is often not available in more rural areas and far-flung destinations. It is possible to put CT scanners in containers and companies such as Marshall Land Systems in Cambridge make container hospitals. There is no reason why we cannot do this. We need to consider whether the facility should also have paediatric and obstetric services, because it is not just soldiers such as those in the “MASH” television series who will be coming in, but children who have been affected by a neurological agent—such as those we saw in that dreadful footage—and pregnant women who have sustained injuries.
Cost is always relevant when it comes to Government spending and there are some figures available. Apparently the Finns purchased a hospital for deployment for about £5 million. I envisage that my proposal will probably cost between £5 million and £10 million. I think it should be a military asset, because the military is best placed to run it, but it should be staffed primarily with reservists, not regulars. Military logistics are important: the army are the best people to get this facility quickly into the field, and Kosovo is an example of that. The army’s command and control systems are relevant.
My hon. Friend the Member for Beckenham (Bob Stewart) has rightly referred to the facility’s security, which is of paramount importance. I think it would be a target. The facility would focus on hearts and minds and on delivering care on the ground, and if I were an Islamist jihadist I would think, “We need to knock that out, because it’s going to start changing minds and attitudes.” The facility’s security would need some thought. For example, RAF Akrotiri is stationed close to Syria and the deployment of troops may need to be considered in exceptional circumstances.
Clarity of funding is clearly important, as my hon. Friend the Member for Woking (Jonathan Lord) has said. The politics of international aid are tough on the doorsteps of Bracknell—trust me: I experience it quite often. This proposal would be one way of using DFID funds for something that is demonstrably humanitarian and of leveraging in some funds to a defence asset that would be used primarily for humanitarian purposes, but—this would always be at the back of my mind—that could also be deployed if we ever go to war.
Jim Shannon
We are discussing examples of armed conflict in places such as Syria and Kosovo. Does the hon. Gentleman also see this MASH unit playing a role in responding to humanitarian crises or disasters?
Dr Lee
Yes, I do. In fact, the last American MASH unit was deployed in response to the 2006 earthquake in Pakistan and it was then given to the Pakistanis. I would hope that the facility would be used less for military purposes. There are likely to be future crises and I think it should be used in response to them.
Bob Stewart
I am sorry to intervene a second time, but it strikes me that, if this facility is going to work, the way to demilitarise it would be for it to be connected to the British Red Cross or the International Committee of the Red Cross. That way it would certainly get some kind of international protection in terms of security.
Dr Lee
I am personally not against it, but I gather that there are difficulties.
Why do we not have such a facility? I wonder about that. DFID has global respect and does good work. There are issues with DFID funding—I am thinking of audit trails in sub-Saharan Africa and the like—and concerns have been expressed on where the money eventually ends up. In this situation, we can spend the money here at home for humanitarian aid. As I understand the definition of international development funding, that is acceptable. Indeed, we could use Marshall of Cambridge—my hon. Friend the Member for North East Cambridgeshire (Stephen Barclay) has joined us in the Chamber. We could buy the facility new at home, and DFID money could, as I understand it, be used for such a humanitarian purpose.
Why is that not happening? Is it silo thinking? Is it to do with DFID not talking to the Ministry of Defence or the Foreign Office? If that is the case, we have a responsibility to try to overcome such bureaucratic hurdles. I recognise that the MOD has concerns about the long-term liability of cost and staffing. I am sure the NHS will have questions, such as, “You’re taking my orthopaedic consultant. Who’s going to do his list?” There are problems, and I have not come to the Chamber with a perfect project outlined and ready to go, but I see no reason whatever why the project cannot be brought about. If we could establish a British MASH unit with a Union Jack on the side of it, it would be fantastic for this country. Our reputation would be enhanced, and such a facility is clearly desperately needed in Syria and the surrounding countries. We are dealing with a significant humanitarian crisis. I know the Minister and his Department are responding in a good way, but that added capability would be much valued. We can do it and do it well.
I shall conclude with a quote which, of course, has to be from “MASH”—I was expecting to turn up in the Chamber to hear hon. Members humming the tune. The quote is from Hawkeye Pierce, the primary character in the series.
“I’m very impressed now with the terrible fragility of the human body and the unbelievable resiliency of the human spirit.”
By creating such a capability, we would display the best facets of that human spirit—we are all human beings. The quote comes from an episode titled, “Our Finest Hour”. If we were to bring that capability about, it would play a part in creating a further finest hour in the history of this country.