Accident and Emergency Departments

Debate between Siobhain McDonagh and Gareth Thomas

Thursday 7th February 2013 Commons Chamber

[Mr Gareth Thomas (Harrow West) (Lab/Co-op)]

I greatly enjoyed the speech of the hon. Member for Ealing Central and Acton (Angie Bray) and share many of her sentiments, but I hope she will forgive me for saying that her contribution lacked a sense of regional and national context. Despite the pretence of a national review, to which my hon. Friend the Member for Ealing, Southall (Mr Sharma) alluded, closing substantial numbers of A and E units is clearly now Government policy. Professor Matthew Cooke has been advising the Department of Health on A and E issues—he did so last year, at least. He has spoken to NHS North West London, supporting its plans to close four of our nine A and E departments, and he was reported in the Daily Mail as saying that those plans were in line with national Government policy.

At the 2010 general election, the Conservative party manifesto promised to stop the closure of A and E departments. Indeed, I think the Prime Minister insisted there would be a moratorium to stop further A and E closures. If I remember rightly, during the election campaign the Prime Minister visited Chase Farm A and E department in London and Queen Mary’s A and E department in Sidcup, promising to stop their closure.

[Siobhain McDonagh]

And Kingston, too.

[Mr Thomas]

Yes, and Kingston, too. Both Chase Farm and Queen Mary’s A and E have either closed already or are earmarked for closure this autumn.

My hon. Friend the Member for Ilford South (Mike Gapes) referred to the planned closure of A and E services at King George hospital in Redbridge, and Epsom and St Helier hospital in Sutton, which has also been mentioned, is also set for closure.

We have all heard about the scandal of the events in Lewisham, where doctors do not support the closure of the A and E department, but it is still going to close. I thought the whole point of the recent NHS Act was to give doctors control over service delivery. That has clearly gone out of the window now.

Sri Lanka

Debate between Siobhain McDonagh and Gareth Thomas

Tuesday 8th January 2013 Westminster Hall

[Siobhain McDonagh]

I absolutely agree with my hon. Friend. We all have faith in the Minister, and we ask him to take action.

As there is no justice or accountability with the LLRC, what we see instead is a culture of impunity—enforced disappearances, extrajudicial killings, gender-based violence as well as the recent trumped-up impeachment proceedings against the Chief Justice—which is testament to the breakdown of the rule of law in Sri Lanka. Just as we had a responsibility to protect civilians at the time of the killings, so too do we now for ensuring that there is accountability.

[Mr Gareth Thomas (Harrow West) (Lab/Co-op)]

Does my hon. Friend accept that there are credible reports that torture is routinely being used against the Tamil community remaining in Sri Lanka? Constituents have come to my surgery with clear evidence of torture, which backs up the more widespread reports from Amnesty International and Human Rights Watch that torture is still going on routinely in the country.

[Siobhain McDonagh]

I completely accept what my hon. Friend says about the ongoing torture against Tamils in Sri Lanka. It must be said though that other ethnic groups are also being tortured now.

Without accountability, we are seeing torture, disappearances and killings, yet the Commonwealth Heads of Government meeting is still scheduled to take place in Colombo in November. What sort of message does that send out? The Commonwealth was right a couple of years ago to take away from Sri Lanka the honour of hosting a summit. If it was right to do that then, how can it be right now to let Sri Lanka have that honour when our fears about its Government have been confirmed? Canada has bravely stated that it will not attend the 2013 summit unless significant progress is made on human rights and accountability. Why cannot Britain show the same leadership? Why are we so determined to brush accountability under the carpet, just as the UN did with the evidence of atrocities four years ago?

In November, I wrote to the Prime Minister imploring him to do the responsible thing. I pointed out that the number of people who had been killed in the space of just five months was roughly the same as the entire population of the major towns of his constituency: Witney, Carterton and Chipping Norton. Those poor people were herded into an area smaller than the Prime Minister’s constituency, tricked into believing that it was a safe zone and then relentlessly targeted while the institutions of the international community made a deliberate choice not to help, even though they knew what was happening. I pointed out that Britain’s Tamil community, which numbers more than 250,000 people, is still grieving. I asked what the British Government were doing to ensure that there is justice for Tamils now. In particular, I said that it would send out a terrible message if Sri Lanka were permitted the honour of hosting the CHOGM. I said:

“If a nation had systematically killed every single person you knew in Witney, Carterton and Chipping Norton, raping and murdering in cold blood, I do not think that you would find it acceptable for that Government to host an event as prestigious as a Commonwealth summit, or for our Government to attend… The international community has admitted it failed to help Tamils before, and cancelling the summit will ensure that mistake is not compounded.”

--- Later in debate ---

[Siobhain McDonagh]

I am amazed by the hon. Gentleman’s intervention. As he knows, the process towards reconciliation has taken 600 years in Ireland. It is a struggle with which I am well acquainted because of my own family background. Unlike the Sri Lankan Government, the British Government under different parties accepted that there were things that they could and could not do. I accept that there were atrocities and human rights violations on the part of the Liberation Tigers of Tamil Eelam. Democratically elected Governments are always judged to a higher standard.

Let me continue with what I said to the Prime Minister:

“The international community has admitted it failed to help Tamils before, and cancelling the summit will ensure that mistake is not compounded. I believe it is in the international community’s best interests—and the best interests of the United Kingdom, as well as of Sri Lanka—for there to be an independent international investigation into war crimes in order to bring a lasting peace in Sri Lanka after such a long period of ethnic conflict. However, while this continues not to take place, Sri Lanka should not be hosting the Commonwealth summit.”

The response was weak. The Prime Minister himself did not answer my letter, passing it instead to the Foreign Secretary. The reply was very disappointing. First, instead of supporting an international inquiry into Sri Lanka’s behaviour, he said that the Government

“believe that the process of reconciliation has a greater chance of success if investigations are Sri Lankan-led rather than externally imposed.”

He said that the British Government were concerned about the human rights abuses in Sri Lanka, such as

“disappearances, political violence and reports of torture in custody.”

However, what will the British Government do about them? We have not stopped deporting Tamils who are claiming asylum, even though most reasonable people would think that any Tamil who made a big deal about hating the Sri Lankan Government when they were in the UK might be most at risk of disappearance, violence and torture.

[Mr Thomas]

Is my hon. Friend aware of the recent report by Human Rights Watch, which cites examples of a number of asylum seekers deported from Britain and a number of other European countries who were tortured on their return to Sri Lanka?

[Siobhain McDonagh]

I am aware of that report, and I have also read appeal judgments and documents from the Medical Institute for Victims of Torture. I am well aware of some of the cases involved; indeed, some of them involve my constituents or my hon. Friend’s constituents.

The Foreign Secretary said:

“We seek to promote progress through direct lobbying, working with international partners, and funding human rights projects.”

I have to say that it is not very reassuring to learn that the Government’s approach to getting Sri Lanka to behave is to give it more money.

Finally, the Foreign Secretary fails to offer any support for the idea of a boycott of the Commonwealth summit, although he says the UK Government

“believe that the host of the Commonwealth Heads of Government meeting should uphold the Commonwealth values of good governance and respect for human rights. We will look to Sri Lanka to demonstrate its commitment to these values, both now and in the run up to the meeting in 2013.”

I would be grateful if the Minister could expand a little upon that in his response to the debate. In what possible way does he think that Sri Lanka is currently demonstrating “commitment to these values”?

I note that the Minister is going to Sri Lanka later this year. No doubt his presence will be portrayed by the Government there as yet another vindication of their murderous approach. If he wants to ensure that his visit is not another public relations victory for a regime that feels it is immune from accountability for war crimes, will he use his visit as an opportunity to warn his hosts that Britain and the Queen will not be attending a summit that is built on blood? When my right hon. Friend the Member for South Shields (David Miliband) visited Sri Lanka in 2009, he was not afraid to confront the Rajapaksa regime. When the Minister visits Sri Lanka later this month, will he do the same as my right hon. Friend did, or will he have meetings about trade?

--- Later in debate ---

[Siobhain McDonagh]

I thank my hon. Friend for his intervention and I will obviously take his views on board.

[Mr Thomas]

I am very grateful to my hon. Friend for giving way again. As she knows, I had the privilege of being a Minister in the Department for International Development during the last Government. As a result, I saw the private assessments of the situation in Sri Lanka, the type of which the Minister now has the opportunity to see. What was clear then was the scale of the human rights abuses that were being perpetrated. I do not think that we knew then the level of detail that has come out since, but we certainly knew that the Sri Lankan Government—through their military and paramilitary police, for example—were perpetrating considerable human rights abuses.

That was part of the reason why Britain led in Europe on the withdrawal of the GSP plus trading arrangements—the generalised scheme of preferences—which signalled our concern about human rights. My hon. Friend is rightly demanding that this Government show the same commitment as the last Government in demanding action by the Sri Lankan Government. It is a pity that we have not yet heard cross-party support for the aspiration for our Government to get a bit tougher with the Sri Lankan Government.

[Siobhain McDonagh]

I totally agree with my hon. Friend’s comments. Although I completely understand the duty of any Government—most importantly during a recession—to travel to gain more trade and support, I ask the Minister to consider whether that is appropriate in the case of Sri Lanka.

I say that because the last thing that the international community needs right now, after the failings of the past few years, is for Governments such as our own to put the pursuit of profit ahead of the responsibility to protect. The ongoing humanitarian crisis in Syria and the developing situation in the Democratic Republic of the Congo—two countries that I have never been to—both show why we need to be strong. A credible and robust approach to international relations by the UK, and more widely by the international community through the UN, is vital. When the UN internal review was published in November, Ban Ki-moon said:

“Our obligation to all humanity is to overcome our setbacks, learn from our mistakes, strengthen our responses, and act meaningfully and effectively for the future.”

However, I am very much afraid that the international community would rather move on and pretend that these events in Sri Lanka never happened, just as it turned a blind eye while the atrocities in the country were taking place. If we are not strong now, we will abdicate our moral authority over Sri Lanka. Regimes such as those in Syria and DRC will see that there is nothing to lose and that justice will not be served.

We have a responsibility to ensure that the international community’s failures in Sri Lanka are addressed. Accountability and reconciliation must take place. When the 22nd session of the UN’s Human Rights Council commences next month, our Government should take a lead. The issue of whether Sri Lanka has complied with previous resolutions on accountability and reconciliation should be a priority. The UN’s HRC, with Britain to the fore, must be prepared to take urgent action to initiate credible, independent investigations in Sri Lanka. For the sake of other civilians around the world who are under threat from their own Government, we have a responsibility to be strong. We should tell Sri Lanka in no uncertain terms that we cannot support its hosting the Commonwealth summit while its reputation is under a cloud. We have a duty to protect, and we cannot fulfil that responsibility by continuing to be weak, weak, weak.

Alleged War Crimes (Sri Lanka)

Debate between Siobhain McDonagh and Gareth Thomas

Wednesday 16th June 2010 Westminster Hall

[Siobhain McDonagh]

I absolutely agree with my hon. Friend.

[Mr Gareth Thomas (Harrow West) (Lab/Co-op)]

I associate myself with my hon. Friend’s comments. Will she also ask the Minister to explain the Government’s policy on its relationship with India and China in respect of an independent investigation into the alleged war crimes? If there is to be sufficient international pressure to get such an investigation, they clearly have a key role to play. What will the Minister do to raise the issue with those key neighbours of Sri Lanka?

[Siobhain McDonagh]

I thank my hon. Friend for all the work that he did while in government, particularly his work with the EU to get suspension of GSP plus. I hope that the Minister will take his questions on board.