Oral Answers to Questions
Stephen Mosley Excerpts(10 years, 3 months ago)
Commons ChamberRead Full debate Read Hansard Text Read Debate Ministerial Extracts
The Prime Minister
The hon. Lady has a long track record of arguing about these issues, and I think it was very welcome that we made the announcement to ban rape porn and that is being carried through. I will look very carefully at the measures and issues she is raising now. I think we have a good record on putting in place stronger internet filters, working with the industry to make sure searches for unacceptable terms cannot be made, and separate legislative steps like banning rape porn, but I will look very carefully at the specific proposals she makes.
Stephen Mosley (City of Chester) (Con)
Q3. In 2009, 610 18 to 24-year-olds in Chester were out of work and claiming jobseeker’s allowance. Last month that number almost halved to 330. As this week is national apprenticeship week, will the Prime Minister congratulate employers who are creating apprenticeships, creating jobs and creating opportunities for young people, so we never again see the massive waste of young talent that occurred in the 1990s?
The Prime Minister
My hon. Friend is absolutely right to raise national apprenticeship week, which is a really important moment to advertise to businesses large and small the advantages of taking on apprentices. What we are going to see during this Parliament is 2 million apprenticeship starts. That is what we are aiming for, and there have already been some 1.6 million. As my hon. Friend says, unemployment in his own constituency has fallen, as has the claimant count, but we want to see many more apprentices and we also want smaller firms to come forward and take on their first apprentice.
Tuberculosis
Stephen Mosley Excerpts(10 years, 7 months ago)
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Stephen Mosley (City of Chester) (Con)
I congratulate the hon. Member for Scunthorpe (Nic Dakin) on securing this debate on tuberculosis, a disease that 8.6 million people catch, and of which 1.3 million people die, every year. It is a huge issue.
I was fortunate enough to join the Results UK delegation to Zambia last year, when we examined the link between HIV and TB. We visited Lusaka central prison. I do not know whether you have ever been to a prison in central Africa, Mr Dobbin, but, a couple of months before we attended, the vice-president of Zambia, Guy Scott, visited another prison and described it as hell on earth. I must say I have never been anywhere like Lusaka central prison. It was shocking.
The prison was built by the colonial authorities in the 1920s to house between 180 and 200 prisoners. Now it houses almost 2,000. We were taken to cells no bigger than my bedroom at home. They were designed to sleep between six and 10 people, but now there are 80 to 100 prisoners locked in those rooms for up to 14 hours a day. I looked at the room and wondered how they even fitted so many people in it. Apparently the sleeping arrangement is to line up 12 people against the wall, who crouch down with their backs to it. They sit down and open their legs and the next 10 or 12 come and lie between their legs, and so on, to cram them into all the available space. Mattresses and blankets are completely lacking. The toilet facilities are completely inadequate for the number of prisoners, and an open drain or sewer, containing a disgusting-looking brown liquid, runs through the middle of the courtyard. Medical facilities are lacking—the site has no health clinic and sick prisoners lack medicine—and so is food. There is one basic meal a day, which is completely lacking in protein. It is fair to say that the conditions in the prison are not conducive to general health.
Catching TB should not be part of someone’s prison sentence, but in that prison it was. At one stage the TB infection rate was almost 100%. TB is one of the fastest-growing epidemics in sub-Saharan Africa’s prison populations. It presents a threat not only to the inmates but to the wider population, because the prisons act as a reservoir for TB. It gets into the wider community through visiting, staff visits and the fact that prisoners who leave have been inadequately treated. TB does not respect prison walls.
There was a bright spot to the visit. We were taken to the prison by the commissioner of prison services, who was very open, and keen for us to see the reality. Several hon. Members have mentioned TB REACH, and we were shown a project that it had set up in the prison together with the Centre for Infectious Disease Research in Zambia. That programme included TB and HIV screening, treatment, and the introduction of isolation cells for prisoners with multiple drug-resistant TB. A prisoners’ drama group had been organised to teach prisoners to look for the signs of TB and understand how important it is for those with the disease to make people aware of it and get the required treatment. The programme was massively successful. The TB infection rate was down to 30%. That is still huge, but it is an awful lot better than it had been a year before.
Early diagnosis and treatment are essential for the control of TB. As we saw in Zambia, TB REACH runs pretty much the only mechanism designed to target and treat the 3 million missing TB victims we have heard about. One of its advantages is that it can react very quickly. It can provide fast-track funding for projects, to get them up and running quickly—often within six months. It is also willing to fund new and innovative approaches. That is important, because organisations such as the Global Fund to Fight AIDS, Tuberculosis and Malaria will fund projects only if they have been proved successful. They will not finance new ideas or do experimental things to see whether they will work.
We need new approaches. Many places that we visited in Zambia—whether clinics, hospitals, or community groups—were in isolated communities. There is a need for new, mobile technology, and we need to roll out new diagnostic tests. That can happen only when testing and experimentation has been carried out, and when an organisation such as TB REACH is willing to provide funding. We saw that process in action when we visited Kanyama clinic, run by the Zambia AIDS Related Tuberculosis Project. Like my hon. Friend the Member for Mid Dorset and North Poole (Annette Brooke), we saw the GeneXpert machine in action.
For hon. Members who do not know what the GeneXpert machine is, the relevant website describes it as follows:
“The GeneXpert System automates and integrates sample preparation, nucleic acid amplification, and detection of the target sequence in simple or complex samples using real-time Polymerase Chain Reaction”.
In basic terms, it is a diagnostic tool that can diagnose TB much more accurately than the use of a microscope, as well as more quickly—often within two hours. It can detect TB in HIV-positive patients too. That of course is a massive advantage in rural clinics, because people can have the test and wait for the result. At the clinic, people from the community were encouraged to become involved as volunteers and to help people by talking them through the process, the results, and what the treatment would entail, and by going out into communities to ensure that they continued taking the treatment in the weeks ahead.
The GeneXpert machine works well in some environments, but it is not perfect. It can be difficult to use in isolated rural areas, because it requires a constant electricity supply, so on our visit we looked at how alternative energy supplies such as solar power could be used to power medical equipment in rural areas.
On our visits to Kanyama clinic and Lusaka central prison we saw at first hand the effect of TB REACH projects—improving TB diagnosis and providing fast treatment. However, as we have heard from my right hon. Friend the Member for Arundel and South Downs (Nick Herbert), the project is time-limited, and new funding is required now that its grant is coming to an end. There is concern about how some of the projects can be integrated into national health care systems. TB REACH grants are for short periods, to get a new technique into use in a locality. For permanent solutions it is necessary to integrate an approach into the relevant national health scheme, or to reach a position where it can be funded by the global health fund or donor countries will be willing to continue to support it.
As we have heard, the majority of the TB burden is concentrated in countries that often receive less donor funding. Whether it is the burden of drug-resistant TB in eastern Europe, TB in prisons in Zambia, or the epidemic, on an enormous scale, in India, domestic Governments must step up their own response. The UK has a unique opportunity to use its global leadership position to call on those Governments to increase their investment in the fight against TB, especially given our strong links to southern Africa and India, which account for the greatest part of the missing 3 million—the ones missed by their health systems. TB is a global disease on which the UK can have an impact.
The Minister and DFID have done a fantastic job and have made Britain a world leader in the battle against malaria. The UK Government should also use their position to become a global leader in the fight against TB, which is another of the top infectious disease killers. Global political commitment to that fight has so far been missing.
Oral Answers to Questions
Stephen Mosley Excerpts(12 years, 11 months ago)
Commons ChamberRead Full debate Read Hansard Text Read Debate Ministerial Extracts
The Prime Minister
I know that the right hon. Gentleman cares deeply about this issue. Bombardier is a great company, and it has a great future in our country. We want to see it succeed, but I have to say that in this case, the procurement process was designed and initiated by the previous Government. This Government were bound by the criteria that they set, and therefore we have to continue with a decision that has been made according to those criteria. But we are now looking at all the EU rules and the procurement rules to see whether we can change and make better for future issues like that one.
Stephen Mosley (City of Chester) (Con)
Q12. Will the Prime Minister join me in calling for the electrification of the Crewe to Chester railway line, which would provide a major and immediate boost to people in Chester and beyond in north Wales? That would also eventually link us to the much needed High Speed 2.
Oral Answers to Questions
Stephen Mosley Excerpts(13 years, 5 months ago)
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Stephen Mosley (City of Chester) (Con)
1. What funding his Department plans to provide for aid to north and south Sudan in 2011-12.
Sajid Javid (Bromsgrove) (Con)
5. What funding his Department plans to provide for aid to north and south Sudan in 2011-12.
The Secretary of State for International Development (Mr Andrew Mitchell)
Our future support to Sudan will be determined by the bilateral aid review, which is on schedule to report by the end of February. Whatever the outcome of the referendum, there will continue to be significant humanitarian and development needs in both north and south Sudan.
Stephen Mosley
According to Transparency International’s measures, Sudan rates as the 176th most corrupt nation in the world. What assistance will the Department be offering to help to establish the rule of law and build democratic structures in Sudan, whatever the results of the current referendum?
Mr Mitchell
My hon. Friend is right. Corruption has a devastating impact on the lives of poor people and, indeed, on the confidence of taxpayers in donor countries. It is for that reason that no British taxpayer funds go through the Government of Sudan, but I assure my hon. Friend that we will be working in both north and southern Sudan, whatever the result of the referendum, to increase access to justice and to ensure that in the north, for example, there is much greater transparency in the operation and accountability of local government, and in the south to seek to embed anti-corruption mechanisms from day one, were the referendum to decide that there should be a southern Sudan.
The Prime Minister
You can top all those with a Scottish National party that said it was going to have a referendum on independence and never did. As a predecessor of mine once said, “Frit!”
Stephen Mosley (City of Chester) (Con)
Q6. Cheshire West and Chester, my local Conservative-run council, has announced a council tax freeze while protecting essential public services. Many in the country, and indeed some in this Chamber, deny that that is possible. What message would the Prime Minister send to those who deny that it is possible for Government to deliver more for less?
The Prime Minister
I absolutely commend what my hon. Friend says. The fact is that of course we are making reductions in local government grant, although when we look at the figures, we see that what local government will get in 2013 is equivalent to what it got in 2007, so we should keep these reductions in perspective. However, I would urge every local council to look at what it can do by sharing services, sharing chief executives and trying to reduce back-office costs, and by taking the extra money that is there for a council tax freeze, so that they can deliver more for less.