(2 weeks, 6 days ago)
Commons ChamberCivilians always pay the highest price in conflict. Medical aid during conflict is critical to saving lives and, more importantly, is protected under international law. Yet, in recent conflicts, much of that lifesaving aid has been denied. Not only does that shame all of us on a basic human level, but as a surgeon where healthcare and aid have been at the forefront of my professional life and, notably, where I have been directly involved in providing aid, I feel that as a particular pain.
I secured this debate to highlight the fact that civilians and medical aid workers are impacted by armed conflict. Everyone caught up in conflict has an inalienable right to aid, and it is not the gift of any country or anybody else. I note that under international human rights law, the rights of the wounded and the sick must be respected in all circumstances, and attempts on their lives and violence against their person are strictly prohibited. Wilfully killing them or causing great suffering or serious injury to their bodies or their health constitutes war crimes, as grave breaches of the Geneva conventions.
I commend the hon. Gentleman, who I spoke to beforehand, for bringing forward such an important issue. Does he not agree that even during the worst of the world wars, and there have been some terrible wars over the past few years and there still is, the red cross symbolising medical aid was always a signal of ceasefire, and that that must still be the case today? Does he agree that we must further encourage all our allies and friends across the world to ensure that medical aid is never prevented from reaching those who need it most?
I thank the hon. Member for putting that so eloquently, and I wholeheartedly agree with every word and sentiment.
It is not just those typically physically injured by conflict that medical aid supports; it is those who need insulin for diabetes, dialysis machines to keep their kidney function working, and antibiotics to treat life-threatening bacterial infections. People who need basic medical support are caught up in the struggle. The figures support this: in Lebanon, 74% of people over 50 have two or more chronic conditions, so are at increased risk during times of conflict.
The same rate of aid is clearly not getting through in current world conflicts. Those suffering in Gaza are not receiving the same aid. Since April 2023, the escalation of armed violence in Sudan has resulted in famine and displacement. To our credit, in November 2024, this UK Labour Government increased aid to Sudan by £113 million, including medical aid. That has provided medical staff, out-patient consultations, emergency room admissions and access to feeding programmes for children and adults. Of course, there is lots more to do.
Since Putin invaded Ukraine in 2022, the UK has given £5 billion in non-military contributions and a total of £457 million in humanitarian support, including medical aid. That is in addition to what people are doing locally on the ground in every city in this country, including my own city of Glasgow, where my friend and surgical colleague Mr Vladyslav Shumeyko, a consultant surgeon at the Queen Elizabeth university hospital, has personally sent tons of medical aid to Ukraine. I pay tribute to his tireless, selfless work and that of other charity workers, whose contributions have saved thousands of lives.
I thank my hon. Friend for securing this fantastic debate. The whole House will benefit from his medical expertise and political commitment to this issue.
I had the great honour last week of hosting a meeting in Parliament to hear the heartbreaking testimony of Professor Nizam Mamode, a good friend and former colleague of my hon. Friend—he is a great transplant surgeon. Professor Mamode explained how during his work in Gaza this year for Medical Aid for Palestinians he treated child victims of drone strikes and snipers’ bullets. He said he had worked in war zones around the war, but nothing had been as horrific as what he had seen in the repeated, regular attacks on children in Gaza by the Israel Defence Forces. Does my hon. Friend agree that if the Israeli Government are allowed to get away with what they are doing in Gaza under international law, other regimes around the world will see it as a green light for thinking that civilians and medical staff are a legitimate target in war zones?
I am grateful for my hon. Friend’s intervention. That highlights this country’s adherence to the international rules-based order. We must always comply with international law, even—and perhaps particularly—when that may seem difficult.
I acknowledge the important work of organisations such as Islamic Relief, which operates in my Glasgow South West constituency, throughout the UK and across the world. Since October 2023, Islamic Relief has provided over £30 million in aid and delivered over 51 million hot meals in Gaza alone—and that does not include its work in South Sudan. Despite that, medical aid is severely restricted in Gaza. The United Nations Relief and Works Agency and other agencies have been unable to deliver essential medical equipment—including medical swabs to stem bleeding and lifesaving medications such as penicillin—and essential vaccine campaign roll-outs have been delayed. That has all been compounded by this weekend’s events.
I thank the hon. Member for giving way and pay tribute to him for securing this important debate. As well as providing valuable aid to various areas of conflict and need, does he agree that the UK and organisations such as the UN should do more to enable its delivery and to take action against the looters and oppressors who stop it getting to the people who need it?
I wholeheartedly agree with the hon. Member’s sentiments. Aid should not be impeded by anyone, be they state actors or individual criminals.
At the moment, further aid in Gaza has been suspended following an Israeli airstrike that killed five humanitarian workers employed by US-based organisation World Central Kitchen. The UN has said that it is necessary to stop the delivery of aid into Gaza because of the threat posed by armed gangs. UNRWA’s final decision comes after the latest airstrike. According to the Famine Review Committee, there is a strong likelihood of famine in Gaza. My conversations with colleagues on the ground in the region have confirmed how scarce food is, with very limited meat, cheese, snacks, fruit and vegetables. I understand that people are now surviving on rationed rice. What conversations has the Minister had with international partners to ensure that famine does not break out in Gaza?
As an international actor, it is imperative that the UK ensures that international law is upheld and medical aid reaches people caught up in conflict everywhere. International law dictates that people who are providing medical tasks must always be respected and, more importantly, protected. Medical professionals in the region are risking their lives to treat the injured and ill. My hon. Friend the Member for Rochdale (Paul Waugh) mentioned my colleague Professor Nizam Mamode, who recently returned from a month performing surgical operations in Gaza. He told me when he was there, and on his return, of the lives that he tried to save in increasingly difficult circumstances. He described it to me as hell on earth. What discussions has the Minister had with regional actors, including the Israeli Government, about ensuring the safety of those delivering medical aid in Gaza?
Ambassador Barbara Woodward, the UK permanent representative to the UN, recently said to the UN Security Council:
“There is no justification for denying civilians access to essential supplies. The Government of Israel must do more to protect civilians, civilian infrastructure, and allow aid to be delivered safely and at scale.”
I am sure that those words are wholeheartedly endorsed by all Members of this House. I am proud that this Labour Government restored funding to UNRWA, providing £21 million to support its work, and have given £5.5 million to UK-Med to support its lifesaving work in Gaza. That funding and aid is necessary, but I wonder whether it goes far enough. Our concern now is how we ensure that the correct amount of aid reaches the people of Gaza. What discussions has the Minister had with the Israeli Government to allow aid convoys to enter safely into the region?
Children in Gaza are dying and suffering needlessly. According to the UN Human Rights Office, nearly 70% of people killed in Gaza are women and children. That report has found unprecedented levels of international legal violations, including of the right to medical aid. This includes children now having complex medical needs without access to the requisite specialists in any other nearby country. What discussions could be had with regional actors and the UN about potentially bringing such children to the United Kingdom for treatment, as some of our international partners have already started to do?
I will conclude by reiterating the salient point that anyone caught up in conflict has the right to aid—it is not a gift or an act of benevolence by anyone else. We must now ensure that our record on this issue is one that future generations in this House can look back at, not with regret or contrition, but with pride.
(1 month, 3 weeks ago)
Commons ChamberYes, the hon. Gentleman is absolutely correct. Of course, the UK does that through the United Nations and the Tindouf camps, but he makes a good point about Foreign Office advice to people seeking to travel to Western Sahara. There is very real potential for Western Sahara to be a vacuum in which the ill-disposed can do what they will. We cannot allow that space to be ungoverned. We need to ensure that there is a jurisdiction there to bring order and ensure that the ill-inclined are not a threat to Morocco, Western Sahara, the wider region and, frankly, ourselves.
The anaemic UK official line has relied on two arguments for doing nothing: first, that recognising Moroccan sovereignty would, in some mysterious way, challenge our sovereignty over the remaining British overseas territories, and secondly, that supporting the Moroccan autonomy plan would upset Algeria, which has a strained relationship with Morocco and supports the Polisario Front’s call for independence for Western Sahara.
There is no evidence that recognising Moroccan sovereignty over Western Sahara would compromise our wider regional equities in any significant way. We know this because peer nations that have been much more forward-leaning on Moroccan sovereignty have not suffered a backlash from a pragmatic Algiers. The only exception is France, but the Franco-Algerian relationship has been toxic before and since independence in 1962, so it in no way compares with our own relationship or with that of other countries seeking a positive future with both Algiers and Rabat.
I appreciate the Labour party’s difficulty in relation to the Polisario Front. Under previous management, Labour supported the hard-left Polisario Front and would never have accepted the Moroccan autonomy plan, but the Prime Minister has invested much time and political capital in putting as much distance as possible between himself and his predecessor. He might therefore see this as an opportunity.
What would changing our line to match our peers do to the UK’s case for holding on to its remaining overseas territories? The answer lies in the unforced surrender of the Chagos islands, which was a decision of infinitely greater consequence than what I propose would ever be.
In any event, Cambridge professor of international law Marc Weller, in his opinion of April 2024, is crystal clear:
“There are no points where endorsing the position of Morocco on which its autonomy proposal is based would in any sense distract from the UK position concerning title to the Falkland Islands.”
What about Argentina, whose mission to turn the Falkland Islands into the Malvinas has been refuelled by the Foreign Secretary’s Chagos capitulation? Well, it has said:
“The Sahara is indubitably Moroccan.”
Much of South America also appears to support the autonomy plan or has recanted its previous support for Saharan independence.
Can the right hon. Gentleman adumbrate how the uninhabited Chagos islands are equivalent, in any way, shape or form, to the Falkland Islands?
(2 months ago)
Commons ChamberI am grateful to my hon. Friend for her question. Again, I express our gratitude to the DEC for its work in ensuring that there has been that emergency appeal for the middle east. I should have mentioned earlier that that is covering not just Gaza, but Lebanon and the broader middle east where there is also that urgent humanitarian need. I can reassure her that, on issues of access to aid, the UK Government have been crystal clear on the need for the maintenance of international humanitarian law across the region, which of course includes Israel as well, as the Foreign Secretary underlined at the end of last week.
Will the Minister reassure me that September’s export licence ban with Israel covers items that we reasonably believe could be used to breach international law in Gaza? Will she further reassure me that the remaining export licences with Israel largely do not cover the Israel Defence Forces or military equipment?
I wish to be very clear as I think there is some confusion on this important point. Following the 2 September suspension, there are currently no extant UK export licences—I repeat, no extant export licences—for items to Israel that we assess might be used to commit or facilitate a serious violation of international humanitarian law. There is only one exception, which is for F-35 components, and the Foreign Secretary has explained that to the House. My hon. Friend is right to say that most licences for exports to Israel are not for the IDF, and I am pleased to be able to put that on the record for the House.
(2 months, 2 weeks ago)
Commons ChamberYes, I can. In that regard, I want to associate myself with the remarks of the former Prime Minister and state once again that the right to self-determination governs our relationship with the overseas territories. They remain a very important part of our national story and nothing in this deal undermines that important relationship. That is why the Governor of the Falklands and Fabian Picardo in Gibraltar have been very clear about that in the past few days.
I do not think the hon. Gentleman was standing throughout the statement.