UK Aid Policy: Global Funding Trends

Beccy Cooper Excerpts

Tuesday 7th July 2026 Westminster Hall

[Dr Beccy Cooper (Worthing West) (Lab)]

It is a pleasure to serve under your chairmanship, Mr Efford. We meet at a moment when the global aid system is under extraordinary pressure. I thank the right hon. Member for Dumfriesshire, Clydesdale and Tweeddale (David Mundell) for securing this incredibly important debate.

Current projections suggest that cuts to international aid could contribute to as many as 14 million additional deaths by 2030, including 4.5 million children under the age of five. That is the human cost of dismantling the world aid architecture at speed.

The United Kingdom is not alone in reducing aid spending—the United States, France, Germany and Canada are all scaling back their commitments—but that does not make our choices less significant; it makes them more significant. When every major donor retreats at the same time, there is no one left to step into the gap, and yet the challenges we face today do not stop at national borders. Conflict, climate change, forced displacement, pandemics and antimicrobial resistance affect us all. Investment overseas is increasingly an investment in our own security and prosperity here at home.

Global health provides perhaps the clearest example of why this matters. Viruses do not stop at passport control. The first line of defence against the next pandemic is not at Heathrow or Dover, it is in strong public health systems thousands of miles away. Our national health service and the health security of people across Britain depend on a global health system that works effectively for everyone.

That is why I welcome aspects of the Government’s approach. I welcome the decision to provide protection for key multilateral health organisations, and I am proud that the UK has made ambitious commitments to the Global Fund and to Gavi, the Vaccine Alliance—institutions with a proven ability to deliver vaccines at scale and to reach communities that fragmented programmes often cannot.

The Government are also right to recognise that countries want autonomy, not dependency, and that our role should be to help to build resilient health systems that countries themselves can sustain and own. That is the right long-term objective.

[Mr Gregory Campbell (East Londonderry) (DUP)]

Does the hon. Member agree that one of the most cost-effective ways of helping, particularly in sub-Saharan Africa, is to allow local people to avail themselves of clean drinking water, which can transform lives?

[Dr Cooper]

I agree 100%. My hon. Friend the Member for Doncaster East and the Isle of Axholme (Lee Pitcher) has already talked about his role in the water, sanitation and hygiene all-party parliamentary group. Access to water is an absolutely essential health determinant.

Partnership and resilience building are incredibly important, but they cannot be the whole answer. A strategy designed to strengthen systems over many years does little for a clinic that is closing next month. Communities facing the loss of essential services are not reassured by a long-term theory of change, much as we love that in the development arena. They are worried about whether medicines will be available, whether healthcare workers will be paid and whether the lights will stay on. Withdrawal is fast, capacity building is slow, and people are falling through that gap.

That is why, to be honest, the decision to withdraw support from the Global Polio Eradication Initiative and the Pandemic Fund is really quite disappointing. The Government’s own impact assessment warns that these choices increase the risk of disease outbreaks. We are closer than ever to eradicating polio, a disease that has blighted generations of children, and yet, potentially because of cuts to official development assistance, we are stepping back from that goal. I urge us not to.

I am equally concerned about the dismantling of the Fleming Fund. Antimicrobial resistance may sound a little abstract, but it is not a distant or theoretical threat. Just ask anybody what they think will happen if their antibiotics do not work when they need them. It is one of the most pressing public health challenges that we face. The effectiveness of antibiotics underpins modern medicine and protects countless lives every day. Our NHS depends on those medicines continuing to work. Recent outbreaks of serious infectious diseases remind us just how much rests upon them.

As we have just been reminded, health does not exist in isolation. Clean water, good nutrition and quality education are health interventions by another name. For example, children whose mothers have received a secondary education are far more likely to be fully vaccinated. Although I welcome the prioritisation of healthcare spending, we cannot ignore the reality that in practice many of the programmes being cut are health programmes, too.

Nowhere is that more evident than in Africa. The continent bears about a quarter of the world’s disease burden while possessing only 3% of the global health workforce, yet bilateral aid to Africa is facing a 56% reduction—the steepest regional cut across the entire ODA budget. Multilateral institutions will of course continue to play an essential role, but we should not be so naive as to believe that they can absorb cuts of that scale without consequences.

The consequences are already becoming clear. In Malawi, an estimated 250,000 adolescents could lose access to family planning services each year. In Somalia, fewer women, girls and boys will be able to access lifesaving healthcare because of these decisions. Behind every statistic is a human being whose opportunities, health and future are being diminished.

There is also a broader question of fairness. The NHS benefits enormously from healthcare workers who trained overseas before coming here to serve patients across the United Kingdom, which we sometimes forget in our conversations about immigration. It has been estimated that the UK has saved about £14 billion by relying on health professionals educated and trained elsewhere, and many of the countries from which those workers come are themselves grappling with fragile and understaffed health systems. That is not a windfall; it creates a responsibility. We have a duty to invest back into the health systems from which we have drawn so much expertise, not to withdraw support at the very moment that those systems are under increasing strain.

The lessons of Ebola, covid-19 and antimicrobial resistance are ultimately the same: we cannot isolate ourselves from global threats, and the cheapest crisis is the one that we prevent. Ministers have described these decisions as exceptional measures taken in difficult fiscal circumstances. I recognise those pressures, but we have a responsibility to keep people safe, including people here in the United Kingdom. We are weakening the protection of some of the world’s most vulnerable communities, and in doing so we are undermining our own health security here in Britain. For those reasons, I urge my Government to look again. We need a credible, serious and urgent plan to restore aid spending, not only because it is the right thing to do but because it is in our national interest.

Oral Answers to Questions

Beccy Cooper Excerpts

Tuesday 16th June 2026 Commons Chamber

[Stephen Doughty]

I assure the hon. Member that we are very much having discussions with counterparts across Government. I am sure that in the next few days I will be meeting the new Security Minister and the new Minister for the Armed Forces. I also recently met a Minister at the Department for Science, Innovation and Technology to discuss these very issues. I assure him that we are working closely together across Government on this issue.

[Dr Beccy Cooper (Worthing West) (Lab)]

8. What assessment she has made of the potential implications for her Department’s policies of international outbreaks of Ebola.

[Adam Thompson (Erewash) (Lab)]

15. What steps her Department is taking with international partners to support the response to the Ebola outbreak in the Democratic Republic of the Congo.

[The Parliamentary Under-Secretary of State for Foreign, Commonwealth and Development Affairs (Chris Elmore)]

The UK has allocated £26.9 million of UK aid funding to support the response to the current Ebola outbreak within the DRC. That funding will strengthen disease surveillance and rapid response, and improve infection prevention and control. We are also working with the World Health Organisation and the Africa Centres for Disease Control and Prevention to help scale up the response and adapt existing programmes. This is a deeply concerning situation. Over the coming weeks, we will continue to work intensively alongside international partners to monitor developments and take the necessary action to protect both regional and global health security.

[Dr Cooper]

The Ebola outbreak now spans 29 health zones across three eastern provinces and is a reminder to us all that infectious diseases do not respect borders. With global health funding under significant pressure, does the Minister share my concern that we risk undermining the early warning systems that ultimately protect people here at home? Can he set out what steps the UK is taking to maintain its leadership role in global security?

[Chris Elmore]

I am glad to say that the UK is not stepping back; our response to the outbreak confirms that. We currently sit on the board of the WHO, the Global Fund, Gavi and the Pandemic Fund. Our investment helps to maintain critical global health security infrastructure, as well as tackling other health security threats such as antimicrobial resistance. Our leadership is amplified by world-class research and development, and is a trailblazer in the life sciences sector.

Draft International Development Association (Twenty-First Replenishment) Order 2025

Beccy Cooper Excerpts

Monday 8th December 2025 General Committees

[Dr Beccy Cooper (Worthing West) (Lab)]

It is a pleasure to serve under your chairship, Mr Western. I rise to put on record my support for this delegated legislation, and to make three very quick points.

It is not always easy to make the argument for global investment in this time and age, but this is an excellent example of how we can really add to global investment and see a real return for taxpayers. As the Minister alluded to, each $1 invested will generate more than $4 for programming in IDA-specific countries. That is a fantastic return on investment.

As the shadow Minister said, IDA21 will work alongside the World Bank Group’s evolution. We are always looking at the global architecture to make sure that governance is sufficient. The bank is talking about an improved scorecard, looking at performance and looking seriously at quantitative data as well as qualitative results. It is really important when we look at development, and at populations’ wellbeing, that we look at quantitative and qualitative data.

Finally, there are obviously discussions around borders at the moment, but climate change is affecting us all. If we do not mitigate the worst effects of climate change, it will push 130 million more people into poverty by 2030. We are part of that global world and must address that. Similarly, in my own world of global health, infectious diseases do not respect borders. By investing in global infrastructure and global development, we are protecting our own borders and security, as well as global health.

Oral Answers to Questions

Beccy Cooper Excerpts

Tuesday 2nd December 2025 Commons Chamber

[Mr Falconer]

I am familiar with the case that the hon. Member mentions. On all the other detention cases in Iran, we are working to ensure that those individuals have full access to consular assistance where they need it, as British nationals have across the world.

[Dr Beccy Cooper (Worthing West) (Lab)]

T9. We know that our official development assistance budget is currently reduced to allow for defence investment, but given the continuing need to improve global health, not least to guarantee our own health and security, will the Minister meet me and other concerned colleagues to discuss how best to continue to protect lifesaving health programmes and the work with women and girls that she has rightly prioritised?

[Seema Malhotra]

I would be very happy to meet my hon. Friend. The UK will continue to centre women and girls in everything that we do internationally, from our diplomacy to our development work. We will mainstream gender across the Department’s work to ensure that we deliver maximum impact. We are retaining our ODA target for gender equality, and we will share an update on further measures to strengthen our approach to mainstreaming in due course.

Parkinson’s Disease

Beccy Cooper Excerpts

Monday 17th November 2025 Westminster Hall

[Dr Beccy Cooper (Worthing West) (Lab)]

It is a privilege to speak for Worthing West, where support for the Parky petition has been strong, particularly in our amazing local Parkinson’s group. Parkinson’s is one of the fastest-growing neurological conditions. Behind the statistics are many people coping with tremor, rigidity and “off” periods—and carers holding everything together. Too many constituents face long waits for diagnosis, inconsistent annual reviews and patchy access to specialist nurses and community rehab.

In West Sussex alone, more than 4,000 people are living with Parkinson’s. Most of them are over 65 years old, but there are also many younger people who have Parkinson’s and are trying to work and support their families. The Government have acknowledged the challenges, and we have already heard about the RightCare toolkit and the neurology transformation programme, but without targeted workforce and implementation funding, the guidance will not translate into timely care for patients, especially given the plan to restore the 18-week referral-to-treatment standard by 2029.

[Jim Dickson (Dartford) (Lab)]

My hon. Friend is making an excellent speech. She mentioned the Parkinson’s group in her constituency. In my constituency, the wonderful Mervyn Dunkley, Jane Hua and their team run brilliant weekly Parkinson’s move and shout classes at the Fairfield leisure centre in Dartford for people living with Parkinson’s disease. Does she agree that every community deserve a Mervyn and Jane and a roll-out of such classes? They are of huge benefit to people suffering from Parkinson’s across the country, and more people could benefit.

[Dr Cooper]

It is incredibly timely that we are talking about this issue in the context of the NHS 10-year strategy, which will provide a shift from treatment to prevention. A lot can be done in the preventive space for those with Parkinson’s, as with so many other neurological disorders. I thank my hon. Friend for that intervention; I can slow down slightly now.

The Parky charter asks for speedy specialists, instant information on day one, a cross-condition health conditions passport, comprehensive multidisciplinary care close to home, and a sustained quest for a cure. Alongside that, I ask the Minister to consider a near-term date to deliver 18-week neurology referrals for suspected Parkinson’s; to ensure annual specialist reviews for people with diagnosed Parkinson’s; to expand specialist nurse and multidisciplinary team posts in each area of the country—no more postcode lottery; to pilot the cross-condition health conditions passport, although I appreciate that there are links there to the upcoming NHS App work; to publish access standards and dashboards—

[Emma Lewell (in the Chair)]

Order. I call Gregory Stafford. My apologies; we were having issues with the clock. It should be okay now.

Nutrition for Growth Summit

Beccy Cooper Excerpts

Tuesday 25th March 2025 Westminster Hall

[Dr Beccy Cooper (Worthing West) (Lab)]

I thank the right hon. Member for Dumfriesshire, Clydesdale and Tweeddale (David Mundell) for organising the debate. So much has been covered already, and I do not want to reiterate or repeat it unnecessarily, but I want to draw attention to some key statistics around the fact that nutrition is a core issue, both for health and for global security. According to the stats from the World Food Programme on global security—they have been cited, but they are worth citing again—a 1% increase in food insecurity leads to a 2% increase in migration. If we think about geopolitical stability and all the issues that we currently talk about, a 2% increase in migration because of a 1% increase in food insecurity makes no sense in the world today. We need to do everything we can to mitigate that.

Similarly, nutrition is a global growth issue. We talk a lot in this country about economic growth, but we all know that we are as much in hock to world economic factors as we are to our own national factors. As the right hon. Member for Dumfriesshire, Clydesdale and Tweeddale has said, according to the World Bank, if we invest $1 in nutrition we get $23 back into the local economy. By any account, with any economist, that is surely a no-brainer.

My interest in this subject arises from the fact that I am a public health consultant. Prior to my days in this place, I worked in an NGO that has already been named, World Vision, along with the Minister. We have been in this field for quite a long time, as have many hon. Members here, and we have heard the same conversations about nutrition come up again and again. We all sit here as human beings, and we all have the same basic level of need. In public health, as in so many other disciplines, there is something called Maslow’s hierarchy of needs: if we cannot satisfy our basic human needs, we cannot do anything else. If we and our children are hungry, we cannot achieve any of the things we aspire to for our communities, for the people we live with or for our governance, stability and growth.

We think about those foundational elements in two ways. Acute interventions have been mentioned; my hon. Friend the Member for Exeter has talked about the ready-to-use therapeutic foods and vitamin supplements that can address fundamental critical needs in so many places around the globe, including in our own country. Those malnutrition needs are different, but they are malnutrition needs none the less, and we must implement those acute interventions.

Alongside that is longer-term nutritional stability, which is a global conversation as well as a UK one. How do we make sure that the food we grow on this planet is sustainably grown, has the right levels of nutrition and is distributed equally? Those conversations have gone on for many years. The Nutrition for Growth conference in Paris is another opportunity to bring together people with excellent experience and try to push the conversation forward.

The right hon. Member for Dumfriesshire, Clydesdale and Tweeddale mentioned maternal and child health. The first 1,000 days are critical. In the Health and Social Care Committee, we are looking specifically at the first 1,000 days in this country. Why we should focus only on this country is beyond me, however, because whether someone lives in this country or another country, they need exactly the same things. Humans are humans wherever they live. A global initiative looking at the first 1,000 days, and concentrating on good nutrition for mothers and babies in the early days, will significantly decrease childhood stunting, wasting and developmental delay. In all our communities, we want people to grow, thrive and do well, but those things cannot happen if the basic elements of nutrition are not in place.

As has been said, the UK has been a leader in this space for some years. I appreciate that there has been a cut in overseas development aid, but that does not mean that we cannot still demonstrate leadership in this space. As a responsible partner in the global health initiative—in our global safety, which has as much resonance for people in this country as it does for those in others—we must prioritise the things that will truly make a difference to people’s wellbeing, safety and stability. In the conference that starts tomorrow, I ask respectfully that our Ministers go forward and lead in this space; that they prioritise nutrition for growth in global health and security; and that they continue our proud history of global leadership in this area.