St Andrew’s Day and Scottish Affairs

Debate between David Mundell and Christine Jardine

Thursday 11th December 2025 Commons Chamber

[David Mundell]

I am sure that we do not want to go down the blind alley of a long discussion about this flood prevention scheme, but it was the subject of a public inquiry, because—this is one of the most important parts of the issue—it does not command public support. That, in my view, is the reason why there have been numerous delays and it has not been progressed. Today is the opportunity to end all the uncertainty and say, “No, this project is not going ahead.” But of course, in our democracy, it will be for councillors to decide, and we will respect their decision.

As all of us representing constituencies in Scotland know only too well, the story of the past two decades of SNP government has been one of stagnation, mismanagement and, in many cases, outright failure in stewardship of our public services. Education standards in Scotland’s schools are on the slide. We have fewer police on the streets, and those streets and roads are in a poor state of repair, as vital transport infrastructure does not receive the investment that it needs. But of all Scotland’s public services, few are under such intolerable strain as our NHS.

Just a few weeks ago, the SNP’s Cabinet Secretary for Health and Social Care was boasting of cutting NHS waiting times, while ignoring the fact that there are now 86,000 cases of patients who have been stuck for more than a year on waiting lists. That is higher than in 2022, when the Scottish Government pledged to “eradicate” the problem by September 2024. More than a year on from that broken promise, SNP Ministers are claiming that they will wipe out waits of over 12 months, this time by March next year—conveniently, just in time for May’s election.

[Christine Jardine]

The right hon. Member is giving an impressive speech and a very important speech for Scotland. Does he agree that in May next year, Scotland will stand at an important crossroads where our future may be decided on how we pursue that election and who wins it, and that the time has come for change to address the problems of which he speaks?

[David Mundell]

The hon. Lady will be pleased to hear that change in Scotland is the theme of my speech, because I agree that we desperately need it.

In relation to SNP promises, we have heard it all before. Year in, year out, SNP boasts about bringing down waiting times ring hollow in the ears of patients whose experience is of being left to languish on those very same lists. It is not just on waiting times that the nationalists have let Scotland’s patients down. Emergency departments—the service people turn to in their most desperate hours—are overwhelmed. A year ago, more than 76,000 people waited over 12 hours in A&E before getting treatment, compared with just 784 in 2011.

--- Later in debate ---

[David Mundell]

One factual point worth making is that one third of those people who supported independence voted for Brexit. As the hon. Gentleman knows, when in government I looked at various schemes that could operate separately in Scotland, but ultimately we found that they were unworkable.

[Christine Jardine]

The right hon. Gentleman is being very generous with his time. He mentioned the problems that we are facing with mental health care in Scotland. A parent came to me last weekend, distraught because they have been told that there is no prospect at the moment of their son getting the treatment he needs, as there is not a psychiatrist available in that part of NHS Lothian to deal with him. This is not a singular case. Does the right hon. Gentleman agree that in Scotland we need a root-and-branch examination of where healthcare has gone wrong for everyone?

[David Mundell]

I agree with the hon. Lady, but there also needs to be fundamental acknowledgment that there has not been the workforce planning that was required and that is the responsibility of the Scottish Government, not people in England or Wales or somewhere else. These responsibilities lie with the Scottish Government, and they should be held accountable for the way they have exercised them. Given the list of deficiencies that I have set out in relation to the Scottish Government on a whole range of issues, most particularly the NHS, let us demand better from Scotland’s Government on behalf of all of Scotland.

Nutrition for Growth Summit

Debate between David Mundell and Christine Jardine

Tuesday 25th March 2025 Westminster Hall

[Christine Jardine (in the Chair)]

Because of our delayed start, the debate may now continue until 4.47 pm. I call David Mundell to move the motion.

[David Mundell (Dumfriesshire, Clydesdale and Tweeddale) (Con)]

I beg to move,

That this House has considered the Nutrition for Growth Paris Summit 2025.

It is a particular pleasure to serve under your chairman- ship, Ms Jardine. I am grateful for the opportunity to propose this motion and to make the case for a strong, ambitious and well-targeted UK commitment at the Nutrition for Growth summit, which takes place in Paris this Thursday and Friday, and which I am pleased to be able to attend alongside my friends the hon. Members for Exeter (Steve Race) and for Worthing West (Dr Cooper).

It is more than three years since we last gathered in Westminster Hall to debate the previous Nutrition for Growth summit, held in Tokyo in December 2021. This debate comes at an important moment for global nutrition, especially in the light of recent decisions in the US and here in the UK about spending on aid and international development. It also comes the week after the publication of the report of the International Development Committee, on which I serve as a member, “The Government’s efforts to achieve SDG2: Zero Hunger”.

We all know that access to good nutrition is foundational to development. It plays a critical role in health, education, gender equality and economic advancement. It is essential to achieving so many of the other sustainable development goals.

For pregnant women, good nutrition in pregnancy leads to healthier mothers, fewer complications in childbirth, less chance of stunting in children and a greater chance of children reaching their educational potential. Proven, cost-effective interventions, such as providing expectant mothers with multiple micronutrient supplements can make the world of difference to a child’s start in life.

For children, good nutrition makes vaccines more effective, reducing the risks of infectious diseases, which can spread rapidly and which do not respect borders. A well-nourished child is 11 times less likely to die from common infectious diseases such as pneumonia than a severely undernourished one.

Good nutrition also reduces the risk of obesity, cancer and other non-communicable diseases such as diabetes and cardiovascular disease, which are on the rise in many low and middle-income countries. Without good nutrition, individuals and communities cannot develop to their full potential, economic productivity and development are constrained, and stability and security are undermined.

Studies have shown that combating malnutrition can raise per capita GDP by up to 11%, helping to break the cycle of poverty, inequality and food insecurity. In addition, investments in nutrition are proven to be low cost and high impact, representing one of the highest-value development initiatives. According to the World Bank, for every $1 invested in nutrition, $23 is returned to the local economy. Conversely, malnutrition costs African economies between 3% and 16% of GDP annually. Yet, despite all we know about the importance of good nutrition, malnutrition is still the leading cause of death in children under five, claiming the lives of 2 million children under five every year.

In 2022, an estimated 45 million children under the age of five suffered from wasting, 148 million had stunted growth and 37 million were overweight. In 2023, an estimated 733 million people globally faced hunger. Around 200 million more people face acute food insecurity this year compared with pre-pandemic levels. Conflicts and humanitarian crises, including in Sudan, the Democratic Republic of Congo, Syria and Gaza, are causing global hunger to soar. Up to 1.9 million people are estimated to be on the brink of famine.

The UK has a long and proud history of global leadership and action on nutrition. The UK was the founder of the Nutrition for Growth summit in 2013, when more than 100 stakeholders pledged more than $4 billion in new nutrition-specific projects, and a further $19 billion in nutrition-sensitive projects. Our excellent civil servants in the Foreign, Commonwealth and Development Office are world-class thought leaders and conveners on innovation regarding malnutrition, and the UK is home to world-leading scientists and researchers who are making strides to advance technologies and nutrient-dense, drought-resistant crops, supporting communities all over the world to have more secure and nutritious diets.

The recent cuts to official development assistance could have devastating impacts on the global hunger and malnutrition crisis. The nutrition budget was disproportionately impacted by the cuts to ODA in 2021; research conducted by Development Initiatives for the FCDO indicated that nutrition spending was cut by more than 60%. The Government must not allow this further reduction in spending to exacerbate the existing global crisis or to damage our reputation globally.

This week’s Nutrition for Growth summit is a real opportunity for the Government to show continued UK leadership and commitment to global nutrition. This Thursday and Friday, the Government of France, led by President Macron, will convene Governments, philanthropists, non-governmental organisations and business leaders at the summit to commit finances and make policy changes that will help to end malnutrition.

It will be the fifth Nutrition for Growth summit since it was launched by the UK in the margins of the 2012 Olympic and Paralympic games. The previous summit in Tokyo mobilised $27 billion through commitments made by 181 stakeholders across 78 countries. Unfortunately, the previous UK Government were not able to make a commitment at the Tokyo summit in 2021, which sparked widespread criticism from partner countries. Thanks, I believe, to the great efforts of my right hon. Friend the Member for Aldridge-Brownhills (Wendy Morton), who was then a Minister in the FCDO, that decision was reversed two months later and the UK made a £1.5 billion pledge. We still hope that this year the UK will play its full part in ensuring the summit is a success.

The Paris summit is a crucial opportunity to build on that momentum and a critical step in turning the tide against the scourge of malnutrition. It will also put nutrition at the heart of the sustainable development agenda, recognising that nutrition is foundational to development—as indeed it is to the UK’s wider development aims—and will make the fight against all forms of malnutrition a universal cause. Since 2013, the Nutrition for Growth summit has been a key event for driving greater action towards ending malnutrition, mobilising the international community and placing nutrition higher up the development agenda.

This year, the commitments made will be more important than ever in elevating the fight against malnutrition. The summit’s outcomes will have a lasting impact on the health, development and economic potential of millions of people worldwide, especially women and children. We welcome the fact that the new Minister for International Development will represent the UK at the summit, but I hope the Minister here today will be able to confirm that the UK will demonstrate its commitment to leadership on sustainable development goal 2 by doing everything we can to ensure that the summit is a success. I also hope that he will commit to a strong, ambitious and well-targeted UK pledge at the summit—or, if that requires the spending review to be completed, that that pledge will come after the spending review.

In addition, I hope the Minister can reaffirm the recent commitment to integrating nutrition across all aspects of development at the summit to make meaningful progress in tackling the underlying causes of malnutrition. As the International Development Committee inquiry report recommended, as well as a generous pledge at the summit, I hope the Minister will commit to

“a new reach commitment on nutrition and food security within the next six months”,

which would

“focus efforts and improve accountability.”

The all-party group on nutrition for development, which I co-chair alongside the hon. Member for Exeter, is calling for the UK to invest at least £500 million in nutrition-specific interventions by 2030. I hope the Government can confirm that they will begin this journey by investing £50 million in the child nutrition fund this year. That would give us an opportunity to maximise our investment by leveraging domestic resources and philanthropic funding, with the potential to transform a £50 million contribution into up to £500 million-worth of impact.

Whatever colleagues’ views on the overseas aid budget, I am sure we all agree that taxpayers’ money should be spent as impactfully as possible. Therefore, we must prioritise nutrition and use summits such as the Nutrition for Growth summit to maximise our contribution at a time of restricted finances, and we must co-ordinate our approach with other countries to maximise the impact even further. It is vital that low-cost, high-impact nutrition-specific interventions, such as MMS and ready-to-use therapeutic food, are protected and prioritised. They can pull young children back from the brink of starvation in weeks.

I hope the Minister will set out an ambition to reach at least 50 million children, women and adolescent girls with nutrition-related interventions by 2030, and commit to reporting yearly on how many people are reached with nutrition-specific interventions. I also hope the UK Government will support global accountability efforts by funding the global nutrition report to enhance the nutrition accountability framework, which is a critical tool to ensure that Governments follow through on their Nutrition for Growth commitments. Finally, I hope the Government will ensure that partnerships with local civil society organisations are strengthened, so that they can advocate more effectively for nutrition to their own Governments.

To conclude, let me give just one example of the difference that such commitments can make by speaking about Hanzala. Hanzala struggled with pneumonia and malnutrition before he could even sit up on his own. Born in a remote village in Afghanistan, his mother was unable to access care, with the nearest clinic being more than 40 km away. That was until 2023, when World Vision Afghanistan opened a health centre supported by the FCDO in Hanzala’s village.

Hanzala’s mother rushed him to the clinic, where he was found to weigh just 6.8 kg, well below the 9.2 kg that a healthy 13-month-old boy should weigh. Hanzala was immediately enrolled in the out-patient department for severe acute malnutrition programme, receiving ready-to-use therapeutic food. His mother received nutritional counselling and a sanitation kit to improve their living conditions. I am sure that everyone will be pleased to learn that only four months later Hanzala had made a full recovery and was able to play like any other child—a direct result of decisions made by the UK Government and the support of organisations such as World Vision.

Let us grasp the opportunity that the Nutrition for Growth summit this week affords. Let us continue to wield our convening power as the UK and play a leading role as a key global nutrition partner, driving this agenda and working alongside other donors and high-burden countries to ensure that global nutrition investments are prioritised and deliver maximum impact. I look forward to the rest of the debate and to the Minister’s positive response.