Humanitarian Situation in Gaza

James Sunderland Excerpts

Wednesday 17th April 2024 Commons Chamber

[David Rutley]

We continue to be very concerned about the humanitarian challenges in Gaza and, as I have highlighted, we are pressing hard and taking steps ourselves. We have increased the amount of aid that we are committing to the region, and we are focusing laser-like in seeking that Israel should step up to the commitments it has made. It has already made limited progress; we need to see more.

[James Sunderland (Bracknell) (Con)]

Israel’s right to self-defence comes with clear responsibility. Gaza has become a conflict hellhole, and the delivery of more humanitarian aid from the international community, including the UN, is non-discretionary. Will the Minister please confirm that everything possible is being done with the Israeli Government to ensure that non-combatants are being supported and are not being inadvertently targeted or hit?

[David Rutley]

We have highlighted that with the Israeli Government, and I confirm that we are pushing incredibly heard. Not only are we increasing the amount of aid that we give to the region, but we want to ensure that it gets through. We have already deployed a number of airdrops, which have helped, but a lot more needs to be done.

Israel and Gaza

James Sunderland Excerpts

Tuesday 19th March 2024 Commons Chamber

[Mr Mitchell]

We have been clear that Israel has the right of self-defence but it must abide by international humanitarian law and the rules of war. Britain is one of the leading nations on finding ways to get aid into Gaza and helping our allies and other regional powers to do everything we can to get the hostages out. I hope that the hon. Gentleman is proud of our country’s intervention in both those respects.

[James Sunderland (Bracknell) (Con)]

I welcome the recent news that the UK will be sending a UK Aid field hospital to Gaza. What assurances have been sought and what assurances have been given in respect of sufficient force protection for all the staff there, some of whom may be British?

[Mr Mitchell]

We are acutely conscious of the way in which humanitarian workers—not just in Gaza, but all around the world—put themselves, unarmed, in harm’s way for the sake of their fellow human beings. My hon. Friend is right to say that a field hospital provided by UK Aid funding to UK-Med arrived in Gaza from Manchester last Friday. That facility is staffed by UK and local medics, who will be able to treat more than 100 patients a day. We are acutely conscious of the contribution they are making and we do everything we can to ensure that they are protected.

Oral Answers to Questions

James Sunderland Excerpts

Tuesday 12th March 2024 Commons Chamber

[Mr Mitchell]

Whatever the position of the Israeli Government, let me assure the hon. Member that Benny Gantz was received in this country. He was seen by the Foreign Secretary, and his visit was most welcome.

[James Sunderland (Bracknell) (Con)]

The Minister will know that European security continues to be underpinned by the USA, which funds the vast majority of the NATO budget. Could I please ask him what is being done to coerce more of our NATO allies to meet their 2% commitment, and does he agree that European nations must shoulder more of the burden for our own security, for good strategic reasons?

[Leo Docherty]

I do agree that we must put our money where our mouth is, but as we survey the landscape of European and Atlantic security on the 75th anniversary of NATO, we see—with the accession of Finland and Sweden—that NATO is in very good order indeed.

Israel and Gaza

James Sunderland Excerpts

Tuesday 27th February 2024 Commons Chamber

[Mr Mitchell]

The review of UNRWA, as the right hon. Member may know, is being conducted first and foremost by the independent UN Office of Internal Oversight Services, and secondly, Catherine Colonna, the former French Foreign Minister, is engaged in writing a separate report. It is to both those two organisations that the evidence is required to be delivered.

[James Sunderland (Bracknell) (Con)]

Few would deny Israel’s right to self-defence, but the ongoing events in Gaza are difficult to stomach. Can the Minister please confirm to the House that everything possible is being done with our international partners to demand Israeli restraint?

[Mr Mitchell]

Yes.

Oral Answers to Questions

James Sunderland Excerpts

Tuesday 30th January 2024 Commons Chamber

[Mr Mitchell]

The Government have been very clear about the position with UNRWA. We cannot overlook the appalling events that have been reported, but we are seeking to ensure that they are properly investigated. Britain has no additional funding plans for this financial year. We have already funded UNRWA, as have others, so I have no doubt that UNRWA’s support, getting food to those who desperately need it, will continue, but we cannot ignore the information that was brought to our attention.

[James Sunderland (Bracknell) (Con)]

I spent yesterday with NATO. One significant concern expressed to me was the acute need for the US to fulfil its commitment to Ukraine in 2024. Ahead of the Washington summit, will the Minister assure me that every effort will be taken to leverage political pressure on our allies and to secure the necessary support, for which we are very grateful?

[Leo Docherty]

On the road to Washington, we continue to make that point. The US will continue to be an integral part of European security, as will other European member states of NATO, which should ensure that they commit to their equal and required expenditure of 2%.

Situation in the Red Sea

James Sunderland Excerpts

Wednesday 24th January 2024 Commons Chamber

[Richard Drax (South Dorset) (Con)]

I will keep to time, Madam Deputy Speaker, as two hon. Friends will give me a seven-minute bell.

I strongly support the Government’s move and the strikes they are taking in the Red sea. In The Sunday Times at the weekend, there was a rather amusing cartoon of Lord Nelson, with the telescope placed to his bad eye and the words “I see no ships” emblazoned across the top of the page. Hon. Members can guess that the article was about the lamentable size of our Royal Navy.

Over a week ago, the Defence Secretary, to his great credit, kindly asked me to attend a major speech he was making at Lancaster House. He warned that we were in a “pre-war” period, with the west facing very real and growing threats from around the world, as we have heard in the House tonight. The head of our Army is warning about calling up the public in the event of war—that is probably the likes of me, because there ain’t anybody else. NATO Admiral Rob Bauer went even further, saying we should prepare for “all-out war” with Russia, and Germany is predicting Putin could attack NATO in as little as five years. With all that in mind, why does the Royal Navy have only 18 frigates and destroyers, with only a small number able to deploy at any one time?

Having had the pleasure and honour to sit on our Defence Committee for four years, I could provide a number of answers to that question, but I fear many in the House are aware of them already and I do not want to labour the point. To be fair to the Government, some 13 new warships are planned and £31 billion is being spent on upgrading our nuclear submarine fleet, but we will not see those for some years to come. The threat is now and, as I have said, very real.

HMS Diamond, the latest Type 45 destroyer, and her crew are doing a courageous and professional job in the Red sea. They are an example of our armed forces at their very best, defending a vital international route that much of our trade goes through. Our thoughts and prayers are with them all.

[James Sunderland (Bracknell) (Con)]

On that point, will my hon. Friend give way?

[Richard Drax]

I will keep going, if I may, because we are getting to the end of the debate and others want to speak.

The enemy are a rag-bag bunch of rebels using cheap drones, which the ship counters with £1 million Sea Viper missiles and, on occasion, 30 mm cannon. The operation is exactly why we have a Royal Navy. Meanwhile, the RAF is flying operations from Cyprus, a round trip of 3,200 miles. I ask the Minister: why? We have two state-of-the-art aircraft carriers lying in Portsmouth, equipped with the latest F-35 stealth fighters. It is true that we have only a few of those aeroplanes at the moment, but will the Minister explain why neither they nor the aircraft carriers are being used?

The current very effective threat to a vital international trade route is sobering. These are Houthi rebels, not some sophisticated peer adversary. What if they were? I accept that in that scenario we would be part of a NATO force, with the US doing much of the heavy lifting, but this relatively minor excursion in the Red sea is yet another wake-up call.

For 13 years in this place, I and many others have called for more money for defence. For 13 years, various Prime Ministers have reassured us that our armed forces are in good order and ready to fight. I have no doubt at all that our brave men and women are ready for just that, but do we have the resilience, numbers, reserves, ships, planes and armoured vehicles to fight a sustained conflict?

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[Mr Mitchell]

My right hon. Friend was absolutely right to detect the supportive view of the Secretary of State for Defence.

[James Sunderland]

As a former serviceman, I have a simple view that quantity has a quality all of its own. Can the Minister please assure the House whether the FCDO has asked the MOD for additional platforms to be sent to the region with a view to offering deterrence against aggressors and ensuring the safe passage of British shipping?

[Mr Mitchell]

My hon. Friend will have heard the Prime Minister’s words explaining what the strategy is and how we are implementing it, and I can tell him that the Foreign Office and the Ministry of Defence are perfectly joined in every sense in pursuing that strategy.

My hon. Friend the Member for Rutland and Melton, who in these matters is something of a poacher turned gatekeeper—perhaps it is a gamekeeper turned poacher, because she was previously a distinguished member of the diplomatic corps—delivered trenchant support for our actions. She spoke up for Arab-led initiatives in the region, and I thank her very much also for agreeing to organise a workshop on Iran in the House of Commons for half a day.

The hon. Member for West Dunbartonshire (Martin Docherty-Hughes) asked who we are listening to. The answer is that we are listening to the House, and he will have heard today a House united. He set out the challenges facing the defence budget, and many in the House will understand and agree with him that the challenges are significant, but we are tackling those challenges.

My right hon. Friend the Member for Elmet and Rothwell (Sir Alec Shelbrooke) spoke warmly and rightly about the Royal Navy. We thank him for his support, and he gave the House a geopolitical discourse, in particular on the challenges to the global food chain, and the whole House will have heard what he said.

My hon. Friend the Member for North Wiltshire (James Gray) reminded us of the excellence of his book, and we authors must stick together. He also explained, as the Prime Minister did, why Parliament was not consulted in these circumstances. That point was also visited by two Opposition Members, and I will come to that in a moment.

Malaria and Neglected Tropical Diseases

James Sunderland Excerpts

Tuesday 9th January 2024 Westminster Hall

[Wendy Morton]

The hon. Gentleman makes an important point. We often talk about budgets in terms of countries and regions; insects and diseases such as malaria do not see the boundaries that we do, so it is always important that we do as much as we can, working with our partners, to address the long-term issues and finding the solutions, but taking a holistic approach. I do not believe it is always that simple, but we must absolutely continue to work on it. That is why I think the UK has a very good reputation when it comes to international development, particularly now that that work is integrated within the Foreign Office. However, it is important that we continue to work on this, whether on malaria or many of the other diseases that we see around the world.

[James Sunderland (Bracknell) (Con)]

As a vice-chair of the all-party group on malaria and neglected tropical diseases, I have a great interest in this issue, and having spent a lot of time in Africa over the years, mainly with the military, I understand this particular field intimately. Does my right hon. Friend agree that even though the percentage of overseas aid fell from 0.7% to 0.5%, the Foreign Office should now be focused on maintaining at a consistent level the funding relating to life and death issues? With the overall funding headroom being reduced, the funding element for life and death issues—particularly malaria and NTDs—should be consistent in order for the UK to fulfil its global responsibilities.

[Wendy Morton]

My hon. Friend makes a very important point, and having been a Minister, I know how difficult some of these challenges can be. I am sure that the Minister may well pick up on that issue during her speech. It is important that we look at our priorities and seek to achieve the most effective outcomes for our spend. It does not matter whether this is about international development or any other Department. All too often we talk about the amount of money we are putting into a project, whereas I would like to see us look more at the outcomes alongside that. As my hon. Friend the Member for Bracknell (James Sunderland) acknowledges, we are discussing really important topics this morning that are often about the difference between life and death.

I was pleased that in May 2022, the UK launched its 10-year international development strategy, with one of its four priorities being global health. The strategy states that we will

“work towards ending preventable deaths”

by

“investing both bilaterally and through initiatives such as Gavi, the Vaccine Alliance; and the Global Fund to Fight AIDS, Tuberculosis and Malaria.”

I appreciate the great work of the Global Fund. I also gently remind Ministers—I am sure they are very aware—that there have been some issues with funding in certain parts of the world. That is why it is so important that there must always be the appropriate management and oversight capacity, as well as accurate inventory records checked by external auditors, so that we have overall accountability to British taxpayers.

That said, I absolutely acknowledge the positive results that have been achieved. The Global Fund’s 2023 report states that in 2022, it treated 165 million cases of malaria, and gave preventive treatment for malaria to 14.6 million pregnant women. That is another example of the scale of the challenge we face, and how important this is.

The UK has contributed to those results as the third largest Government donor to the Global Fund, pledging £1 billion for the Global Fund’s seventh replenishment for 2023 to 2025. It is also important to recognise that the funds are spent on some other very important areas, such as HIV and TB, which I know this House and some Members here take very seriously.

It is right that we continue to invest in malaria prevention and treatment if we are to meet our target of ending preventable deaths by 2030. I recognise that the total number of malaria deaths worldwide is falling. The statistics show a fall from 896,000 deaths in 2000 to 608,000 in 2022. By my calculation, that equates to a reduction of about 13,000 deaths a year. Even if we apply that rate between today and 2030, there will still be approximately 517,000 malaria deaths in 2030, which is obviously far from us being malaria-free, so we urgently need innovations to continue to tackle malaria. Perhaps we need to scale up the newly recommended R21 malaria vaccine as part of the solution.

Good international development is not all about spending money overseas to benefit developing countries, although we need the funds to do this. It is also about protecting and developing our interests as the UK: for example, through trade and the building of new trade relationships, and making a strong contribution to the UK’s soft power and international place in the world. It is about honouring the UK’s international commitments, but it must also firmly remain about making this more effective by improving openness, transparency, value for money and delivering. Today’s debate is a very helpful reminder of that.

--- Later in debate ---

[Catherine West]

Indeed, and my hon. Friend pre-empts my point about the impact on women and girls. I know that you will be particularly interested, Mrs Harris, in the relevance of tackling what seems to be the disproportionate impact on women and girls, due to various biological, social, economic and cultural factors. Limited financial resources, time constraints, diminished autonomy, and stigma and discrimination create barriers that prevent women from gaining access to timely healthcare, education and employment opportunities. Due to their responsibility for home and family care, they often miss out on crucial treatments. Through close contact with children, women are two to four times more likely to develop trachoma, which is a neglected tropical disease, and are blinded up to four times as often as men.

It was particularly exciting, in the visit mentioned by my hon. Friend the Member for Slough (Mr Dhesi) and the hon. Member for Glasgow North (Patrick Grady), to see old women, who are often neglected in developing countries, receiving crucial treatments and being enabled to feel that they were not a burden on their children. It was particularly special to learn that trachoma has been eliminated in Malawi. The World Health Organisation has signed that off, which is a really exciting development. Sometimes, these things feel very overwhelming, but when we see that trachoma has been eliminated in Malawi, it really is wonderful and encouraging.

The “Ending Preventable Deaths” strategy recognised malaria as a major cause of child deaths, and important tools such as bed nets and intermittent preventive treatment in pregnancy as examples of evidence-based health intervention and best buys. It was also welcome that the strategy recognised the critical importance of clean water, sanitation and hygiene. However, there is no way of ending these epidemics and meeting the sustainable development goals without working to empower and enable women and girls to succeed. I know that is very much at the heart of your work in Parliament, Mrs Harris.

[James Sunderland]

The shadow Minister and I, and many others here, went to Malawi, as we heard earlier, and we share many of the same views on the way forward. In fact, it is quite nice to have cross-party support on such a key issue. We have sought a Commonwealth Heads of Government meeting in Rwanda. Does the shadow Minister agree that it is important for the league tables to be published, so that African nations can take a lead and have responsibility for a particular NTD? In Malawi, we have eliminated trachoma, and I welcome that noma has now been added to the list of approved—if that is the right word—diseases that the WHO is looking at and investing in. Does the shadow Minister agree that empowering African nations and ensuring that the UK can take a lead in thought leadership and education is really important?

[Catherine West]

Indeed, and it has been estimated that 500 million more people, rising to a billion by 2080, could become exposed to chikungunya and dengue, as these diseases spread to new geographies due to warmer climates—a point made by my hon. Friend the Member for Slough. As an example, the impact of flooding in Pakistan has also been mentioned, and in 2022 there was a 900% increase in dengue and a fivefold increase in the number of malaria cases. The Minister might be quite creative and see whether there is money in the climate funds to join up the health inequalities with the climate funding that will eventually become available through the COP28 process.

While countries in the global south will of course carry a disproportionate burden, tropical diseases are now becoming a growing concern in non-endemic countries. Will the Minister update the House on Government efforts to mitigate the impact of climate change on malaria and NTDs, and what steps they are taking to support lower-income countries to address climate-sensitive infectious diseases? Conflict and humanitarian crises are considerable threats to progress. Many countries have seen increases in malaria cases and deaths, and a few experienced malaria epidemics. Ethiopia saw an increase of 1.3 million cases between 2021 and 2022, and political instability in Myanmar led to a surge in cases, from 78,000 in 2019 to 584,000 in 2022, with a knock-on effect in neighbouring Thailand.

Last June, mycetoma services in Sudan were suspended due to a lack of safety, resulting in patients not receiving vital medication. We know that in refugee camps—as I am sure the Minister also knows from visiting refugee or internally-displaced persons camps—there is a particularly high risk of scabies due to overcrowding. Can the Minister reassure us that the UK is working to support countries affected by conflict and other humanitarian crises to ensure the safe delivery of medical supplies, which are the basics?

Despite the difficulties in surmounting the challenges we face, the elimination of these diseases is possible. Both malaria and neglected tropical diseases can be beaten, as we have seen. Azerbaijan, Belize and Tajikistan have been declared malaria-free by the World Health Organisation recently, and 50 countries, including 21 in Africa, have eliminated at least one neglected tropical disease, marking the halfway point toward the target of 100 countries set for 2030. As a result, 600 million fewer people globally require interventions against neglected tropical diseases than in 2010. Bangladesh, supported by the UK and other partners, is the first country in the world to be validated for the elimination of visceral leishmaniasis, which is the very complicated form of the disease that is fatal in over 95% of cases and has devastating impacts, particularly on women.

The Labour party is proud of the UK’s contribution to date in this global effort, and of the legacy of Department for International Development, one of our proudest achievements of the last Labour Government. As part of that commitment, the last Labour Government helped to found the Global Fund in 2002. It is an incredible fund, and we saw the important work it does when visiting Blantyre. The results are staggering, with the malaria incidence rate decreasing from 164 positive cases four years ago to 36 at the time of our visit last autumn.

I know that you want me to wind up, Mrs Harris, but I have one final anecdote. I met Mirriam, an inspiring midwife and primary healthcare provider working in rural Zambia, when she visited the UK Parliament. She said that she encounters disease every day at her health centre, and spoke to me about her harrowing experience of caring for and losing pregnant women and young children with malaria. However, over the past few years the availability of high-quality, inexpensive, rapid diagnostic tests, insecticide-treated bed nets and preventive treatment for pregnant women, all provided by the Global Fund, are transforming how Mirriam and her midwife colleagues diagnose and manage cases of malaria. She also mentioned the important work being done on tuberculosis and HIV.

Many of the tools and medicines we need to beat malaria were also developed here in the UK, and a number of Members have outlined the important connection with our excellence in research—for example, at the University of Dundee, which the hon. Member for Dundee West (Chris Law) mentioned in his speech, and other important UK research institutions. It is important that we listen to what they say about what we need to keep that research going and maintain this country’s leadership in research and development.

We have already talked about the Vaccine Alliance, Unitaid and the Global Fund, so I will not go into the detail. However, we have one specialism that I need to mention: the crucial research into snakebite. Many who may be watching parliamentlive.tv will not be aware that snakebite kills so many people in Africa, or aware of the important work being done at the Liverpool School of Tropical Medicine—I declare an interest as an unpaid trustee there. That work is very special and niche, but it is crucial to keep it going.

I will conclude on the important work that we need to do this month, given that World Neglected Tropical Disease Day is on 30 January. Can the Minister assure me that the UK is doing all it can to support the development of new medicines for neglected tropical diseases and look at re-committing to multi-year funding for product development partnership models? What is her view on manufacturing in Africa? If we look at the map, we see that expensive medicines are produced here in Europe or America and then sent to Africa and so on, so it would be wonderful to see more manufacturing, perhaps through the Serum Institute of India, for example, which did so much important work during covid. What is her thinking about collaborations there that we could lead and push different parties towards? Finally, as 30 January 2024 approaches—World Neglected Tropical Disease Day—the World Health Organisation argues that, for malaria, “business as usual” will simply not be enough. I hope that the Minister agrees that we now need to act, because there is no more time for us to lose.

Oral Answers to Questions

James Sunderland Excerpts

Tuesday 12th December 2023 Commons Chamber

[Mr Mitchell]

At all points, Britain is trying to use its brilliant international network, working not only with the other United Nations Security Council members, but through our intense diplomatic network around the middle east. On trying to see a political track when it becomes available, Britain, with its allies, is doing everything possible to achieve that. On the suffering that the hon. Lady described—everyone in the House will agree with her analysis of that—the Foreign Secretary recently announced an additional £30 million of support. We are looking at how that can be used specifically to assist with medical issues, particularly for children.

[James Sunderland (Bracknell) (Con)]

6. What steps his Department is taking to support the overseas territories with climate change adaptation.

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

The FCDO is working in partnership with the territories to develop climate security assessments through the conflict, stability and security fund. Our blue planet programme has provided over £35 million since 2016 to enhance marine protection and build climate change resilience.

[James Sunderland]

I am reassured that the UK is investing heavily in climate change adaptation. Does my hon. Friend agree that the best way of future-proofing that is for the FCDO to appoint a dedicated Minister for all the overseas territories and to ensure that the UK never relinquishes sovereignty for any of them?

[David Rutley]

I have recently been appointed as the FCDO Minister responsible for the overseas territories. Furthermore, the Prime Minister has made it clear that every Department should have a Minister whose portfolio covers responsibilities to the OTs. The UK has no doubt about its sovereignty over the overseas territories. Any decision to end British sovereignty should be on the basis of a clear constitutionally expressed wish of the territory’s people.

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

We condemn this outrageous detention, and we will continue to make representations in Moscow and elsewhere for consular access and Mr Navalny’s release.

[James Sunderland (Bracknell) (Con)]

T6. “World malaria report 2023” shows that the number of malaria cases and deaths remain above pre-pandemic levels. What more can the Government do to ensure that we recover lost ground, and also drive towards the total eradication of this awful disease?

[Mr Mitchell]

My hon. Friend is right to ask that question. British scientific expertise has delivered two new malaria vaccines, and as a result of our replenishment of the Global Fund we are working to ensure that 86 million mosquito nets are delivered, providing 450,000 seasonal malaria chemoprevention treatments.

Israel-Hamas War: Diplomacy

James Sunderland Excerpts

Monday 11th December 2023 Commons Chamber

[Mr Mitchell]

The hon. Lady makes an important point about the critical need to get support into Gaza. Yesterday, 100 trucks got through, and 300,000 litres of fuel got through during 9 and 10 December. It is nothing like enough, but we are doing everything that we can in respect of the humanitarian effort, alongside our likeminded partners, to galvanise the international humanitarian community to get aid into Gaza. It is not an issue of getting aid into the region; the aid is there, and there is plenty more back-up to come. It is about actually getting it into Gaza. We are stretching every sinew to try to achieve an increase in humanitarian support as fast as we can.

[James Sunderland (Bracknell) (Con)]

Few would deny Israel’s right to defend itself against an internationally proscribed terrorist organisation, but as a military man, I do not always find it easy to reconcile that with what we are seeing on the ground in Gaza, or the broader operational nature of that campaign. Could the Minister please assure me of the efforts being conducted behind closed doors to ensure Israeli restraint?

[Mr Mitchell]

My hon. Friend is right to underline the concern about the humanitarian casualties, but as I have said repeatedly in response to this urgent question, we are doing everything we can to make the point that he has emphasised.

Israel and Hamas: Humanitarian Pause

James Sunderland Excerpts

Monday 27th November 2023 Commons Chamber

[Mr Mitchell]

The right hon. Gentleman will know that there is always a role for the United Nations, but it has to be adapted to the circumstances. What he says about a ceasefire, which I have heard him say before, is fettered by the fact that Hamas have made it perfectly clear that they do not want a ceasefire. They want to repeat what they did on 7 October, the day of those terrible events. To have a ceasefire, we have to have two sides that want a ceasefire, and that is clearly not available on this occasion.

[James Sunderland (Bracknell) (Con)]

The conflict in the middle east is tragic, complex and, sadly, protracted. While the House is broadly aligned on the need to defeat Hamas, could the Minister please reassure me of the efforts being undertaken to urge restraint among all protagonists in the protection of civilians and non-combatants in Gaza?

[Mr Mitchell]

Britain has been very clear about the importance of respecting international humanitarian law in all circumstances.