Hunger: East Africa and the Horn of Africa

Debate between Jim Shannon and George Howarth

Tuesday 25th April 2023 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

I thank the hon. Member for Glasgow North (Patrick Grady) for raising these issues and setting the scene so very well. He is a man of passion and understanding, and it is a real joy to sit alongside him in this debate. He and I often support each other in these types of debates.

I remember quite well the first time that I saw advertisements in the 1980s that showed children in Africa literally starving. It does not seem that long ago. My heart ached as I looked at my boys—I thank God that we were able to provide for them. I am always aware that there are people in the world who have literally nothing.

I am sad to say that many children are still starving. I am now a grandfather, and I feel that familiar tug in my heart today. I support many charities that have food programmes and operations in numerous countries in the horn of Africa, and they are stretched to capacity. They tell me that they are finding it very difficult to cope. Following five consecutive seasons of below-average rainfall, the horn of Africa is facing its longest drought in four decades. That is compounded by years of conflict and instability, the impact of climate change, covid-19—my goodness!—and rising food prices due to the war in Ukraine. Millions in the horn of Africa face acute hunger, and Ethiopia, Kenya and Somalia have been particularly affected.

In its most recent review of the horn of Africa, published on 3 November 2022, the United Nations reported that 36.4 million people, including almost 20 million children, were affected by the drought, and that 21.7 million people, including 11 million children, needed food assistance. Those figures illustrate the magnitude of the issue. UNICEF estimated that some 5.7 million children in the region require treatment for acute malnutrition, with 1.8 million children experiencing life-threatening malnutrition.

Although famine has not been officially declared in the horn of Africa, with projections of a sixth consecutive below-average rainy season, the famine early warning systems network has estimated that the horn of Africa, especially Somalia, will face a famine in 2023—right now, as we sit in Westminster Hall, that is a reality. With this knowledge comes responsibility. I have absolute confidence that the Minister is aware of this House’s responsibility to do the right thing and increase not simply food aid, but ascertain how best we can channel projects to help families to become sustainable.

[Sir George Howarth (Knowsley) (Lab)]

Like every other speaker, the hon. Gentleman is making a powerful case to make sure that properly targeted resources reach the places they are so desperately needed. Does he agree that the international response, in terms of both resources and resolving the conflicts behind this crisis, has been too slow and indecisive? It really does need a fresh start to ensure that the political conflicts that underlie all this are addressed urgently and effectively.

[Jim Shannon]

I certainly do agree, and I thank the right hon. Gentleman for that point. When the hon. Member for Glasgow North gave his introduction, he emphasised that very point, as others have as well. They are right: decisive action needs to be taken by the Minister and our Government. I am ever mindful that our Government and Ministers have been active, but we do require more incisiveness.

Some of my churches back home have been involved with a project where they were able to buy a pair of chickens, two pigs, two goats—small things, Mr Gray, but things that can really change a family’s life—with the idea that a family can breed those animals and live sustainably by selling the offspring. In the Upper Waiting Hall yesterday, and probably today, there was an exhibition on Yemen—one of the examples shown is that very project, which enables a family to be sustainable. The churches in my constituency of Strangford do that very thing.

Doctor Training

Debate between Jim Shannon and George Howarth

Tuesday 17th January 2023 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

It is a pleasure, Sir George, to speak in this debate, which I thank the hon. Member for South Cambridgeshire (Anthony Browne) for leading. I am happy to support the thrust of it and am pleased to be the Opposition Member speaking for it—that does not take away from others who probably wished to be here.

There is no doubt that we have faced years of NHS turmoil, and one of the main issues is a lack of sufficient staffing across all aspects of the NHS—nursing and doctors being the most prominent. There are countless reasons why we should train more doctors, but there are domestic issues hindering us from doing so. The hon. Gentleman referred to them, and I will address them from a Northern Ireland perspective. I am my party’s health spokesperson, so I am happy to speak on these issues.

I first want to put on the record—others will undoubtedly do the same—my thanks to the doctors of the NHS for all they do for our health in the United Kingdom of Great Britain and Northern Ireland. We are fortunate to have two fabulous universities in Northern Ireland: Queen’s University Belfast and Ulster University. I have spoken to many students who say there seem to be some issues with the number of places available for those who want to become doctors. Northern Ireland prides itself on the opportunities we offer to international students. We have an amazing scheme, but Queen’s can offer only about 100 places a year for medicine, and there is therefore a shortfall. If that could be increased, it would benefit us in Northern Ireland and people across the United Kingdom. The Minister is always responsive to our requests, so will he outline whether he has had any discussions with the Northern Ireland Assembly and the Department back home?

The hon. Gentleman referred to levelling up, and obviously I want Northern Ireland to be part of the levelling-up process. I welcome that the Government are committed to that, but sometimes we need to see the small print, so I ask the Minister to share some thoughts on that.

I understand that more than 10% of the 100 medicine placements at Queen’s are awarded to international students. I stated earlier that there is still a fantastic opportunity for international students, but once they have completed their degrees, a large proportion do not stay in Northern Ireland and go back home to their own countries. That means there is a gap between the number of students who are trained here, and the number who enter professions and become, for example, junior doctors.

Let me give an example from back home. Two constituents I spoke to excelled in their GCSEs, AS-levels and A-levels—the hon. Gentleman referred to qualifications and the success of education. They were both A* students whose ambition was to stay at home, train and work in Northern Ireland. Unfortunately, they were not successful in obtaining a placement in Northern Ireland, and are now in Edinburgh and Wales, given that they had no other options. Those are not the options they wanted; they wanted to be at home. That is why I asked the Minister about the discussions back home.

Our junior doctors recently voted to strike. More than 173,000 members have agreed to a three-day walk-out due to staff pay, excessive rota hours and a lack of support from superiors. Those issues have to be addressed; they cannot be ignored. I have met some of those junior doctors, nurses and consultants to discuss the issues, and I must say that the excessive hours and shifts they are being asked to work are overwhelming. There is a burden on our junior doctors and those who wish to become junior doctors at a very early stage. Sometimes they work 12-hour shifts for four to five days. Just over the weekend, I heard about the pressures that an accident and emergency unit is under. Our junior doctors are tired and feel underappreciated. Again, the importance of addressing that is clear.

Hiring additional doctors seems like an easy answer to a complex problem. It is never as simple as that, of course. People say, “Well, just hire more. The country is crying out for junior doctors.” We know that, but how do we make it happen? Although that is true, the reality is that the NHS and its staff have been underfunded for years. We do not have the money to fund our junior doctor sector and ultimately hire more. The 100 university places at Northern Ireland’s largest university are simply not enough to meet the demand. It is therefore really important that we address the issue. We must encourage our students to stay and work here, but why should they do that when they feel defeated because they are not getting placements where they want—in our case, back in Northern Ireland?

The Health and Social Care Committee stated that stakeholders have recommended increasing the number of places by 5,000 a year—the hon. Gentleman referred to that—and others have suggested that the figure should be as high as 15,000 a year. As part of the levelling-up process, we need to see the benefits of levelling up for all the regions of this great nation.

The Royal College of Radiologists has been in touch with me to say that employing additional junior doctors could assist with the oncology backlogs, which we all know is a priority for many. It has stated that there is a shortfall of 17%, or 163 clinical oncology consultants, which is forecast to increase to 26% or 317 consultants by 2026 without action to tackle the workforce crisis. What we are doing today will avert a crisis down the line, which is what we are trying to achieve. That is just one example of how our lack of junior doctors ultimately has a knock-on impact on our ability to provide priority treatment.

I will conclude, because I am conscious that eight people want to speak and I want to give each and every one of them the same time, but there is much more I could say about this matter. It is important that workers in our healthcare sector know that they are valued and that we very much appreciate their endless efforts, which can go unnoticed by some. This issue arises from an enormous variety of sources, but we have consistently heard comments about how there simply are not enough university places for the students who are willing to help. Everyone in this room knows that underfunding is also a crucial factor, so let us get the job done to make sure our NHS staff have the protections they need, are not under extreme pressures and do not feel undervalued. Today’s debate gives us the opportunity to ask for that, and the hon. Member for South Cambridgeshire has done this nation proud in his introduction. I believe the other speakers will support him in his ask of the Minister.

[Sir George Howarth (in the Chair)]

For the information of Members present, I do not intend initially to put a formal limit on speeches, but an advisory recommendation is that if everybody sticks to five minutes, we should be able to call everybody.

Dialysis Care Outcomes

Debate between Jim Shannon and George Howarth

Thursday 19th May 2022 Westminster Hall

[Jim Shannon]

I thank all hon. Members who have spoken, and I thank the kidney charities that the Minister and everybody else referred to very much for what they have done.

The hon. Member for Rutherglen and Hamilton West (Margaret Ferrier) made some very pertinent points about depression, mental health and the psychological impact that dialysis treatment has on people. The Minister very kindly referred to that in her response, and she outlined the case.

The hon. Member for East Lothian (Kenny MacAskill) referred to the travel costs of taking children to the few centres, and he talked about the impact that has on families. He said that dialysis patients have higher levels of treatment. He also referred to prepayment meters, which can prevent people from accessing home dialysis treatment to start with. I know that is not the Minister’s responsibility, but the hon. Gentleman highlights an issue. We all know the Minister is very thorough, and that she will pass on the issues that have been brought up but are not her responsibility to the relevant Departments.

The shadow Minister referred to the two kidney patients she met yesterday. She also thanked the charities and referred to the 3.1 million people living with kidney disease in the United Kingdom. As we all did, she underlined the need for equal treatment, access and cost reimbursement across the whole of the United Kingdom.

I thank the Minister very much for her comprehensive, detailed response to the issues. She referred to the 11 renal networks and the regional care systems that feed into the transformation programme recommendations.

All hon. Members referred to rising costs. Energy tariffs are not the Minister’s responsivity, but perhaps she will be able to refer that to the right person, whoever it may be. Hon. Members also referred to proactivity and the need to reimburse people. As we were sitting here, Fiona Loud, who is in the Public Gallery, sent me a wee note that said that at least some of the people are getting their money. Perhaps people are taking note of the fact that this Westminster Hall debate is happening, because people are getting their money out—there is a commitment.

All NHS trusts must act and respond better. We need to address the reimbursement of moneys as soon as possible. The shadow Minister referred to that. It is great that the Minister and the Government are setting a target of 20% for home dialysis. We want to see that target achieved.

I welcome the chance to communicate with the Minister outside with the kidney charities, to understand better what the real problems are. We have to thank the charities for their campaigns. The reason I have knowledge is half the time because of them. Without them, none of us would be able to deliver the details, as the hon. Member for Rutherglen and Hamilton West has done.

I always look forward to the future. We bring forward issues to the Minister, and then we look forward to the response. The response we have listened to today sets out a programme of events, strategies and visions for the future. We want to see things improve. We will probably regularly come back to the Minister—I hope we do not have to, but we may have to. If we do, we will do that collectively in a positive fashion. In my life, I always try to do things positively. We bring things to the Minister and say, “Here’s where the shortfalls are. Here’s where we can do better.” What we heard today from the Minister has given us some heart, hope and confidence for the future. On behalf of all kidney charities, on behalf of the patients out there and on behalf of us all, we thank the Minister. I thank you, Sir George, as always, for the excellent way you chair these debates. I appreciate it very much.

[Sir George Howarth (in the Chair)]

I thank the Front Benchers and the Back Benchers for the constructive and consensual way in which this debate has been conducted. It is a model of how we should conduct all our debates.

Question put and agreed to.

Resolved,

That this House has considered dialysis care outcomes.

Criminal Justice System: Families Bereaved by Public Disasters

Debate between Jim Shannon and George Howarth

Thursday 16th September 2021 Commons Chamber

[Jim Shannon (Strangford) (DUP)]

Thank you, Mr Deputy Speaker, for giving me the chance to participate. Just last Friday, the hon. Member for Garston and Halewood (Maria Eagle) was here for the consideration of private Members’ Bills and referred to this debate. I wanted to come along—I do not provide support to any of the victims as an MP—to convey from my point of view our understanding of what the debate means to everyone here today. None of us could fail to feel the sorrow, hurt, loss and raw pain that we have all heard here today. The hon. Lady has been a stalwart in putting this matter forward, and I wanted to come and support her, and I am here today to do just that, and I put it on record.

If I may, I will refer to the right hon. Member for Maidenhead (Mrs May). I am always impressed—I have said this to her, so it is not something she has not heard before—that she is on the Back Benches contributing to debates. I am impressed every time I come here and she does that, because it shows the depth of her and her commitment to the issues she brings forward. We should all be impressed by that, including the Conservative side.

This is a very sensitive topic, and I know there are people listening today who are members of families who have lost loved ones due to public disasters. Many out there will resonate with what those MPs who have spoken today have said, as well as with those who have spoken before and are not here now, and they will understand where the Bill needs to go. We look to the Government to respond positively. We all know—I have written down “96 Liverpool fans”, but as the hon. Member for Liverpool, Riverside (Kim Johnson) reminds me, it is now 97—that the impact goes long beyond the event. I remember well that awful day and the vivid scenes that took place afterwards.

The previous Justice Secretary stated that the Government would

“always consider opportunities to review the law”.—[Official Report, 10 June 2021; Vol. 696, c. 1128.]

Well, today is the day, and the House is asking for that to happen. However, given the devastating situations that families were left in as a result of what many families perceived to be Government inaction after the Hillsborough disaster, it is fair to say that a review of the current law is the minimum action that could be taken. Steps must be taken, as every hon. and right hon. Member has referred to, to ensure that this process is never repeated in any way and that the correct process takes place not only for victims, but the victims’ families who have been left behind.

The motion for this debate is clear. It calls for reforms that

“better respond to families bereaved by public disasters”.

I want to take a moment to reflect on an event in the past that also supports the claim for reforming the criminal justice system. I refer to the Omagh bombings of 1998. I also remember that day. It was a Saturday, and I always remember it very well. It was 15 August, and 29 people were killed.

[Sir George Howarth]

The hon. Gentleman is right, as others have, to praise my hon. Friend the Member for Garston and Halewood (Maria Eagle). I add my thanks to the right hon. Member for Maidenhead (Mrs May) for all she has done to support the families. Does the hon. Gentleman agree that one of the major problems that has beset all this is the lack of a process that takes any account of the legitimate interests of those who either were bereaved or survived it? Does he therefore believe it is about time we put that right?

[Jim Shannon]

I thank the right hon. Gentleman for intervening. Absolutely, we want to associate ourselves with those who lost loved ones in Liverpool and their pain. We in Northern Ireland have had the same pain for some 23 years from the Omagh bombings in particular.

After multiple court cases and futile arrests, there was no real closure for those poor families. My point is: this is not a Northern Ireland-based dig-up of history but another illustration of how there is, as the right hon. Gentleman said, a lack of justice and judicial support for the families of the victims. For 23 years, the families of the Omagh victims have had no closure and no explanation. The process that they have been through shows again that we need to do better by victims of public disasters.

Such disasters should be treated no differently from individual cases. The mark left behind is the same. The pain is the same. The long-lasting hurt is the same. The feeling of losing a loved one hurts all the same, and more effort needs to be put into reforming the system to ensure that there is a better response to the families of the victims. They have waited for something to happen, but nothing has happened. That could be done through communication and better liaison between families and the police, emergency services and, ultimately, the courts. I look to the Minister for a response.

The Public Advocate (No. 2) Bill would allow for better scrutiny for investigations. The hon. Member for Garston and Halewood said that, as did the right hon. Member for Maidenhead—everyone has said it. Perhaps I sometimes look at things simplistically, but it looks simple enough—so just do it. I fear that, all too often, victims are left in the dark, making the process more devastating. An independent advocate would allow for those all-important questions to be answered from the aftermath of a tragedy that is still raw. We have witnessed that in recent years with Grenfell, which other hon. Members referred to, and the Manchester Arena bombings. Many of us did not cry tears at that, for people we did not know, but for the victims, the tears, the sorrow and the hurt are the same, and we need to help the victims. They and their families should be at the forefront of legislation. The authorities have a moral duty to ensure that information and investigative movements are transparent to all victims’ families.

One of the most prominent duties of hon. Members in this House—we all do this, hopefully to the best of our abilities—is to represent our constituents. I stand up here for all who have suffered loss with no closure or justice at all. Unfortunately, Northern Ireland knows only too well about victims, and there is often little to no closure. As we have heard from right hon. and hon. Members, it is crucial that no negligence or wrongful information has the potential to dissipate relations further. I cannot fail to be angered about that; I want the response to be as it should.

The core element of the Public Advocate (No. 2) Bill is to ensure that things are done properly from the start. The hon. Member for Garston and Halewood has raised this issue in Parliament over a great many years—long before I came here—and I hope that consideration will be given to the Bill. I urge the Minister, to whom I look as a friend, to work collectively with the victims’ families. It is not enough, and moreover it is not fair, that it is down to the families to set out their own methods of support and victims support groups. The Government must do more to ensure that the pain that victims’ families go through is met with understanding and support. If we cannot give support to our grieving and vulnerable, we as a society are failing and we in this seat of democracy as MPs have failed. Today we want to take failure and make it success, so we look to our Minister to make that happen.

I support the hon. Member for Garston and Halewood and everyone who has spoken across the Chamber. I would just say this: to their repeated efforts to secure this support in legislation, I add my voice—as one who represents Strangford in Northern Ireland and does, I believe, understand the pain—as I do to the request they have put forward today. That request in this House today will help us all in this great United Kingdom of Great Britain and Northern Ireland and, on behalf of the victims and on behalf of the families, make sure that we can learn from past mistakes and simply, but most importantly, do it better.